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1996, 06-20 Permit App: 96004671 ResidencePROJECT NUMBER= 96004671 APPLICATION, DATE= 06/20/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1827 N MICHIELLI LN ADDRESS= GREENACRES WA 99016 PARCEL#= 55.083.0000 PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS PLAT#= 005826 BLOCK= 3 AREA= # OF BLDGS= PLAT NAME= RIVERWALK 3RD ADD LOT= 1 ZONE= UR -3.5 DIST#= G F/A= F WIDTH= 60 DEPTH= 110 R/W= 35 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1 OWNER= STANTON SPOKANE STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 998052 CONTACT NAME= VERNE JACOBSEN BUILDING SETBACKS: FRONT= 20 LEFT= 5 PHONE= 509 921 1610 PHONE NUMBER= 509 921 1610 RIGHT= 5 REAR= 20 t***************************** REVIEW INFORMATION ***************************** DEPARTMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: REVIEW REQUIREMENT BUILDING SETBACK REVIEW REP COMMENTS: L_A- BUILDING SEWER PERMIT PENDING /o .L2_Y T,s/llrr primo upLiTtES COMMENTS: ENGINEER COMMENTS: Cie 0E0/77 6/-21/Vo APPROACH/FLOOD PLAIN/DRAINAGE Ge.21S/'PG ******************************* BUILDING PERMIT ******************************* CONTRACTOR= STREET= ADDRESS= NEW= DWELL UNITS= BLDG W X D = REQ PARKING= DEAN HOUSLEY COMPANY LLC 16720 NE 116TH ST REDMOND WA 98052 X REMODEL= 1 OCCUP. LD= X SQ FT= #HANDICAP= PHONE= 206 869 6618 ADDITION= CHANGE OF USE= BLDG HGT= 15 STORIES= 1 1715 SPRINKLER= N CRITICAL MAT= N A PROJECT NUMBER= 96004671 APPLICATION DATE= 06/20/96 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1663 18293.00 GARAGE U-1 VN 487 5844.00 RESIDENCE R-3 VN 1715 101185.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 877.75 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 193.11 IMPACT FEE= CV - SFR 750 750.00 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 ITEM DESCRIPTION PHONE= 206 869 6618 QUANTITY FEE AMOUNT GAS APPLIANCE<=100,000BTU 1 12.00 GAS LOG OR GAS INSERT 1 10.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 3 3.00 VENTILATING FANS 5 50.00 HOOD -TYPE II 1 10.00 HEAT PUMP OR A/C 0-5 TONS 1 12.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 ITEM DESCRIPTION PHONE= 206 869 6618 QUANTITY FEE AMOUNT TOILETS/BIDETS 3 18.00 TUBS 3 18.00 SHOWERS 1 6.00 SINKS 6 36.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 GARBAGE DISPOSAL 1 6.00 CROSS CONNECTION DEVICES 2 12.00 INTERCEPTORS 1 6.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT MECHANICAL PRMT 1825.36 117.00 .00 .00 1825.36 117.00 PROJECT NUMBER= 96004671 APPLICATION DATE= 06/20/96 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PLUMBING PERMIT 114.00 .00 114.00 2056.36 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 2056.36 ******************************** THANK YOU ************************************ APPLICATION INFORIiIIATION 1i15 v (3- 46'7( 11Nhat is the JI03 SITE address?�ASSESSOR'S tax parcel number? it s �r�� / / /Mi i//i Legal description 171appearre /d� Ge..GE.1/6 Jai, /41- /; /-t OWNE/✓/YorOC,�C/UPANT 009-, ,�3C7// /i� �JTU/�Y (`J`/ d/�r✓ Mailing address to Zip �..�' /CY / o !%e. // 71(�/ jei'�l J �.�J (� ,C/f . 9/4C2_�a Who we contact r rding this project? Phone ed�v6 'eoas6v 9�/-/ O 0 -9 / What work is being done under this permit? Aka) e6-/be/vgc N PA Ci i " �- Lone Inspector district )Property size Right of way width Water district Building Building height # of stories tor Dimensions /14)(1-erLL & ' --.... TOTAL SQUARE Fi5DTAGE \ I t. C--. WA to Contractor license* Main floor area 1l . r vi1. Unfinished basement area t Mailing rasa '2nd floor area 40.01 ______ 4,0 /Y. er //6/4eY AF.doaw Finished basement area Architect/ n 'neer Garage area ��/ /'L 16 E ,5-sevO Size of decks, etc. W11-1 hat is the heat source? I 0/45- What is the coat of your project? I 0-00Manufactured 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 1 Wa State Contractor license 1 Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Tent _ Paint booth _ Fire Alarrn _ Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address FuelStorage Tanks Swimming Pool (Circle one) Above -ground Under round Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license 1 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. m N i IIS Y PLUMBING PERMIT APPLICATION PROJECT ADDRESS: 4,2,7 OWNER: (J�7�V� !1s/ e / , MAILING ADDRESSI6Z90 e. //6 ' / c 2 (street) CONTRACTOR:? O4' j L L e. MAILING ADDRESS: / ZIO / Y . e. /./6, riCJ21514e7 (street) PHONE: 9-47.-;4/6,) ,AlAk L) /Oa. PA16a (city/state) (Zip) LICENSE: z:?E ' ez.13-- / gyp . ,.. HONE:AoX/L9 " 67-6&/ ed/11,010,. g) . 9,6L/ ;t7 (city/state) (zip) 1026 W. Broadway Avenue Spokane, WA 99260 Tcl. No. (509) 456-3675 * Fax No. (509) 456-4703 • TDD No. (509) 324-3166 \MASTER\PLUMPERM.HN PLUMBING FIXTURES DESCRIPTION DETAIL # O���F!!!��e UNITS /Ann- PLIED BY COST /UNIT EQUALS AMOUNT 1302 TOILETS WATER CLOSETS, BIDETS `� x $6 = $ 1 '1...."-- 1..iB03 1303 URINALS - x $6 = $ B04 TUBS BATH, JACUZZI, SPA, GARDEN J x $6 = $ f 2.-- B05 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD C x $6 = $ (40 B06 SINKS IAVS/BASINS,BAR, FLOOR, KTTCHEN, LAUNDRY, tunny, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) ,, 1 rk. x $6 = $ (/ 0 B07 DISHWASHER — 1 x $6 = $ L B08 CLOTHES WASHER — 1 x $6 = $ Ce B09 GARBAGE DISPOSAUGRINDER — 1 x $6 = $ " t' B10 WATER SOFTENER — a 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—WASTE—VENT/ PLUMBING REVERSALS INSTALLATION. ALTERATION, REPAIR, REVERSALS X $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP X $6 = $ B17 WATER USING DEVICES COFFEE MAKER, —1 _-24--- X $6 = $ /I HOSE BIB,ER, PROOFER, ONATOR, SWAMP COOLERS B18 CROSS—CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE. AND R.P.B.P.D. FOR: VATS. SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS l X $6 = $ y B19 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 = $ B21 MISCELLANEOU • ' . x $6 = $ �� NOTE: MI SIGNATUR Spokane County Division I ( RMIT FEE IS $35.00 t `-- Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ kblr of Buildings PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT' CENTER 1026 W. Broadway Avenue Spokane, WA 99260 Tcl. No. (509) 456-3675 * Fax No. (509) 456-4703 • TDD No. (509) 324-3166 \MASTER\PLUMPERM.HN MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: 452°2-7 / ,y,; OWNER: , OA/ e td MAILING ADDRESS: /C7 "/ ® / //6. 731 (street) 403/1/ / / MAILING ADDRESS: (PHONE: 90.1/ -/6/ 7 (3N) �12J Pefa5�� (city/state) (zip) /67did /Ye. //o-ze (street) LICENSE: E,4/r/(C�,�,('� © / /7'C�1 PHONE:Ade6 -. �1 c ' C�jC,C�`tJ 010e4/4) Ze.)/(. , %� 2ai (city/state) (zip) Tel. No. (509) 456-3675 ' Fax No. (509) 456-4703 * TDD No. (509) 324-3166 master\mechperm.hnd DESCRIPTION OF WORK # OF UNITS MULTI— FLUID BY COST /UNIT EQUAL: AMOUNT B02 FUEL BURNING APPLIANCE = or <100,000 _ $12 - s 1•-2,� B03 FUEL BURNING APPLIANCE >100,000 = $15 - : 1304 UNLISTED APPLIANCE (ADDITIONAL CHARGE) = or <400,000 = $50 - : B05 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 = $100 - : B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,000 = $50 - : 3307! USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 = $100 - : 1308 BOILER/REFRIGERATION 1-100M BTU = $12 - : B09 BOILER/REFRIGERATION 101-5ooM BTu = $20 - : B10 BOILER/REFRIGERATION 501-1,000M BTU = $25 - : Bl BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - : B12 BOILER/REFRIGERATION +1,750M BTU = $60 - : B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - { _ $10 - : 10 1314 RANGE - _ $10 - : B15 DRYER - \ _ $10 - : B16 FUEL BURNING WATER HEATER - ' _ $10 - : 1 0 B17 MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - : B18 GAS PIPING (ea. outlet) -J- _ $1 - : 2-- B19 B19' DUCT SYSTEMS - - 0 4- . $10 sio - - : (� : G�-o B20 VENTILATING FANS B21 AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM = $12 - : B22 AIR HANDLER (DOES NOT include duct systems) >10,000 CFM = $15 - : B23, EVAPORATIVE COOLERS - _ $10 - : B24 TYPE I HOOD - _ $50 - : B25 TYPE II HOOD - i = $10 - : B26' HEAT PUMP/AIR CONDITIONER 0-5 TONS l = $12 - : i _L--• B27 AIR CONDITIONER 6-15 TONS = $20 - : B28 AIR CONDITIONER 16-30 TONS = $25 - : B29 AIR CONDITIONER 31-50 TONS = $35 - : B30 AIR CONDITIONER +50 TONS = $60 - : B31 LPG STORAGE TANK_ - _ $10 - : B32 WOOD OR PE 1 OVE/INSERT - _ $25 - : /;, Spokane 1026 NOTE: MINI UM ' ' IT FEE IS $35.00 1 SIGNATURE: , Subtotal PLUS: PROCESSING FEE $2 .00 TOTAL PERMIT FEE DUE $ !% _ County Division of Buildings W. Broadway ' Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER Tel. No. (509) 456-3675 ' Fax No. (509) 456-4703 * TDD No. (509) 324-3166 master\mechperm.hnd Lb- 0" t\A‘c4r4w. 1,p3 an a I /1 • ADDAss. ivt 1-17L-6 ZONE :3 ROAD WIDTH! 35 FRONT -2-6) RANKING: COMMENTS. '7;Thl, VVED SY-- 44\lwwk_v: t_x\-- L-(3 RECOVED SPOKANE OMNI JUN 17 199 3IONOFBUILDINGAN