1996, 08-23 Permit App: 96006935 ResidencePROJECT NUMBER= 96006935 APPLICATION
ATE= 08/23/96
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
AGE= 01
SITE STREET= 19318 E MAIN AVE PARCEL#`= 55173.1015
ADDRESS= GREENACRES WA 99016
PERMIT USE= RESIDENCE W/GARAGE - NATURAL GAS
PLATO= 000499 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= 20 LOT= 15 ZONE= UR -3.5 DIST#`= G
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 120 R/W= 60
#` OF BLDGS= 1 #` DWELLINGS= 1 WATER DIST =
OWNER= TUCKER, LOIS L.
STREET= 12195 N CHASE RD
ADDRESS= RATHDRUM ID 83858
PHONE= 208 687 1850
CONTACT NAME= LOIS TUCKER PHONE NUMBER= 208 687 1850
BUILDING SETBACKS: FRONT= 28 LEFT= 12 RIGHT= 6 REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
f&3 -q-10
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
A. .4imie
.6(‘1
r****************************** BUILDING PERMIT *******************************
CONTRACTOR= OWNER
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= 1
BLDG W X D = 62 X 30 SQ FT= 1290 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 96006935 APPLICATION DATE= 08/23/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE U-1 VN 480 5760.00
RESIDENCE R-3 VN 1290 76110.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 669.41
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 147.27
******************************* MECHANICAL PERMIT*******************,t*****,e**,t
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 4 40.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 2 12.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
WATER USING DEVICES 3 18.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 821.18 .00 821.18
MECHANICAL PRMT 94.00 .00 94.00
PLUMBING PERMIT 78.00 .00 78.00
993.18
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 993.18
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address?
jor M aL-,
Legal description as it appears on the property deed
ASSESSOR'S tax parcel number?
6'11113 •l °l5
OWNER or OCCUPANT /
Phone
Mailing address
J/),/c;
Ark s;
Who should we contact regarding this project?
City, state
AOtI,C ;,r_litet. C1
Phone
Zip
:AC
What work is being done under this permit?
Contractor
":43/5 r
WA State Contractor license #
8o, fa r
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
Main floor area
/ 7'G
Unfinished basement area
Mailing address
2nd floor area
�{{ ALJ A
% s.',3.-''�%S e ACL �i/ ,0r 3Pv1
Architect/Engineer f Garage area
Finished basement area
h
Y
a
4)
Size of decks, etc.
3.,
iNhat is the heat source?
l GC[S
What is the cost of our project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Installer
1
Make:
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Contractor
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
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)
Size / gallons
Size / gallons
Private
Contractor
Wa State Contractor license #
Contractor
WA State Contractor license #
Public/smi-private
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: /i5
MAILING ADDRESS:
CONTRACTOR:
7(70�c, PHONE: DAYTIME CONTACT
r
/;Z/ly �1C: <;E= &c 7/1 cz � c Tv/ S' 3 a -,n
(street) (city/state) (zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
PLUMBING F17/TURES
DESCRIPTION 1 DETAIL
F OF -
UNITS
STI-
LIED ■
COST
/UNIT
EQUALS
AMOUNT
B
TOILETS
WATER CLOSETS, BIDETS
x
$6
URINALS
x
$6
TUBS
BATH, JACUZZI, SPA, GARDEN
x
$6
BOS>
SHOWERS (per trap)
BASE, STALL, ON-SITE BUILD
x
$6
c
SINKS
LAVS/BASINS, BAR FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO,
X-RAY, FOOD (PREP/CULINARY/MEAT)
x
$6
$
DISHWASHER
x
$6
$
CLOTHES WASHER
x
$6
$
GARBAGE DISPOSAL/GRINDER
x
$6
$
WATER SOFTENER
x
$6
$
BI1
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
$
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
$
ROOF DRAINS/OVERFLOW DRAINS (ea
x
$6
$
FOUNTAINS, DRINKING
x
$6
$
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
$
SEWAGE EJECTORS
GRINDER SUMP PUMP
x
$6
$
WATER USING DEVICES
ICE AND/OR corr. r.> MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
$
CROSS -CONNECTION DEVICES
VACUUM BREAKER CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
$
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
$
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
$
MISCELLANEOUS FIXTURES
x
$6
$
NOTE: MINIMUM PERMIT FEE IS $35.0X0
SIGNATURE: /6,,Lji C,
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
Spokane County Division of Building & Planning
1026 W. Broadway Avenue Spokane, WA 99260
Tel. No. (509) 456-3675 * Fax N (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.
7/6/95=. W
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
IPHON& DAYTIME CONTACT
MAILING ADDRESS:
(street)
CONTRACTOR:
(city/state)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
DESCRIPTION OF WORK
OF UNITS
MULT1-
LIED a
COST
/UNIT
aQUALII
AMOUNT
FUEL BURNING APPLIANCE
= or <100,000
$12
$
Btf3
FUEL BURNING APPLIANCE
>100,000
$15
$
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
= or <400,000
$50
$
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
$100
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000
$50
$
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
$100
`B08'
BOILER/REFRIGERATION
1-100M BTU
$12
$
BOILER/REFRIGERATION
101-500M BTU
$20
$
BOILER/REFRIGERATION
501-1,000M BTU
$25
$
BOILER/REFRIGERATION
1,001-1,750M BTU
$35
$
BOILER/REFRIGERATION
+1,750M BTU
$60
$
B:
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
$10
$
RANGE
1
$10
$
DRYER
)
$10
s
FUEL BURNING WATER HEATER
1
$10
$
MISCELLANEOUS FUEL BURNING APPLIANCE
$10
BI8
GAS PIPING (ea. outlet)
$1
s
`.B
DUCT SYSTEMS
$10
VENTILATING FANS
G
$10
s
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
$12
$
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
$15
B2
EVAPORATIVE COOLERS
$10
$
TYPE I HOOD
$50
$
TYPE II HOOD
1
$10
$
82i
HEAT PUMP/AIR CONDITIONER
0-3 TONS
$12
$
AIR CONDITIONER
3-15 TONS
$20
$
AIR CONDITIONER
15-30 TONS
$25
$
AIR CONDITIONER
30-50 TONS
$35
$
AIR CONDITIONER
+50 TONS
$60
LPG STORAGE TANK
$10
s
WOOD OR PELLET STOVE/INSERT
$25
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $
Spokane County Division of Building& Planning
1026 W. Broadway Spokane, kane WA 99260...................................................................................................
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.
17/14/95 artmkralpsnis. V
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AUG -28-1996 07:33
PROJECT NUMBER= 96006935 APPLICATION
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
r •
DATE= 08/23/96 PAGE= 01
SITE STREET= 19318 E MAIN AVE
ADDRESS= GREENACRES WA 99016
RESIDENCE W/GARAGE -
000499 PLAT NAME=
20 LOT=
00000000 F/A=
1 0 DWELLINGS=
PERMIT USE=
PLATO=
BLOCK=
AREA=
# OF BLDGS=
PARCEL$= 55173.1015
NATURAL GAS
CORBIN ADD TO GREENACRES
15 ZONE= UR -3.5 DIST#=
F WIDTH= 80 DEPTH= 120 R/W= 60
1 WATER DIST =
PHONE= 208 687 1850
OWNER= TUCKER, LOIS L.
STREET= 12195 N CHASE RD
ADDRESS= RATHDRUM ID 83858
CONTACT NAME= LOIS TUCKER
BUILDING SETBACKS: FRONT= 28 LEFT= 12
DEPARTMENT
PHONE NUMBER= 208 687 1850
RIGHT= 6 REAR= 20+
REVIEW INFORMATION
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS:
HEALTHDIST
COMMENTS:
e 0-3
NEW OR ADDITIONAL WASSTTEEW ATE d
CNA- $/ai -G e -J Is 3 bacons c
BUILDING PERMIT
PHONE=
CONTRACTOR= OWNER
NEWS X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
62 X 30 SQ FT=
$HANDICAP=
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES= 1
1290 SPRINKLER= N
CRITICAL MAT= N
AUG -28-1996
,s01,: • AT 32-10:: i2Ssf- re 10 •
07: 33
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1
TOTAL P.02