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1995, 03-31 Permit Application: 95001926 ResidencePROJECT NUMBER= 95001926 APPLICATION -DATE- 03/31/95 PAGE= 01 * * * * ** THIS IS NOT A PERMIT * * * * ** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ------- v----=--------------------------------------------------------- - - - - -- SITE STREET= 710 S BEIGE LN PARCEL # = 55191.0637 ADDRESS= GREENACRES WA 99016 PERMIT USE= RESIDENCE/ NAT GAS PLAT # = 005550 PLAT NAME= PHEASANT PARK�L BLOCK= LOT= 2 ZONE= SR -1 DIST # = G AREA= F /A= F WIDTH= 162 DEPTH= 295 R /W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = WHITWORTH WATER #2 OWNER= LEESTMA, JON & DONNA PHONE= 509 928 3694 STREET= 305B SS ESTEEN ST ADDRESS= VERADALE 2WA 99037 CONTACT NAME= DONNA LEESTMA PHONE NUMBER= 509 928 3694 BUILDING SETBACKS: FRONT= 80 LEFT= 48 RIGHT= 48 REAR= 162 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DEPARTMENT REVIEW REQUIREMENT ---- - - - - -- -------------------------------------:------------------------- BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED 3, COMMENTS: ENGINEER APPROACH /FLOOD PLAIN /DRAINAGE! COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: t �� STATE DEPT PUBLIC WATER SYSTEM REVIEW � � ` COMMENTS: GKr � PLANNING UNPLATTED /SEGREGATED PROPERTY n C COMMENTS: At -1-7416 K %IW ICA-`°r ,//(3 / �-Y PROJECT NUMBER= 95001926 APPLICATION DATE= 03/31/95 PAGE= 02 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BUILDING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER PHONE= NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 2 STORIES= 24 BLDG W X D = 53 X 65 SQ FT= 3166 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION - - - - -- ----- - - - - -- - - - -- - - -- BASEMENT U R -3 VN - - - -- 1104 --- 12144.00 GARAGE M -1 VN 760 9120.00 RESIDENCE R -3 VN 1104 64032.00 2ND FLOOR R -3 VN 958 52690.00 ITEM DESCRIPTION QUANTITY - - -- FEE AMOUNT ---- - - - - -- ------------------- - - - - -- RESIDENTIAL VALUATION -- - - Y 772.50 STATE SURCHARGE Y 4.50 RADON MONITOR 1 12.57 SALES TAX 1 1.01 RESIDENTIAL SURCHARGE Y 139.05 IMPACT FEE= CV - SFR Y 750.00 IMPACT FEE= PARKS - SFR Y 500.00 * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MECHANICAL PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY - - -- FEE AMOUNT ---- - - - - -- ------------------- - - - - -- GAS APPLIANCE<= 100,000BTU -- - - 1 12.00 GAS LOG OR GAS INSERT 1 10.00 RANGE 1 10.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 3 3.00 VENTILATING FANS 5 50.00 HOOD -TYPE II 1 10.00 * * * * * * * * * * * * * * * * * * * * * * * * * * * ** PLUMBING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT - - -- ------------------- - - - - -- TOILETS /BIDETS -- - - - - -- 4 ---- - - 24.00 TUBS 2 12.00 SHOWERS 3 18.00 SINKS 7 42.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 WATER USING DEVICES 2 12.00 PROJECT NUMBER= 95001926 APPLICATION DATE= 03/31/95 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ------- - - - - -- --------- - - - - -- ------- BUILDING PERMIT - - - - -- ------ - 2179.63 - - - -- .00 2179.63 MECHANICAL PRMT 115.00 .00 115.00 PLUMBING PERMIT 120.00 .00 -- 120.00 ------- - - - - -- ------- - - - - -- ------ - - 2414.63 - - .00 2414.63 ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * PLAT NOTE: TOPIC = CONDITIONS DEPT = BUILDING ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NO DUPLEXES PERMITTED WATER DIST REQ'D PROCESSED BY: JOHN LARSON PRINTED BY: JOHN LARSON * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** PROJECT NUMBER= 95001926 APPLICATION DATE= 03/31/95 PAGE= 01 * * * * ** THIS IS NOT A PERMIT * * * * ** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---=— ----------------------------2---------------------------- - - - - -- SITE