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2007, 04-27 Permit App: 07001403 ResidenceProject Number: 07001403 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/27/2007 Page 1 of 3 Project Information: Permit Use: SFR W/ATT GAR Setbacks: Front 32 Left: 5 Right: 10 Rear: 20 Site Information: Plat Key: Name: Range Parcel Number: 55073.2606 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 SiteAddress: 17220 E NORA AVE Location:: CSV Zoning: UR -3.5 Block: Urban Residential 3.5 Lot: Owner: Name: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 205 SPOKANE VALLEY, WA 99216 Water District: 134 CONSOLIDATED ID #19 Area: 6,825 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 Releas Driveway/Approach Originally Released: 4/26/2007 By: TMELBOU Released By: Originally Released: 4/26/2007 By: j_davis Landuse/Zoning/HE Conditions Released By: Sewer Review Originally Released: 4/23/2007 By: mharnois Released By: Operator: JD Printed By: JD Print Date: 4/27/2007 Project Number: 07001403 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/27/2007 Page 2 of 3 Contractor: SULLIVAN HOMES LLC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Approach Firm: SULLIVAN HOMES INC Item Description APPROACH -CONST IN ROW Contractor: SULLIVAN HOMES LLC Address: 16114 E INDIANA AVE STE 200 SPOKANE VALLEY, WA 99216 Description Grp Type 1&2 FAMILY R-3 VB COV DECK R-3 VB GARAGE U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Notes Units Unit Desc 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $50.00 $50.00 Firm: SULLIVAN HOMES INC Phone: (509) 624-4598 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,570 $143,435.20 1,570 $143,435.20 92 $1,380.00 92 $1,380.00 648 $12,312.00 648 $12,312.00 Totals: 2,310 $157,127.20 2,310 $157,127.20 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 GAS LOG OR GAS INSERT HOOD -TYPE II Units Unit Desc 1 1 1 SELECT SELECT SELECT Permit Total Fees: Mechanical Permit Units Operator: JD Printed By: JD 3 3 1 1 Fee Amount $1,318.55 $4.50 $527.42 $1,850.47 Firm: SULLIVAN HOMES INC Phone: (509) 624-4598 Unit Desc NUMBER OF NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $10.00 $12.00 $3.00 $30.00 $10.00 $10.00 $85.00 4/27/2007 Project Number: 07001403 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/27/2007 Page 3 of 3 Plumbing Permit 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 DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS MISCELLANEOUS FIXTURES Notes: Units Unit Desc 2 NUMBER OF 4 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $12.00 $24.00 $12.00 $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 Summar,: itSZNIMMINS.IWKIMEINF,Zr 7,Fig. .e,"1 MI 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 $85.00 $85.00 $0.00 Plumbing Permit $90.00 $90.00 $0.00 $90.00 Amount Owing $50.00 $1,850.47 $85.00 $90.00 $2,075.47 $2,075.47 $0.00 $2,075.47 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: 4/27/2007 Project Number: 07001403 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 32 Left: 5 Right: 10 Rear: 20 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: 55073.2606 SiteAddress: 17220 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: 6,825 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: I I Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Driveway/Approach Released By: Landuse/Zoning/HE Conditions Sewer Review Permits: Released By: Operator: JD Printed By: JD Print Date: 4/23/2007 Project Number: 07001403 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: IiMMEISMIMMENSWERMENtlaitliORMARif Permit Use: SFR W/ATT GAR Setbacks: Front 32 Left: 5 Right: 10 Rear: 20 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: 55073.2606 SiteAddress: 17220 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: 6,825 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 Released By:. Driveway/Approach Released By: Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Released By: Operator: JD Printed By: JD Print Date: 4/23/2007 Project Number: 07001403 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 APPROACH -CONST IN ROW Units Unit Desc Fee Amount 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Building Permit Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 This Application: Total Project: Description Grp Type Notes Su Ft Valuation Su Ft Valuation 1&2 FAMILY R-3 VB I$ 0 6 $146,724.16 1,606 $146,724.16 GARAGE U-1 VB (.4W 669 $12,540.00 660 $12,540.00 CaV 0e": & (i'l› Vg 42 Totals: 2,266 $159,264.16 2,266 $159,264.16 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,329.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $531.90 Permit Total Fees: Mechanical Permit $1,866.15 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 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 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $3.00 $30.00 $10.00 $10.00 $85.00 Operator: JD Printed By: JD Print Date: 4/23/2007 Spokane _ ValleyE Community Development Residential Construction /New Construction Permit Application n Addition/Remodel Other: Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org APR I 200j PERMIT NUMBER: 11403 PERMIT FEE: Accessory Bldg Deck SITE ADDRESS: 1 7 Z -0-c) ( ASSESSORS PARCEL NO: LEGAL DESCRIPTION: (c.r (/, 'fj-C - 1 //jt:126J1,3S t(D Building Owner: DIMENSIONS: 4,o'1(635-- / Name: >G1LL( v r) L4Uvi4t, ! NL Name: Address: t V (1 ki t • (Ad Oa ff+✓/-1 el a (_ SR.:: ZC) G 2Nu FLOOR SQ. FTG: Al) Address: !(o Phone: ce Zz_) _ 4_2 Fax: , Zy ,/../.6,30 City: State: Zip: Phone: Fax: HEAT SOURCE: (` ..1.1(--, Contact Person Name: V112- t, 411 (51-10:4e; Phone: '7 60( _ i 3 ('� Describe the scope of work in detail: Contractor: DIMENSIONS: 4,o'1(635-- / Name: >G1LL( v r) L4Uvi4t, ! NL HABITABLE SPACE: 1 (.Q C, Co ' Address: t V (1 ki t • (Ad Oa ff+✓/-1 el a (_ SR.:: ZC) G 2Nu FLOOR SQ. FTG: Al) City: 5?U.,Gfttoc- JA lAi` / State: J✓/ Zip: y, !(o Phone: ce Zz_) _ 4_2 Fax: , Zy ,/../.6,30 GARAGE SQ. FTG: (f L'() Contractor Lic NoS i.f,LU 1 L f ` If ZEx_p+Date: 30% SLOPES ON PROPERTY: AJC) City Business Lic. No: CONSTRUCTION TYPE: ,',' L(/J Cost of Project: $ l71 �--1,.J (s,&)scvu Proposed Use: S> 13c,, LA:: f -i- u: r **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: l `(' (2 Vy' DIMENSIONS: 4,o'1(635-- / # OF STORIES:TOTAL. / HABITABLE SPACE: 1 (.Q C, Co ' MAIN FLOOR TO SQ. FTG: O (0 517 2Nu FLOOR SQ. FTG: Al) UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: /, (6, _7, r- 1 e ....FINISHED BASEMENT SQ. FTG: /3/1 GARAGE SQ. FTG: (f L'() DECK/COV. PATIO SQ. FTG: A 30% SLOPES ON PROPERTY: AJC) # OF BEDROOMS: CONSTRUCTION TYPE: ,',' L(/J HEAT SOURCE: (` ..1.1(--, SEWER OR SEPTIC? f[; w/+ 1z -- 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 Pen -nit 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 besprocessed. SIGNATURE: Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check ❑ Mastercard Expires: DATE: 0 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. O 