Loading...
2006, 05-10 Permit App: 06001731 ResidenceProject Number: 06001731 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/10/2006 Page 1 of 3 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Setbacks: Front Site Information: Plat Key: Left: Right: Rear: 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: District: Parcel Number: 55073.2613 Block: SiteAddress: 17221 E NORA AVE Location:: CSV Lot: Owner: Name: SULLIVAN HOMES Address: 16114 E INDIANA AVE SPOKANE VALLEY, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Width: 0 Depth: 0 Right Of Way (ft): 0 Area: .00 Acres Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Released:B Driveway/Approach Originally Released: 5/10/2006 By: TMELBOU Rele ed Originally Released: 5/10/2006 By: amblake Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Originally Released: 5/9/2006 By: HMStinson Released By: Operator: CJJ Printed By: AMB Print Date: 5/10/2006 Project Number: 06001731 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/10/2006 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 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 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 Permit Total Fees: Building Permit $50.00 Firm: SULLIVAN HOMES INC This Application: Total Project: Description Grp "'mg Notes SQ Ft Valuation Su Ft Valuation 1&2 FAMILY R-3 VB 1,349 $116,513.13 1,349 $116,513.13 DECK OPEN R-3 VB 60 $900.00 60 $900.00 GAR WOOD U-1 VB 672 $12,768.00 672 $12,768.00 Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: STURM HEATING Address: 1112 N NELSON SPOKANE, WA 99202 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS GAS LOG OR GAS INSERT HOOD -TYPE II Totals: 2,081 $130,181.13 2,081 $130,181.13 Units 1 1 1 Unit Desc SELECT SELECT SELECT Permit Total Fees: Mechanical Permit Fee Amount $1,167.35 $4.50 $466.94 $1,638.79 Firm: STURM HEATING Phone: (509) 325-4505 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 4 NUMBER OF 1 NUMBER OF I NUMBER OF Operator: CJJ Printed By: AMB Permit Total Fees: Print Date: Fee Amount $10.00 $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $95.00 5/10/2006 Project Number: 06001731 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/10/2006 Page 3 of 3 Plumbing Permit Contractor: STURM HEATING Firm: STURM HEATING Address: 1112 N NELSON Phone: (509) 325-4505 SPOKANE, WA 99202 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER PIPING - DWV Notes: Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Units Unit Desc 3 NUMBER OF 6 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $50.00 $1,638.79 $95.00 $114.00 Invoice Amount $50.00 $1,638.79 $95.00 $114.00 Fee Amount $18.00 $36.00 $18.00 $6.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $114.00 Amount Owing $50.00 $1,638.79 $95.00 $114.00 $1,897.79 $1,897.79 $0.00 $1,897.79 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: AMB Print Date: 5/10/2006 0004\46.., .001/alley BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 Street Address: 17221 E Nora Ave Spokane Valley 99216 Assessor's Tax Parcel Number(s): Legal Description: Lot 4 Block 2 Inverness P.U.D. 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'-0" DIMENSIONS: 50'-0" x 55'-0" # OF STORIES: 1 MAIN FLOOR TO SQ. FTG: 1349 sf are— 2ND FLOOR SQ. FTG: N/A UNFIN BASEMENT SQ. FTG: N/A FINISHED BASEMENT SQ. FTG: N/A GARAGE SQ. FTG: 672 SF K— DECK/COV. PATIO SQ. FTG: bio OCCUPANCY GROUP: Single Family CONSTRUCTION TYPE: Residential HEAT SOURCE: GAS # OF BEDROOMS: 2 TOTAL HABITABLE SPACE: 1349 sf .1) Ii --- IMPERVIOUS SURFACE AREA: COST OF PROJECT: $195,000 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: ,;1;1g R9 02 08:49a Dan Cenis 509-755-2713 2001•WSBC Residential Compliance Farre Prescriptive (Chapter 6) Options for an R Occupancies, Climate Zone 2 O, 1. Heat source• A T.T -- .•,---n,.�ra�s�co-.,zreta: - - -""'='1} ::�, titer. --s-'• -...SnCoBb+ 11\ISTRIIt_11ONS . Z) You=w171 be processed more efficiently if you provide all of the requested infvm�atiolti Departni tt staff ran help you with general gustiorzs about this fora_ Your building must notch the selected oplion iecl¢aemeals wifhaut err elrtions or substitutions. 2) Glazing percentage determines which option to choose Complete the folio. wing glazing area calculation before proceeding to the option table below_ p- 1 GLAZNG AREA CALCULATION_ INS sF.. (cf 5F = 1I TOTAL WINDOW AREA_.. . ._..-T_E, A:I1ED FLOORARE4 TALL FLOORS.) 7 % OF GLAZING NOTE Use laugh opening (R/O) for window area_ Itldade allhalf-liteand :fall -lite door oleaigin this calculation: CAN'T -COMPLY? If none of the Prescciptive (Chapter ) Options below are acxrpLable_ consider systems analysis (Chapter 4) or, Coinpon.ent Perform;once (Chapter 5) Approach_ The maul ad.varttage is fleaobility to juggle individual U- factors (R -values) as long as'an overall rna>drnum value isn't exuded_ Note that the overall percoralnance requirements are i10 less stringent than the Presuiptive requirement Calculations map be performed by hand o using an acceptable mulputer software program Helpful fou a and other resovims can be downloaded at http:// wwvv.6iergy.xstn.edn/ buildings p' t .QIRCLE OPTION • TABLE 6-2 . • PRES CFLIFTIVE7,EQUIftEMENf"S4-.EdRGROUP R.;OCGUPAt CY CLIMATE ZrDh1E 2 . • �plion Clan."' % of Floor GI aunt U-Fa�r Door 0 'rcrTin Vaulted Ce�Trg - Wall Abova •_let` . Grade Well- . Eel -ow Grade Well. .e# I Agars i Slab' tut - 'Grde ' -Vertical' Overhead" U -Factor 87eow Grade L 10°% " a40 1158 120 R-39 R30 R21 R-21 . R-12 1130 ' R-]0 1L.