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1996, 02-09 Permit App: 96000621 AdditionPROJECT NUMBER= 96000621 APfLICAION DATE= 02/09/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11805 E FAIRVIEW AVE ADDRESS= SPOKANE WA 99206 PERMIT USE= PLATO= BLOCK= AREA= # OF BLDGS= OWNER= STREET= ADDRESS= CONTACT NAME= PARCEL#= 45091.0348 RESIDENCE ADDITION-SHOP,FAMILY ROOM,REC ROOM,,& STORAGE 001641 PLAT NAME= MIRABEAU RANCH ADD 3 LOT= 11 ZONE= UR -3.5 DIST#= H 00000000 F/A= F WIDTH= 90 DEPTH= 140 R/W= 50 1 # DWELLINGS= 1 WATER DIST = SHAW, GERALD A 11805 E FAIRVIEW AVE SPOKANE WA 99206 PHONE= 509 922 1425 GERALD SHAW PHONE NUMBER= 509 922 1425 BUILDING SETBACK S: FRONT= NA LEFT= 4 RIGHT= NA REAR= 60 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING COMMENTS: HEALTHDIST COMMENTS: REVIEW REQUIREMENT SETBACK REVIEW REQUIRED NEW OR ADDITIONAL WASTE WATER i)na;T \ Lfl e /0/i (�/ J) R)e \ oikAtor,cel�.� , 64(2 gervii 014 // f -/A f/ G 4.M:4 PLANNING INADEQUATE SIDE YARD COMMENTS: SETBACK Ae: t3 i/L24_40 D -'9G-9(p ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER NEW= DWELL UNITS= BLDG W X D = REQ PARKING= REMODEL= 1 OCCUP. LD= 26 X 28 SQ FT= #HANDICAP= PHONE= ADDITION= X CHANGE OF USE= BLDG HGT= 8 STORIES= 1 728 SPRINKLER= N CRITICAL MAT= N PROJECT NUMBER= 96000621 APPLICATION- DATE= 02/09/96 PAGE= 02 t , DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT F R-3 VN 728 10920.00 RES ADD R-3 VN 286 16874.00 SHOP U-1 VN 351 4212.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 297.50 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 65.45 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT BOILER/REFER 1-100M BTU 1 12.00 GAS LOG OR GAS INSERT 1 10.00 GAS PIPING 1 1.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT MECHANICAL PRMT 367.45 .00 367.45 23.00 .00 23.00 390.45 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO .00 390.45 ******************************** THANK YOU ************************************ PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: &crcc if 6 INct. MAILING ADDRESS: 51 //<-0<J-C 0 (street) CONTRACTOR: PHONE: DAYTIME CONTACT 14 (zip) i(cityttLte) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING I IA 1 uKES DESCRIPTION 1 DETAIL #0F UNITS MULTI - LI= COST /UNIT QUAL. AMOUNT B02.' TOILETS WATER CLOSETS, BIDETS x $6 URINALS x $6 $ B04 TUBS BATH, JACUZZI, SPA, GARDEN x $6 $ SHOWERS (per trap) BASE, STALL, ON-SITE BUILD x $6 $ SINKS LAVS/BASINS, BAR, FLOOR. KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT) x $6 $ DISHWASHER x $6 $ Iltft 110c CLOTHES WASHER x $6 $ GARBAGE DISPOSAL/GRINDER x $6 1310 WATER SOFTENER x $6 $ 1311 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank, see mechanical) x $6 $ FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x $6 $ ROOF DRAINS/OVERFLOW DRAINS (ea x $6 i314 FOUNTAINS, DRINKING x $6 $ WATER PIPING/DRAIN-WASTE-VENT/ PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 $ SEWAGE EJECTORS GRINDER. SUMP PUMP x $6 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS x $6 $ CROSS -CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS x $6 $ INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 $ MEDICAL GAS (per outlet/bottle station) NITROUS. OXYGEN x $6 $ MISCELLANEOUS FIXTURES x $6 $ NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Spokane County Division of Building & Planning 1026 WBroadwa Avenue * Spokane WA 99260 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE MLEASEISNEEOLIECKS .......i.SPOIOWEVOUNTrrERMItCENTER: Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. 716193 \i19k MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: 'PHONE: DAYTIME CONTACT MAILING ADDRESS: (street) CONTRACTOR: (city/state) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) DESCRIPTION OF WORK ,OF UNITS MULTI - LIED COST nwrr (zip) EQUALS' AMOUNT FUEL BURNING APPLIANCE = or <100,000 $12 $ 80i FUEL BURNING APPLIANCE >100,000 $15 Bo4 UNLISTED APPLIANCE (ADDITIONAL CHARGE) = or <400,000 $50 $ UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 $100 B0 USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,000 $50 $ USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 $100 BOILER/REFRIGERATION 1-100M BTU $12 $ BOILER/REFRIGERATION 101-500M BTU $20 $ BOILER/REFRIGERATION 501-1,000M BTU $25 $ BOILER/REFRIGERATION 1,001-1,750M BTU $35 $ B12 BOILER/REFRIGERATION +1,750M BTU $60 $ GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE $10 $ B14. RANGE $10 $ BIS DRYER $10 B16 FUEL BURNING WATER HEATER $10 131T MISCELLANEOUS FUEL BURNING APPLIANCE $10 GAS PIPING (ea. outlet) $1 DUCT SYSTEMS $10 B2� VENTILATING FANS $10 AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM $12 $ B22. AIR HANDLER (DOES NOT include duct systems) >10,000 CFM $15 $ EVAPORATIVE COOLERS $10 B24 TYPE I HOOD $50 TYPE II HOOD $10 HEAT PUMP/AIR CONDITIONER 0-3 TONS $12 $ B27 AIR CONDITIONER 3-15 TONS $20 :132& AIR CONDITIONER 15-30 TONS $25 $ AIR CONDITIONER 30-50 TONS $35 $ AIR CONDITIONER +50 TONS $60 145Vi LPG STORAGE TANK $10 WOOD OR PELLET STOVE/INSERT $25 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE Spokane County Division of Building & Planning 1026 W. Broadway* Spokane, WA 99260 Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. imams a) D 0 APPLICATION INFORMATION What is the JOB SITE address? // -f ; /-q,r c9l c� D ASSESSORS tax parcel number? 7, C,34�� Legal description as it appears on the property deed b,->ct 15aA:cL Lit3 OWNER or OCCUPANT 6c rc... (d f3- 6A c i Mailing address Phone 9 zz /�zS� �i //fcr)5 / c. rli j e"_t J City, state Zip i"..2-0 6 Who should we contact regarding this project? L>crte.(c( rt- 3J e,u.r Phone What work is being done under this permit? 4 adcl I`ho.a To -7—/c. // ' c- , _Srz� 5 c76" lois' Buil d in Contractor (7e t -c l c( M- Sh o w Building height / ),e.5-��.NT /6 / Dimensions a6' x8' # of stories TOTAL SQUARE FOOTAGE ys6' WA State Contractor license # Mailing address //C/) S l-c-1i`r L'c� Architect/Engineer Main floor area Unfinished basement area 2nd floor area Finished basement area Garage area Size of decks, etc. What is the heat source?,, r What is the cost of your project? od e57�7�_ 3o,voo — Manufactured: Hor Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Wa State Contractor license # Contractor Wa State Contractor license # Mailing address Mailing address Relocator Previous address lwContractor A State Contractor license # Mailing address !Fire Safety Fire Sprinkler _ Paint booth Fire Aiarm Tent Fireworks display VALUE Contractor WA State Contractor license # Fuel :Storage Tanks (Circle one) Above -ground Underground Contents of tank(s) Contractor Size / gallons Mailing address Swire ming Pool; ................................ Size / gallons d 0 Private Public/semi-private Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING .% +'ter J��:. ADMINISTRATIVE EXCEPTION ( Does not include Section 14.506.020 6.c. ) 101NAi, INFORMATION ioNNiq Qf Zplicint: e rc. Irl A , A G *`' 6 E, /12.0 'rUi 0. lr �.J "City: State: L)& ZIP Code: 9520 6Z - 3/ (work) If applicant is not owner of property, need written authorization for applicant to serve as agent. Name of property owner(s): Street address: City: ` State: ZIP Code: Phone: (home) (work) Tax Parcel No(s).: 4-715691, 031-/ F' Section: 9 Township: S Range: 4/c/ Legal description: / r ` /� Y a b ea i f Cuvt ch L/1 f3 3 FILE NO.: AE �^ - 3 - 96 Agent: Y© Phbrie':'b! 3Q 27- - / y L S (home) Current zoning: Gi 3 Arterial Road Plan: / be Comprehensive Plan: a 7- h Current use of parcel: i2 eQ,c.�x�ic Street Address of Subject Parcel: r figO B. SPECIFIC INFORMATION Administrative exception requested \(describe in temps of the standard rom which yo/ are seeking relief): st , /..1—` /'W L. Afi 6i' 1L Applicable chapter/section of Code: Explain reason for request:1 lolly, 32 Sr Az. d aL • a • 6t— T Attach site plan with proper dimensions and other supportive information. Page 1 of 2 I, ieradel A 5hc_rJ (print name), swear under perjury, that: (1) I am the owner of record or authorized agent for the proposed site; owner, written permission from said owner authorizing my actions o 2 her behi and (3) all of the above responses and those on supporting documents are made trgt the best of my knowledge. • Signed: ,,,-.- • STATE OF WASHINGTON ) SS: COUNTY OF SPOKANE ) Signed and sworn to (affirmed) before me on 4 by eraid A. 644$41/ 9 ` (print� name). GIVEN under my hand and official seal this qI day of .7 i..�... elm i%,eh 018itail,yQ,���� ,19996. ike41/L- 06416 e/w, NOTARY PUBLIC in and for the sate of Washington, My appointment expires / -6 ' `19 FOR STAFF USE ONLY File No: AEE - 3 - % THE COUNTY PLANNING APPROVES / DENIES THIS "ADMINISTRATIVE EXCEPTION" FOR THE PROPERTYDESCRIBED ABOVE,, PURSUANT TO THE ZONING CODE OF SPOKANE COUNTY, SECTIONS 14.506.000 AND 14.506.020 -0 if ° . THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING CONDITIONS AND/OR STIPULATIONS: 1. The applicant shall col nply with all requirements and regulations of the Zoning Code. 2. The applicant shall comply with all requirements of the Spokane County Health District, County Utilities, and/or County Engineers regarding wastewater disposal, on-site water or public water systems and access. 3. The appl'cant shall comply with the following additional condd�itions:,, /� �f `o- . # " /9 � 1 E� f"�'hiat e,B� �%G�.('./2 4-1 -- r , t a -c4 - ,L (-t/ L�tici4,-1-.., ,,-12u •ti;"- 0A-4'10- (-t") -‘2.-----" THIS ADMINISTRATIVETI�EXCEPTION SHALL RUN WITH THE LAND. DATED THIS e7 DAY OF f --e) 19 , THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION NOTE: TI1E APPLICANT OR AN INTERES1 ` D PARTY' ' AY FILE AN APPEAL WITHIN 20 CALENDAR DAYS OF THE ABOVE DATE OF SIGNING. THE APPEAL r 'IST BE A' • OMPANIED BY THE PROPER FEE. APPEALS MAY BE FILED AT TIIE SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING , 1026 W. BROADWAY, SPOKANE, WA 99260 (Section 14.412.041 of the Zoning Code of Spokane County) SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING, 1026 W. BROADWAY, SPOKANE, WA 99260 (509) 456-2205 SAM -AE App. Rev.1/96 Page 2 Of 2 AID liddGfioa VOA a 60.rau5c r t; SepT �y5leri )hoc why Sidetoe,l Ks 0,Nd Jerry 6Lc, �. I1$05 ra.irvic�,.? , 99,206 N