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2007, 04-23 Permit App: 07001405 Residence• Project Number: 07001405 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/23/2007 Page 1 of 3 Project Information: Permit Use: SFR W/ATT GAR Setbacks: Front 23 Left: 20 Right: 5 Rear: 19 Site Information: Plat Key: Name: Range x g 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: lovam•Baztime- District: East Parcel Number: 55073.2611 SiteAddress: 17209 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: 6,500 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: NOMMENBWESM.i Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Driveway/Approach Rale ed Landuse/Zoning/HE Conditions Rele Sewer Review Permits: Released By: Operator: JD Printed By: JD Print Date: 4/23/2007 Project Number: 07001405 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/23/2007 Page 2 of 3 Approach Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $50.00 Contractor: SULLIVAN HOMES LLC Address: 16114 E INDIANA AVE STE 200 SPOKANE VALLEY, WA 99216 Building Characteristics Building Height 19 Permit Total Fees: $50.00 Building Permit Firm: SULLIVAN HOMES INC Phone: (509) 624-4598 Description Grp Type Notes 1&2 FAMILY R-3 VB GARAGE U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,531 $139,872.16 1,531 $139,872.16 469 $8,911.00 469 $8,911.00 Totals: 2,000 $148,783.16 2,000 $148,783.16 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 AIR CONDITIONER:4-15 TONS VENTILATING FANS GAS LOG OR GAS INSERT HOOD -TYPE II Units 1 1 1 Unit Desc SELECT SELECT SELECT Fee Amount $1,268.15 $4.50 $507.26 Permit Total Fees: $1,779.91 Mechanical Permit Units 1 1 1 3 1 4 1 1 Operator: JD Printed By: JD 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: Fee Amount $10.00 $10.00 $12.00 $3.00 $20.00 $40.00 $10.00 $10.00 $115.00 Print Date: 4/23/2007 Project Number: 07001405 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/23/2007 Contractor: SULLIVAN HOMES LLC Address: 16114 E INDIANA AVE STE 200 SPOKANE VALLEY, WA 99216 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS MISCELLANEOUS FIXTURES Notes: Plumbing Permit Units 2 5 2 1 1 1 1 1 3 Page 3 of 3 Firm: SULLIVAN HOMES INC Phone: (509) 624-4598 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $30.00 $12.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 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 Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,779.91 $115.00 $102.00 Invoice Amount $50.00 $1,779.91 $115.00 $102.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $102.00 Amount Owing $50.00 $1,779.91 $115.00 $102.00 $2,046.91 $2,046.91 $0.00 $2,046.91 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: 4/23/2007 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: 16' DRAINAGE EASEMENT .I' •I' \ / 20' Z w °I0f °LA\ SCAL: 1" - 20' z O O m m m m m 20' 16' DRAINAGE X S.89°50'01"W. 65.00' 5' LOT 2 BLOCK 2 17209 E. NORA AVE 6,500 S.F. a i9 0 X— 5' S.89`50'01'W. 65.00' / 20' DRIVEWAY \ORA AV N SULLIVAN HOMES INCORPORATED Address: 17209 Nora Ave, Spokane Vallee, WA, 99016 Location: INVW55 1.01" 2 BLOCK 2 ate: Sheet Title 4/25/07 I2LO1' Plan: job N o : 427-2-MV-Q-EA'?JJATEK a' " `WA's' • Project Number: 07001405 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/23/2007 Page 2 of 3 Approach Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Building Permit Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Building Characteristics Building