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2007, 08-16 Permit App: 07003228 Residence Project Number: 07003228 Inv: 1 Application Date: 8/16/2007 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SFR W/ATT GAR Contact: DIAMOND ROCK CONSTRUCTION Address: 2602 N SULLIVAN C-S-Z: SPOKANE VALLEY,WA 99037 Setbacks:Front 110 Left: 38 Right: 20 Rear: 40 Phone: (509)924-8964 Group Name: Site Information: Project Name: bus.,w:»e;r#r?Na bFt. .w n.s X xA§'.Ni::,s?:^Y .S".? u:.si"..«. "W. ..,._. •.:a¢:t aS F r;ac,:INLt..irc mC s.<,*..rv=:.:,,tr. t•,•:'+25+2* i;22 e.:A*+ ,%»..,itq "2*aM a:,: ..,2..ce:;:;:'.1:4 rwYsS`'".'"a. Plat Key: Name: Range District: Nort ---- ------ -------------- Parcel Number: 45153.1304 Block: Lot: SiteAddress: 12724 E VALLEYWAY AVE Owner:Name: Effenberger,Charles Kent Address: PO BOX 1583 Location::CSV Poulsbo,WA 98370 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 15,114 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ,,.; .- .. � � n , _. vr w . ‘M Review Building Plan Review Reiel s B 17f Landuse/Zoning/HE Conditions Rete1, Sewer Review Released3 Approach Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 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 Operator: JD Printed By: JD Print Date: 8/16/2007 Project Number: 07003228 Inv: 1 Application Date: 8/16/2007 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SFR W/ATT GAR Contact: DIAMOND ROCK CONSTRUCTION Address: 2602 N SULLIVAN C-S-Z: SPOKANE VALLEY,WA 99037 Setbacks:Front 110 Left: 38 Right: 20 Rear: 40 Phone: (509)924-8964 Group Name: Site In formation: Project Name: Plat Key: Name: Range District: Nort Parcel Number: 45153.1304 Block: Lot: SiteAddress: 12724 E VALLEYWAY AVE Owner:Name: Effenberger,Charles Kent Address: PO BOX 1583 Location::CSV Poulsbo,WA 98370 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 15,114 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: , ._.. ._mamaafarar Review Building Plan Reviewei s '"'"-"W" Landuse/Zoning/HE Conditions Rele � � � ��� , � � T Sewer Review TEMJ 4 .* lleasec 4 Permits: Approach Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Operator: JD Printed By: JD Print Date: 8/16/2007 Project Number: 07003228 Inv: 1 Application Date: 8/20/2007 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: et fl .u.+,a¢,a +.a ex .: -:°- _ _. -m.:mtn,�ca,aus. �. ....�,ti.,.r.,m r rn$ .� eaa a+,xu.. •,ams: ., Permit Use: SFR W/ATT GAR Contact: DIAMOND ROCK CONSTRUCTION Address: 2602 N SULLIVAN C-S-Z: SPOKANE VALLEY,WA 99037 Setbacks:Front 110 Left: 38 Right: 20 Rear: 40 Phone: (509)924-8964 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Nort Parcel Number: 45153.1304 Block: Lot: SiteAddress: 12724 E VALLEYWAY AVE Owner:Name: Effenberger,Charles Kent Address: PO BOX 1583 Location::CSV Poulsbo,WA 98370 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 15,114 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Building Plan Review Released By: Originally Released: 8/20/2007 By: TMELBOU Landuse/Zoning/HE Conditions Released By: Originally Released: 8/20/2007 By: cjjanssen Sewer Review Released By: Permits: ,.44 .. ..v.., .Tum _. ... . .- .. Operator: JD Printed By: jmm Print Date: 8/20/2007 • Project Number: 07003228 Inv: 1 Application Date: 8/16/2007 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Building Characteristics Building Height 23 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation So Ft Valuation 1&2 FAMILY R-3 VB ) 2 `f 1 $140,420.32 1,537 $140,420.32 BASEMENT U R-3 VB h- .i J 1,53'/ $23,055.00 1,537 $23,055.00 DECK O EN R-3 VB tTH. 4.4 $1,500.00 100 $1,500.00 is 2-3 v 3 .r+ o GARAGE U-1 VB ,J e f 7e} ¢7.5-• $9,025.00 475 $9,025.00 Totals: 3,649 $174,000.32 3,649 $174,000.32 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,413.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $565.50 Permit Total Fees: $1,983.75 Mechanical Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 2 #OF UNITS $2.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $84.00 Operator: JD Printed By: JD Print Date: 8/16/2007 Project Number: 07003228 Inv: 1 Application Date: 8/16/2007 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Building Characteristics Building Height 23 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,537 $140,420.32 1,537 $140,420.32 BASEMENT U R-3 VB 1,537 $23,055.00 1,537 $23,055.00 DECK OPEN R-3 VB 100 $1,500.00 100 $1,500.00 GARAGE U-1 VB 475 $9,025.00 475 $9,025.00 Totals: 3,649 $174,000.32 3,649 $174,000.32 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,413.