1996, 03-07 Permit App: 96001145 ResidencePROJECT NUMBER= 96001145 APPLICAT]»N
******
THIS IS NOT A PERMIT **
PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 5015 N LARCH RD PARCEL#= 46363.9074PTN
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 005710 PLAT NAME= CHINOOK NO. 4 (CHINOOK ESTATES
BLOCK= 11 LOT= 11 ZONE= UR -3.5 DIST#= H
AREA= 00012677 F/A= F WIDTH= 110 DEPTH= 110 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= KINNEY MATTESON CORP.
STREET= PO BOX 905 RD
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME= JOHN BUNDY
BUILDING SETBACKS: FRONT= .UNit' LEFT -
DEPARTMENT
30
PHONE= 509 924 4574
PHONE NUMBER= 509 998 0900
RIGHT= -F1N1C REAR=_UNR
aS 62v
REVIEW
INFORMATION *****************************
REVIEW REQUIREMENT
BUILDING PLANREVIEW REQUIRED
COMMENTS:
1-
4a
BUILDING SETBACK REVIEW REQUIRED___
COMMENTS:
,4 030. l�iffu�v 1'x ti t
ENGINEER AP ROACH/FLOOD PLAIN/DRA NAGE a7
OMMENTS:
9-
9%6/X'4 /17
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
(,()14o9bh
BUILDING PERMIT *******************************
CONTRACTOR= KINNEY MATTESON CORP
STREET= 16500 E WELLESLEY AVE
ADDRESS= SPOKANE WA 99214
PHONE= 509 924 4457
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. I,,D= BLDG HGT= 23 STORIES= 2
BLDG W X D = 64 X 28 SQ FT= 2552 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 96001145
DESCRIPTION GROUP
BASEMENT U
DECK
GARAGE
RESIDENCE
R-3
R-3
U-1
R-3
ITEM DESCRIPTION
APPLICATIOS'
TYPE SQ FT
VN 1232
VN 96
VN 520
VN 1320
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
DATE= 03/07/96 PAGE= 02
VALUATION
13552.00
672.00
6240.00
77880.00
QUANTITY FEE AMOUNT
Y
Y
Y
760.87
4.50
167.39
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= D & G HEATING
STREET= 12417 SE 10TH DR
ADDRESS= EVERETT WA 98208
ITEM DESCRIPTION
GAS APPLIANCE<=100,000BTU
CLOTHES DRYER
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
HOOD -TYPE II
PHONE= 206 337 0820
QUANTITY FEE AMOUNT
1 12.00
1 10.00
1 10.00
2 2.00
4 40.00
1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= DAVIS BROTHERS PLUMBING
STREET= P 0 BOX 931
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION
TOILETS/BIDETS
TUBS
SHOWERS
SINKS
DISH WASHERS
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICES
PERMIT TYPE FEE AMOUNT
BUILDING PERMIT 932.76
MECHANICAL PRMT 84.00
PLUMBING PERMIT 108.00
1124.76
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
PHONE= 509 927 4186
QUANTITY FEE AMOUNT
3
3
1
4
1
1
1
1
3
18.00
18.00
6.00
24.00
6.00
6.00
6.00
6.00
18.00
AMOUNT PAID AMOUNT OWING
.00
.00
.00
.00
932.76
84.00
• 108.00
1124.76
/D
******************************** THANK YOU ************************************
PROJECT NUMBER= 96001145
PENAL?IES
APPLICATWU
THIS IS NOTA PERMIT •••
WILL N ASSESSED FOR COMMENCING WORE WITHOUT A PERMIT
DA
PACE= 01
SITE STREET=.5015 N LARCH RD'
ADDRESS= SPOEANE WA -99216
PERMIT USE= RESIDENCE/ATTAONAD
• PLAT$=
BLOCS=
AREA=
l OF RLDGS=
PARCEL/• 46363.9074PTN
GARAGE - FORCED AIR GAS,
005710 PLAT RAN= CHINOOK NO. 4 (CHIN00H ESTATES
11 LOT= 11 SONE= UR -3.5 =axe= R •
00012677" P/A= P WIDTH= 110•- • DEPTH= 110 R/Ws 50
1 . l DWELLINGS= 1 WATER DIST s CONSOLIDATED IRRG 11
ONNEa= KINNEY.MATTESON CORP.
STREET=. PO BOX' 905 RD
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT MANZ= JOHN BUNDY
iLDZNO SETBACRs: FaOR3t.AAAt.LERI
PEON= 509 924 4574
e
IAMB =NM= 509 998 0900
BU ORT= en REAR=.mWaF
as
i:EvZEW INFORMATION
DEPARTMENT REVIEW RASQUIREIdNT,
"HEALTHDIST
COAOaNTS:
NEN oa ADDITIONAL WASTE was 0/4:... 3/22/90.
SUILD±NG
CONTAACTOBs BINET NATTBSON CORP
STREET= 16500 I WELLESLEY AVE
ADDRESS= SPORAIE WA 99214
REMODELI
OCCOP. LD=•
X 28 SQ FT= ' • 2552
!HANDICAP=
HEWS. X"
DNSLL UNITS6,,�•.11-
BLDG -N X D's'` '64:
:.,• 'REQ PAREINO=
2'd
. PHONE. 509 924 4457 •-
ADDITION=. CHANGE OF Ms
BLDG NCR= 23- S?ORXE8s
SPRINGER= N•
CRITICAL. NAT= N
•
7
9Q18 d0 1d3C 34tO Od6 WWV : RS 9f„ PI NMJ
L Site Information
Contractor Information 1
17. APPLICATION WORKSHEET 1
General information y
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arcs
50/5 A/ La.rr&
P. reel number
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Po Box 905
X210.
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41 HOC'2
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L. Project Information d
4
Phone
9.2/ 5557
99027
Lip
d
Building Information
UwellinWit '
Uuddma damming
61.x�l
Uccuroorl `F -(C.
%J�
lona Want leel.t0
tate footmen breakdown
n,n rwor <e /5 13zb
Second floor
f.nobed basement
Unlmnbcd Internet?. 3 2-
t*nge
fao
Undowercd /cowered deck
t4 (lace
num ainjE+l .l 3 1 Stone 2—
acid eriang
acscertia[ Ituodupp.rhn[ Spnalleffrtem
i
Heel routes
Feaccd A/2.
YLlccdmg vetilled ceiling
/2— 3P _230
ticiew grade wail Hoer
bio 230
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U /
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C214Abzeya d< w Li
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furnace eltancy
so
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993-3128 1
PItOIIiCC ADDRESS:
PLUM IS1P4 U I'.12.1(. 1\11• h A 1'l' LIt Ivty
•
50/5 /5 n/ .L3•v-CL
OWN(It/<-' aaA/C../ /YJAflSso.C.�
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MA ILI NG ADD) It liSS: p0 2 x C) S�. S,Oo.�AiU � &-JA- ?C1.,?7
CON'IItACI.OIt:
(street) (city/slate) (lip)
DAVIS mos P) Un7 B3 /,VU.
MA I LI NG ADD R ESS: PO Box 93l 1/2t /.14.4
ILIC13NSI:: 0.4 VIS 8pO7.2 L7
PHONE. 9,..2 7- 1/49. 6
O -1d. 990 7
(street)
(citylstatc)
(zip)
TUBS
BATT( IACVZZI. SEA, GARDEN
43
56
DOS StiOwERS (pcs (Kap)
NILS
1130 I D1SI4WASHER
1d08iCL YI HES WASHER
BASE.STALL ON-SITE BUILD
LAVS/11ASINS, BAR, FLO)R, KITCIRN,
LAUNDRY. UTILITY, IANITOR, rHOTO,
X- RAY, FOOD (rR er/CUUNARYlMeAT)
x
x
x
S6
S6
S6
_
S
S
:6' =
I (GARBAGE DISPOSAL/GRINDER
D 10 waTER SOFTENER
x
S6
S6
= S
S
13 i 1IEIECIRIC HOT WATER TANKS
D 12:FLOOR DRALNS
(NOTE ur....... a.a.... . ..S..I a)
x
S6
AREA. CASE. COIL TRENCH, CONDENSATE
x
S6
S
D1DROOF DRAINSK)VERF•ZOW DRAINS (ea.)
