1993, 04-28 Permit App: 93002892 Residence531 �
v PROJECT NUMBER= 93002892 APPLICATION DAT = 4/28/93 GE= 01
****** THIS IS NOT A PERMIT ****
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 12011 E FAIRVIEW AVE
ADDRESS= SPOKANE WA 99206
PARCEL#= 45091.0233
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 001641 PLAT NAME= MIRABEAU RANCH ADD
BLOCK= 2 LOT= 5 ZONE= UR -3.5 DIST#= H
AREA= 00011200 F/A= F WIDTH= 80 DEPTH= 140 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= KANE, MICHAEL & DIANE PHONE= 509 926 4668
STREET= 12523 E SKYVIEW AVE
ADDRESS= SPOKANE WA 99216 f7olo is S%?gE-I i.5A
4" p Gv
CONTACT NAME= MICHAEL KANE PHONE NUMBER= 509 926 4668
BUILDING SETBACKS: FRONT= 30 LEFT= RIGHT= 5 REAR= 40
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
---------- --------------------------------------------------------------
BUILDING PLAN REVIEW REQUIRED " / ! 70
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
w4lUo y
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER ba'�q.z-q�
COMMENTS:
PLANNING INADEQUATE FLANKING ST SETBACK Ace 31-93
COMMENTS: �IETGACK 4=-7V+ - O' CEWel tG O tv 2s-ee(N E SS f-'t7arY�
CENIOE!6L uNe C -7N �-A(Qyt"
******************************* BUILDING PERMIT
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
NEW= X REMODEL= ADDITION= CHANGE OF USE=
PROJECT NUMBER= 93002892 APPLICATION
DATE= 04/28/93 PAGE= 02
DWELL UNITS= 1 OCCUP. LD=
BLDG
HGT= 20 STORIES= 1
BLDG W X D = 43 X 53 SQ FT=
1371 SPRINKLER=
N
REQ PARKING= #HANDICAP=
CRITICAL
MAT= N
DESCRIPTION GROUP TYPE
----------- -----
SQ FT
VALUATION
----
BASEMENT U R-3 VN
-----
1284
---------
14124.00
GARAGE M-1 VN
440
3520.00
RESIDENCE R-3 VN
1371
74034.00
ITEM DESCRIPTION
-------------------------
QUANTITY
FEE AMOUNT
PLNG-PERMIT REVIEW; 119
--------
Y
----------
20.00
RESIDENTIAL VALUATION
Y
603.50
STATE SURCHARGE
Y
4.50
RESIDENTIAL SURCHARGE
Y
108.63
RADON MONITOR
1
12.57
SALES TAX
1
1.01
******************************* MECHANICAL PERMIT
*****************************
CONTRACTOR= UNKNOWN
PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
-------------------------
GAS WATER HEATER
--------
1
----------
10.00
GAS HTG EQUIP<100,000>BTU
1
12.00
GAS PIPING
3
3.00
VENTILATING FANS
4
40.00
GAS LOG
1
10.00
***************************** PLUMBING
PERMIT ******************************
CONTRACTOR= UNKNOWN
PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
-------------------------
TOILETS
--------
2
----------
12.00
SINKS
2
12.00
SHOWERS
1
6.00
BATH TUBS
1
6.00
KITCHEN SINKS
1
6.00
DISH WASHERS
1
6.00
CLOTHES WASHER
1
6.00
FLOOR DRAINS
1
6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID
----------------------------------------
AMOUNT OWING
-------------
i
ti
PROJECT NUMBER= 93002892
APPLICATION
DATE= 04/28/93 PAGE= 03
PERMIT TYPE FEE
---------------
AMOUNT AMOUNT
PAID
AMOUNT OWING
-------------
BUILDING PERMIT
------------
750.21
.00
-------------
750.21
MECHANICAL PRMT
75.00
.00
75.00
PLUMBING PERMIT
-------------
60.00
.00
60.00
------------
885.21
.00
-------------
885.21
PROCESSED BY: DOMITROVICH,
ROBIN
PRINTED BY: DOMITROVICH,
ROBIN
******************************** THANK YOU
************************************
i
APPLICATION WORKSHEET 11 9:3�
General Information
caner on
Mailing a rens
23 view
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ity P /C�
Site Information
Project Information j
Permit Use
C1 "'J
Building Information
lei e._,.r,
Dwelling units
upant load
Building height
on
w m ens ons
, x S3 , G„
total uare Dotage
7/ sQ fT
eq par ng
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1371
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Other
Finished asement
ve gra a wa
n ims a asemept
1
Hca ling contractor
-Garage
Below grade wait
Contractor Information
Heating and insulation information(R—values)
eat sou
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Flatceiling
,
vaulted ceiling
ve gra a wa
ity, state zip
Hca ling contractor
Other Lender
Below grade wait
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-70
ity, state, zip
Dor (u—value)
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Buddmg contractor
um mg contractor
License number Phone
License number Phone
Mailing address
ai mg a rens
City, state, zip
ity, state zip
Hca ling contractor
Other Lender
License number Phone
License number Fbone
sling a ress
acing a rens
-City. stale, zip
ity, state, zip
ME CT CONTACT PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION FORM
C Information Worksheet
JOB STREET ADDRESS: I U
CITY/STATE/ZIP: v AQ,,,- v6k (?n V6 PARCEL NUMBER:jr S 151_0 c ti- 4,tAt
1 / G l� ct etc
OWNER: C, c rk 01'-.'1 c PHONE NUMBER: iL
MAILING ADDRESS: - / Z.5 2 3 S leYy/FWD �Po ljla11 e C17-Ctc1 Z! G
(Street) (City/State) (zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) . (City/State) (zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
�����' ]((,) {��y x. ., . ;�:. :y{}.}��} ><:,sf:::»::x •tom ':::::
�{ w.vmJxv{-• ry��r'•T�' .vvv.•�.•+�:••.i0.W� v'i(ASi�M+'n'iIXihi•:iivhvm•.:vwnv.:l.'#w�\:::
GAS WATER HEATER
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
.. �� �::
T:iv.}}:: }.v:s v:�v.S•.v}.ixr. v `Ay, ?•'.+,v\{tpiC+�UC+A��:"
BOILER/REFRIG 501-1,000M BTU
yxnwv:a::�v::s:.w.v:nvv:: 6' :: W. 'r.:•$��:.. :f;. .
BOILER/REFRIG +1,750M BTU
f:.}'n:.:.y.:.:: ^:;•n+.,.• b:.::x:n.:. �.v.. .K� +yvv,.. .:, :.+.n..wM• " '+YN .,O'
HEAT PUMP & AIR CONDITIONER 3-15 TONS
r::^..}+>+v: , } >}• � •ren Z^'n,�f
HEAT PUMP & AIR CONDITIONER 30-50 TONS
i•'::++'::: y::.'M'�;:r •i�S` v�t�+ N H +W:: WNM{ .SM^ CPSK4Y!
#t[]1'•}xI .{��t{j�.T�` i}�^i(�'yeh` }' :�t6S+t,
jjhyn�,'•i';�m�i: i}.•'}nxi6.3 • .v%ik�• '' T•,. +ll}/.�i��
VENTILATING FANS
}.�v:n;:.:.� •<;¢•. h,
R.,:•::'..:}+r:•nx.«t:T:3:.t•:x•• auiiwR+•:::••' ?:}' :div
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
.i: i:.S•. 1• vf:;vtiY• iry 'k9ft ,:iri}ti �.. : riJ.�•
CLOTHES DRYER
GAS LOG
UNLISTED GAS APPLIANCE <400,000 BTU
' "::F':: M+YM� vN:w+! !?+ Win :yv •M1:}tiirfiv'}•r {
C �I#Sil�#15;11PN, l%,Q.3i;' :• :mak:
USED APPLIANCE <400,000 BTU
} : •Y. .:ryr:: Hv.::{rn:nx::rMN: ::. :YF •.:.}v.:: L}v;mr.:•:i{rn•::v4:vv�•f.:i.H.:wiG:.
:.;������1�':C'f•�;:v;..�.:�'}:.�;�`�'•:'���.'•...:;::•:�........... :>:::.,
AIR HANDLER <10,000 CFM
F::..:: ; : �,:., .,:�.,Fn}:.:,�•.;aK<•+.�.•,... ,:v;7•.}• .:i,�. A.;ny��.>_r�, sr r ,.�sfy� ��{ •r; f,. . },uf c.
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 =
SUBTOTAL $
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT
FEE DUE _ $
SIGNATURE
Spokane County Division of Buildings
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: -- 12 L// r�
CITY/STATE/ZIP: c IiR/l le �✓A ggZ.o PARCEL NUMBER:
� �j h
At'/� ae a V, (! /��a�t PHONE NUMBER:—q?-
OWNER: .
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: j' ..LICENSE NUMBER:
MAILING ADDRESS
(Street) -
PHONE NUMBER:
(City/State)
PLUMBING WORKSHEET/FEE SCHEDULE
(zip)
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
TOILETS x 6.00 = v; ,,,::. ,,, 2
1k .. � 2 x 6.00 =
w / x 6.00 =
SHOWERS
},x .11 ,; ri ' •Y n=,rr: C x 6.00 =
KITCHEN SINKS x 6.00
.•. ...,< tv x 6.00 =
GARBAGE DISPOSAL _ ,: A.ih,.:.,.r,
x 6.00
x 6.00 =
# •;` .:...: x 6.00 =
UTILITY SINKS
r i Nx 6:00 =
����!�,,���� . °§ 9: : �. • _
x 6.00
FLOOR DRAINS
x 6.00 =
x 6.00 =
BAR SINKS x 6.00 =
CE x 6.00 =
LAWN SPRINKLER -FOR EACH BACKFLOW DEVI
y{y��/y��/q•{j� -` x 6.00 =
$}:}••:.>.v:::.} },�}} x 6.00I$ sis -
} r':.. •:f x 6.00
x 6.00 =
DRINKING FOUNTAIN
SUBTOTAL $ .5' N
PLUS: PROCESSING FEE +$ -2w
NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTALIT
FEE DUE = $
4 cG� l
SIGNATOR '''•r
Spokane County Division of Buildings
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04/29/93 16:05
V509 324 1567
SP CT -Y HEALTH 4-» CO BLDG CODES
0001/001
APR -29-'93
15:30 ID:UTILITY SPO
TEL NO: 509-4%-4715
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