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $565.50 Permit Total Fees: $1,983.75 Mechanical Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 2 #OF UNITS $2.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $84.00 Operator: JD Printed By: JD Print Date: 8/16/2007 Project Number: 07003228 Inv: 1 Application Date: 8/20/2007 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 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: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Building Characteristics Building Height 23 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation i&2 FAMILY R-3 VB 1,504 $137,405.44 1,504 $137,405.44 BASEMENT U R-3 VB 1,504 $22,560.00 1,504 $22,560.00 DECK OPEN R-3 VB 100 $1,500.00 100 $1,500.00 GARAGE U-1 VB 478 $9,082.00 478 $9,082.00 Totals: 3,586 $170,547.44 3,586 $170,547.44 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,391.35 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $556.54 Permit Total Fees: $1,952.39 Operator: JD Printed By: jmm Print Date: 8/20/2007 • Project Number: 07003228 Inv: 1 Application Date: 8/16/2007 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 1 NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00 Permit Total Fees: $78.00 Notes: z _r =k . Pa ment Summa Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 .$0.00 $50.00 Building Permit $1,983.75 $1,983.75 $0.00 $1,983.75 Mechanical Permit $84.00 $84.00 $0.00 $84.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $2,195.75 $2,195.75 $0.00 $2,195.75 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: 8/16/2007 Project.Number: 07003228 Inv: 1 Application Date: 8/16/2007 Page 3 of 3 THIS IS NOT-A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 1 NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00 Permit Total Fees: $78.00 Notes• ....: �,_ & ro , = G: a ...., <:.- azr3: .. w. .. ,. . e Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00. ..$0.00 $50.00 Building Permit $1,983.75 $1,983.75 $0.00 $1,983.75 Mechanical Permit $84.00 $84.00 $0.00 $84.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $2,195.75 $2,195.75 $0.00 $2,195.75 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: 8/16/2007 Project Number: 07003228 Inv: 1 Application Date: 8/20/2007 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 2 #OF UNITS $2.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $84.00 Plumbing Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509)924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 1 NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00 Permit Total Fees: $78.00 Operator: JD Printed By: jmm Print Date: 8/20/2007 Project Number: 07003228 Inv: 1 Application Date: 8/20/2007 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: t ,. _..:s�s'S:.AVA` ""v .:a ,. ,.s.=..r.. WZo a: ^,.�rv�b, ,st°z+G"�ms'#�°.: ��t .._ ,x.vrM n.,'h;.�e .:::.:t. x..�� ..-`r Y ,re..�°"a1 .x Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,952.39 $1,952.39 $0.00 $1,952.39 Mechanical Permit $84.00 $84.00 $0.00 $84.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $2,164.39 $2,164.39 $0.00 $2,164.39 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: jmm Print Date: 8/20/2007 . • ,A,'R.i#7 i In�� .yam Permit Center OOkane 11707E Sprague Ave, Suite 106 PERMIT NUMBER: T Spokane Valley, WA 99206 V�l�'-J PERMIT FEE: -' J (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.org.com Residential Construction a New Construction o Accessory Bldg Permit Application ❑ Addition/Remodel o Deck o Other: SITE ADDRESS 1 2 7 Z l 1, (rot Ilex fir,y ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building owner_ ` Name: ‘,.-: 1-61 Y►'toAa JKoG!` (oris*, Name: Di'et4,44.eyldI K (rr,n S.?l Address: 2(0o Z N, Su l I►ver al 2d Address: City: S Pn k-ciV 1f' Zip: q ci 2.4 b City: Zip: Phone: (-/z i.{—r-i k,'_' Fax: q2.6-- C'7 e/ Phone: Fax: Lic No: Exp.Date: Contact Person =� -- City Business Lic No: Name: Pau\ Phone: Z t d---o/C, 7 cl Describe the scope of work in detail: Cost of Project: $ 70, 000 3v+'1d a rtl. S 'R- **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK:23 ; DIMENSIONS: #OF STORIES: , TOTAL HABITABLE SPACE: �K � �$ 153 7 MAIN FLOOR TO SQ. 1/4/ 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: I.�a. , I 5---c / ' / AREA: FINISHED BASEMENT GARAGE SQ. FTG: 1� DECK/ _ SQ. FTG: 30% SLOPES ON SQ. FTG: `— L/7K 3J 3 ioo PROPERTY: Ai/A #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 3 5v R. Arafura f 69 S Fvrnace S-eti,r 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. 6) Plans or additional information may be required to be submitted,and subsequently approved before this application can be processed. Signature ) ? L4. ? Cf ,t/9U Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 Project New project'Nary or- Previous pre-app meeting 0 pn Transmittal Plan revisions ° City of Spokane Valley Transmittal Date: .000Valley Communit< Development Thursday,August 16,2007 Department 11703 E. Sprague Ave,Suite B3 Spokane Valley,WA 99206 Phone:509.688.0036 Site Address: 12724 E VALLEYWAY AVE Project Number: 07003228 Parcel Number: 45153.1304 Zoning: UR-3.5 Water District: Fire District: Applicant: DIAMOND ROCK CONSTRUCTION Owner: Effenberger, Charles Kent 2602 N SULLIVAN PO BOX 1583 SPOKANE VALLEY, WA 99037 Poulsbo, WA 98370 (509) 924-8964 e-mail: e-mail: Contact: DIAMOND ROCK CONSTRUCTION Occupant: ECERVE ill] 2602 N SULLIVAN e-mail: SPOKANE VALLEY, WA 99037 AUG 1 7 2007 (509) 924-8964 e-mail: U O IlLL' n u m ,t5i Contractor: DIAMOND ROCK CONSTRUCTION Arch/Engineer: UV 2602 N SULLIVAN SPOKANE VALLEY WA 99216 (509) 924-8964 e-mail: Project SFR W/ATT GAR Description: Building Landuse Engineer Utilities Health Fire Dist Assessor APPLICATION \ \ SITE PLAN PLANS REV SIGN OFF Please send all plan review and project comments via e-mail to the highlighted individuals. Permit Center S ©kane 11707 E Sprague Ave,Suite 106 PERMIT NUMBER: .110000 Valley Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development N ww spokanevalley.ore.com Mechanical Permit Application/ o Commercial Residential, SITE ADDRESS 1 7 7 Z y 7 v,:, Le y £Jc v/ Building owner Name: 7104ii i4( 2_C$(',k C04 '". Phone: Zt j- �� 7-04;c1� �' ( (v ( Fax [.� ,7" Z(,, "Gl A;C,% Address: 7_6'0 Z. jV, S.ull II VC 4 City S,Qu, rte 1/1f-'State t..'.* Zip 4161 7/6 Contractor Name: C-ei17%-a I Phone: Fax: Address: City State Zip License No: City Business License No: Contact Rt,L�� Name: ( ...: Phone: 'Z1 - 07 Z N 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 X $10.00 = 13 RANGE X $10.00 = 14 DRYER 1 X $10.00 = IC`) 15 FUEL BURNING WATER HEATER X $10.00 = 1 0 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 7 X $1.00 = -Z, 18 DUCT SYSTEMS 1 X $10.00 = /0 19 VENTILATING FANS 3.-7 X $10.00 = 3 U 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 = (0 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: SUBTOTAL x / OCASH 0 CHECK 0 VISA El Mc DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED s/2605 6 Permit Center ® alle 11707 E Sprague Ave,Suite 106 Valley Spokane Vl , A 920PERMIT NUMBER: .416000 (509)688-00al36eyFAWX:(5099)6688-0037 Community Development www. pokanevalley.ore.com PERMIT FEE: Plumbing Permit Application ❑ Commercial XResidential 1 7 r 1 SITE ADDRESS Z 7 Z L/ f �l� /te y Building owner 11 Name: ID Y Y�(J K-oc K Co.Af Phone: Fax Address: City State Zip Contractor . Name: Y1/l1 fes- 4' S CIY`S Phone: Fax: Address: City State Zip License No: City Business License No: r., Contact, Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS 2- X $6.00 = 1 2 URINALS X $6.00 = 3 TUBS X $6.00 = 2 j/J 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6.00 = l0 LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, I I X $6.00 = Li X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER i X $6.00 = (p 7 CLOTHES WASHER ) X $6.00 = 4 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 = ROOF DRAINS/OVERFLOW 12 DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = I PROOFER,CARBONATOR,SWAMP COOLER Z ` &- VACUUM BREAKER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = MISCELLANEOUS PLUMBING 20 FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: 7 g PROCESSING FEE D CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 . ..._ — • i.• 02, 4,14'aV i 1?S 3 1 ? -/ , /F) I i . € - I s VC, r )°1 4 7141—319 A 114..n f *- ' I tg, i2.7V1 I. 1/4./(ley60a, ,L Sy , t .5- et ie (1 -:--- ., PLANNING DEPT. APPROVED I ...1. 1 i. . 1 . c .... 0-i-- . • . . \ DATE. 1 . s Sh ...- -- 71-- . , •:, •re:\ i 1 I : : : .7 , i -i'... , I• e /J ; .. ," . . iii i iii 1 t's, 0-,L. s, ‘.. •-.. N \!• . -. , . "A 41Nr... • i t N to 'a .. 1 c S 1 , ! , 1 1 i ..„ 1 i 1,4. 1 -,`,‘,. 4 i( • i _ ti-1:01..,Z;I „: f • v.... /, .. _ _,,,,,__, ..... i I„ I 1 I i-- ... if i . ‘s• i f i r. ;41C i ! i .i. 2...1. i 1$ : i 1 ' / -" i . • / ., . ....-----j - ...—• —..............._. . r' •