Height 19 This Application: Total Project: Description Grp Type Notes Su Ft Valuation Su Ft Valuation 1&2 FAMILY R-3 VB i323 11531 $139,872.16 1,531 $139,872.16 GARAGE U-1 VB '/J% tel-- $8,911.00 469 $8,911.00 ca., #4fr,0 23 v3 76 Totals: 2,000 $148,783.16 2,000 $148,783.16 Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Units Unit Desc Fee Amount 1 SELECT $1,268.15 1 SELECT $4.50 1 SELECT $507.26 Permit Total Fees: Mechanical Permit $1,779.91 Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS GAS LOG OR GAS INSERT HOOD -TYPE II Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $3.00 $20.00 $40.00 $10.00 $10.00 $115.00 Operator: JD Printed By: JD Print Date: 4/23/2007 • Project Number: 07001405 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/23/2007 Plumbing Permit Page 3 of 3 Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS MISCELLANEOUS FIXTURES Notes: Units Unit Desc 2 NUMBER OF 5 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $12.00 $30.00 $12.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 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 Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,779.91 $115.00 $102.00 Invoice Amount $50.00 $1,779.91 $115.00 $102.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $102.00 Amount Owing $50.00 $1,779.91 $115.00 $102.00 $2,046.91 $2,046.91 $0.00 $2,046.91 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: 4/23/2007 Spokane jValley Community Development Residential Construction Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)68-9.037 www.spokanevalley.org MU 0 PERMIT NUMBER:(-105— PERMIT ( Q PERMIT FEE: New Construction n Addition/Remodel Other: Accessory Bldg Deck SITE ADDRESS: 7 .Cc'( f r,,-) 1264 % t%L ASSESSORS PARCEL NO: LEGAL DESCRIPTION: /J')1 2- Z- Building Owner: Name: < ; t_Lt ✓i ttj 14,41.1(.._s / NC --v Address: I tok.1i-i jiv601n09- /IGPL- .. rG-.` 2 -CO Name: Fax: < 1 W - 46 30 Phone: ce Hyl -`i 51 Contractor Lic No,( 41044 sE p Date: Address: IMPEPRVIOUS SURFACE 0f)("0 5F FINISHED BASEMENT SQ. FTG: AJ%i City: State: Zip: Phone: Fax: HEAT SOURCE: (4 5 Contact Person Name: L t =vk►-X (t2 104 51; Phone: F.:312) Describe Describe the scope of work in detail: Contractor: Name: < ; t_Lt ✓i ttj 14,41.1(.._s / NC --v Address: I tok.1i-i jiv601n09- /IGPL- .. rG-.` 2 -CO City: a tl.I IC= j.Jl i -G -u> Y State: tit//71 Zip: ,?2/ G Fax: < 1 W - 46 30 Phone: ce Hyl -`i 51 Contractor Lic No,( 41044 sE p Date: City Business Lic. No: Cost of Project: $ i 777 C0 \F_N (/4c. ti i 14) C-COL.sT fir. c.r(J Proposed Use: `,i,JL,(,-(�=r�vt t-�I **************The followinw MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS:, - # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 1,C� 3I e" FLOOR SQ. FTG: N UNFIN BASEMENT SQ. FTG: /0/ -AREA: IMPEPRVIOUS SURFACE 0f)("0 5F FINISHED BASEMENT SQ. FTG: AJ%i GARAGE SQ. FTG: 110 DECK/COV. PATIO SQ. FTG: /1l/ 30% SLOPES ON PROPERTY: /tJe) # OF BEDROOMS: 3 CONSTRUCTION TYPE: Nt:: 4) HEAT SOURCE: (4 5 SEWER OR SEPTIC? J&:_miil iZ. 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. SIGNATURE: Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 2/15/07 0 Check ❑ Mastercard Expires: DATE: , _. / -0 7 ❑ VISA VIN#: Spokane Valley® 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall@spokanevalley.org Residential Plan Submittal Minimums ❑ Completed Building & Mechanical application with: Accurate address, Parcel Number and/or Legal Description, description of work, owner and contractor information, signature, and date. ❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans With details, roof plan, framing plans & details. ❑ Show the height of any proposed buildings or accessory structures. ❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each Room (including sq. footage of house and garage on plans) Show each level of existing house and square footage of any additions. ❑ All braced wall panel types: show locations and details of installation, including engineered design. ❑ Egress windows: Provide at least one window or exterior door approved for Emergency escape or rescue from a basement and in every room for sleeping. ❑ Smoke detector locations O 22" X 30" attic access location ❑ 18" X 24" crawl space access: ❑ One-hour separation detail: between house and garage ❑ Floor framing details: Joist type, size, spacing and installation details ❑ Roof framing plan and details ❑ Furnace and hot water heater location. ❑ All header locations: type, size, and connections ❑ Foundation plan O Insulation information ig 29 02 08:49a Dan Cenis 509-755-6716 2001 WSBC Residential Compliance Fromm Prescriptive (Chapter 6) Options for all R Occupancies, Climate Zone 2 14 1 Heat source: ALL p_1 =�F3TET.6`. INSTRUL.I IONS 1) Yonip-rimit Iva' he proessed more efEciently if you provide all orf &Le regnesti-crifoi=iria. LiEn_ Depiir'izrient's}affan help you with general cfuestians about this form_ Your building must rnatchthe selected option requirements wit -hunt exceptions or substitutions. 2) Glazing percentage determines which option to choose- Complete the following glazing area calcnIation "before proceeding to the option table below_ • GLA I GARFA.CALCULATION: t 8 I SF.. ip 3\ SF. = t I ' T TOTAL WINDOW AREA__ _ _rHEA -DFLO01;AREA jALLFLOORS QFZING: • g_ NO Use ugh opening (R/'O) for win' dow area Iii lade all half -lite and ft17E>;te door oleargin the calculation: CAN'T -COMPLY? If none of the PreaiFflue (Chapter o Options below are a Ptabl,. consider sYstem anal sus (Chapte=r 4) or, Component Perftt-rrrence (Chapter 5) Approach_ The iiiain advantage tage is neaubilitg to jngglle individual U- R factors (R-: ¢slues)as long as an mas5mum value isn't ezrmded. Note that the . overall pezoimance reclaim:nents are no less sttiugent than the Presuiptive requirements. Calculations may be performed by hand or;, using an acceptable miilpatar software progiam. Helpful forms and other reson_rms din be downloaded at httn://ww i -_ lergy.-tti*str.enu/ boaalings. CIRCLE OPTION TAS LE S-2 . • PRES CA/(rrNE-itEQUIREMENrs—iOIZGROi1PR.;0.CGUPAUCY • CLIMATE ZD NE 2 ' 2pGon •• Gpi ai� - 16 oF. Floor Gla�na U�ednr ; .co„,„„,vaulted CerTmg wan .Grade Wall- _ Ini . Grade Grade 15 .ext ii .Apar'. i R3 i Slab' 02L GUL 'Grade R-1 D ..Abnde Va-Ora1' ��c Overhead" 11 -Factor Grade_ Grade y .10% -. 030 050 520 R-30 R-30 R�21 R-21 . R-12 1p. 15% 0.40 OSB -n'n R-30. 1-30 11-19+ RSA 123 -R-12 R36 3,10 IIL t7°l. • 137 • 050 020 11-30 1130 1-19+ P. -5c R-21 - ,R-122 It30l + R-10 P. •lett 035 Coop 13,-3 n 030 , 020 .' 1130 ,' A30 R-21 ice 1-21 R-12 1301 • 1Only R-10 0. No rnen 5 -falces ezc ins wood Ear= asssnbli_sonly or sssemblica builrin nccordoncc with Semon 601.1_ 1. Mr>rimnmrequial.amts for racli optionlisted. Far =unpin, ifaproonv-rl design has age,:-ingrario tothc eatiditidned Mar ares of 13%in -hall cdmplywitb all of th o5oiran--uls ofihc. /5%.. slaps option (or higher): Pmpe.o desgns whin$ cannot mcot tho sp ifie r'cquirnesnum ofo Ii5cl option ebovc may ealnilate compliance by Chapters 4 or 5 of this Code. . 2. Rc iuir®cni applies to all soilscxmptsinslc railer or joist vaulicd calings_ Adv -dcaot c Advanctlrn oul C.Maing_ 3. T1 gcir-^+rot appLcabls only to single raitcr orjoistv®ltcd ccrTiog . . 4. Pelaw rarlewalls- hill be inanlntcdcdth¢ oa me ocicrior to n mivimmrri tend o25 10, or on tb_ intcior to the same Incl rs . walls.above grads 1rPzrmor ins-uladon.insraIlea on blow grade walls sbull'be a wsrciresisnnt material, manufeef.u-cd for urs inicndcd us; and iustallcd according to thcmrmvfaccurcds spxit5 ons San Srsiiorr 6012 5_ floors ovcrrrawl spaces or exposcd to ambierair conditions_ • 6_ Required sin)) paimetcr insulation shell be a uatcrrrii rant maraial, msnnfaeurrcd for its it toodo5 us, and iasm lea according In tnanufacatiees.sperm©tions: Soo Sonion 602_4: • .• . • • 7. Int, knows staudardiis g16inchesonennr:-r with hwdctsinsolatrdwith anrititnnmofR-5insulation_ 8_ This wan irrsnlarioaicquircmcntdmotrs1119wall cavity insulationplus P-? foamsheathing. 9. Doors, including all fire doors, shall bo essiyncd default II-fnctoa from Table 10-6C_ 10. W'lirrc a tsta'im1 glaang arca 'is listed, ulan foul glaring atrat (combined .nrtirslplu: overhead) as a percmtof gross conotuoned door arios6all be Inns than or rgoatio that valoc_ Dvahead glanrg with 1:PfaetorofU==0.40 or lass is not included in glazing arra Iimitatioas - . 11. Ovcrhcad. gle.ng shall hair U -fauna drao sed in: armrdancc wihhTPRC 100 or as sOacilsI in Sc {inn 50-1S_ 12. Log and solid umber walls with aminimum avcaec thickness of 3S' arc caret from this insulation doquinannrt ATT -90 -no -Tun (17./1/1 nal rDnu. tun 7CC c'71 0 Tn. drr nr 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 otwater, steep slopes and othejrcritical areas. Signed: Date: —1.a. 0-7 16' DRAINAGE EASEMENT °L-01 FLA\ 0.89'50'01"W. 65 00' 20' 5 16' DRAINAGE E LOT 2 BLOCK 2 17209 E. NORA AVE 6,500 S.F. 6.89°50'011N. 65.00' 5' s s z 0 20' DRIVEWAY A A \v, SCAL; 1" - 20' /Address: 17209 Nora Ave. %pate: Spokane Valles, WA 99016 Location: INVME55 1.01' 2131.00K 2 ` o b No: 427-2-2-1W-Q0'JVATR 1- Sheet Title 3/19/07 PLOf Plan: PLAN PLUMBING PERMIT APPLICATION uric ane Phone: (509) 688-0036; FAX: (509) 688-0037 Yell ley For Inspections, Call (509) 688-0054 Project Address: 17209 E Nora Ave 99216 Owner: Sullivan Homes Mailing Address: 16114 E Indiana Ave City Contractor: Sturm Heating & Plumbing 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 Phone #: 325- 4505 1112 N. Nelson, Spokane WA 99202 Mailing Address: Zip Code City State 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 = 6 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 1 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 ❑ CHECK 0 VISA ❑ MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: 17209 E Nora Ave 99216 Owner: Sullivan Homes Mailing Address: 16114 E. Indiana Ave Spokane Valley WA 99216 Contractor: Sturm Heating and Plumbing Mailing Address: 1112 N Nelson 99202 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 #: sturmi*210gf Spokane Cit State Zip Code Phone #: 325-4505 WA State 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 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) 3 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 1 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 CARD #: AUTHORIZED SIGNATURE: EXPI TOTAL PERMIT FEE DUE: