1994, 03-24 Permit App: 94002404 Residence-� PROJECT NUMBER= 94002404 ALLIGATION
******
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
DATE= 03/24/94 PAGE= 01
******
SITE STREET=
ADDRESS=
PERMIT USE=
17914 * MONTGOMERY AVE
GREENACRES WA 99016
PARCEL#= 55074.0405PTN
NEW RESIDENCE/GARAGE - NAT GAS
PLAT#= 005477
BLOCK=
AREA= 00000000
# OF BLDGS=
PLAT NAME
LOT=
F/A=
DWELLINGS=
OWNER= SHERFEY, DAN
STREET= 6017 E 37TH
ADDRESS= SPOKANE WA 999223
CONTACT NAME= DAN SHERFEY
BUILDING SETBACKS: FRONT= 47
93
ZONE= UR 3.5
F WIDTH= 105
1 WATER DIST
LEFT= 22
DIST#=
DEPTH=
G
215 R/W= 60
PHONE= 509 448 6943
PHONE NUMBER= 509 448 6943
RIGHT= 22 REAR= 139
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
COMMENTS:
BUILDING
COMMENTS:
ENGINEER
COMMENTS:./ �C�� O/1 ,� a ;c
REVIEW REQUIREMENT
REVIEW COORDINATOR - D DOMPIER
PLAN REVIEW REQUIRED
E -4 -p -
SETBACK REVIEW REQUIRED
PROACH/FLO D P IN/DRAINAGE 7g,:,7242/A (/� 2 C74-
' J�
HEALTHDIST
COMMENTS:
PLANNING
COMMENTS:
NEW OR ADDITIONAL WASTE WATER
5
\*.:.:?4e17
Lor
UNPLATTED/SEGREGATED PROPERTY 3j& /qL/ 4 ,%2//C A14)
G c�O coaa e4 ,4,1)
PROJECT NUMBER= 94002404 APPLICATION DATE= 03/24/94 PAGE= 02
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DAN H SHERFEY CONSTRUCTION
STREET= 6017 E 37TH AVE
ADDRESS= SPOKANE WA 99223
PHONE= 509 448 8655
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 16 STORIES= 1
BLDG W X D = 29 X 60 SQ FT= 1000 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1000 11000.00
GARAGE M-1 VN 528 4224.00
RESIDENCE R-3 VN 1000 55000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 509.00
STATE SURCHARGE Y 4.50
RADON MONITOR 1 12.57
SALES TAX 1 1.01
RESIDENTIAL SURCHARGE Y 91.62
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= R & R HEATING & AIR COND INC
STREET= 4019 E CENTRAL
ADDRESS= SPOKANE WA 99207
PHONE= 509 484 1405
ITEM DESCRIPTION QUANTITY . FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
DUCT SYSTEMS 1 10.00
VENTILATING FANS 3 30.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= ALPHA PLUMBING & HEATING
STREET= 5805 E SHARP AVE
ADDRESS= SPOKANE WA 99212
PHONE= 509 535 0727
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
FLOOR DRAINS 1 6.00
WATER USING DEVICES 2 12.00
PROJECT NUMBER= 94002404 APPLICATION DATE= 03/24/94 PAGE= 03
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 618.70 .00 618.70
MECHANICAL PRMT 64.00 .00 64.00
PLUMBING PERMIT 78.00 .00 78.00
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
760.70 .00 760.70
911
'1616/10
0-
******************************** THANK YOU ************************************
Department of Labor & Industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504-4450
1,00V'At.:1141-inn MuilkaL
Ta from
Cle.11 lona(_....�...�_ .. _ - ....__ .._.. Ol�rm egq grs9C)
kegtsicred name _.
RegiBffaLton ntutlOCT •�
PtN HSC - a
To: �ig ZNERF�
REGISTRATION VERIFICATION
(206) 956-5226
SCAN 269-5226
FAX (206) 956-5228
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
F625.036-000 registration verification 4-93
t0a 06£ 'ON
'Thank you
89££ 9E6 60G NOlOd2i.N00 SIS03 SEM b6/S2/E0
_ General Information
Job address?
ff IY
APPLICATION 'WORKSHEET
94- 714
/v1 o n +5
Parcel number
—Owner
`1VMling address
—City
Phone
State Zip
Site Information
Legal pest
tion
fro rtysize—'Riitr�nZrci
Z Sv
Number of:
Dwellings Buildings
Zone
inspector
Road Width
Project Information
Permit Use
New
Addition
Remodel
Change of use 1
Building Information
Dwelling units 1 Occupant load
Building height
Stories
Building dimensions 11otalsquare footage
1
Req'dparking
Ha ndicap parking
Sprinkler system
Critical Material
Square footage breakdown
Main poor
I Uncovered /covered deck
Second Iloor
t r
Finished basement
Unfinished basement
-Garage
Contractor Information
Heatin_ and insulation information R -values
• eat source
MEM•
.vegra e wa
Phone
oor
. on gra . e
a oor u—va ue
in . ow
urnace a icency
ota win. ow area
City, state, zip
Building contractor
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Ma ding address
City, state, zip
City, state, zip
PROJECT CONTACC
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: 17 V/ /( E' 4,46047
OWNER:
(PHONE:
MAILING ADDRESS:
(street)
CONTRACTOR:
(city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
master \mechperm.hnd
DESCRIPTION OF WORK
# I „ULl-
OF UNITS Iiirr
COST
/UNIT
.Dano
AMOUNT
1302
FUEL BURNING APPLIANCE
= or <100.000
/
$12
-
80:3'
FUEL BURNING APPLIANCE
>100,000
.
$15
-
s
B04
UNLISTED FUEL BURNING APPLIANCE
= or <400,000
.
$50
-
s
B05'
UNLISTED FUEL BURNING APPLIANCE
>400,000.
$100
-
s
1306
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000.
$50
-
s
1307'
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000.
$100
-
B08:
BOILER/REFRIGERATION
1-100M BTU.
$12
-
B09
BOILER/REFRIGERATION
101-500M BTU.
$20
-
B10!
BOILER/REFRIGERATION
501-1,000M BTU$25
-
s
B11i
BOILER/REFRIGERATION
1,001-1,750M BTUs
$35
.
1312
BOILER/REFRIGERATION
+1,750M BTU.
$60
-
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
—
.
$10
-
s
814
RANGE
—
.
$10
-
s
B15`
DRYER
—
.
$10
-
B16''
FUEL BURNING WATER HEATER
—
/$10
-
s
B17>
MISCELLANEOUS FUEL BURNING APPLIANCE
—
.
$10
-
s
B18
GAS PIPING (ea. outlet)
—
Z.
Si
-
s
B19
DUCT SYSTEMS
—
i.
$10
-
B20
VENTILATING FANS
—
1.
$10
-
B21'
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM.
$12
-
s
B22
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
.
$15
-
s
B23
EVAPORATIVE COOLERS
—
.
$10
-
B24
TYPE I HOOD
—$50
-
B25
TYPE II HOOD
—.
$10
-
B26
HEAT PUMP/AIR CONDITIONER
0-5 TONS$12
-
s
1327'
AIR CONDITIONER
6-15 TONS$20
-
B282
AIR CONDITIONER
16-3o TONS.
$25
-
B29
AIR CONDITIONER
31-50 TONS
.
$35
-
s
B30
AIR CONDITIONER
+50 TONS.
$60
-
,
B31
LPG STORAGE TANK
—
.
$10
-
s
B32
WOOD OR PELLET STOVE/INSERT
—$25
-
s
Spokane
1026
NOTE: MINIMUM PER T F[s,F_ X $ 5.00
/f
SIGNATURE: /
Subtotal
(7 V--
$25.00
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
S y y�
`/7/
G
County Division of Buildings
W. Broadway • Spokane, WA 99260
PLEASE MAKE CHICKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
master \mechperm.hnd
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: 17 7// t out,
OWNER:
MAILING ADDRESS:
'PHONE:
CONTRACTOR:
(street) (city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
Tcl. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
WASTER PLUMPERM.HND
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
ssutn-
PLIED BY
COST
/UNIT
sQUALS
AMOUNT
lot TOILETS
WATER CLOSETS, BIDETS
2
x
$6
=
$
B03 URINALS
—
x
$6
=
$
B04 TUBS
BATH, JACUZZI, SPA, GARDEN
l
X
$6
=
$
B05 SHOWERS (per trap)
BASE, STALL, ON—SITE BUILD
/
x
$6
=
$
1306 SINKS
LAVS/BASINS, BAR, FLOOR, KrrCHEN,
LAUNDRY. UTILITY, JANITOR. PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
X
$6
=
$
B07 DISHWASHER
—
'
x
$6
=
$
B0$ CLOTHES WASHER
—
/
x
$6
=
$
B09 GARBAGE DISPOSAL/GRINDER
—
/
x
$6
=
$
B10 WATER SOFTENER
—
x
$6
=
$
111 ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
=
$
B 2FLOORDRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
/
x
$6
=
$
87;3 ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
B14 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 COFFEEMAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR. SWAMP COOLERS
x
$6
=
$
B18 CROSS—CONNECFION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.PD. FOR: VATS, SUMPS,
TANKS, BOILERS. & SPRINKLER SYSTEMS
X
$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
x
$6
=
$
Spokane
1026
NOTE: MINIMUM PER IT FEE IS $35.00
I
SIGNATURE: !
Subtotal
7�.'-
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ 7?S
County Division of Buildings
W. Broadway Avenue * Spokane, WA 99260
PLEASE_
SPOKANE
MAKE_ CHECKS PAYABLE TO:
COUNTY PERMIT CENTER
Tcl. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
WASTER PLUMPERM.HND
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