STREET= 710 S BEIGE LN PARCEL # = 55191.0637 ADDRESS= GREENACRES WA 99016 PERMIT USE= RESIDENCE/ NAT GAS PLAT#= 005550 PLAT NAME= PHEASANT PARK %z U- °2 BLOCK= LOT= 2 ZONE= SR -1 DIST # = G AREA= F /A= F WIDTH= 162 DEPTH= 295 R /W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = WHITWORTH WATER #2 OWNER= LEESTMA, JON & DONNA PHONE= 509 928 3694 STREET= 305B SS ESTEEN ST .305 S4e_e -P ADDRESS= VERADALE 2WA 99037 CONTACT NAME= DONNA LEESTMA PHONE NUMBER= 509 928 3694 BUILDING SETBACKS: FRONT= 80 LEFT= 48 RIGHT= 48 REAR= 162 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * *k * * * * * * * * * * * * * * * * * * * ** DEPARTMENT REVIEW REQUIREMENT ---- - - - - -- ----------------------------------------------------- ---- - - - - -- BUILDING PLAN REVIEW REQUIRED _ COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: ENGINEER APPROACH /FLOOD PLAIN /DRAINAGE 7 COMMENTS: 0 z-r,- �_UZ 9 Cs�_! HEALTHDIST NEW OR ADDITIONAL WASTE WATER fTa COMMENTS: PUBLIC WATER SYSTEM REVIEW COMME TS : PLANNING UNPLATTED /SEGREGATED PROPERTY COMMENTS: APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? l Al0 " reetiCSCc l0. 9c( 014 Legal description as it appears on ttr roperty deed OWNER or OCCUPANT Phone JON on\`\ �e-e , a� 9. Mailing address City,state Zip 0) 305 5-_ Ue.rac . \t_ fl cciC) 3-1 Who should we contact regarding this project? Phone Jo r\-) o C Don1\e„ Le_efYY1G What work is being done under this permit? i CtE11` _ Lone Inspector district Property size Right of way width Water district a a� m � Q Building Building height #of stories Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license# Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area • Architect/Engineer Garage area Size of decks,etc. What is t�he heat source? What is the cost of your project? / Manufactured Home Sign Width: Length: What is the square footage of How high is the sign? the sign face? Year: Make: Installer Contractor Wa State Contractor license# Wa State Contractor license# Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display ■ VALUE Contractor Contractor WA State Contractor license# WA State Contractor license# Mailing address Mailing address Fuel Storage Tanks Swimming Pool (Circle one) Above-ground Underground Size/gallons Private Contents of tank(s) Size/gallons Public/semi-private Contractor Contractor Wa State Contractor license# WA State Contractor license# Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. s6uiplinq pasodwd oullsixa Hy o SII9M s)Iuel o!ldag ❑ sew!' Aliedwd ',9 spew elenud MOJJe yIJoN ❑ 'sale" to 1y6u 'spew to Jaluao saouels!a o sall!l!ln punw6iapuf ❑ swawsea ig sAemaniJp 'sAempeoi Hy p :DNIM01103 3H1 30nl0Nl • • • • ueid 0 !S PROJECT' ADDRESS: I OWNER: PLUMBING PERMIT APPLICATION PHONE: MAILING ADDRESS: (street) (city /state) (zip) CONTRACTOR: MAILING ADDRESS: LICENSE: PIIONE: (street) (city /state) (Zip) 1026 W. Broadway Avenue Spokane, WA 992 0 Tel. No. (509) 456 -3675 • Fax No. (509) 456 -4703 ` TDD No. (509) 324 -3166 WASTERI.MAJ W rER WIND PLUMBING FIXTURES # OF wr.n- COST DESCRIPTION DETAIL UNITS runDBr NIT B oAU AMOUNT B02 TOILETS WATER CLOSETS. BIDETS X $6 = $ x $6 = $ B03 URINALS - BN TUBS BATH. JACUZZI. SPA. GARDEN �2 X $6 = $ B05 SHOWERS per trap SINKS BASE, STALL, ON —SITE BUILD LAVS/BASINS. BAR, FLOOR, KITCHEN, x x $6 $6 = = $ $ 006 LAUNDRY, UTILITY, JANITOR, PHOTO, X —RAY, FOOD REP/CULINARY/MEA x $6 = $ B07 DISHWASHER - / x $6 = $ B08 CLOTHES WASHER - B09 GARBAGE DISPOSAUGRINDER - x $6 = $ x $6 = $ B10 WATER SOFTENER - B11 ELECTRIC HOT WATER TANKS ( NOTE: if gas water tank, see mechanical) X $6 = $ B12 FLOOR DRAINS AREA, CASE, COII., TRENCH, CONDENSATE X $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS ea. - x $6 = $ B14 FOUNTAINS, DRINKING - x $6 $ 1315 WATER PIPING /DRAIN - WASTE- VENT / INSTALLATION. ALTERATION, REPAIR, x $6 = $ PLUMBING REVERSALS REVERSALS B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $ HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS B18 CROSS - CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, X $6 = $ AND R.P.B.P.D. FOR: VATS SUMPS, TANKS, BOILERS, @ SPRINKLER SYSTEMS B19 INTERCEPTORS GREASE TRAP. SAND TRAP, X $6 = $ CHEMICAL HOLDING TANK MEDICAL GAS r outlet/bottle station MISCELLANEOUS FIXTURES NITROUS. OXYGEN X x $6 $6 = = $ $ B20 B21 MINIMUM PER MIT FEE IS $35.00 Subtotal NOTE: PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ SIGNATURE: PLIEASE MAKECIIECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Spokane County Division of Buildings 6 1026 W. Broadway Avenue Spokane, WA 992 0 Tel. No. (509) 456 -3675 • Fax No. (509) 456 -4703 ` TDD No. (509) 324 -3166 WASTERI.MAJ W rER WIND ADDRESS: OWNER: MAILING ADDRESS: CONTRACTOR: MAILING ADDRESS: MECHANICAL PERMIT APPLICATION (street) (city/state) (zip) PIIONE: (street) (city/state) (zip) Tcl. No. (509) 456 -3675 ' Fax No. (509) 456 -4703 • TDD No. (509) 324 -3166 master \mechperm.hnd O OR srw.n- B02 FUEL BURNING APPLIANCE = or <100,000 $12 s BM FUELBURNINGAPPLIANCE >100.000 $15 _ s B04' UNLISTED APPLIANCE ADDITIONAL CHARGE = or <400.000 S50 s B05' UNLISTED APPLIANCE ADDITIONAL CHARGE >400,000 $100 _ s B06 USED APPLIANCE (Must meet WSECs min. AFUE rating) = or <400" 550 - s B07 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000 $100 s B08' BOILER/REFRIGERATION 1 -100M BTU x S12 _ s B09 BOILER/REFRIGERATION 101 -500M BTU x $20 _ s B10 BOILER/REFRIGERATION 501- 1.000M BTU B11> BOILER/REFRIGERATION 1,001- 1,750M BTU 535 _ : B12' BOILER/REFRIGERATION +1,750M BTU $60 _ : 1313' GAS LOG, GAS INSERT, AND /OR GAS FIREPLACE - $10 _ : B14 RANGE - / $10 _ : B15 DRYER - $10 - : B16 FUEL BURNING WATER HEATER - $10 _ : B17 IMISCELLANEOUS FUEL BURNING APPLIANCE - $10 _ s B18 GAS PIPING ea. outlet - $1 : B19 DUCT SYSTEMS - $10 - B20 VENTILATING FANS - $10 B_21' AIR HANDLER DOES NOT include duct systems) = or <10,000 Cwt $12 - s B22 AIR HANDLER DOES NOT include duct systems) >10.000 CFM $15 : B13 EVAPORATTVE COOLERS - $10 - : B24 ITYPE I HOOD - $50 - : B25 ITYPE II HOOD - % x $10 _ : B26` HEAT PUMP /AIR CONDITIONER 0 -5 TONS $12 - : B27 AIR CONDMONER 6- 15TONS $20 - : B28 AIR CONDITIONER 16- 30TONS x $25 _ s B29 AIR CONDMONER 31- 50TONS $35- _ : 1330 AIR CONDITIONER +50 TONS x S60 - s Bail" LPG STORAGE TANK - $10 _ s 1332 IWOOD OR PELLET STOVE/INSERT - $25 _ 1, NOTE. MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Spokane County Division of Buildings 1026 W. Broadway • Spokane, WA 99260 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY 'PERMIT CENTER Tcl. No. (509) 456 -3675 ' Fax No. (509) 456 -4703 • TDD No. (509) 324 -3166 master \mechperm.hnd 1 ADDRESS: - 7'z e'7 ZONE: L t i ROAD WIDTH. .--) FRONT' ffh ,FLANKING:__ • COMMENTS:, REViEwEay. (1144,4v-------- NOC701 08 E 657 . 5 • 162 . 00 ' 162 . 00 ' 4 CO N (C): N (0 Nar-------) 0 / CO . CA CO • � $ ; o� ��,„� , O ye6 " ) O C` 1 L ''''S 71 0 it S 620 rn , . . i\. , . - 1 . N . • . , Building JU .L) U 0 ` J, I 10 Utlllt Easem IL 162 . 00 ______ ______pEIGE LANE if 13O . 00 ' . 130 . 00 ' N0001J6E . . 1 , APR bb 'y5 by - ILHM bHK u'AIr ui1L Noo- o 1 "08" E 16 2.. o 1 N 162.00' 130-00 . AppRESS: .-S - pia j5r"I ZONE: ROAD WIDTH. FRONT_ FLANKING:.� COMMENTS- REVIEWED BY IzIt -S $ / Gd Cry 657.5 162.00 1 S�6C� ccarioaS PE Of SFYJAGE SYSTEM .�. KffiL Ok SQUA(*E FOOTAGE, RENGH mi); H. T° _.. EPiH FROM :i�;�i.L � t' �,�U S1} :('AI:E 1J tw m F SEWAGE :;rSTE1.1. C� qu s 620 M pt SO% 'E"s"c a n S a t b a EICE 130.00' utttit�r s3 e E LANE Noo'0o1 8" 1 A