2007, 07-16 Permit App: 07002516 ResidenceProject Number: 07002516 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/2007 Page 1 of 4
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 23 Left: 5 Right: 29 Rear: 22
Site Information:
Plat Key:
Name: Range
Contact: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 205
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
District: East
Parcel Number: 55073.2609
SiteAddress: 17204 E NORA AVE
Location:: CSV
Block:
Lot:
Owner: Name: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 205
SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 7,237 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .._:
Hold:
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
IReleased By:
Driveway/Approach
Originally Released: 7/16/2007 By: TMELBOU
Released By:
Originally Released: 7/16/2007 By: jdavls
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released:
7/2/2007 By: tschmidt
Released By:
Operator: JD
Printed By: JD
Print Date: 7/16/2007
Project Number: 07002516 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/2007 Page 2 of 4
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200
SPOKANE VALLEY, WA 99216
Approach
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Item Description Units Unit Desc
APPROACH -CONST IN ROW 1
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200
SPOKANE VALLEY, WA 99216
Building Characteristics
Building Height 21
Fee Amount
NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Description Grp Type
1&2 FAMILY R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: JD
Notes
Totals:
Units
1
1
1
Printed By: JD
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,618 $147,820.48 1,618 $147,820.48
84 $1,260.00 84 $1,260.00
418 $7,942.00 418 $7,942.00
2,120 $157,022.48 2,120 $157,022.48
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,318.55
$4.50
$527.42
Permit Total Fees: $1,850.47
Print Date:
7/16/2007
1
Project Number: 07002516 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/2007 Page 3 of 4
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200
SPOKANE VALLEY, WA 99216
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200
SPOKANE VALLEY, WA 99216
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Mechanical Permit
Units
1
1
1
4
3
1
1
1
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$96.00
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Units Unit Desc
2 NUMBER OF
5 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: JD Printed By: JD
Fee Amount
$12.00
$30.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $90.00
Print Date: 7/16/2007
Project Number: 07002516 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/2007 Page 4 of 4
FLORA ESTATES -REFER TO ADE -19-06 FOR LOT WIDTH/FRONTAGE-MH
FLORA ESTATES -SEE FILE ADE -19-06 FOR LOT FRINTAGE/WIDTH-MH
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid
Approach $50.00 $50.00 $0.00
Building Permit $1,850.47 $1,850.47 $0.00
Mechanical Permit $96.00 $96.00 $0.00
Plumbing Permit $90.00 $90.00 $0.00
Amount Owing
$50.00
$1,850.47
$96.00
$90.00
$2,086.47 $2,086.47 $0.00 $2,086.47
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: JD Printed By: JD Print Date: 7/16/2007
Project Number: 07002516 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/29/2007 Page 1 of 4
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 23 Left: 5 Right: 29 Rear: 22
Site Information:
Plat Key:
Name: Range
Contact: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 205
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
District: East
Parcel Number: 55073.2609 Block:
SiteAddress: 17204 E NORA ST
Location:: CSV
Lot:
Owner: Name: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 205
SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 7,237 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: F.w
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Driveway/Approach
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By: --!u
Released By:
Released By:
Released By:
Operator: JD Printed By: JD Print Date: 6/29/2007
Project Number: 07002516 Inv: 1.