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. O All braced wall panel types: show locations and details of installation, including engineered design. O 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 ❑ 22" X 30" attic access location ❑ 18" X 24" crawl space access: O One-hour separation detail: between house and garage O 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 lug 29 02 08:49a Dan Canis 509-755-5713 2001 WSEC Residential Compliance Fora • Pre-scriptive (Chapter 6) Options for all R Occupancies, Climate Zone 2 0, 1. Heat source= ALL _T" 1NSTRUCiIONS p_1 1) Ycruip-rrrrit will be processed more efficiently -if you provide aIl.of' the regriested inlormatiori Depa tr vent gig c5n help you with general questions about this form. Your building -must match -the selected option retlairtmteats without exr_eptiom5 or substitutions. . 2) Glazing percentage determines which option to choose_ Complete the following glazing area talmIation' b=,Tore proceeding to the option table below_ - GLAZING AREA. CALCULATION': O & SF.. (o SF. { . C TOTAL WIN -DOW AREA_._ - -- ._..__;__HEATED FLOOR ARE•A. IALL FLOORS)_ __% OF GI�9ZCN.G: n' 2 NOTE Use nuugh opening (R/ 0) For window area Include all half -lite and fail -lite 'door ]e tg zit I: s ca3cu_laiioni CAN'T -COMPLY? If none of the Presaiplive (Chapter 7 Options below are aomptab1e consider spstenns analysis (Chapter d-) or, Component Performance (Chapter 5) Approach_ The main adx ntagA is fie -Nobility to juggle TI- L factors (R-Values)as long as an ot, rall mas?mum value isn't exrded_ Note that the .overall pacforlaance regain -amen -Is are no less std gent than the Presu iptive requirementts_ Calrslatiores may. be perfoii ued by hand or using en acceptable coMpnte r software prog.wm. Helpful fou.rb and other resour s can be downloaded. at into://wwi+r_;ener .x*su__edu/ bmldstgs .QIRCLE OPTION • TAS LE s-2 •'PRESCRIPTNE EGIUIREMEIYV-'5'1:4^EOR GROUP'I5.:DCCUPANCY CLIMATE ZD t4E -Spoon Gla � Poea'n, otFloor Glaring U --Fa dor )Vertical' Overhead" Dear I1 -Factor "�CcTngt Vaulted Cel erg Wall Aline . Grade We&. Welk hr. , exL 6eow- 67row Grade Grade Slab' ort Grade L i . 'l0°i. 0_40 058 0.20 --- 12-38 3230 R-21 R-21 .R -L2 Rai• IL-10 159: , 0.0 020 R-36. R-30 R-19 + R -5r 11-21 -R-12 R-3ff m. 037 T3nliaurrn 035 Gsonp R--3 ,Occupancy • 050 030 538 it -30 R-19 T R -2I 515' 5112 R-301 R-10 OSB' 0.201 ' 1136,- .11--30 R-22 io[ X21 12-I2 X.-301 • 1t-10 Rain -co ce Ca, • 0. Nomunl 1L -values rim im-wood frame assembli_s.onlg er ass®blies built in nrc❑rdmee with 5e ern SOLI_ 1. M ,ixnr,m requital:cuts far recti opbonlielcd_ For rsnrnplc, if aprmascl dcsipl has a gin ingralio to the catidirioncd floor scar of l3°%; it atoll cdmply with all of t}rc regrriresn_-afs oftbc. }S% glaz g option (oi hh ca igher): Propnscd designs which meet t5e specific rcgair®cots ata Iisird option above may calculate compliance by Cbaptras 4 or 5 afthis Cod:. - 2. Rcciuir®eat applies to all ooilm;s ezeptsingle rafter orjoist vaulted edSiings_ dd,e•deaot s Advanced Frnroo3 Csziing_ 3. Rogan -mutest appSeabin only to single rafter or joiltvroAted eetiiog • . ' 4.. Selmvgadewafssha-0 be msnlotc3otbccon me odcrior to u vni inm,,, lova DER -10, or on Thr mtcaar to rise came }coal es watLi.abeve grade PxtQirrinsulatirmauta➢c3 an below gra do watts sbanbe a wares resistantmatedal, num:factored for irs intended use, and instzlkd Deeo:dingto themtmvfactnrcds sp c 0110'•. See Section. 