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1993, 12-03 Permit App: 93011621 ResidencePROJECT NUMBER= 93011621 APPL' :rr ION DATE= 12/03/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMI T SITE STREET= ADDRESS= PERMIT USE= PLAT#= BLOCK= AREA= # OF BLDGS= OWNER= STREET= ADDRESS= 17711 E MONTGOMERY AVE PARCEL#= 55071.0137 GREENACRES WA 99016 RESIDENCE W/ ATTACHED GARAGE (F.A. GAS) 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRICG LOT= 2 ZONE= UR -3.5 DIST#= F/A= F WIDTH= 1050 DEPTH= 345 R/W= 60 # DWELLINGS= WATER DIST = PHONE= 509 924 0573 BROWN, DONALD D. 17705 E MONTGOMERY RD GREENACRES WA 99016 CONTACT NAME= DON AYERS PHONE NUMBER= 509 276 8327 BUILDING SETBACKS: FRONT= 345 LEFT= 95 RIGHT= 30 REAR= 30 ****************************** REVIEW INFORMATION ***************************** REVIEW REQUIREMENT DEPARTMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED ?APPROVAL: J LARSON 1/3 14 ENNEER COMMENTS. 4/C/ t • , . i ��_ i� is RAINAGE DATE: 12/03/93 HEALTHDIST NEW OR ADDITIONAL WAS COMMENTS: PLANNING *** COMMENTS ER IA / .'...1 . /Li_i.,t1 -i / #4 I 1� lielMnfik&517 SITE PLAN REVIEW REQUIREDf�''^-z'L 4,/ 1 k I/ BUILDING CONTRACTOR= AYERS CONSTRUCTION STREET= 11920 N RUBY ST .?ADDRESS= SPOKANE WA 99218 ERM T * *g ***5' 14!se **** *** /21 PHONE="09 466 ti C't�, 3 A W NEW= X REMODEL= ''ADDITION= CHANGE OF USE= PROJECT NUMBER= 93011621 APPLICATION DATE= 12/03/93 PAGE= 02 DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 18 STORIES= 1 BLDG W X D = 62 X 60 SQ FT= 4036 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 2018 22198.00 COV DECK R-3 VN 144 1008.00 GARAGE M-1 VN 768 6144.00 RESIDENCE R-3 VN 2018 110990.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 783.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 140.94 RADON MONITOR 1 12.57 SALES TAX 1 1.01 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= BARTON HEATING & A/C INC STREET= 11816 E MANSFIELD AVE #003 ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION PHONE= 509 922 5000 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 HEAT PUMP OR A/C 0-5 TONS 1 12.00 WOOD/PELLET STOVE/INSERT 1 25.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= S T PLUMBING STREET= 13626 S WALKER LN ADDRESS= MEDICAL LAKE WA 99022 ITEM DESCRIPTION TOILETS/BIDETS TUBS SHOWERS SINKS DISH WASHERS CLOTHES WASHER WATER USING DEVICES PERMIT TYPE PHONE= 509 299 7811 QUANTITY FEE AMOUNT 3 18.00 3 18.00 1 6.00 6 36.00 1 6.00 1 6.00 3 18.00 FEE AMOUNT AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 93011621 APPLICATION DATE= 12/03/93 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 942.02 .00 942.02 MECHANICAL PRMT 122.00 .00 122.00 PLUMBING PERMIT 108.00 .00 108.00 1172.02 PROCESSED BY: CAROL BRADBURN PRINTED BY: CAROL BRADBURN .00 1172.02 ******************************** THANK YOU ************************************ REGISTERED AS PROVIDED BY LAW AS A: C )144.$T Curr: REGISTRATION NUMBER EXPIRATION DATE CC()1 t.Yl:i 5t,*0 5661' 12/31/93 EFFECTI4E: UAL: : 01/09/Y2 1,1.`/2 _ ;L, `;Y SIGNATURE (91.) ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES Project Information 1 5;--7(I , 0/37. A 9101 APPLICA<TION:WORKSHEET General Information Owner i Mailing address '.r L j 7 City Phone J .F[ ('171 State Zip / 1 LSite Information Legal Descnption i C� i.� S• 7 /1 Property size - Water Distnct Number of: Dwellings Buildings Eos o3dwidths Permit Use ✓I/ i V 1 New Addition Remodel Change of use 1 Building Information Dwelling units Building dimensions Occupant load , . Total square tootage Building height Keg parking Handicap parking Stories J Spnnkler system Cntical Matenal 1 Square footage breakdown Main floor i /45 lin ea / covered deck f '% T Second floor Other Nmished basement Floor Unfinished basement Door (u -value) Garage ,- Furnace etticency Contractor Information Heating and insulation information (R -values) Heat source flat ceiling ',? /;.:, r;'.? 4 • Vaulted ceding Above grade wall •.?r %S Below grade wall i' -....1 Floor Slab on grade Door (u -value) Window Furnace etticency 'Total window area _ ?'/ (2_-1,--0 % of floor area Budden§contractor ,, ,., ^< L'.- 0,,/ I'fJG 1 1 t.),';' Plumbing contractor License number .4 /' r.: .; . I s ij 1 (c. 1.-' Phone �} ,ry ', r� License number Mailing address Phone _%-ee, / Mailing address ';' "-s) ,- _ City, state, zip,„ i , ,1.. - i City, state, zip Heating contractor AaP?"yrim Other / Lender Phone License number :,' 't- / /' k,':: Phone ',•i' <. s -,ti- ‘.? a: License number Mailing address /,41 S / ,r__ , ,- //c4 '._ F, fX° Mailing address City, state, zip ;/ % ( ,/ C,' City, state, zip PROJECT CONTACT PHONE ., ) Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 MECHANICAL ,PERMIT APPLICATION PROJECT ADDRESS: 7 /) j , OWNER: MAILING ADDRESS: / „17,71?' CONTRACTOR: fir (street) (PHONE: MAILING ADDRESS: /' (city/state) LICENSE: PHONE: (Zip) (street) DESCRIPTION OF WORK (city/state) (zip) *our' COST OF UNITS I�By /UNIT I BOUAU AMOUNT 'B02 FUEL BURNING APPLIANCE BO: B04. B05 Bt6 FUEL BURNING APPLIANCE = or <100,000 >100,000 $12 $15 UNLISTED FUEL BURNING APPLIANCE = or <400,000 $50 B07' B08 UNLISTED FUEL BURNING APPLIANCE >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) BOILER/REFRIGERATION 13113; B1i. B12 B13 114 B15 >400,000 $100 1-100M BTU $12 BOILER/REFRIGERATION 101-500M BTU $20 BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION 501-1,000M BTU 1,001-1,750M BTU $25 $35 +1,750M BTU $60 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE RANGE DRYER $10 $10 NO $10 Bib::: FUEL BURNING WATER HEATER 818 . 1319> B20 $10 • MISCELLANEOUS FUEL BURNING APPLIANCE GAS PIPING (ea. outlet) DUCT SYSTEMS $10 3 $1 $10 !321 1322` B23< 824: 8 13 B27 VENTILATING FANS '5 $10 AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM $12 AIR HANDLER (DOES NOT include duct systems) EVAPORATIVE COOLERS TYPE I HOOD >10,000 CFM $15 $10 $50 TYPE II HOOD $10 HEAT PUMP/AIR CONDITIONER AIR CONDITIONER 0-5 TONS $12 6-15 TONS $20 AIR CONDITIONER 16-30 TONS $25 B29' B30 1331 B321 AIR CONDITIONER 31-50 TONS $35 AIR CONDITIONER +50 TONS $60 LPG STORAGE TANK $10 WOOD OR PELLET STOVE/INSERT NOTE: MINIMUM PERMIT FEE IS $35.010 SIGNATURE: ,— )'' 1.) master\mechperm.hnd $25 Subtotal PLUS: PROCESSING FEE TOTAL PERMIT FEE DUE $25.0( $ SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 * (509) 456-3675 PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: PHONE: MAILING ADDRESS: CONTRACTOR: (street) (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 PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS much— PLIED BY COST /UNIT EQUALS AMOUNT $02 TOILETS S WATER CLOSETS, BIDETS x $6 = $ B03 URINALS - x $6 = $ 1304 TUBS BATH, JACUZZI, SPA, GARDEN 3 x $6 = $ B05 SHOWERS (per trap) SINKS BASE, STALL, ON—SITE BUILD LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) 1 (a.. x x $6 $6 = = $ $ 006 B07 DISHWASHER - / x $6 = $ B08 CLOTHES WASHER - / x $6 = $ B09 GARBAGE DISPOSAL/GRINDER - x $6 = $ B10 WATER SOFTENER - x $6 = $ 1311 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 = $ 1314 FOUNTAINS, DRINKING - x $6 = $ B15 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION, ALTERATION OR REPAIR x $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS J X $6 = $ B18 CROSS—CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS x $6 = $ B19INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 = $ 021 MISCELLANEOUS FIX TURES x $6 = $ NOTE: MINIMUM PERMIT 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 • ZONE: ROAD WIDTH: FRONT:.FLANKING: �P12____ COMMENTS: REVIEWED BY: A ,x..../77/I::- &Ren//lc Vis_ poor ,/or r» scALC 9. .• rtJ E. g',5!"'" TYPE OF SEWAGE SYTSFEMEC:F1 LINEAL OR SQUARE FOOTAGE: TRENCH WIDTH: 34_11 DEPTH' FROM ORIGINAL GROUND SURFACE TO BOTTO r4 OF SEWAGE SYSTEM: /..2'001,. OTHER: 4 .-tgalle SIGNATUR ."'"a•YA" / DATE; JF'YOLI)CANNO.I INSTALL THIS SYSTEM ACCORDING TO THIS APPROVED PLAN, YOU MUST CALI [HE OFFICE AT 324-1560 PR;OR TO INSTALLATION. ft( CA( c R4' S eke fr A N. /40A/7-'iya,dviegy pkor P Am/ ,ver To s c c TOOIj HI1VM A -ID dS L9ST IC 602$ 170:0T C6/9T/N