1994, 06-22 Permit App: 94005765 AdditionPROJECT NUMBER= 94005765 APPLICATION
DATE= 06/22/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1306 N LONG RD PARCEL#= 55181.3829
ADDRESS= GREENACRES WA 99016
PERMIT USE= ADDITION TO MOBILE - REC ROOM & LAUNDRY ROOM
PLAT#= 000000
BLOCK=
AREA=
# OF BLDGS= 1
PLAT NAME= UNKNOWN
ZONE= UR -3.5 DIST#= G
WIDTH= 140 DEPTH= 323 R/W= 50
1 WATER DIST = CONSOLIDATED IRRG #1
LOT=
F/A= F
# DWELLINGS=
OWNER= HOPKINS, GARY & LAURIE
STREET= 1306 N LONG RD
ADDRESS= GREENACRES WA 99016
PHONE= 509 926 2155
CONTACT NAME= GARY HOPKINS PHONE NUMBER= 509 926 2155
BUILDING SETBACKS: FRONT= EXIS LEFT= 50+ RIGHT= 20 REAR= 66
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:LLAA.L6 -ctq
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
aJ� R:a sAtE,
******************************* BUILDING PE
CONTRACTOR= OWNER
NEW=
DWELL UNITS= 1
BLDG W X D = 22
REQ PARKING=
REMODEL=
OCCUP. LD=
X 14 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RES ADD R-3 VN
‘7.7-2-/7/
IT *******************************
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
308 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
308 12936.00
PROJECT NUMBER= 94005765 APPLICATION DATE= 06/22/94 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 144.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 25.92
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
CLOTHES WASHER
PERMIT TYPE
BUILDING PERMIT
PLUMBING PERMIT
1 6.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
174.42
6.00
180.42
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00
.00
174.42
6.00
.00 180.42
******************************** THANK YOU ************************************
Project Information
APPLICATION WORKSHEET
L General Information
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Lk Site Information
State
Phone
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7 :a/53
7;,,
Legal Description
Property size
Water -District
Inspector
Number of:
Road width
Uwe -limp Buildings
4cal •/o 6 le_
XrkerU;yecc &M i l a�.� N HBe'
Building Information
Dwelling units
Addition
1 Remodel I Change of use
Occupant load
Buddigg height
Budding dllttensions
c X/�
Total square tootage
Req d parking
Stores
TiandIca ppark'ing 5pnnkkersystem jCnt aJMatcnaI
1
square footage breakdown
Main tloor
Uncovered !covered deck
Second floor
Other
I finished basement
Plumbing contractor
Unfinished basement
a
Garage
urnace e icency
Contractor Information
Healer, and emulation information R-valoea
• e source yip 7i-
t cei ing'
t
Iiuildwg contractor
'
Plumbing contractor
Pbooe
a
Phone
urnace e icency
Mailing address
PROJECT CONTACT
PIIONE
Spokane County Division of Buildings
1(l�R West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
t
Iiuildwg contractor
'
Plumbing contractor
Pbooe
License number
Phone
License number
Mailing address
Milling address
City, state, zip
City. state, zip
Heating contractor
Other / Lender
Phone
License number
Phone
License number
7%/Tidirig-Wdress
Mailing address
City, state, zip
City, state. zip
PROJECT CONTACT
PIIONE
Spokane County Division of Buildings
1(l�R West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
PLUMBING PERMIT AYYLIUA 11vP1
PROJECT ADDRESS: /3,0 A%
OWNER:
7.
MAILING ADDRESS: /..3Q9p
CONTRACTOR:
MAILING ADDRESS:
street)
PHONE: 9; 7 `N5 ,5
liC/Cc • 7 f ���v
(city/state) (zip)
LICENSE:
PHONE:
(street)
(city/state) (zip)
B02
B03
B04
B05
B06
TOILETS
PLUMBING FIXTURES
DESCRIPTION DETAIL
WATER CLOSETS, BIDETS
# OF
UNITS
MULTI-
PLIED BY
COST
/UNIT
EQUALS
AMOUNT
x
$6
$
URINALS
TUBS
x
$6
$
BATH, JACUZZI, SPA, GARDEN
x
$6
$
SHOWERS (per trap)
SINKS
BASE, STALL, ON—SITE BUILD
x
$6
130'7
B08
B09
B10
311
B12
B13
B14
B15
B16
E17
DISHWASHER
CLOTHES WASHER
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
x
$6
$
GARBAGE DISPOSAL/GRINDER
WATER SOFTENER
x
x
$6
$6
$
x
$6
$
x
$6
$
ELECTRIC HOT WATER TANKS
FLOOR DRAINS
(NOTE: if gas water tank, see mechanical)
x
$6
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
$
ROOF DRAINS/OVERFLOW DRAINS (ea.)
FOUNTAINS, DRINKING
x
$6
x
$6
$
WATER PIPING/DRAIN— WASTE—VENT
SEWAGE EJECTORS
INSTALLATION, ALTERATION OR REPAIR
x
$6
GRINDER, SUMP PUMP
x
$6
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
$
B18
CROSS—CONNECTION DEVICES
B19
INTERCEPTORS
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
$
x
$6
$
B20
1321
MEDICAL GAS (per outlet/bottle station)
MISCELLANEOUS FIXTURES
NITROUS, OXYGEN
x
$6
$
x
$6
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Spokane County Division of Buildings
1026 W. Broadway Avenue * Spokane, WA 99260
Tel. No. (509) 456-3675 * Fax No. (509) 456-7403 $ TDD No. (509) 324-3166
\MAS TE R SPL UM P E R M.HND
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
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