1990, 06-15 Permit App: 90002753 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
utand authorize Spokane County m proceed with processing. In addition, / have read and understand the INSPECTION REQUIREMENTS/NOTICEp"�/sivn�/�ciuu,ohoremun6uomomoomnly with same. All provisions of ld ordinances governing this e of work will be complied with whether smou
herein v,not. / understand / onunuanvo"usenvomm,voo/onannmv ls or Certificatemoo upancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
lawumov/at/n000mstmm/on.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 90002753 DATE= O6/15/90 PAGE= 01
APPLICATION
****************************** APPLlCATION *********************************
SITE STREET= 2506 % EARLY DAWN IN PARCFL4= 26543-0202
ADDRESS= VERADALF WA 99037
PERMIT USE= RESIDENCE
PLAT4= EVEPUD PLAT NAME= SUMMIT AT EVERGREEN POINT
BLOCK= 1 LOT= 6 ZONE= PUD DI%TO=
AREA= F/A= F WIDTH= 62 DEPTH=
OF BLDG%= 0 DWELLINGS=
OWNER= 4 R % ASSOCIATES INC
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
iOi R/W= 38
PHONE= 509 922 0782
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CONTACT NAME= BILL %MJTH P ONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT= 30 LETT--5,.r RIGHT= F REAR= NA •
****************************** REVIEW JNFORMATIOH **************************
DEPARTMENT REVIEW COMMENTS
BUILDING PLAN' REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
BUILDING ENERGY PLAN REVIEW REQUIRED
********************»********** BUILDING
CONTRACTOR= W R J & ASSOCIATES
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
APPROVAL COMMENTS
r7
PERMIT *************»**********-x**
PHONE- 509 922 0782
NEW= X REMODEL= ADDITION= CHANGE OF H%E=
DWELL UNITS= i OCCUP LD= BLDG HGT= STORIES=
BLDG W X D = X %Q FT= 1605 SPRINKLER= N
REQ PARKING= 4HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VAiUATION
----------- ----- ---- ----- ---------
GARAGE M -i VN 484 3388.00
RESIDENCE R-3 VN 1605 70620.00
ITEM DESCRIPTION QUANTITY FEF AMOUNT
----------
RESIDENTIAL VALUATION Y 527.50
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 93.6O
******************************* MECHANICAL PERMIT ********************»*****
CONTRACTOR= W R S& ASSOCIATES
STREET= P 0 BOX 14884
ADDRESS= SPOKANE WA 99214
PHONE= 509 922 0792
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------------_--------
-------- ----------
DUCTWORK SYSTEM i .10,00
GAS PIPING i 1.0
AIR CONDITIONER 0-3 TONS i 12.00
GAJ LOC i 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= W R % & ASSOCIATES
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 992i4
PHONE= 509 922 0782
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
T
OIL TJ i9`
SINKS 3 49-001
SHOWERS - 2 ` i7.�M
BATH TUBS �� � /T\ / 2 �2.O0
KITCHEN SINKS �� �\`�'� i 6.00
DISH WASHERS ` i 6.00
GARBAGE DISPOSAL /�rl. { 6.00
CLOTHES WASHER
i 6^00
f(/c
r°°°/4—° L Spokane County y"
DEPARTMENT OF BUILDING & SA1 ETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: 2 ss ---0 ( fix/ j),,iti,v,t) iiv c-
CITY/STATE/ZIP: (Z"ct-. W3/7
SUBDIVISION:
BLOCK: / LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: /D/ `'t" R/W:
# OF BUILDINGS:
# OF DWELLINGS: / WATER DISTRICT: / y'
OWNER: /?).t -J- -4.-,k-- PHONE: -,SZL - 6 2o' Z
MAILING ADDRESS: 09 / f /ypg
CITY/STATE/ZIP: j�/cA____ f'2/
CONTACT: � PHONE : / -,2- -
SETBACKS: - FRONT: LEFT: v RIGHT: S REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
GlY, (S!i�
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: 1' REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
JOB STREET ADDRESS:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: /47,24,.,,c_
PARCEL NUMBER:
OWNER: /e.%/,f PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
'DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
.TOILETS
SINKS.
SHOWERS
BATH TUBS
KITCHEN,SINKS
DISH WASHERS :
GARBAGE. DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL.
DRINKING FOUNTAIN
2-
/�
/.
x $6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SUBTOTAL
PLUS: .PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
SIGNATURE.1�
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(Zip)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE -
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT -+100,000 BTU-_ _
GAS PIPING (EA OUTLET)
REFRIG:.1-100M BTU (NOT A/C OR HEAT.,, PUMP)
REFRIG :101-500M BTU
REFRIG .,501-1',:000M BTU
REFRIG 1,001-1,750M,BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT.PUMP &
HEAT- PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50.TONS
EVAPORATIVE COOLERS
TYPE I HOOD .(PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
PTN. OF HOOD)
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _
UNLISTED GAS APPLIANCE <400,000 BTU_ _ _
UNLISTED GAS APPLIANCE >400,000 BTU_ _
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
x
X
= AMOUNT
x$10.00 =
x 25.00 =
x.10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
NOTE:
SIGNATURE
MINI PERMIT EE IS $35.00
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
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