2006, 02-24 Permit App: 06000518 Residence Project Number: 06000518 Inv: 1 Application Date: 2/24/2006 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: DMJ INVESTMENTS LLC
Address: 12313 127TH AVE NE
C-S-Z: LAKE STEVENS,WA 98258
Setbacks:Front Left: Right: Rear: Phone: (509)217-1441
Group Name:
Site Information: Project Name:
Plat Key: Name: PONDEROSA 01ST ADD District: Sout
Parcel Number: 45324.9026 Block: Lot: 1
SiteAddress: 4319 S SCHAFER RD Owner:Name: DMJ INVESTMENTS
Address: 12313 127TH AVE NE
Location::CSV LAKE STEVENS,WA 98258
Zoning: UR-1 Urban Residential-1
Water District: Hold: ❑
Area: 21,760 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Building Plan Review Released By:
Driveway/ApproachReleased B 1 111�'a
Y-
Originally Released: 2/21/2006 By: cjjanssen
Landuse/Zoning/HE Conditions Released By:
TO PLANNING 2/21/06
Originally Released: 2/22/2006 By: mharnois
Sewer Review Released By:
Permits: 14 E» - ra A .. .., : : M,. .:a
Operator: CJJ Printed By: AMB Print Date: 2/24/2006
I
Project Number: 06000518 Inv: 1 , Application Date: 2/24/2006 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: VALUE BUILT HOMES,LLC Firm: VALUE BUILT HOMES,LLC
Address: 4005 E 15TH Phone: (509)217-1441
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: VALUE BUILT HOMES,LLC Firm: VALUE BUILT HOMES,LLC
Address: 4005 E 15TH Phone: (509)217-1441
SPOKANE,WA 99223
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,496 $129,209.52 1,496 $129,209.52
BASEMENT F R-3 VB 96 $1,920.00 96 $1,920.00
BASEMENT U R-3 VB 1,400 $21,000.00 1,400 $21,000.00
DECK OPEN R-3 VB 12 $180.00 12 $180.00
GARAGE U-1 VB 652 $14,344.00 652 $14,344.00
Totals: 3,656 $166,653.52 3,656 $166,653.52
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,368.95
WSBC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $1,373.45
Mechanical Permit
Contractor: VALUE BUILT HOMES,LLC Firm: VALUE BUILT HOMES,LLC
Address: 4005 E 15TH Phone: (509)217-1441
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $90.00
Operator: CJJ Printed By: AMB Print Date: 2/24/2006
Project Number: 06000518 Inv: 1 Application Date: 2/24/2006 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit -
Contractor: VALUE BUILT HOMES,LLC Firm: VALUE BUILT HOMES,LLC
Address: 4005 E 15TH Phone: (509)217-1441
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 6 NUMBER OF $36.00
SHOWERS 1 NUMBER OF $6.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
Permit Total Fees: $102.00
Notes ,,.. �� F w . w..
Payment Summary•
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,373.45 $1,373.45 $0.00 $1,373.45
Mechanical Permit $90.00 $90.00 $0.00 $90.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,615.45 $1,615.45 $0.00 $1,615.45
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: 2/24/2006
--
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i4-EW t1ESIltl«i cC \t'/Ai'1'AC.ITC GA_RACE-CAS Ci,nract: 1)111.11NVEST:I TS LLC
Address: 12313 127111.AV 1: :
C-S-Z: LAla STL\r1 NS, WA 98255
Sctbttcks: F7011 Lzft: Richt: • Rcrtr: Ptaont;: (509) 217-1.1.11
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P;u•cc I ;Number: 4532.1.9026 Block: Lot: I
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tN.rra: 21,760 Si] Rt \Width: 0 Dept1c 0 Rif...111 OI AVuy(CO: U
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sosto Permit Center
Spokane 11707E Sprague Ave,Suite 10 i� t - ;°_
S kane Valley,WA 99206 a.."���`*,�����``� � y
�sMalley (9)688-0036 FAX:(509)688 FEB 2 1 2006
Community Development www.spolcanevallev.ore.com - i i--,
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Residential Construction it New Construction o Accessory Bldg
Permit Application o Addition/Remodel o Deck
o Other:
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SITE ADDRESS __ II 7
ASSESSORS PARCEL NO: S--)L U 1(L EGA-DESCRIPTION:
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Name: h iso-3— Mut()e%I-Lot 43 t.1K I*L C- Name: (jGt itti e 8 c4.: U 14-43.,,, L 1.c.
Address: i-2-.5( 3 t 2 7- 4-v.._ Address: ‘100.S. E /5"--1 -
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SCity:.Lc e 54-a tr a tA.c Zip: 95(2c"k City: Spa zip: lig ' G Z Z:
Phone: Fax Phone: tt//. t /7 -fW( Fa 3113 -62t--7
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Permit Center
i`r 11707 E Sprague Ave,Suite 106 •
sPERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevalley.org.com PERMIT FEE:
Plumbing Permit Applicationv ❑ Commercial g Residential
SITE ADDRESS: 1 Cl(
/ Sc_ L d-C-e-
Building owner n iikol-S- T.t�v es 4-Inti-e c.LAI L L
Name: tl.e�A.A.1 S O t4.f S Phone: Fax:
Address: li 2.3 13 i 22,1`S �Irq v.e /0 E City: AL/cc. evetlfState:/.t/ r Zip: R�"{2 SW
Contractor i/ qA
.�, ._ 6 t/11- ATQ 1,.-a,.eS L L C
Name: --"Ta-1 k.. —0 t,1,- Phone: , 2 17- /'-/'-(/ Fax: 3 z-133 -OZ.S 7
Address: lip b S E 1 5 `t. City: ,Sr d State: IVY} Zip: 5 y az_ ;
License No: V I lA t b k c1 SS k P City Business License No:
Contact % lett -Z-U(4.-e f
Name: Phone: , (-7 q4
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 % X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT Co
6 DISHWASHER I X $6.00 =
7 CLOTHES WASHER I X $6.00 =
8 GARBAGE DISPOSAL I 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 I 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 =
PROOFER,CARBONATOR,SWAMP COOLER
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 DISPOSAL/SYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
Card# n EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: . 1 C CLS\k—t- REVISED 8/26/05
Permit Center
Spokane 11707 E Sprague Ave,Suite 106
is,I.0Val ley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevalley.org.com PERMIT FEE:
Mechanical Permit Application ❑ Commercial n Residential
SITE ADDRESS: 4.1/ 1 S Sc 4 I. ,
Building owner b 16.A.:3-
"1_. k o e S'F 1....•e wkS `.L
Name: b*ti,,, S ad(A.r t Phone: / Fax: n �
Address: t 3(3 t 2--1 4,-__4_ A-v 10 E City:Lake- .St -e u .oil' State: Mas-)A c
Zip: 1 82'
Contractor V a( e_ v-i 14- 14-at,.e q L L
Name: 7/ k-. -0 h C 5 Phone:
� i7 "/t-14-1 Fax: 34/3- 02S7
Address: 4O0 S- f f S-1:1 City: S State: C
License No: 1 � � � Zip: � 1 2 Z3
UAL (,,C g i4 <S. K P City Business License No:
Contact f 1 1,LL G7 N& 5
Name: Phone: .2 /7- c.4 L' (
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 I 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 ',S 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 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: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE
$35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: ,Je9 04.42...,_ REVISED 8/26/O5