60-/_2_. 5. Floors owl. -crawl specs or ID ambimtairconditions. 6- Requucd slab peri meter insulation shell be a water re i-isut,sr receival, mannfacmrcd far its intoEdtelusc, and i❑sralle3. recording to 1aatt rcuie1's-spar -specifications: See Section 602.4: .• . •.. -. 7. Int_ dentes sinndmdframing 16 incbes on ccn0arwith headerinsolatcd'with a atinirnnm DER -5 insulation_ 8_ This u'afinsularionicquircmentdemotes R-19wall cavity inslationplus R-5 foam. sbeathin g. 9. Doors, including all fire doors, shall be zssiiacd defaa]tIT-factors from Table 10-6C 10. Where a rnaammum glazing arca:is listed, tic toed glaring arca.. (carnhiard :rrficntplus ovcrbrad) as a percent of gross eonotriocd-Saar n- oE+ll be less -tan or cgaal'in that value. Osrabeadglaing with U=taetor of -U=0_40 or Itas is notincludcd in gluing atoa Iimitarions_ . .11. Overhead glaang shall bees U-fact❑a de¢voia ri ce ¢rmrdanc.c withNr5tC 100 or es saecif m Section SOZIS- 12. Log and solid umber walls wilt arnmimum rrcraae rhirkucss of 33' arae c optrznm chis insulation tegtur,mcrrt ATTa-90_RO -TT-TIT 57. AA 1111 L'Dnu. inn r7CF Crl1 0 Tn. 11r 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 o water, stee opes a her critical areas. Signed: Date: J c 5 z 5' 28' DRIVEWAY 5.69'50'01'W. 65.00' 15' LOT 6 BLOCK 1 17220 E. NORA AVE 6,826 S.F. I,O-' S.89'50'01' W. 65.00' 0' 10 SCALA; I" - 20' SULLIVAN HOMES �. •[ •c, /Address: Location: Job No: 17220 Nora Ave. (Date: Spokane Vallee, WA, 9900 INVWS5 LO" 6 l3LOCK 1 4286 iNV-CA5CA1 I- Sheet Title \ 3/19/07 rLO-r Plan: CA5CAn� PLAN 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 o water, stee ; opes a • her critical areas. Signed: Date: \0 A \ \ 28' DRIVEWAY / 3.89°50'01'W. • 0 65.00' 5',11 5 V 15' LOT 6 BLOCK 1 17220 E. NORA AVE 6,826 S.F. ALO �L/ \ 5.89°50'01"W. 65.00' II 10' 10' 4, 5CAU:1" ---- 20' Address: 17220 Nora Ave ID I Sheet Title Spokane Vallee, WA 99016 PL Of CAOCa PLAN Location: INVt?NE55 Lor 613LOCK I job No: 4zee 19/ 07 Plan: 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 o(water, steeopes ais other critical areas. Signed:v Date: ) A A,A 28' DRIVEWAY 5.89.50'01'W NI+ m m 5' 15' 65.00' LOT 6 BLOCK 1 17220 E. NORA AVE 6,826 S.F. S.89150'011W. 65.00' 10' 10' PLANNING BY` DATE: T. APPROVED /7//0? -3/r7 SCALA; I" - 20' N 14 SULLIVAN HOMES INCORPORATED Address: 17220 Nora Ave, (-Date: % Sheet Title Spokane Valleq, WA. 99016 Location: INVN �t?E55 3/19/07 F L O L0r 6 BLOCK I Plan. PLAN job No: 42e-b-1-11W-cn5vJx CA5CAP� � ` / MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Cali (509) 688-0054 Project Address: 17220 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 3 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 CARD #: AUTHORIZED SIGNATURE: EXPIS TOTAL PERMIT FEE DUE: PLUMBING PERMIT APPLICATION urn [nealley Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Project Address: 17220 E. Nora Ave. 99216 Owner: Sullivan Homes Mailing Address: 16114 E Indiana Ave 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 Contractor: Sturm Heating & Plumbing License #: STURMI*210QF 4505 1112 N. Nelson, Spokane WA 99202 Mailing Address: Zip Code Zip Code Phone #: 325 - 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 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 4 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 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 ❑ VISA ❑ MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: