1994, 08-08 Permit App: 94007545 Repair Fire DamageCI
PROJECT NUMBER= 94007545 APPLICATION
****** THIS IS NOT A PERMIT
DATE= 08/08/94 PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 104 N LOCUST RD PARCEL#= 45173.1614
ADDRESS= SPOKANE WA 99206
PERMIT USE= FIRE DAMAGE REPAIR
PLAT#= 001835 PLAT NAME= OPP.TR. 1-354
BLOCK= 143 LOT= ZONE= UR -3.5 DIST#= E
AREA= 00000001 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= HENRY, BRUCE & JUNE
STREET= 104 N LOCUST RD
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= BRUCE OR JUNE HENRY PHONE NUMBER=
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
******************************* BUILDING PERMIT***********************,t**,t*,t**
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 6000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 81.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 14.58
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
VENTILATING FANS
QUANTITY FEE AMOUNT
2 20.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
PROJECT NUMBER= 94007545 APPLICATION DATE= 08/08/94 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
TUBS 1 6.00
SINKS 1 6.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
WATER PIPING - DWV 1 6.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 100.08 .00 100.08
MECHANICAL PRMT 20.00 .00 20.00
PLUMBING PERMIT 42.00 .00 42.00
162.08
.00 162.08
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
PERMIT INCLUDES RE -ROOF OF RESIDENCE, ALL STRUCTURAL &
COSMETIC CHANGES. PRIOR TO ANY WORK BEING DONE AN
INSPECTION BY THE DEPARTMENT OF BUILDINGS IS REQUIRED TO
BE DONE
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
********************************
THANK YOU
************************************
fi
APPLICATION WORKSHEET
General Information
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State
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pt.„„,
Site Information
gal Uescrtpoon
Properly sac
ate- District
umber oI:
Dwelling Uiiirdasp
Lone
nspector
Project Information
Dail wd lh
VAL,-7yaD
Permit Use lila DA -MAGA
Building Information
Nq eepri e_Addnwn
remodel jLNogeoluse
1
Square footage breakdown
Main Moor
Uncovered /covered deck
�r
Uwe mg um
Occupant load
Building height
Untnuhed basement
Stones /
l.nlcal Matcnal
Budding dimensions
Ioral square loolage
Keq'd parking
Handicapparting
Spsn/Jer system
I
I teat ng contractor
14
Square footage breakdown
Main Moor
Uncovered /covered deck
Second lloor
Other
Finished basement
License number
Untnuhed basement
Mailing address
V a ra gc
Malting address
Contractor Information b
Hearin. and emulation information R—nlon
'ear source
i
Lcense number
Phone
License number
Phone
Mailing address
Malting address
City, stale, zip
urluce a
atncy
I teat ng contractor
14
li Jdmgconlnclor
Ylumbwg con(nclor
i
Lcense number
Phone
License number
Phone
Mailing address
Malting address
City, stale, zip
Lily. stale. zip
I teat ng contractor
Other i Lender
License number
Phone
License number
Phone
-Mailing address
Mailing address
Lily. sla le, zip
Coy. state. Zip
PROJECT CONTACT
I'IIONE
Spokane County Division of Buildings
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
PHONE:
MAILING ADDRESS:
CONTRACTOR:
(street) (city/state)
(Z1p)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(Z1p)
cl. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
wasranrurswn.n
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
PLIED RV
COST
/UNIT
soUALa
AMOUNT
B02 TOILETS
WATER CLOSETS BIDETS
/
x
$6
=
$
B03 URINALS
-
x
$6
=
$
B04 TUBS
BATH, JACUZZI. SPA, GARDEN
/
x
$6
=
$
BOS SHOWERS(per trap)
BASE, STALL. ON—SITE BUILD
X
$6
=
$
1306 SINKS
LAVSBASINS, BAR. FLOOR. KITCHEN,
LAUNDRY. UTILITY. JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
/
X
$6
=
$
B07 DISHWASHER
-
/
x
$6
=
$
BOB CLOTHES WASHER
-
/
x
$6
=
$
B09 GARBAGE DISPOSAIJGRINDER
-
/
x
$6
=
$
1310 WATER SOFTENER
-
x
$6
=
$
B11 ELECTRIC HOT WATER TANKS
(NOTE if gas water tank see mechanical)
x
$6
=
$
B12 FLOOR DRAINS
AREA, CASE, COIL_ TRENCH. CONDENSATE
X
$6
=
$
B13 ROOFDRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
Bl4 FOUNTAINS. DRINKING
- -
x
$6
=
$
BI5 WATER PIPING/DRAIN-WASTE-VENT
INSTALLATION, ALTERATION ORREPAIR
/
x
$6
=
$
B16SEWAGE EJECTORS
GRINDER, SUMP PUMP
X
$6
=
$
B17 WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
X
$6
=
$
BIS CROSS— CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B P.D. FOR: VATS, SUMPS,
TANKS BOILERS. & SPRINKLER SYSTEMS
x
$6
=
$
BI9 INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B20 MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
=
$
B21 MISCELLANEOUS FIXTURES
x
$6
=
$
SIGNATURE:
Spokane
1026
NOTE: MINIMUM PERMIT FEE
IS $35.00
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
County Division of Buildings
W. Broadway Avenue • Spokane, WA 99260
PLEASE -MAKE -CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
cl. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
wasranrurswn.n
.1 -
DEPARTMENT OF BUILDING AND PLANNING
JAMES L. MANSON, C.B.O., DIRECTOR
June Henry
104 N. Locust Rd.
Spokane Washington 99206
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
DENNIS M. Scan, P.E., DIRECTOR
December 6, 1995
RE: Extension of Permit - •104=North-Locust-Road D•
To Whom It May Concern:
Per your telephone conversation with our office on November 13, 1995 your request for an
extension of your permit number 94007545 for the above -referenced property is approved through
May 13, 1996. If inspections to verify progress have not been requested within the above time
frame, a new permit must be filed, and appropriate fees paid.
Should you have any questions, pleasr contact our office weekdays between the hours of 8:00 a.m.
and 4:00 p.m.
tab
Sincerely yours, /'
(1 -At aaet, c • titer -20c.)
Theresa A. Bidowski
Office Assistant
1026 WEST BROADWAY AVENUE • SPOKANE, WASHINGTON 99260
BUILDING PHONE: (509) 456-3675 • FAX- (509) 456-4703
PLANNING PHONE: (509) 456-2205 • FAX: (509) 456-2243
TDD: (509) 324-3166
r
. TIIIS FORM IS FOR DEPARTMENT USE ONLY
REQUEST FOR (6 MONTH) EXTENSION OF PERMIT
THE 5 -STEP PROCESS
WE NEE/) 70 FIJI. OUT IRIS FORAf UPON RECEIPT OF A REQUEST FOR AN EXTENSION.
STEP I:
DATE REQUEST RECEIVED:
REQUESTED BY:
ir/i3/,s
INSPECTOR DISTRICT:
PHONE It:
ADDRESS: / 4 y /1/ L—(� ,uZ/
9/75 TS
PERMIT USE: AQP
REASON FO R EST:
57,0
PROJECT NO:
STEP 2: OF INSPECTOR RECEIVED DIRECTLY FROM APPLICANT SKIP TO STEP 3)
FORWARDED TO:
Codes Administrator
DATE:
STEP 3:
GIVEN FOR.CONSIDERATION TO:
'. DATE:
Inspector ( Cj
ENTERED "00000" APPROVED EXTENSION IN HANDHELD ON: 117 J
IF NOT APPROVED, REASON FOR DENIAL:
STEP 4:
RETURNED FOR REVIEW TO:
Codes Administrator
DATE:
STEP 5:
SENT FOR LETTER TO:
Office Assistant
CONFIRMATION LETTER SENT ON :
EXPIRATION DATE:
ORIGINAL:
DATE:
NEW:
WHEN STEPS 1-5 ARE COMPLETE,
"'HIS FORM & A COPY OF THE CONFIRMATION LETTER
NEEDS TO BEBE PLACED IN THE ADDRESS FILE.
o.tc,.io.fan
1(27/94