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/29/2007 Page 2 of 4
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200
SPOKANE VALLEY, WA 99216
Item Description Units
APPROACH -CONST IN ROW 1
Contractor: SULLIVAN HOMES LLC
Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598
SPOKANE VALLEY, WA 99216
Building Characteristics
Approach
Finn: SULLIVAN HOMES INC
Phone: (509) 624-4598
Unit Desc Fee Amount
NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Firm: SULLIVAN HOMES INC
Building Height 21
Description Grp Type
1&2 FAMILY��,,,,�R-3 VB
DECK OP�I+F R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: JD
This Application: Total Project:
Notes Su Ft Valuation SQ Ft Valuation
1 (1� 448.9— $145,171.04 1,589 $145,171.04
H ,91' $1,365.00 91 $1,365.00
z_it( MS $7,885.00 415 $7,885.00
Totals: 2,095 $154,421.04
Units Unit Desc
Printed By: JD
SELECT
SELECT
SELECT
Permit Total Fees:
Print Date:
2,095 $154,421.04
Fee Amount
$1,301.75
$4.50
$520.70
$1,826.95
6/29/2007
Project Number: 07002516 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/29/2007 Page 1 of 4
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 23 Left: 5 Right: 29 Rear: 22
Site Information:
Plat Key:
Contact: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 205
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
Name: Range
wzgom
District: East
Parcel Number: 55073.2609
SiteAddress: 17204 E NORA ST
Location:: CSV
Block: Lot:
Owner: Name: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 205
SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 7,237 Sq Ft
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Driveway/Approach
Released By:
Released By:
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Released By:
Operator: JD Printed By: JD Print Date: 6/29/2007
"• Permit Center
Si` okane 11703 E Spray
Spokane Valld
Val ley e (509)688-003
www. spokane
Community Development
Residential Construction
w06
: (509
lley.org
l
Lam)
Permit Application M
PERMIT NUMBER:
PERMIT FEE:
struction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: —11e N LL-- (z p . I 1-7
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: LT 1
Building Owner:
DIMENSIONS:
Name: LLA f xAisJ 40 -%"A. -i. -2S
-
Address: j (0) I . Es j „ (_Di ��
/x'
2Nu FLOOR SQ. FTG:
��
City: <Pv 11 State: W
Zip:111t,
Phone:' G 24_7 5
1 s Fax:. 1- 6,
2,4_ `F‘,,�'t✓
Contact Person
Name: L.i A. ,J 4.1 t1T-3
Phone: 2„,g2,-- '2 Cy c
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
Name: 5C_
TOTAL HABITABLE SPACE:
158
Address: ,--
2Nu FLOOR SQ. FTG:
��
City: ,--_ State:
City:
Zip:
Phone: Fax:
GARAGE SQ. FTG:
j
Contractor Lic No: Exp Date:
SU LI.. i416 it-2:31-
2 S TCity
30% SLOPES ONS
PROPERTY:
CityBusiness Lic. No:
CONSTRICTION TYPE:
Cost of Project: $
Proposed Use: R-£-3/ --T ert—
**************The followine MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
2,1(
DIMENSIONS:
# OF STORIES:
t
TOTAL HABITABLE SPACE:
158
MAIN FLOOR TO SQ.
FTG:1 S 6
2Nu FLOOR SQ. FTG:
��
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
j
DECK/COV. PATIO SQ. FTG:
9 i
30% SLOPES ONS
PROPERTY:
# OF BEDROOMS:
S
CONSTRICTION TYPE:
HEAT SOURCE:
C-)� S
SESER OR SEPTIC?
ilt,N rC11 L..
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed. i l
SIGNATURE \-
Method of Payment:
El Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
DATE: 62 - 2 ?`0 7
❑ Mastercard ❑ VISA
Expires: VIN#:
•
29 02 08: 49.9 Dan Canis
509-755-8713 P_1
2001 SEC Residential Compliance Forte
Prescriptive (Chapter 6) Options for all R Occupancies, Climate Zoe 2 0} 1
H -t source: AIL
.r
t,r.�osw_!s�'+au�a �---�r:�.�.^m �•:r3•..�rstc,..�;e
Ih7STFCUc_11ONs . .
r4,41 -rein
I) Yoirc-panni[ w111 be processed more effinendy if you pro -side aIl.of the regnestad info s ati00 Depeirlaieztt sthEf c an
help you with general is -u ions about this form. Your building -must match -the selected option ieaairacn nus without
excep5ons orsubstitutions.
Glazing percentage determines which option to choose_ Complete the following glazing area ralmiation" before
proceeding to the option table below_ • .• -
GLAZING AREA CALCULATION:
SK.
SE
TOTAL W-1 DOW AREA., --.-_.-- ,-- HAT. 2 FLOOR AREA: Lab. FLOORS)_ -- %.1, OF GI,A7SNG
NOTE Use iuugh opening (13./0) for window area Include ellhalf--lite and. fiilI-Ete 'door low g i±T tbds
calculation:
CAN'T -COMPLY? If none of the Presmptive (Chapter 57 Options below are acmpiab1 . co -psi -der spetenis analysis
(Chapter 4) or, Component Performance (C hapten 5) Approach_ The maize advaattage is fle n`bilit}r to juggle inch -odd -11P7 U -
factors (R -values)' as long as an overall ma5mum value isn't exceeded_ Note that the . overall p-szormance requis monis
are ilo leas sLtiugent than the Prest.iptive regniremezts- Calmlatiors may be perfoi.u,ed by hand or,': using an acceptable
couzputar software program- Helpful foe a and other resources tan b_ e downloadeh at huts:// wwiv- tergcr.T+ eon%
btrldings
QfROLE
OPTION
TAS LE S-2
PRESC2IFTNERECIUIREME1,21-Sr1'•ECiR GROUP'R:OCCUPAh1CY • -
CUMATE ZD NEE 2
-6p
3pGon
Glar.. -
oF.Ploor
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- I1Fedur
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-
Varlted
Ce�Tm9
wan
Abuva
Grade
Wall-
6th` .
E21OW
Grade
Watt-
,.:=,'"d:'
. _ .
7ow
Grade
}per
.
Slab-
ad-
00-
'Gade
-Vertical'
Overhead"
L
.10% 1 -' CL -i0
058
010
139
2-30
2-21
ing
2-71
. A-12
1150
' R10
7L�
159: 040
0.58
.a 0
2-3S.
: R-30
2-19 +
R-5'
R-21
-R-'II
2-30
RIO
1915
' .
17% 037
. I15C
0=0
2-30
2-30
A-19+
P.2-5'g�{:„
11-21
•11-12
R-30
R-] 0
^
• ladimue.¢ .
' Cavnp R-3_
Onbr
0
0S8 ,
LILVI
, - 2-36 , -
,R-30
2-23
ioi-
1121
1-12
230
2-10
Rnfernorc Cave
0- emus! vahms era fat -wood frame assembles -only or assemblies builrie nerordmer with 5cc ion 601.1-
1- Mlui.,,nmicg ircrarnLsforcactioptionlistc3 FarrsarnplSifapronnsrridesignhasagl-r-ingrntiotothccandirio'nedfloor
rr0of 13%4ft-1e11cdmpiy wirL alt ofmarcgmran_-nts ofiho, 15% glaolg option (or higblr): Proposed:demo which menet
me t ific sprii.6c rregrnr®r„h ofa lislal option above may olenlala compliance by Cheptas 4 or 5 of Code.
•
- 2. Req .inemrniapplies to all coffin, excptsingle railer orjoisr vanlh=d ra-Im Add deaots Advano .dFrmeod CrOT eg
3. loegnir-mont epp3icablc only to single raflcr or joiatwtoltnd retinas:
• .4- Belowgradewall. shall be insnlntc3ather on me onneier to II ,n i� nn;ra 1cor1 oflt 10 or on -tb_ mtcdar to the same ieccl es
walls;sbove grrtr ;:Pztvi or insolaooamsta➢cd on below grade walls sbal be a Avsrci resistant mnteaal, maou turd {:2r les
intended use, and instilled accozdingto rho mencrfacturcrs spxi5oSeno Ser Sestina 53
5_ Flours ova -crawl spaces or eaposcd le ambirarairconditions_
6- Rcquitcd slab painctcr iraolaioot shell be e wotor i asmesial, monafamrcd for its iutmdcd use, and inscdlca
according m mesnfacmtces'aprrLurotions' Sec Sccdon 60141 - - -- . .
• 7. In[. dentes standatdnnmmg 16 inches on cmi-rwith hood csinsnlairdwith a uticriinnm ofR 5 insulation_
8_ This r ..i ianoniequirrmcntdenotes R-19 wall covitpinsulationpins l'ti-=zotmshcathin g-
9_ Doors, including all Ere dons, shall be assigned default U -fatter frena Table 10-6--C_
I0. Where wine, mtvm glaring aratis to6r11laang ar a (comhin_d :crtrevlplus overhead) as a percrnt of grecs
cononioncddoor ire. bell be lees than or cgnafto Thai value_ Civabcad ea -rag with U=factor of13 090 ort ss is notii§cludcd
in glaang are Smmitations. .
Ovcthcad slung shall Iac= U -farrow dcrsanrd in armrdwoc r+th}2I RC 100 or as sicriL,1 in. SccEion507_1_5_
12. Log and solidiimbcr wads with ami an:o n avnreec [timers of 33- arcc:mpt from Otis ipso etion icrltvromcat
ATTr1 nn nn nr1rr nn A A air nuns run r,rr- rnA n
Irl
ren
UTILITIES DIVISION
N. Bruce Rawls, P.E., Utilities Director
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
//8 7
Date:.
