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2001, 08-08 Permit App: 01006621 RemodelProject Number: 01006621 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/8/01 Page 1 of 2 Project Information: Permit Use: UPDATE KITCHEN & INCREASE SHOWER SIZE Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 003136 Name: VERA CREST Contact: BRUCE MATHIS Address: PO BOX 14262 C - S - Z: SPOKANE WA 99214 Phone: (509) 993-2806 Group Name: Project Name: District: F Parcel Number: 45261.1909 Block: SiteAddress: 1905 S MARCUS CT SPOKANE, WA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Lot: Owner: Name: MCCALL, JIM Address: 12803 E CUTHRIE DR SPOKANE WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Information: Permits:, Contractor: MATHIS CONSTRUCTION INC Address: P 0 BOX 14262 SPOKANE, WA 99214 Building Characteristics Building Permit Firm: MATHIS CONSTRUCTION INC Phone: (509) 993-2806 Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Description Grp Ins Notes RESIDENCE R-3 VN REMODEL Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: ❑ This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 0 $5,000.00 0 $5,000.00 Totals: 0 $5,000.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK 0 $5,000.00 Fee Amount $100.50 $4.50 $22.11 Permit Total Fees: $127.11 4 Project Number: 01006621 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/8/01 Page 2 of 2 Contractor: Address: MATHIS CONSTRUCTION INC P O BOX 14262 SPOKANE, WA 99214 Item Description CLOTHES DRYER HOOD -TYPE II MINIMUM FEE ADJUSTMENT Contractor: Address: Mechanical Permit Firm: MATHIS CONSTRUCTION INC Phone: Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 Select MATHIS CONSTRUCTION INC P O BOX 14262 SPOKANE, WA 99214 Item Description SINKS SHOWERS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER MINIMUM FEE ADJUSTMENT Permit Total Fees: Plumbing Permit Units 1 1 1 1 1 1 (509) 993-2806 Fee Amount $10.00 $10.00 $15.00 $35.00 Firm: MATHIS CONSTRUCTION INC Phone: (509) 993-2806 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Select Permit Total Fees: Fee Amount $6.00 $6.00 $6.00 $6.00 $6.00 $5.00 $35.00 Payment Summary: Operator: JAS Printed By: JAS Print Date: 8/8/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $127.11 $127.11 $0.00 $127.11 Mechanical Permit $35.00 $35.00 $0.00 $35.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $197.11 $197.11 $0.00 Notes: 4, l I Aink SPOMN COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Sr / 9oS P141Vcus cr Assessor's Tax Parcel Number(s): 4SZ6/. /909 Legal Description: o r 9 eLg_ / 1/eR4 e,2es-r- Svj3�iur5ionl Project Description: 7 Building Permit O Relocation CI Change in Use O Grading D Manufactured Home Permit O Sign CI Tenant (New/Change) CI Other Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front: Rear: Left: Right: School District: Fire District: Zoning OWNER/APPLICANT INFORMATION El Indicate who should be e onlacicd reeardiro iyl in Owner. 2-1- /� Phone: 2.32-o 36 / 7Applicant "C� i/ Phone: 99,3-2,9 rf//a '5 Sf9/-25137 Mailing Address: 67/2.Sa3 Uu7)e->)fl, Mailing Address- oi' /124Z Cin', State, Gip 5Pok,4N-e W ►s- • R9zv t, City, State, Gip siva/ tA%, '71-z., / ca Contractor Phone "93- 2g4„, Fax 11 9/-'2T37 ❑ iArchitecti I .nl rnrer Phone 1:as - J frI /�/ S CONST Mailing address 414ZCe0. Acy> /4142— Mailing address ity, State Gip City, SPb> wq, ,92i City, State Zip WA State Contractor license # I'l'l PFD4/ cI /33 Pa Contact name: PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. I)imcnsions Total habitable space 2"d floor sg. ft. Finished basement sq. ft. Occupancy group .......... Construction type Garage sr. ft. 1)eck sq. ft. Cost of project '' 5000 O f. 1 I Teat source (electric, gas, etc.) Manufactured Home Sign Width: Length: What is the square footage of the sign face? I1ow high is the sign? Year: Make: # of signs Area of existing signs Fireworks display Are critical or hazardous materials used or stored on site? O Yes I No Proposed use Value Relocation Fire Safety Firm Name What is the current use of this property? _Sr :k. Previous address Will the site be served by a septic system? ® Yes O No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? O Yes I No Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? _Sr :k. Phone Will the site be served by a septic system? ® Yes O No Plans Examiner Phone inspectors: Is there evidence of fill or excavation on the property? El Yes li No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( ............--0/0) O Yes pii No Are critical or hazardous materials used or stored on site? O Yes I No Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? pi Yes O No Ifyes, identi on site plan What is the current property size? s (square feet or acres) Is any part of the property within 250 feet of a shoreline? identify on site plan 0 Yes ipi No What is the current use of this property? _Sr :k. Is your property in a designated wildlife habitat area? O Don't know 0 Yes 19 No Will the site be served by a septic system? ® Yes O No Is any part of the property within a 100 yr flood plain? Ifyes, identj, on site plan 0 Maybe O Don't know O Yes No Are or will there be wells located on the property? Ifyes, identi on the site plan O Yes Ili No Are there any wetlands, streams or ponds within 200 feet of the property? 1f yes, identify on site plan O Yes PCNo Is there evidence of fill or excavation on the property? El Yes li No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( ............--0/0) O Yes pii No Are critical or hazardous materials used or stored on site? O Yes I No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? DYes 0 N Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Yes OYes D No 0 N Is public water available to the site? O Yes O No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? OYes ONo 1)atc Received: Staff Representative: METHOD OF PAYMENT VISA ❑ c:Asl1 ❑ CHECK ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1),VIl I?\P1RI?S: BAN KCARD NUMBI R: AU FI IORI'ZI•) SI(;NA1 UIZF: , SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS $35.00 PLE \SI MAKE (:BECKS PAYABLE 'IO SPOKANE COUNTY PERMIT CENTER PLUMBING PERMIT APPLICATION PROJECTS, / 9a .5- hl � ei S C / ADDRESS: RMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: ,. (Street) (City/State) (Zip) CONTRACTOR: ,/J i -5 Ci NST / V l n [G LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI. pBY COST/ UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS x $6 — B03 URINALS x 86 — B04 TUBS - x $6 — B05 SHOWERS (per trap) BATH, STALL, ON-SITE BUILD 1 x $6 — B06 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT f x $6 — B07 DISHWASHER - / x $6 — B08 CLOTHES WASHER - / x $6 — B09 GARBAGE DISPOSAL/GRINDER - / x $6 — B10 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 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 — B14 FOUNTAINS, DRINKING - x $6 — B15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 — B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x 86 — B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS x 86 — B18 CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR : VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS $6 — B19 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 — B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 — B21 MISCELLANEOUS FIXTURES $6 — METHOD 0 CASH DATE: BANKCARD ATTTHC)RT7ED OF PAYMENT VISA SUBTOTAL PLUS PROCESSING FEE $ 25.00 tlFV - • CHECK • ■' FAXED PERMITS WILL ONLY BE ACCEPTED OF A MAJOR CREDIT EXPIRES: ■ WITH PAYMENT CARD TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER NUMBER: SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: DESCRIPTION OF WORK PERMIT USE: # OF UNITS OWNER: COST/ UNIT PHONE (Daytime Contact): AMOUNT MAILING ADDRESS: FUEL BURNING APPLIANCE — OR < 100,.000 (Street) (City/State) (Zip) CONTRACTOR: $ LICENSE: FUEL BURNING APPLIANCE MAILING ADDRESS: PHONE: $15 — $ B04 (Street) (City/State) (Zip) Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 DESCRIPTION OF WORK # OF UNITS MULTI- PBYD COST/ UNIT EQUALS AMOUNT B02 FUEL BURNING APPLIANCE — OR < 100,.000 X $12 — $ B03 FUEL BURNING APPLIANCE > 100,000 X $15 — $ B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) — OR <400,.000 X $50 — $ B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X $100 — $ B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) — OR <400,.000 X $50 — $ B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 X $100 — $ B08 BOILER/REFRIGERATION 1-100M BTU X $12 — $ B09, BOILER/REFRIGERATION 101-500M BTU X $20 — $ B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 — $ B11 BOILER/REFRIGERATION 1,001- 1,750M BTU X $35 — $ B12 BOILER/REFRIGERATION +1,750M BTU X $60 — $ B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - X $10 — $ B14 RANGE - X $10 — $ B15 DRYER - 1 X $10 — $ B16 FUEL BURNING WATER HEATER - X $10 — $ B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — $ B18 GAS PIPING (ea. Outlet) - X $1 = $ B19 DUCT SYSTEMS - X $10 — $ B20 VENTILATING FANS - X $10 = $ B21 AIR HANDLER (DOES NOT include duct systems)_ — OR <10,000 CFM X $12 — $ B22 AIR HANDLER (DOES NOT include duct systems) > 10,000 CFM X $15 — $ B23 EVAPORATIVE COOLERS - X $10 — $ B24 TYPE I HOOD - X $50 — $ B25 TYPE II HOOD - X $10 — $ B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 = $ B27 AIR CONDITIONER 3-15 TONS X 820 — $ B28 AIR CONDITIONER 15-30 TONS X $25 — $ B29 AIR CONDITIONER 30-50 TONS X $35 = $ B30 AIR CONDITIONER +50 TONS X $60 — $ B31 LPG STORAGE TANK - X $10 $ B32 WOOD OR PELLET STOVE/INSERT - X $25 — $ METHOD OF PAYMENT WM SUBTOTAL PLUS PROCESSING FEE $ 25.00 jJCNV _ • CASH • CHECK • =MS ■ 4 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD EXPIRES: • DATE: BANKCARD AUTHORIZED TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER NUMBER: SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133