1995, 01-30 Permit App: 95000465 ResidencePR JE T BER 04 APPLICATION` i' DATE= 01/30/95 PAGE= 01
i
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19314 E MAIN AVE PARCEL#= 55173.9016
ADDRESS= GREENACRES WA 99016 tool
PERMIT USE= NEW RESIDENCE/GARAGE- ELECTRIC
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
999999
00000000
1 #
PLAT NAME=
LOT=
F/A=
DWELLINGS=
OWNER= PETERSON, BRENT
STREET= 4108 S MCDONALD LN
ADDRESS= SPOKANE WA 99206
RANGE
ZONE= UR 3.5 DIST#= G
F WIDTH= 102 DEPTH= 120 R/W= 60
1 WATER DIST =
CONTACT NAME= BRENT PETERSON
BUILDING SETBACKS: FRONT= 35 LEFT= 20
PHONE= 509 922 3130
PHONE NUMBER= 509 922 3130
RIGHT= 15 REAR= 60
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
s(Q)c).qs-
ENGINEER APPRO CH/F OOD P AIN/D INA E �/4 yt.i. ��41�"'6" 1 ���/
74
.4444;6147
COMMENTS : G,(?4tbi�itQJ
HEALTHDIST
COMMENTS:
NEW OR ADDITIONAL WASTE WATER
g
(e
li,skod Dr as ;Ackizol S l A+�
BUILDING 4 '
!�* *'/CDC *******
8
CONTRACTOR= BRENT PETERSON CONSTRUCTION
STREET= 4108 S MCDONALD LN
ADDRESS= SPOKANE WA 99206
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
42 X 32 SQ FT= 1200
#HANDICAP=
IT ***********
***********
PHONE= 509 922 3130
ADDITION= CHANGE OF USE=
BLDG HGT= 8 STORIES=
SPRINKLER= N
CRITICAL MAT= N
1
PROJECT NUMBER= 95000465 APPLICATION DATE= 01/30/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
DECK R-3 VN 100 600.00
GARAGE M-1 VN 432 5184.00
RESIDENCE R-3 VN 1200 66000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 513.50
STATE SURCHARGE Y 4.50
RADON MONITOR 1 12.57
SALES TAX 1 1.01
RESIDENTIAL SURCHARGE Y 92.43
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= ALPHA PLUMBING & HEATING
STREET= 5805 E SHARP AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PHONE= 509 535 0727
QUANTITY FEE AMOUNT
GAS LOG OR GAS INSERT 1 10.00
GAS PIPING 1 1.00
VENTILATING FANS 4 40.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= ALPHA PLUMBING & HEATING
STREET= 5805 E SHARP AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PHONE= 509 535 0727
QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 4 24.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
ELECTRIC HOT WATER TANK 1 6.00
WATER USING DEVICES 2 12.00
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
624.01 .00 624.01
51.00 .00 51.00
78.00 .00 78.00
753.01
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 753.01
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
it /9_/4' G. 4"kf,
ASSESSOR'S tax parcel numbe
Legal description as it appears on the property deed
1
OWNER or OCCUPANT(�
/1
7 5a)-
Mai inaddress
9
Phone
9t -3/3 a
Who should we contact regarding this project?
Rf&ti PQ_I-eArs 0./�v
City, state
04/11.
Phone
Zip
96
What work is being done under this permit?
//Cit.+/ 1/a Lt i
Buil
din
Contractor ,L/ Co
r AtA7. / t' �M S 11�. 1�S 4-1.,„4..74 0 4-v
Building height
'Dimensions
1"311,
# of stones
TOT AL SQUARE FOOTAGE
J
20
WA State Contractor license #
E��DJf ? / 0 14.A.6
Mailing address
\..
Architect/Engineer
rs .r e P Sp
Main floor area
o
'2nd floor area
barage area
Unfinished basement area
Finished basement area
Size of decks, etc.
/max /0
What is the heat sour ?
C.1
What is the cost of your project?
Manufactu
red Home
Sign
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
Reiocaton
Fire Safety
Previous address
Fire Sprinkler _
Paint booth Fire Alarm
Tent
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
Contents of tank(s)
Contractor
Size / gallons
Size i gallons
Private
Public/semi-private
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
h
0
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
PHONE:
MAILING ADDRESS:
CONTRACTOR: A / J p /
MAILING ADDRESS:
(street)
(city/state) (zip)
LICENSE:
PHONE:
(street)
(city/state)
(Zip)
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166
,MASTERTLUMPERMHND
PLUMBING FIXTURES
DESCRIPTION DETAIL
# OF
UNITS
MULTI-
PLIEDSY
COST
/UNIT
EQUALS
AMOUNT
1302
TOILETS
WATER CLOSETS, BIDETS
Z
x
$6
=
$
1303
URINALS
-
x
$6
=
$
1304
TUBS
BATH, JACUZZI, SPA, GARDEN
/
x
$6
=
$
B05
SHOWERS (per trap)
BASE, STALL, ON—SITE BUILD
/
x
$6
=
$
B06
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, urILJrY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
4/7
X
$6
=
$
1307
DISHWASHER
-
/
x
$6
=
$
1308
CLOTHES WASHER
-
/
x
$6
=
$
1309
GARBAGE DISPOSAL/GRINDER
-
x
$6
=
$
B10
WATER SOFTENER
-
x
$6
=
$
B11
ELECTRIC HOT WATER TANKS
(NOTE: if pas water tank see mechanical)
/
X
$6
=
$
1312
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
=
$
1313
ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
1314
FOUNTAINS, DRINKING
-
x
$6
=
$
1315
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
=
$
1316
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
=
$
1317
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
X
$6
=
$
1318
CROSS -CONNECTION DEVICES
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D. FOR: VATS SUMPS,
TANKS, BORERS. & SPRINKLER SYSTEMS
X
$6
=
$
1319
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
=
$
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
X
$6
=
$
1321
MISCELLANEOUS FIXTURES
x
$6
=
$
Spokane
in96
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
County Division of Buildings
W Rrnarlwav Avenue * Spokane. WA 99260
PLEASEMAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166
,MASTERTLUMPERMHND
MECHANICAL FERMIT APPLICATION
PROJECT ADDRESS: / 3 3/ y
OWNER: /Ft Pt7,-P-r-.j v �
MAILING ADDRESS:
CONTRACTOR:
1p &,
1. "7"..2c -/A9 al1(_;�
Jr et)
MAILING ADDRESS:
•
PHONE: 9 LZ 12 3 C7
PP v3G
(citystate) (zip)
LICENSE: Q2 G"/v r f 0 64.1
PHONE:
street
ci
cl. No. (509) 456-3675 • Fax No. (509) 456-4703 * TDD No. (509) 324-3166
master\mechperm.hnd
DESCRIPTION OF WORK
i
#
OF UNITS
MULTI—
PLIED BY
COST
/UNIT
♦—ri
Boum.:
AMOUNT
B02
FUEL BURNING APPLIANCE
= or <100,000$12
-
s
B03
FUEL BURNING APPLIANCE
>1oo,000$15
-
s
1304
UNLIS IED APPLIANCE (ADDITIONAL CHARGE)
= or <400,000$50
-
s
B05
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
=
$100
_
s
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000$50
-
s
B07
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
=
$100
_
s
B08
BOILER/REFRIGERATION
1-100M BTU
$12
-
s
B09
BOILER/REFRIGERATION
101-500M BTU
=
$20
-
s
B10
BOILER/REFRIGERATION
501-1,000M BTU
=
$25
_
s
1311
BOILER/REFRIGERATION
1,001-1,750M BTU
=
$35
-
s
B12
BOILER/REFRIGERATION
+1,750M BTU
,
$60
-
s
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
/
$10
-
s
B14
RANGE
-
i.
=
$10
_
s
B15
DRYER
-
0
=
$10
-
s
B16
FUEL BURNING WATER HEATER
-$10
-
s
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
-$10
-
s
B18
GAS PIPING (ea. outlet)
-
/
=
$1
_
s
B19'
DUCT SYSTEMS
-
$10
-
s
B20
VENTILATING FANS
-
'p• I
$10
-
s
B21
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
.
$12
-
S
B22
AIR HANDLER (DOES NOT include duct systems)
>10.000 CFM$15
-
s
B23
EVAPORATIVE COOLERS
-
=
$10
-
s
B24
TYPE I HOOD
-
=
$50
-
s
B25
TYPE II HOOD
-
$10
-
s
B26
BEAT PUMP/AIR CONDITIONER
0-5 TONS
=
$12
-
s
B27',
AIR CONDITIONER
6-15 TONS
=
$20
-
s
B28
AIR CONDITIONER
16-30 TONS
=
$25
-
s
B29
AIR CONDITIONER
31-50 TONS$35
-
s
B30
AIR CONDITIONER
+50 TONS$60
-
s
B31
LPG STORAGE TANK
-
=
$10
-
s
B32
WOOD OR PELLET STOVE/INSERT
-
$25
-
s
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25,00
TOTAL PERMIT FEE DUE
$
County Division of Buildings
W. Broadway • Spokane, WA 99260
PLEASE MAKE CIIECKS PAYABLE TO.
SPOKANE COUNTY PERMIT CENTER
cl. No. (509) 456-3675 • Fax No. (509) 456-4703 * TDD No. (509) 324-3166
master\mechperm.hnd
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SIGNATURE
ISSUED BY DEPARTMENT
F LABOR AND INDUSTRIES
ADDRESS.
ZONE. ZONE t,t
ROAD WIDTH:
FRONT.
COMMENTS
REVIEWED BY
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