Plat Name: //t"Y - -r i 'S S P. 0
Site Address(es): / 71 3
Owner Name: r PM1
Lot No(s): q Block No(s): 1
(2-0 . Parcel No(s):
OR Builder Name: '<-
PRINT Owner's Name PRINT Builder's Name
Payment Option Selected (Check One):
1. 0 GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. 2?GFC to be paid at closing. See Special Conditions below regarding GFC rate.
3. 0 GFC payment in 24 equal monthly payments upon establishment of Sewer Billing. Account.
See Special Conditions below regarding GFC rate.
If Option No. 3 is selected, complete one of the following statements:
a. Owner's Statement: I, , understand that I will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added
to my monthly sewer service charges.
b. Builder's Statement: I, , understand that because I
am selecting this option for payment of the GFC, the purchaser of the home will be responsible for payment of
the applicable GFC in 24 equal monthly installments. 1 agree to formally disclose to potential buyers of the
property that the GFC charges will be added to the monthly sewer service billings as soon as billing
commences.
Special Conditions: Sewer connection permits are valid for 12 months from date of issue. If final connection is
not completed and inspected within,the 12 -month life of the permit, a new permit will be required and the GFC rate
that is, in effect when the new permit is issued will apply.
Other Special Conditions: ElSNo ❑ Yes - See Reverse Side ofFomm
4/-2,e/4-7
Owner's or Builder's Signature Date
Located at: 1026 W. Broadway, 4th GFloor
Spokane County, Division of Utilitiest6 . Broadway • Spokane, WA y9 60axMt Option Form, Revised 02-04-04
Spokane County Division of Utilities
SEWER CONNECTION PERMIT APPLICATION FORM
PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Also note that sewer
permits are valid for 12 months form the date of issuance. No extensions will be granted. A separate right-of-way permit is required for any work
performed in or from the county right-of-way.
PROJECT INFORMATION
Job Address: 1718 N. Bell Rd.
Parcel Number:
Project Name: Inverness P.U.D.
UL ID Name:
Lot: 9 Block: 1
CHECK APPLICABLE BOXES
x Regular
❑ Dry Sewer
❑ Repair
❑ Addition
❑ Abandonment
x Residential
O Commercial
O Temporary
x New
O New
Owner's name: Sullivan Homes Inc.
Address: 16114 E Indiana Ave Suite 200
City/State: Spokane Valley WA
Zip: 99216
Phone: 509-624-4598
* FIRST TIME CONTRACTORS OR HOME OWNERS PERFORMING THE INSTALLATION MUST FIRST CONTACT THE
UTILITIES DIVISION BEFORE PERMIT(S) CAN BE ISSUED.
SIGNATURE OF UTILITIES DIVISION PERSON CONTACTED:
Contractor (company name):
Sturn Heating and Plumbing
Sate contractor license number:
Sturmi*210gf
Business address: Same
City/State: 1112 N Nelson Spokane Wa Zip: 99202
Contact Name:
Greg
Phone Number: 509-325-4505
INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one
Fill out the information in the table below if applicable**
Contractor (if different from above): Phone:
Business Address: City/State/Zip
**For plumbing reversal fee information, see reverse side of this form.
FEE INFORMATION
Number of Buildings connecting to sewer 1 X (times) $100 (per bldg) = $ 100.00 + $10.00 = $110.00
RIGHT OF WAY PERMIT
• For a single-family residential unit, one permit is required;
• For a condominium, townhouse, duplex, triplex or fourplex with separate ownership (as determined by lot lines) separate address and separate stub, one pemrit is required per address per stub;
• For a single building duplex, triplex or fourplex with single ownership, one permit is required
• Multiple buildings (apartments, industrial complexes) with single ownership, one permit required per building connecting to the sewer.
(FOR SITUATIONS NOT COVERED HERE, CALL THE COUNTY DIVISION OF UTILITIES AT 477-3604)
Is any of the work to be performed in or from the unty right-of-way? O Yes IINo
APPLICANT SIGNATURE:
DATE:
Method of Payment:
❑ Cash . Check
D Visa
D MasterCard
0 Discover Card
Date: Expires:
Bankcard Number:
Authorized Signature:
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane WA 99260
Tel. No. (509) 477-3675 * Fax No. (509) 477-7198 * TDD No. (509) 477-7133
SULLIVAN HOMES
INCORPORATED
TRANSMITTAL SHEET
TO: CITY OF SPOKANE VALLEY FROM:
Sullivan Homes
CONTACT: EVAN IIUGHES DATE:
4/18/07
PHONE NUMBER: 509-624-4598
RE: 1718 N. Bell Rd. Bldg Permit
❑ URGENT X FOR REVIEW ❑ PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
CONTENTS:
(2) FULL PLAN SET 24" X 36"
(2) PLOT PLANS
(1) BUILDING PERMIT APPLICATION
(I) MECHANICAL PERMIT APPLICATION
(1) PLUMBING PERMIT APPLICATION
(1) RESIDENTIAL COMPLIANCE FORM
(1) GENERAL FACILITIES CHARGE
***PLEASE CONTACT US IF ALL OF LISTED ITEMS ARE NOT INCLUDED***
16114 E. INDIANA AVE, SUITE 200 • SPOKANE VALLEY, WASHINGTON • 99216
PHONE: 509.624.4598 • FAX: 509.624.4630
This site plan is being submitted for the purpose of
obtaining a building permit and is true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes and other critical areas.
Signed:
Date:
PLANNING DEPT. APPROVED
BY:
DATE: 7/;2j 7
BELL ROAD
ALO SLA
29'
4' BORDE
ASEMEN
1N31A3SV3 d3a2:1O8 .£
1N31/9SV3 J.11lllfl Alda .£6
NORA AVE
/19' DRIVEWAY
N.89°50'01 "E.
46.49'
N
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LOT 9 BLOCK 1
1718 N. BELL ROAD
7,237 S.F.
N.89°50'01"E.
74.00'
SCA.: 1" = 20'
(Address: 1718 N, BELL C?OAP (Date: r Sheet Title
G:FNA0 5, WA, 99216
Location: INVNpNE55
LOT 913LOCK 1
443.9-1-II4V-CA5CAti
Job No:
5/01/07 rLO-'
Han: FI n
cAsc�n:I
- /'\I V
Permit Center
S��
'TA 11703 E Sprague Ave, Suite B-3
fi kane Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
spokancvaltee.ore
Community Development
Plumbing Permit Application
SITE ADDRESS: I /) Ai
'3f L—
❑ Com r Iercial
PERMIT NUMBER:
PERMIT FEE:
esidential
o.//7 DV C'Norl
Building Owner
Name:
Phone:6 7
Fax.
- .,_
Address: /4 /' 6 / �1,JA Ain
/
City5ftk_��i ti/ ��
State: / _ E it_
LA.;
Zip: �j ZL
Contractor
Name: S 1,c) i -.(3 p L� M&
T J
Phone. c� q 1
� �c; ��- l: Z
Fax:
y i n
Address: (-I' ) C3 E. 2g '1'
City: Seo%tfhsq_
State: V.ileic
Zip: 9e% 223
License No: ‘.1.__„0,1_ ,„4P -I- q 3_5----:_i-3-
City Business Lic:
Contact
Name Srriv C A toA_N
Phone: rj - (, 2 9
—
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
2
X
$6.00
2
URINALS
X
$6.00
3
TUBS
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
S
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
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 MC EXPIRES:
Card# VIN:
AUTHORIZED SIGNATURE://tAti' �1
REVISED 3/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
Valley.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
w ww.spokancvallev.ora
SITE ADDRESS:
n Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
Building Owner
Phone: / c1
Name: SVLL.
Fax: / Z; ._ tl.�3 vQ
{ot 7
1 vA,..4 i .„..v."..� 2,�,-s`/
CAu7
Address: + t 'l 4 L i/"21/i' .lJ ,>A f7 v L ' City.3p�z'/ca�fL 1
State: e Zip. 1211 42
W
Contractor
Name: Phone:
ex,4,,,,_,,_ ,,, Fk„,..77...,,,
Fax:
Address: e. D. 0 Z�j ci7City: , pa �L
State: Wm. Zip: 9122 t2
/ L?
License No: / _ �O c i4 9 1 50 r City Businress Lic: /) , .� f"-- p c, ,� lel vc 6
�""'"r '�I C �C!
Contact
Name: Phone: 4
4 tJ ..
,1 $ o
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
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
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
$10.00
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
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 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
510.00
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
35
VENTILATION MECHANICAL EXHAUST
x
512.00
X
512.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
CARD #: VIN:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: