1995, 10-26 Permit App: 95008917 AdditionPROJECT NUMBER= 95008917
A?PLICATION
DATE= 10/26/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12012 E FREDERICK AVE PARCEL#= 45091.0232
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE/GARAGE ADDITION - KITCHEN & DINING ROOM EXTENSION
PLAT#= 001641
BLOCK= 2
AREA=
# OF BLDGS= 1
PLAT NAME= MIRABEAU RANCH ADD
LOT= 4 ZONE= UR 3.5 DIST#= H
F/A= F WIDTH= 80 DEPTH= 140 R/W= 50
# DWELLINGS= 1 WATER DIST =
OWNER= MASON, EARL
STREET= 12012 E FREDERICK AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME=
PHONE= 509 924 7948
PHONE NUMBER= 509 924 7948
BUILDING SETBACKS: FRONT= 30 LEFT= 5 RIGHT= EXIS REAR= 62
*****'************************* REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
COMMENTS:
HEALTHDIST
COMMENTS:
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
-R.
INCREASE IN LOT COVERAGE
0, -PAS A0/4 r
* ******** BUILDING PERMP`P *******************************
**,;,*********
CONTRACTOR= GRADISS CONSTRUCTION
STREET= 2559 E 22ND ST
ADDRESS= CLARKSTON WA 99000
NEW=
DWELL UNITS= 1
BLDG W X D = 28
REQ PARKING=
REMODEL=
OCCUP. LD=
X 20 SQ FT=
#HANDICAP=
DESCRIPTION G
GARAGE
RES ADD
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 12 STORIES= 1
560 SPRINKLER= N
CRITICAL MAT= N
ROUP TYPE SQ FT VALUATION
U-1 VN 560 6720.00
R-3 VN 407 23606.00
i
PROJECT NUMBER= 95008917 APPLICATION DATE= 10/26/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 291.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 58.20
******************************* MECHANICAL PERMIT *********+ <*********
CONTRACTOR= GRADISS CONSTRUCTION
STREET= 2559 E 22ND ST
ADDRESS= CLARKSTON WA 99000
ITEM DESCRIPTION
DUCT SYSTEMS
VENTILATING FANS
PHONE=
QUANTITY FEE AMOUNT
1
2
10.00
20.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= GRADISS CONSTRUCTION
STREET= 2559 E 22ND ST
ADDRESS= CLARKSTON WA 99000
ITEM DESCRIPTION
PHONE=
QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
SHOWERS 1 6.00
SINKS 1 6.00
CLOTHES WASHER 1 6.00
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
353.70
30.00
24.00
407.70
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
********************************
.00
.00
.00
THANK YOU
353.70
30.00
24.00
.00 407.70
************************************
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
MAILING ADDRESS: g/1 -O/ 2-eg—
(street)
CONTRACTOR: S Z:z14J ( L
PIIONE: DAYTIME CONTACT
992V 794'V
(city/state)
642./1
LICENSE:
PHONE:
(tip)992a6
MAILING ADDRESS: X069-22
(street)cit)te)
99SOa3P)
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.
7/0/95\rrp4. rd
�ZC
PLUMBING
DESCRIPTION
IIIX11J1(ES
DETAIL
# OF
UNITS
MULTI-
Lam a
COS1
/UNIT
EQUALS
AMOUNT
130 TOILETS
WATER CLOSETS. BIDETS
x
$6
=
$
Bt) URINALS
-
x
$6
=
$
BO TUBS
BATH, JACUZZI. SPA. GARDEN
x
$6
=
$
BO SHOWERS (per trap)
BASE. STALL ON-SITE BUILD
x
$6
=
$
130
SINKS
LAVS/BASINS, BAR. FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO,
X-RAY. FOOD (PREP/CULINARY/MEAT)
x
$6
=
$
BO DISHWASHER
-
x
$6
=
$
BO CLOTHES WASHER
-
x
$6
=
$
80 GARBAGE DISPOSAL/GRINDER
-
x
$6
=
$
BI" WATER SOFTENER-
x
$6
=
$
B1 ELECTRIC HOT WATER TANKS
(NOTE: if pa water tank. see mechanical)
x
$6
=
$
Bil FLOOR DRAINS
AREA. CASE. COIL TRENCH. CONDENSATE
x
$6
=
$
$I` ROOF DRAINS/OVERFLOW DRAIN
-
x
$6
=
$
BI FOUNTAINS, DRINKING-
x
$6
=
$
B1' WATER PIPING/DRAIN-WASTE-VE
PLUMBING REVERSALS
INSTALLATION, ALTERATION. REPAIR
REVERSALS
x
$6
=
$
Bt SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
=
$
BI WATER USING DEVICES
ICE AND/OR COFFEE MAKER.
HOSE BIB. STEAMER PROOFER,
CARBONATOR. SWAMP COOLERS
x
$6
=
$
BI CROSS -CONNECTION DEVICES
. ,
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, SUMPS,
TANKS. BOILERS. & SPRINKLER SYSTEMS
x
$6
=' -
$
BiINTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B2 MEDICAL GAS (per outlet/bottle stati
NITROUS. OXYGEN
x
$6
=
$
B2 MISCELLANEOUS FIXTURES
x
$6
=
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE: Cat/%%
Nin
n
N
O
APPLICATION INFORMATION 15 - 891 1
'What is the JOB SITE address?
E libtt r6
ASSESSOR'S tax parcel number'?
(-ISOg1. 0 232.
Legal description as k appears on the property deed
I- # j3LK2- v79 Alar—,,A 4 -#1,e -4 -it
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O-ecc4x 4 % 2- 79 e%�
15;141.64,22-2__
OWNER or OCCUPANT
j,..ei _PSL
Phone
Mailing address
'/ZOiz , /
City, state Zip
Sema -3 a ‘79zoG
Who should we contact regarding this project?
Phone
What work is being done under this permit?
-&v�Cr - it -tie -ten 1-O
Lone
I
Inspector nG
Property stze; :
igh[ of way width
Water district - -
.. .. s
- ....... ..
.
Building _
P a.tc.
05 M
: °
Building height
# of stones
Contractor
-1% -ad4
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
J h4rt )C_ oc 2Th2
Main floor area
2/07
Unfinished basement area
Mailing address � /
25-r%- a a -r--,eBi .
60%
-2nd floor area
Finished basement area
Archrtect/Engineer
Garage area
t 5e20
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured H ome :. - ,::,.'....':: ::::? ;: '
"' ._' ` .;
Sign -i.---7; ,..,
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
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
MPLETE A
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa or activities.
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ADDRESS: E. lac pew ziaL
ZONE: LA•e-- 3 .S
ROAD WIDTH: 50 Iv 0
FRONT. 30' FLANKING. ex I
COMMENTS.
REVIEWED8Vt3I L&C
uJ
-21
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