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1995, 06-05 Permit App: 95000965 Addition
APPLICATION INFORMATION 95- 9o5 m n d 0 What is the JOB SITE address? 0 t/ S Mamie✓ Legal description as it appears on the property deed OWNER or OCCUPA ASSESSOR'S tax parcel number? '-{52.`7.//// N�1/1 q I P.cAJ cfl t L-11 -// / 7o S Phone f�oA /loc�s77o 4,4 fl 9aO 3SF 7— Mating address v 3/0 CI Sj tartiteiv - //City, state ,,�^�t // gZip / /Ju� 149$$ -- 9e72 -/4 - Who should we contact%regardin this /prroject? /1 rG/zet-r /� /l0(lc S/.i-oct.-` Phone 9a- What work is being done under this permit? Propi-REA -LkU JDoK Poor' -1 Lone Inspector district Property size Hight of way width SCI Water distnct •.., • Building Building height # of stories Contractor Ot}riec Dimensions g —7 Xiz' TOTAL SQUARE FOOTAGE y sr Fr WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? Manufactured.Home What is the cost of your project? 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 Relocation:. 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 Ta:i . Swiththih Pool; (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # 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. d n d 0 PROJECT NUMBER= 95000965 APPLICATION . ****** • THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 3104 S MAMER RD PARCEL#= 45274.1111 ADDRESS= SPOKANE WA 99206 PERMIT USE= LAUNDRY ROOM ADDITION PLAT#= 001705 PLAT NAME= MOUNTAIN VIEW 4TH ADD BLOCK= 11 LOT= 11 ZONE= UR -3.5 DIST#= AREA= 00012000 F/A= F WIDTH= DEPTH= # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= ROCKSTROM, RICHARD & JOANN STREET= 3104 S MAMER RD ADDRESS= SPOKANE WA 99206 F R/W= 50 PHONE= 509 928 3582 CONTACT NAME= RICHARD ROCKSTROM PHONE NUMBER= 509 928 3582 BUILDING SETBACKS: FRONT= EXIS LEFT= 30 RIGHT= 50 REAR= 60 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRE COMMENTS: PLA,J HEALTHDIST INCRE;S .JI> -eT COVERAGE Ard L / AI COMMENTS: C31-‹ 4%2 f}77ACt-leb ,IAAA)Sn -1S ******************* *********** BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= DWELL UNITS= BLDG W X D = REQ PARKING= REMODEL= 1 OCCUP. LD= 7 X 12 SQ FT= #HANDICAP= ADDITION= X BLDG HGT= 84 SPRINKLER= N CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT RES ADD R-3 VN CHANGE OF USE= STORIES= 1 VALUATION 84 4620.00 PROJECT NUMBER= 95000965 APPLICATION ITEM DESCRIPTION DATE= 02/24/95 QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 72.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 12.96 PAGE= 02 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION CLOTHES DRYER VENTILATING FANS QUANTITY FEE AMOUNT 1 1 10.00 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION CLOTHES WASHER PERMIT TYPE QUANTITY FEE AMOUNT 1 6.00 FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 89.46 .00 89.46 MECHANICAL PRMT 20.00 .00 20.00 PLUMBING PERMIT 6.00 .00 6.00 115.46 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 115.46 ******************************** THANK YOU ************************************ Today's date: Site address: ORIGINAL SITE'PLAN I'm proposing to build: IIlan!I {I Parcel number or legal description: voirmitrof' A.00109 n•- POLO -tle SAO 1,6 akS zy / gr - `yl ADDRESS: ZOIC: Ia.12 —3• saow'NOWIvW arnriM— .mai temono Of the obese Ikea n_vIE 4, 1 1 L� l� // 1 / la_ tuck 1 t 0 i .P1 We) —�I 1 A v" /v9 1A4Y2 P 011/ i.3s o ;09 .1 ‘000-717,1,41.301 v4)- ••a -.SS ,idast e1,1-1 .14)14 j clout - 0 ?rl'15iY3 .„;'IG r,.9 OCG, 7 .o :9bi E 1 'o :a1 J „o -,SG — 3' a 0 0 7A7117nQ e 1 8 3 PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: C G i-eX fai7 h MAILING ADDRESS: PHONE: CONTRACTOR: MAILING ADDRESS: 1\ of (street) (city/state) 3/a (7 s tic�.er (street) 92 8' -3S8 9 fZ /. (Zip) LICENSE: PIIONE: q,2 Z /city/state) (zip) Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 WASTER PIA1MPERNIIND PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- mum air COST (UNIT EQUALS AMOUNT 1302 TOILETS WATER CLOSETS BIDETS X $6 = $ B03 URINALS - x $6 = $ B04 TUBS BATH, JACUZZL SPA. GARDEN X $6 = S B05 SHOWERS (per trap) BASE, STALL ON—SITE BUILD X $6 = $ B06 SINKS LAVS/BASI S, BAR. FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) X $6 = $ 1307 DISI !WASHER - x $6 = $ B08 CLOTHES WASHER - k x $6 = $ 1309 GARBAGE DISPOSAUGRINDER - X S6 = $ B10 - x S6 = $ WATER SOP INNER 1311 ELECTRIC HOT WATER TANKS (NOTE: B gas water tank see mechanical) x S6 = $ B12 FLOOR DRAINS AREA CASECOIL TRENCH, CONDENSATE x $6 = S B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - X S6 = $ 1314 FOUNTAINS. DRINKING - x 56 = $ B15 WATER PIPING/DRAIN-WASTE-VENT/ PLUMBING REVERSALS INSTALLATION ALTERATION, REPAIR, REVERSALS X $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP X 56 = $ 1317 WATER USING DEVICES ICE AND/OR COFFEE MAKER, }LOSE BIB, STEAMER, PROOFER, CARBONA1DR. SWAMP COOLERS x $6 = $ B18 CROSS -CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS SUMPS. TANKS. BOILERS, & SPRINKLER SYSTEMS x 56 = $ 1319 INTERCEPTORS GREASE TRAP. SAND TRAP. CHEMICAL HOLDING TANK X 56 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS OXYGEN X S6 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ Spokane NOTE: MINI MPERMIT SIGNATURE: - / . _ , w -ac County Division of Buildings . A.......... C,,.,4nn. WA 99260 FEE IS $35.00 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ 'PLEASE MAKE CHECKS PAYABLE -TO SPOKANE COUNTY PERMI'I'.CENTER .:. .... .. .... . _ _ ... '.. Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 WASTER PIA1MPERNIIND MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: MAILING ADDRESS: CONTRACTOR: 'PIIONE: (street) (city/state) LICENSE: (zip) MAILING ADDRESS: PHONE: city/state (zip) t•t+.....J OF WORK - OF UNITS (Planner OST `/UNIT ROOM] AMOUNT DESCRIPTION = or <100.000 • $12 - BURNING APPLIANCE 1302 FUEL APPLIANCE • >Ioo.000 $15 - + 803 FUEL BURNING APPLIANCE (ADDITIONAL CHARGE)= or <400.000 - 1304 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400.000 $$50 0 - + B05 UNLISTED {Must meet WSEC s min. AFUE rating) = or <400.000 $50 - + B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400.000 ' $lop + B07 USED APPLIANCE 1-100MBTU . $12 - + B08 BOILEIUREFRIGERATION 101-500M BTU $20 - + 1309 BOILER/REFRIGERATION 501-1.000M BTU • $25 - + 1310 BOIIER/REFRIGERATION 1,00t -1,750M BTU $35 - + Bil- BOILER/REFRIGERATION +1.750M I3TU• $60 - r B12 BOIIER/REFRIGERATION GAS INSERT. AND/OR GAS FIREPLACE . $10 - , B13 GAS LOG, _ - $10 B14 RANGE - V$10 - + B15 DRYER WATER HEATER $10 - B16 FUEL BURNING FUEL BURNING APPLIANCE - , $10 - , 1317 MISCELLANEOUS outlet) • 1 0 - + 1318 GAS PIPING (ea. , $$1 - + B19 DUCT SYSTEMS FANS r , $10 - + 1320 VENTILATING NOT include duct systems) = or <10.000 CFM $10 - + 821 AIR HANDLER (DOES NOT include duct systems) >10.000 CFM $15 - + 1322 AIR HANDLER (DOES COOLERS - , $10 - + 1323 EVAPORATIVE HOOD - $50 - + B24 TYPE I HOOD - $10 - 1325 TYPE II PUMP/AIR CONDITIONER 0-5 TONS$12 - r B26 HEAT 6-I5 TONS. 820 - + B27 AIR CONDITIONER 16-30TONS $25 - + B28 B29 AIR CONDITIONER AIR CONDITIONER 31-50 TONS . $35 - + +50 TONS $60 - •$10 1330 AIR CONDITIONER STORAGE TANK - - + 1331 LPG $10 + 1332 WOOD ORPELIETSTOVE/INSERT NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal PLUS: PROCESSING FEE $25.00 7'OTAL PERMIT FEE DUE $ SIGNATURE: Spokane County Division of Buildings 1026 W. Broadway • Spokane, WA 99260 Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 masmrlmeclperm.hnd PLEASE MAICE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER