1994, 04-21 Permit App: 93011386 ResidencePROJECT NUMBER= 93011386
t/(
APPLICA'T'ION k
DAT = PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17912 E MISSION AVE
ADDRESS= OTIS ORCHARDS WA 99027
PARCEL#= 55181=23MR
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 005272 PLAT NAMESSP-872-93,
BLOCK= LOT= 1 ZONE= UR -3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= 170 DEPTH= 2600 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= BOORMAN, JERRY & JOAN
STREET -44700 KENNEY RD
ADDRESS= OTIS ORCHARDS WA 99027
PHONE= 509 926 3104
CONTACT NAME= JERRY OR JOAN BOORMAN PHONE NUMBER= 509 926 3104
BUILDING SETBACKS: FRONT= 50 LEFT= 45 RIGHT= 45 REAR= 100+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
4-02c:2— 9
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS:
W46,0.2 afptotedd Waichv "Lr-
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
l'4401:4)CJ JiL‘
PLANNING UNPLATTED/SEGREGATED PROPERTY &/
COMMENTS:
FIRE DISTR
COMMENTS:
— $ :
PWMPW
or
/If rrir 14
nae Pcit-r mores
PROJECT NUMBER= 93011386 APPLICATION
DATE= 11/22/93 PAGE= 02
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 30 X 80 SQ FT= 2300 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE M-1 VN 700 5600.00
RESIDENCE R-3 VN 1690 92950.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 635.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 114.30
RADON MONITOR 1 12.57
SALES TAX 1 1.01
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 3 3.00
VENTILATING FANS 5 50.00
AIR HANDLER <=10,000 CFM 1 12.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18.00
TUBS 2 12.00
SHOWERS 2 12.00
SINKS 4 24.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
WATER USING DEVICES 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 767.38 .00 767.38
PROJECT NUMBER= 93011386 APPLICATION DATE= 11/22/93 PAGE= 03
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 97.00 .00 97.00
PLUMBING PERMIT 84.00 .00 84.00
948.38
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 948.38
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
L, General Information 4
Job address t
/ `? '?/2 tit /SS'
j Parcel number I? 7 /\11
1
Owner
2 A ,'V
Ur'
Madmgaddress f r' n
s
City
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[ Site Information
i
Legal Descnptton
State
(C),e)--s IL
`1a E 7
Water Dutnct `
CD tis 0 k 1p499-7� l\
L Project Information `
I7Permit Use, /
o se,
L Building Information
Dwelling mitts
Building dimensions
301<W) .
Occupant load
3 8cP
'Total square rootage
boo
Number ot:
Phone
Fz6- 3Ivy
Zip
?9a 2.7
I New
uare footage breakdown
am floor
16f0
Second Iloor
Finished basement
Un[ntshed basement
tiarage
Uncovered /covered deck
Other
[Contractor Information `
Building contractor /r
License number
�S eA4f 3/ 4 n
at ing address
9 2 t -? 24/3
Phone
City, sttaty zip S
Ct.J4s
Heating contractor
IAddition
Building height
tteq'd pa rtang Handicap parking
Remodel
IChange ()Luse
Ston
Spnnkler system CnttcalMatenal
1
Heating and insulation information (R—values)
Heat source
Hat ceiling
Below grade wall
Door (u—value)
Intal window area
Plumbing contractor
License number
Mailing address
City, state, zip
Vaulted ceihng
Floor
Window
Above grade wall
Slab on grade
Furnace et6xncy
of poor area
Phone
License number
Mailing address
City, state, zip
Phone
Other / Lender
License number
Mailing address
City, state, zip
Phone
!PROTECT CONTACT
.jnA-N 73 66 /2 M 4t)
PHONE
'702 6 3 /oL/
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
PLUMBING PERMIT API"LICATION
(PROJECT ADDRESS:
OWNER: b 4 JO J e (At* Y d lrt� moi'\
MAILING ADDRESS:
CONTRACTOR:
MAILING ADDRESS:
(street)
PHONE:
(city/state)
LICENSE:
PHONE:
(street)
(city/state)
PLUMBING FIXTURES
URES
DESCRIPTION DETAIL
8112
TOILETS
Kao
B06
WATER CLOSETS, BIDETS
#�7OF IMILTI- I /UNIT UN
ITS MED BY NIT
EQUALS
x
$6
URINALS
TUBS
x
$6
BATH, JACUZZI, SPA, GARDEN
x
$6
SHOWERS (per trap)
SINKS
BASE, STALL, ON—SITE BUILD
B07
B08
Bog
Bio
811
DB2
B13
DISHWASHER
B14
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
x
x
$6
$6
CLOTHES WASHER
r
x
$6
x
$6
GARBAGE DISPOSAL/GRINDER
WATER SOFTENER
x
$6
x
$6
ELECTRIC HOT WATER TANKS
FLOOR DRAINS
(NOTE: if gas water tank, see mechanical)
x
$6
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
ROOF DRAINS/OVERFLOW DRAINS (ea.)
FOUNTAINS, DRINKING
x
$6
x
$6
B16
B16
B17
WATER PIPING/DRAIN-WASI'b-VENT
SEWAGE EJECTORS
INSTALLATION, ALTERATION OR REPAIR
x
$6
GRINDER, SUMP PUMP
x
$6
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
1
x
$6
B18
CROSS -CONNECTION DEVICES
819
INTERCEPTORS
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
x
$6
820
B21
MEDICAL GAS (per outlet/bottle station)
MISCELLANEOUS FIXTURES
NITROUS, OXYGEN
x
$6
x
$6
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
\MASTER\PLUMPERM.HND
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 * (509) 456-3675
MECHANICAL ,PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
MAILING ADDRESS: 4-17 Q 6 , /0 r /< ex..) L»
(street)
CONTRACTOR: 4.9d0 G
PHONE: z
3 I y
OV` /5 FU27
(city/state) (zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(Zip)
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 * (509) 456-3675
master\mechperm.hnd
DESCRIPTION OF WORK
#
OFUNITSPLUOEW
MULTI—
COST
/UNIT
EQUALS
AMOUNT
FUEL BURNING APPLIANCE
= or <100,000
=
$12
-
:
BO3 FUEL BURNING APPLIANCE
> 100,00o
=
$15
-
:
B04 UNLISTED FUEL BURNING APPLIANCE
= or <400,000
s
$50
-
:
B:O5< UNLISTED FUEL BURNING APPLIANCE
>400,000
=
$100
-
s
BOG:: USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000
=
$50
:
Bt3T USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
s
$100
-
:
BOILER/REFRIGERATION
1-100M B'ru
s
$12
-
:
BO BOILER/REFRIGERATION
101 —500M BTU
s
$20
-
:
B10 BOILER/REFRIGERATION
501-1,000M BTU
=
$25
-
:
1311 BOILER/REFRIGERATION
1,001-1,750M BTU
s
$35
-
:
Bit BOILER/REFRIGERATION
+1,750M BTU
s
$60
-
:
B13
GAS LOG, GAS INSERT, AND/ GAS FIREPLAC,
-
/
_
$10
-
:
B]+`
-
_
$10
-
:
RANGE
B15 DRYER
-
_
$10
-
s
B16 FUEL BURNING WATER HEATER
-
1
$10
-
:
817::: MISCELLANEOUS FUEL BURNING APPLIANCE
-
_
$10
-
:
B18 GAS PIPING (ea. outlet)
-
0 '
_
81
-
s
1119 DUCT SYSTEMS
-
_
$10
-
:
B20 VENTILATING FANS
-
s
$10
-
:
B21 AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
L
_
$12
-
:
B22 AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
s
$15
-
s
B23 EVAPORATIVE COOLERS
-
_
$10
-
:
B24' TYPE I HOOD
-
_
$50
-
s
I325< TYPE II HOOD
-
s
$10
-
:
826: HEAT PUMP/AIR CONDITIONER
0-5TONS
=
$12
-
:
827 AIR CONDITIONER
6-15 TONS
s
$20
-
s
B28'AIRCONDTTI,ONER
AIR CONDTTIbNER
16-30 TONS
31-50 TONS
=
=
$25
$35
-
-
:
:
B29>
B30 AIR CONDITIONER
+50 TONS
s
$60
-
:
B31; LPG STORAGE TANK
-
_
$10
-
:
B32j: WOOD OR PELLET STOVE,/INSERT
-
_
$25
-
:
NOTE: MINIMUMPERMIT FEE IS $35.00
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 * (509) 456-3675
master\mechperm.hnd
ADDRESS*
ZONE:
ROAD WIDTH: t.
FRONT: _awl FLANKING:
COMM5NTS:
REVIEWED _
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04/26/94 07:12 12509 324 1567
APR -25-'94 09:40 ID:UTILITY SPO
- 4244/93
SP CT -Y HEALTH
TEL NW -4713
J VVI
#314 Pew
TYPE OF SEWAGE SYSTEMi
5S
LINEAL OR SQUARE FOOTAGE,
r-
TRENCH WIDTH: 3rr' .. - -._—
DEPTH FROM ORIGINAL GROUND SURFACE TO BOTTOM
OF SEWAGE SYSTEM: /til=���a ?f4• •hgX _
OTHER: f+-✓� • *// �� /J '4v'
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