D14jFOUNTAINS,DRINKI G
13151 WATER PIPING/DRA1N— WASTE—VENC
IIl SEWAGE EJECIO
IIIlRS
wATER USING DEVICES /
::;.� Z
S6
= S
x
56
LNSTALSATION. ALTERATION OR REPAIR
BI&CROSS—CONNECTION DEVICES
DIINTERCEPTORS
G RNOEA SUNT ruwr
x
x
56
56
I DIO R COFFEE MA NEA. .
HOSE Tr..ueR.rRooPEn,
CAR 'ATO R.:wAMr COOLERS
VACUUM BREAKER, CHECK VALVE.
AND R11l.D. IVR: VATS. SUMrS,
TAM'S e0ILLRS, t Srg LNKL ER SYSTEMS
O REASETEAT. SAND TRAP.
(EMICAL HOLDING TANK
S6
S
MEDICAL GAS routlet/bottlestation
1121 MISCELLANEOUS FIXTURES
NITROUS. OXYGEN
16
S6
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE:
Subtotsl
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE 5
SPOKANE. COUNTY DIVISION OF BUILDINGS
WIC 1024 BROAD WAY AVENUES • SPO KAHL% WA 99260 • (509) (56-3675
PLUl.?T3TNGI•
• a..
# 01•
....u,-
LO
■
•
Il*
NO•
I
w
. •
1
A.
M•
a
1304TOILETS
WATER =SETS: BIDETS
I X
56
=
S
803 URINALS
-
I x
56
=
S
TUBS
BATT( IACVZZI. SEA, GARDEN
43
56
DOS StiOwERS (pcs (Kap)
NILS
1130 I D1SI4WASHER
1d08iCL YI HES WASHER
BASE.STALL ON-SITE BUILD
LAVS/11ASINS, BAR, FLO)R, KITCIRN,
LAUNDRY. UTILITY, IANITOR, rHOTO,
X- RAY, FOOD (rR er/CUUNARYlMeAT)
x
x
x
S6
S6
S6
_
S
S
:6' =
I (GARBAGE DISPOSAL/GRINDER
D 10 waTER SOFTENER
x
S6
S6
= S
S
13 i 1IEIECIRIC HOT WATER TANKS
D 12:FLOOR DRALNS
(NOTE ur....... a.a.... . ..S..I a)
x
S6
AREA. CASE. COIL TRENCH, CONDENSATE
x
S6
S
D1DROOF DRAINSK)VERF•ZOW DRAINS (ea.)
D14jFOUNTAINS,DRINKI G
13151 WATER PIPING/DRA1N— WASTE—VENC
IIl SEWAGE EJECIO
IIIlRS
wATER USING DEVICES /
::;.� Z
S6
= S
x
56
LNSTALSATION. ALTERATION OR REPAIR
BI&CROSS—CONNECTION DEVICES
DIINTERCEPTORS
G RNOEA SUNT ruwr
x
x
56
56
I DIO R COFFEE MA NEA. .
HOSE Tr..ueR.rRooPEn,
CAR 'ATO R.:wAMr COOLERS
VACUUM BREAKER, CHECK VALVE.
AND R11l.D. IVR: VATS. SUMrS,
TAM'S e0ILLRS, t Srg LNKL ER SYSTEMS
O REASETEAT. SAND TRAP.
(EMICAL HOLDING TANK
S6
S
MEDICAL GAS routlet/bottlestation
1121 MISCELLANEOUS FIXTURES
NITROUS. OXYGEN
16
S6
NOTE: MINIMUM PERMIT FEE IS 535.00
SIGNATURE:
Subtotsl
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE 5
SPOKANE. COUNTY DIVISION OF BUILDINGS
WIC 1024 BROAD WAY AVENUES • SPO KAHL% WA 99260 • (509) (56-3675
1 . L'IiOr:;C1• AUDItILSS:
owNiiit:4,v,vet/ pram
MAILING AI)I)Itl_//S``:_
CONIRACI.OR: Y +
5o/5 1 Lao -rte
77 ?Som _Cgaip
6'o x. -- -
(rtrcct)
(�EATiIJ!j
.. .. _Il`l l(iM_.. 9.2 /- 5 53
T -/s _Q.6 a,/ bensi_J?4- Y9029_7.
7
(cilynl,ta) (zip)
LICENSE: 1::<.-6-1EAS O%$�—�_-___
rlloNU:l(Zo6,23 �7 0SZ,0
�oegAJ� Gia 4 9 Zo8
(city/statc) (Zip)
MAILING ADDRESS: 'Y / / friT's
7- S �
ifrccl
SIGNATURE:
•
SPOKANE COUNTY DIVISION OP BUILDINGS
WI7T• 102.6 BROADWAYAVENUE • SPOKANE. WA 99260 (509) 454-3475
DESCRIPTION O WORK
OP UNITtruscwr
T
OST
/UNFt
a,
a_AM45.1_N _
1302
_
FUEL BURNING APPLIANCE
-«<100.000
%
512
-
. /*2--
003
FUEL BURNING APPLIANCE
>103,000
515
-
1301
UNLISTED FUEL BURNING APPLIANCE
IN
- or <400p00
S50
_
B05
UNLISTED FUEL BURNING APPLIANCE
>0.00o>400.003•
5100
-
606
USED APPLIANCE (Must meet WSECsrain. AFUErating)
-«<a0o.00
•
550
1307
USED APPLIANCE (Must mcct WSECt min. AFUE rating)
>400.000
5100
-
BOB
BOILER/REFRIGERATION -
I-1031.1 tr1U
-
12
-
609
E?J
BOILREFi2IGERATION
10t -500H 6115S20
_
BIO'
BOILER/REFRIGERATION
50t-1.030,4811)
$25
-
Bit
BOILERJREFRIGERATION
1031-L7504 BTU
t•
535
-
;
1312
BOILER/REFRIGERATION
+1.7/.041311.5
560
_
813.
GAS LOG. GAS LNSERT. AND/OR GAS ITREPLACE
-
•
510
-
B14
RANGE
-
•
510
-
B15
DRYER
-
510
_
BIC
FUEL BURNL"IGWAit.RHEATER
-
/•
510
-
, / °
817
MISCELLANEOUS FUEL BURNINGAPPLIANCE
-
510
-
B18'
GAS PIPING (cc outlet)
-
Z
SI
-
. .-
619
-
510
-
DUCT SYS IaMS
8 70
V ENT LLATING FANS
-
�(
/ "T
•
510
-
. 3 0
821:'
AIR HANDLER (DOES NOT include duct systcros)
- 0(.010.030 Cl'M
512
_
B22
AIR HANDLER (DOES NOT include duct rya -terns)
>10.1333au
515
-
B73
EVAPORATIVE COOLERS
-
510
-
824
TYPE IHOOD
-
550
-
B251T]'PE II HOOD
-
1•
510
-
i o
626 HEAT PUMP/AIR CONDITIONER
0-5 Teta
512
-
827. AIR CONDITIONER
4-15 TONS
S20
-
828 AIR CONDITIONER
14-soTota
S25
-
829 AIR CON DTT10NER
3l-50Tcota
•
535
-
630 AIR CONDMONER
♦50TVNr
•
560
_
B31 LPG STORAGETANK
-
510
_
I i2 ,WOOD OR PELET•STOVE/INSERT
-
•
525
-
NOTE M7NTMUMPERMTTFEE ISS3S.&I
/2 L' ,'
Subtotal
PLUS: PROCESSING PEE
S25.40
TOTAL
PERMIT PEE DUE S
SIGNATURE:
•
SPOKANE COUNTY DIVISION OP BUILDINGS
WI7T• 102.6 BROADWAYAVENUE • SPOKANE. WA 99260 (509) 454-3475
INSTALL DGJSLE PLUMEINO
UBEe• PVC PIPE AWN D3034 U0R%
ORA9114 F $GA7 2%BLOPE
REFERENCE CAPPED ENOBAND CI£ANOUT
ADDRESS. N : 50[s r cj
ZONE U-' 5.5
gOADVIDTH S0 • - cjc7{
FRONT- FI £AN
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