` 159: 0.40 • 031 .0,n R-30. -' 2-30 . R-19+ 11-5• R-21 -R-R 11.-30i 5-10 MIL t 7% ' 037 - OSB 0_20 11-39 R30 11-19 --'r R -5t R-21 .R-12 R-301 t R -]O LlnLm.n Camay R-3 .Occupancy 035 OSB , 0 1120,' R-39 .- R30 R-23 log 1-21 R-12 R-301 - i . IOnly R-10 • 0. 6lomuaa 1C -valves atm for wood hmne asscrnblies.onty or assemblies builr in accordance with Section 601.1_ 1. Minim= require entsforoocboptioalisled_ For example, ifapropor r1 deoign]vasagir ingratiototheconditionedfloor arca of 13%4 it chv11 comply with ail of cite icquirvae ofthe.15%.glamg option (or bigbis). Proposed•designs whicb cannot meet the specific rcgaaircments of listml option above may calculate. compliance by 13aptas 4 or 5 of this Code. • . 2. Rcquirmacni uppli-0 to all ceSan ' exrspt sinslc rafter orjoistvaul>rd ceilings_ !Adv. -denotes Advanee5Franned C2tlmg 3, RegnirmorentappLrable only to single rafter orjoutvanited cczlioFs:• ' 4.. Belowgade walls -stern be insulated either on me oRcoor to a 'minim -I'm level ofR-10, or on -b= 1, for to the sem'. level as wallsabove grade. k exterior insulati ainstalled on below grade walls sba11be a want resisnnt material, manufactured for its intended use, and iisslalied accordin6 to the manvfacturces specific zone. See Section 6OEL2 • • 5. Floats over -crawl spaces or r3ptacd lo ambient air conditions. • 6. Required slab pa-isnoter insulation shall be a uater rrticrvrtt material, mannf arsrad for its intended -um and Er, :114d according to m=^ufucnrices'spccincitions_' Sce Sccrioa 6024: .• . ... . 7. Int, denotes staudisdfntnmg 16 incbrs on center with hendes insulated with a nrinunum ofR 5 insulation_ S_ This wailinsulanOn. requirement denotes IS --19 wall cavity insulaidonplus R--= foam.sheathing. 9. Doors, including all fire doors, Man be assigned defaok1T-factors from Table 10 -SC_ 10. 'nett a ntaznaum glaang arca 'is Listed, The totalglaing arra (rximbin d ertiralplus ovcrbwdl as a percent of gross raoditioncr£fioor orcar{:-.El be less than or egoalta that value. Overhead gL nrwith1TfactOr 0fU 0-40 or less is not ir cludcd in glauug area Iimitations _ - .IL. Ovcrhead glaringshall haveU-fa-rurs determined ioaccordancewithNP'RC]00orassneei5Sceiten50?1S- 12. Log and solid -Ember walls with a minimum avcraee tbiakaess of3 5 arc cmopt from this bamdation iegniremrart ATTC,—c)0elle) ,ATT 11`7. / /1 All Erin !GC C 71 o T/l. nr nr` SULLIVAN HOMES INCORPORATED TRANSMITTAL SHEET TO: CITY OF SPOKANE VALLEY FROM: Sullivan Homes CONTACT: EVAN HUGHES DATE: 5/18/06 PHONE NUMBER: 509-624-4598 RE: 17221 E Nora. Ave 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) 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 Proj ect•Number: 06001731 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: x...3t..W .a`fg,y .,w... +^ ...:-.•tas»;:-;,�:. as :awwwwwigwyo Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: SULLIVAN HOMES Address: 16114 E INDIANA AVE SUITE 200 C - S - Z: SPOKANE VALLEY, WA 99216 Setbacks: Front Phone: (509) 624-4598 Group Name: Project Name: Date: 05/08/2006 Page 1 of 2 Site Information: Plat Key: Left: Right: Rear: Name: Range District: Parcel Number: 55073.2613 SiteAddress: 17221 E NORA AVE Location:: CSV Block: Lot: Owner: Name: SULLIVAN HOMES Address: 16114 E INDIANA AVE SPOKANE VALLEY, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Width: 0 Depth: 0 Right Of Way (ft): 0 Area: .00 Acres Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Driveway/Approach Released By Landuse/Zoning/HE Conditions Sewer Review Permits: ed By: Released By: Operator: CJJ Printed By: CJJ Print Date: 05/08/2006 Project -Number: 06001731 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/08/2006 Page 2 of 2 Approach Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598 SPOKANE VALLEY, WA 99216 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 Mechanical Permit Contractor: STURM HEATING Firm: STURM HEATING Address: 1112 N NELSON Phone: (509) 325-4505 SPOKANE, WA 99202 Contractor: STURM HEATING Address: 1112 N NELSON SPOKANE, WA 99202 Notes: Plumbing Permit Firm: STURM HEATING Phone: (509) 325-4505 Payment Summary: ry 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: 05/08/2006 PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: 17221 E Nora Ave Spokane Valley 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 3 X $6.00 = 2 URINALS X $6.00 = 3 TUBS 1 X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 3 X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 6 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 DISPOSAUSYS 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: 17221 E Nora Ave 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 Zi 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 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 #: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: