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2005, 11-23 Permit App: 05004091 ResidenceProject Number: 05004091 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/31/2005 Page 1 of 3 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Setbacks: Front 25 Left: 5 Right: 5 Rear: 51 Site Information: ate, Plat Key: Name: RANGE Contact: SULLIVAN HOMES Address: 16114 E INDIANA AVE SUITE 200 C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 624-4598 Group Name: Project Name: vtowotmvoosfomomv000smokotoaoors District: Sout Parcel Number: 45224.0532 SiteAddress: 916 S MAYHEW LN Location:: CSV Block: 1 Zoning: UR -7* Urban Residential -7* Water District: Lot: 10 Owner: Name: SULLIVAN HOMES Address: 16114 E INDIANA AVE SPOKANE VALLEY, WA 99216 Hold: ❑ Area: 6,706 Sq Ft Width: 47 Depth: 134 Right Of Way (ft): 31 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released Plan Review Originally Released: 10/31/2005 By: CJJANSSE eased By: Sewer Review Permits: Originally Released: 10/27/2005 By: TMELBOU Released By: Operator: CJJ Printed By: CJJ Print Date: 10/31/2005 Project Number: 05004091 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/31/2005 Contractor: SULLIVAN HOMES LLC Address: 16114 E INDIANA AVE STE 200 SPOKANE VALLEY, WA 99216 Building Characteristics Total Area Building Height 19 Stories 1 Dwelling Units 1 1430 Building Permit Page 2 of 3 Firm: SULLIVAN HOMES INC Phone: (509) 624-4598 Description Grp Type Notes BASEMENT U R-3 VB GARAGE U-1 VB RESIDENCE R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW This Application: Total Project: Sq Ft Valuation Si Ft Valuation 1,415 $21,225.00 1,415 $21,225.00 444 $8,436.00 444 $8,436.00 1,430 $106,792.40 1,430 $106,792.40 Totals: 3,289 $136,453.40 3,289 $136,453.40 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Contractor: COMFORT CENTRAL HEATING Address: PO BOX 28924 SPOKANE WA 99228 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS RANGE GAS LOG OR GAS INSERT HOOD -TYPE II Fee Amount $1,200.95 $4.50 $480.38 Permit Total Fees: $1,685.83 Mechanical Permit Firm: COMFORT CENTRAL HEATING Phone: (509) 216-1223 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 4 # OF UNITS 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: CJJ Printed By: CJJ Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $4.00 $40.00 $10.00 $10.00 $10.00 $106.00 Print Date: 10/31/2005 Project Number: 05004091 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/31/2005 Page 3 of 3 Contractor: STURM HEATING Plumbing Permit Finn: STURM HEATING Address: 1112 N NELSON Phone: (509) 325-4505 SPOKANE, WA 99202 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Units 2 5 2 1 1 1 1 3 Fee Amount $1,685.83 $106.00 $96.00 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $1,685.83 $106.00 $96.00 $1,887.83 $1,887.83 Fee Amount $12.00 $30.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 $96.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $1,685.83 $106.00 $96.00 $1,887.83 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CJJ Printed By: CJJ Print Date: 10/31/2005 BUILDING PERMIT APPLICATION WORKSHEET SCITY l �� ; �= G' r 0 $0,1c net ,Valley Community Development Department ��nr ;� �� a ;' Building Division „Th 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 vg 1 done. (509) 688-0036; Fax: (509) 688-0037 Street Address: 916 S. Mayhew Lane Assessor's Tax Parcel Number(s): Legal Description: Lot 10 Block 1 PERMIT DESCRIPTION: New Residential Construction ® Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other Owner: Sullivan Homes Phone: 509-624-4598 Fax: Address: 16114 E. Indiana Ave City: Spokane Valley State: WA Zip: 99216 ❑ Contractor: Same Phone: Fax: Address: City: State: Zip: WA State Contractor License #: Sullihi042JT Applicant: Same Phone: Fax: Address: City: State: Zip: ❑ Architect: Phone: Fax: Address: City: State: Zip: Contact: Evan Hughes HEIGHT TO PEAK: 19'-10” DIMENSIONS: 40'-0" x 58'-0" # OF STORIES: 1 MAIN FLOOR TO SQ. FTG: 1430 sf 2ND FLOOR SQ. FTG: N/A UNFIN BASEMENT SQ. FTG: N./Dr FINISHED BASEMENT SQ. FTG: N/A GARAGE SQ. FTG: 444 sf z, ,c DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: Single Family CONSTRUCTION TYPE: Residential HEAT SOURCE: GAS # OF BEDROOMS: 2 TOTAL HABITABLE SPACE: 1313 sf IMPERVIOUS SURFACE AREA: COST OF PROJECT: $180,000 30% SLOPES ON PROPERTY: NO SEWER OR ON-SITE SEPTIC SYSTEM? Sewer MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: Previous Address: Proposed Use: Fire Sprinkler: Tent: Valuation: Plans Examiner: Address: Inspector: Address: # of Heads Fire Alarm: Fireworks Display: Blasting: Above/Underground Storage Tank Size: Paint Booth: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Phone: City, State, Zip: Phone: City, State, Zip: Fax: Fax: ❑ BOLTING ❑ CONCRETE Firm Name: Inspector(s): ❑ REINFORCEMENT Phone: Fax: ❑ WELDING DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Cali (509) 688-0054 Project Address: 916 S Mayhew Lane Spokane Owner: Sullivan Homes Mailing Address: 16114 E. Indiana Ave Spokane Valley WA 99216 Contractor: Comfort Central Heating Mailing Address: PO BOX 28924 99228 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): 509-624-4598 City License #: COMFOCH995OG Spokane Ci State State Zip Code Phone #: WA Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE 1 X $10.00 = 13 RANGE 1 X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER 1 X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 4 X $1.00 = 18 DUCT SYSTEMS 1 X $10.00 = 19 VENTILATING FANS 4 X $10.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD 1 X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: DATE: ❑CASH 0 CHECK 0 VISA 0 MC SUBTOTAL PROCESSING FEE $35.00 EXPIRES: CARD #: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: . . 1%, ne Vfib PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Cali (509) 688-0054 Project Address: 916 S.Mayhew Lane Owner: Sullivan Homes Mailing Address: 16114 E Indiana Ave Contractor: Sturm Heating & Plumbing 4505 Mailing Address: City Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Residential Phone (Daytime Contact): 509-624-4598 State Zip Code License #: STURMI*210QF 1112 N. Nelson, Spokane WA 99202 Phone #: 325 - City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 2 X $6.00 = 2 URINALS X $6.00 = 3 TUBS 1 X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 2 X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 5 X $6.00 = 6 DISHWASHER 1 X $6.00 = 7 CLOTHES WASHER 1 X $6.00 = 8 GARBAGE DISPOSAL 1 X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER 3 X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SULLIVAN HOMES INCORPORATED TRANSMITTAL SHEET TO: SPOKANE COUNTY FROM: Sullivan Homes CONTACT: EVAN HUGHES DATE: 10/20/05 PHONE NUMBER: 509-624-4598 RE: 916 S Mayhew Lane Building Permit 0 URGENT X FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE CONTENTS: (2) FULL PLAN SETS 24" X 36" (2) PLOT PLANS (1) BUILDING PERMIT APPLICATION (1) MECHANICAL PERMIT APPLICATION (1) PLUMBING PERMIT APPLICATION (1) SEWER CONNECTION PERMIT APPLICATION FORM (1) RESIDENTIAL GLAZING COMPLIANCE FORM (1) GENERAL FACILITIES CHARGE ***PLEASE CONTACT US IF ALL OF LISTED ITEMS ARE NOT INCLUDED*** 3004 N. SULLIVAN ROAD, SUITE A • SPOKANE, WASHINGTON • 99216 PHONE: 509.624.4598 • FAX: 509.624.4630