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2005, 07-19 Permit App 05002443 Duplex, Garage< Project Number: 05002443 Inv: I Application Date: 07/19/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: bi5.� .......tM. ::^L'.. '&m'F. •e6 :-_.... _ i "J3i"+'Wk'a'eTli "3bVa'�u .. n tf u.Ae« Permit Use: NEW DUPLEX W/ATTACHED GARAGES - Contact: HERRELL CONSTRUCTION LLC NATURAL GAS Address: 1620 E 2ND AVE C - S - Z: DEER PARK, WA 99006 Setbacks: Front 49 Left: 5 Right: 21 Rear: 28 Phone: (509) 986-6399 Group Name: Site Information: Project Name: Plat Key: Name: SHP-20-03 District: Nort Parcel Number: 35121.0217 Block: Lot: 3 SiteAddress: 7324 E EUCLID AVE Owner: Name: GENSHORCK, DONNA PATRICE Address: 1016 S HARMONY RD Location:: CSV GREENACRES, WA 99016 Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 12,625 Sq Ft Width: 72 Nbr of Bldgs: I Nbr of Dwellings: 2 Review Information: Review Site Plan Review Plan Review Sewer Review Permits: Hold: ❑ Depth: 175 Right Of Way (ft): 20 Released By: Ww I I,. 016 NOW, Operator: K_C Printed By: K_C Print Date: 07/19/2005 Projeci Number: 05002443 Inv: I Application Date: 07/19/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor. HERRELL CONSTRUCTION CO Address: 1620 E 2ND ST DEER PARK, WA 99006 Mechanical Permit Firm: HERRELL CONSTRUCTION CO L Phone: (509) 986-6399 Item Description Building Permit Unit Desc Contractor: HERRELL CONSTRUCTION CO Firm: HERRELL CONSTRUCTION CO L Address: 1620 E 2ND ST Phone: (509) 986-6399 DEER PARK, WA 99006 $20.00 GAS APPLIANCE=100,000BTU Building Characteristics $24.00 Group: R-3 Type: VB 6 # OF UNITS Total Area 2728 HEAT PUMP OR A/C 0-3 TONS 2 Building Height 20 $24.00 VENTILATING FANS Stories 1 NUMBER OF $60.00 Dwelling Units 2 2 NUMBER OF $20.00 This Application: Total Project: Description Gro Type Notes So Ft Valuation So Ft Valuation CARPORT U-1 VB 428 $6,420.00 428 $6,420.00 GARAGE U-1 VB 998 $18,962.00 998 $18,962.00 RESIDENCE R-3 VB 2,728 $203,727.04 2,728 $203,727.04 Print Date: Totals: 4,154 $229,109.04 4,154 $229,109.04 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,721.75 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $688.70 Permit Total Fees: $2,414.95 Contractor. HERRELL CONSTRUCTION CO Address: 1620 E 2ND ST DEER PARK, WA 99006 Mechanical Permit Firm: HERRELL CONSTRUCTION CO L Phone: (509) 986-6399 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 2 NUMBER OF $20.00 GAS APPLIANCE=100,000BTU 2 NUMBER OF $24.00 GAS PIPING 6 # OF UNITS $6.00 HEAT PUMP OR A/C 0-3 TONS 2 NUMBER OF $24.00 VENTILATING FANS 6 NUMBER OF $60.00 CLOTHES DRYER 2 NUMBER OF $20.00 GAS LOG OR GAS INSERT 2 NUMBER OF $20.00 HOOD -TYPE II 2 NUMBER OF $20.00 Permit Total Fees: $194.00 Operator: K_C Printed By: K C Print Date: 07/19/2005 Project Number: 05002443 Inv: 1 ,Application Date: 07/19/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: HERRELL CONSTRUCTION CO Address: 1620 E 2ND ST DEER PARK, WA 99006 Plumbing Permit Firm: HERRELL CONSTRUCTION CO L Phone: (509)986-6399 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 4 NUMBEROF $24.00 SINKS 6 NUMBEROF $36.00 SHOWERS 2 NUMBEROF $12.00 TUBS 2 NUMBEROF $12.00 DISHWASHERS 2 NUMBER OF $12.00 GARBAGE DISPOSAL 2 . NUMBEROF $12.00 CLOTHES WASHER 2 NUMBER OF $12.00 WATER USING DEVICES 4 NUMBER OF $24.00 Permit Total Fees: $144.00 Payment Summary: �ssss::eesrras;,um,c�asnamssmwr�w _aaa�:_�:s:�, �..- sraam m,. �rs^a:�;,rxa 4a,:9a•. ansa Permit Tvoe Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $2,414.95 $2,414.95 $0.00 $2,414.95 Mechanical Permit $194.00 $194.00 $0.00 $194.00 Plumbing Permit $144.00 $144.00 $0.00 $144.00 $2,752.95 $2,752.95 $0.00 $2,752.95 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: K_C Printed By: K_C Print Date: 07/19/2005 Street Address: 7 3 2 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 REQUIRED SITE INFORMATION Assessors Tax Parcel Number(s): '� 5-f' Legal Description: PERMIT DESCRIPTION: Building Permit ❑ Relocation 'f- <S t. J /�- Ive ( ),411e /,02-17 ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ owner] < e-(7e)45d'K'❑ Applicant") PYAy r-4 t/( Phone jU9 Jzg- So 5)Tax: Sod 9 $ ygSr Phon�rlo fig? a yv2 Fax: 0 F4 Addr ss: Address: Jo /6 5j U9-ilSpo-eaL.-L lml/� SthlQty �tate 9�Ce city Zip Code ❑ Contractor: _/ r e -Y 1—el I CJAJ-5 <<CEI Architect: (�Ce-r^ T%J,--eS Phone.5a4fi6639�iFax: Phonerj�4tfyy'1?c Fax: Address: l 2,0 C 2AO Address: jLja y /,/ 1) le,94 PSK Q# uaG 4-11! t✓l 9zvz City State Zip Code State Zip Code WA State Contractor License M. G 0 2 Z3 143 0 Contact: %1, ti, A) Q Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIG*PEAK. DIMENSI2!OF STORIES:MAIN G:2 FLOOR SQ UNFIN BASEMEN TG: FINIST SQr�iTO: GARAGE SQ. FTGZ q DECK/COV X O SQ. FTG: OCCUPANCY GROUPt��/ t// COt�STRUCCTION : HEAT SO JRCE: # OF BEDROOMS: lP TOTAL HAB E SPATE: IMPERVIOUS SURFACE AREA: — COST OF PI OJEC� `L,25 Oct 30% SLOPES ON PROPERTY: SEWER OR N -SITE SEPTIC SYSTEM? t,C/ GV- r- MANUFACTURED HOME I Width: Manufacturer: Previous Address: Proposed Use: Length: Year: RELOCATION FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: _ Tent: Fireworks Display: Blasting: Valuation: Above/Underground Storage Tank Size: Pit Set: Paint Booth: Date/Time: I WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE I Plans Examiner: Address: Inspector: Address: Phone: Fax: city state Phone: Fax: State Zip I SPECIAL INSPECTIONS I ❑ BOLTING Firm Name: Inspector(s): ❑ CONCRETE ❑ 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 aynyyissued permit . ure to the pr erty owner. Print Name �`� -� h� C W Q/✓)Ly, v " SigfTature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ISA ❑ Other Bankcard #: - ained Expires: VIN#: confidential credit card information which Authorized Signature was redacted pursuant to licca i4.255.M and the original document destroyed AGDACMD Pursuant to SOS DAN GS2014-030.