1995, 01-20 Permit App: 95000316 ResidencePROJECT NUMBER= 95000316 APPLICATION DA = 01/20/95 PAGE= 01
\\ ****I** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 3627 N ELLA RD PARCEL#= 45063.4501
ADDRESS= SPOKANE WA 99212
PERMIT USE= RESIDENCE W/GARAGE - GAS
PLAT#= 003757 PLAT NAME= SEVERIEN-JO ADD
BLOCK= 1 LOT= 1 ZONE= UR -3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 79 DEPTH= 133 R/W= 45
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = ORCHARD AVENUE
OWNER= MC INTYRE, JOE
STREET= 3620 N ELY RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 926 1744
CONTACT NAME= JOE MC INTYRE PHONE NUMBER=.509 926 3763
BUILDING SETBACKS: FRONT= 25 LEFT= 13.6 RIGHT= 13.6 REAR= 50
**********r******************* REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
------------------------------------------------------------------------
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILD G SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE,�� ,�'
6 _
COMMENTS:
HEALTHDIST NEW OR ADD
COMMENTS:
PLANNING SIIjT/EE PLAN
COMMENTS: 6z�,(%
TE WATER
EW REQUIRED
*********x******************* BUILDING
CONTRACTOR= OWNER
NEW= X REMODEL=
DWELL UNITS= 1 OCCUP. LD=
/��o1�7, ze--
. r �
RMIT
PHONE=
ADDITION= CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
BLDG W X D = 28 X 42 SQ FT 2352 SPRINKLER= N
PROJECT NUMBER= 95000316 APPLICATION { DAT;L= 01/20/95 PAGE= 02
REQ PARKING=
#HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP
TYPE
SQ FT
VALUATION
---------
----------- -----
BASEMENT U R-3
----
VN
-----
1176
12936.00
COV DECK R-3
VN
288
2592.00
GARAGE M-1
VN
528
6336.00
RESIDENCE R-3
VN
1176
64680.00
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
----------
-------------------------
RESIDENTIAL VALUATION
--------
Y
581.00
STATE SURCHARGE
Y
4.50
RADON MONITOR
3
1
12.57
SALES TAX
AMOUNT PAID
1
1.01
RESIDENTIAL SURCHARGE
------------
.00
Y
104.58
******************************* 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
GAS WATER HEATER 1 10.00
GAS PIPING 7 7.00
DUCT SYSTEMS 1 10.00
VENTILATING FANS 3 30.00
HEAT PUMP OR A/C 0-5 TONS 1 12.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER
PHONE=
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
-------------------------
TOILETS/BIDETS
--------
3
----------
18.00
TUBS
2
12 ..00
SHOWERS
1
6.00
SINKS
4
24.00
DISH WASHERS
1
6.00
CLOTHES WASHER
1
6.00
WATER USING DEVICES
3
18.00
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
----------------------------
BUILDING PERMIT
703.66
------------
.00
-------------
703.66
MECHANICAL PRMT
91.00
.00
91.00
PLUMBING PERMIT
90.00
.00
90.00
-------------
884.66
------------
.00
-------------
884.66
oW7
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
�/I��
APPLICATION. INFORMATION
What is the JOB SITE address?
l\/ 36 s>!t A CO
Legal description as it appears on the property deed
E ti Ele 1P A/ - 0'e A flfl LT- / i /
ASSESSOR'S tax parcel number?
4/ 50 3 , L/.50
OWNER or OCCUPANT
of MSi'ir
Mailing address
IV 36,1 EL ;/ SPOk4
Who should we contact regarding this project?
E "Pry RE
Phone
9026 /-21/e/ e 9c76 376
City, state
//,E by A
What work is being done under this permit?
STe9i27- TO rim/is/4i
Zip
9/a.
Phone
PCP2 17V9 902637 63
Contractor
WA State Contractor license #
Mailing address
A/ .3 (,06 EL / Spok,4. ,e
Architect/Engineer
OD it IT F Sion/ Al 6 -
What is the heat source? 4s
Manufactu
Width:
Year:
rel Home
Building height
Dimensions
Main floor area
2nd floor area
/U A
Garage area
# of stories
TOTAL SQUARE FOOTAGE
/7 76v
Unfinished basement area
/ / 7 Co
Finished basement area
Size of desks, etc. DAT / p
�aYOV r
What is the cost of your project?0/ A t �®
U
Si
Ai A
Installer
Length:
Make:
What is the square footage of
the sign face?
How high is the sign?
Wa State Contractor license #
Mailing address
Contractor
Wa State Contractor license #
Mailing address
Relocation
Previous address
Fire Safe:
/V4
Contractor
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
WA State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
Fuel Storage :Tanks;
(Circle one) Above -ground
Contents of tank(s)
Contractor
wimm�ng Poo
Underground
'Size / gallons
Size / gallons
Private
Wa State Contractor license #
Mailing address
/V
Contractor
— WA State Contractor license #
Mailing address
Public/semi-private
COMPLETE ALL APPLICABLE INFORMATION
a
a�
0
,-;, - `. I I
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: WU10-1 r --ILA
OVRiE-R:,T!,5 M,�rTsvrVifi57 (PHONE: (a 7 Vel
MAILING ADDRESS: A! r --,t V e4l /J 2
(street) (city/state) (zip)
CONTRACTOR:
MAILING ADDRESS: :519 m F
(street) (city/state) (zip)
# I COST I I
y
3.02.. FUEL BURNING APPLIANCE
= or <100.000
$12
3 . 01 . FUEL BURNING APPLIANCE
>100,000
d
$15
304.. UNLISTED APPLIANCE (ADDITIONAL CHARGE
= or <400,000
= $50
305:. . UNLISTED APPLIANCE (ADDITIONAL CHARGE
>400.000
$100
USED APPLIANCE (Must meet WSEC's min. AFUE ratin
= or <400.000
$50
B07. USED APPLIANCE (Must meet WSECs min. AFUE rating)
>400,000
$100 ,
B08.. BOILER/REFRIGERATION
$12
B09. BOILER/REFRIGERATION
101-500M UM
$20
B.W . BOILER/REFRIGERATION
501 - 1.000M BTU
$25
11111 BOILER/REFRIGERATION
1,001-1,750M BTU
$35
BIT BOILER/REFRIGERATION
+1,750M BTU
$60
B13*. GASLOG, GAS INSERT, AND/OR GAS FIREPLACE
1344�� RANGE fe, i T-
$10
x 1
1115!5�� DRYER
$10 x
B16. FUEL BURNING WATER HEATER
$10 is
13,17-' MISCELLANEOUS FUEL BURNING APPLIANCE
$10
1 , 8 GAS PIPING (ea. outlet)
B18
$1
DUCT SYSTEMS
$10
B20.. VENTILATING FANS
$10
B21;,. AIR HANDLER (DOES NOT include duct tems
= or <10.000 CFM
$12
T AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
$15
B . 2-1. EVAPORATIVE COOLERS
$10
B24. TYPE I HOOD
$50 -
TYPE 11 HOOD
x $10 -
, 13 . 2 . 6::: HEAT PUMP/AIR CONDITIONER
826
0-5TONS —
$12 -
B27:1 AIR CONDITIONER
6-15TONS
x $20
......
B28:. AIR CONDITIONER
16-30TONS
$25 -
B29. AIR CONDITIONER
31-50TONS
$35
......
AidAIR CONDITIONER
+50TONS
$60l
--
.........
1331..� LPG STORAGE TANK
$100
jWOOD ORPELLET STOVE/INSERT
NOTE. MINIMUM PERMIT FEE IS $35-00
Subtotal
PLUS: PROCESSING FEE
SIGNATURE:
TOTAL PERMIT FEE DUE.....
..........
PLEASE MAKE CIICCTCS PAYY
Spokane County Division of Buildings
7:
:S,POKAN-E-:COUN'1Y:PI-LRMIT(
1026 W. Broadway Spokane, WA 99260
...
.. .....
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 TDD No.
(509) 324-3166
master\mechjxrm.hnd
$25.00
I/
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: IV 3 (o „,} -7 r 4&A
OWNER: �t [rD C 3 � �f �C PHONE: �*6e — 3 -7&3
MAILING ADDRESS:(%V�,
(street) (city/state) (zip)
CONTRACTOR:
CENSE:
ONE:
MAILING ADDRESS: S 14 K E
(street) (city/state) (zip)
wLn-
$02
TOILETS
WATER CLOSETS, BIDETS
x
$6
=
$
B03
URINALS
-
x
$6
= Is
$
MTUBS
GARBAGE DISPOSAUGRINDER
BATH, JACUZZI, SPA, GARDEN
SL
x
$6
=
$
1305
SHOWERS per trap
BASE STALL ON—SITE BUILD
x
$6
=
$
B06
SINKS
LAVSBASINS,BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
%
x
$6
=
$
13071
DISHWASHER
-
x
$6
=
$
B08
CLOTHES WASHER
-
x
$6
=
$
1309
GARBAGE DISPOSAUGRINDER
-
x
$6
=
$
B10
WATER SOFTENER
-
x
$6
=
$
1311
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
=
$
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCIL CONDENSATE
x$6
=
$
1313.
ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
B14
FOUNTAINS, DRINKING
-
x
$6
=
$
X15
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
=
$
1316
SEWAGE EJECTORS
GRINDER,SUMPPUMP
x
$6
=
$
,B.
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
`=
x
$6
=
$
B18
CROSS—CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
B 1 9
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B20
MEDICAL GAS(per outlet/bottle station
NITROUS, OXYGEN
x
$6
=
$
B2I
MISCELLANEOUS FIXTURES
x
$6
=
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
Spokane County Division of Buildings
1026 W. Broadway Avenue . Spokane, WA 99260
Tel. No. (509) 456-3675 ' Fax No. (509) 456-4703 ' TDD No. (509) 324-3166
\MASTER\PI.UMPFR M.I IN D
19.32'
NORTH ELLA ROAD