1994, 03-24 Permit App: 94002405 ResidenceOJECT NUMBER= 94002405 APPLIC1AON,
r PERMIT ******
*' ****** THIS IS NOT A
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A -PERMIT-------
PEN______ ---------- --
17920 MONTGOMERY AVE
PARCEL#= 55074.0405PTN
SITE STREET
ADDRESS= GREENACRES WA 99016
PERMIT USE= NEW RESIDENCE/GARAGE - NAT GAS
DATE= 03/24/94 PAGE= 01
PLAT#= 005477 PLAT NAME=
BLOCK= LF/A= F
AREA= 00000000 DWELLINGS=
# OF BLDGS=
P-896-93
3 .. = UR 3.5 DIST#= 315 R/W= 60
WIDTH= 155 DEPTH=
1 WATER DIST =
PHONE= 509 448 6943
OWNER= SHERFEY, DAN
STREET= 6017 E 37TH
ADDRESS= SPOKANE WA 999223
BUILDING SETBACKS: FRONT= 47 LEFT= 22
RIGHT= 22 REAR= 239
CONTACT NAME= DAN SHERFEY
**
**************************** REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
PHONE NUMBER= 509 448 6943
DEPARTMENT
BUILDING REVIEW COORDINATOR - D DOMPIER
COMMENTS:
1
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APP'.ACH/FLOOD PLAIN/DRAI AGE
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY
(�J
ge74,(54,450/, i
PROJECT NUMBER= 94002405 APPLICATION
COMMENTS:
DATE= 03/24/94
PAGE= 02'*
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DAN H SHERFEY CONSTRUCTION PHONE= 509 448 8655
STREET= 6017 E 37TH AVE
ADDRESS= SPOKANE WA 99223
NEW= X REMODEL=
DWELL UNITSEW= 1 ADDITION= CHANGE OF USE=
OCCUP. LD= BLDG HGT= 16
BLDG W X D = 29 X 60 SQ FT= 1000 SPRINKLER= N STORIES= 1
REQ PARKING= #HANDICAP=
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT
VALUATION
BASEMENT U R-3 VN 1000
1000
GARAGE M-1 VN 528 4224 14224.00
RESIDENCE R-3 .00
VN 1000 55000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION y
STATE SURCHARGE 509.00
RADON MONITOR Y 4.50
SALES TAX 1 12.57
RESIDENTIAL SURCHARGE 1 1.01 Y 91.622
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= R & R HEATING & AIR COND INC PHONE= 509 484 1405
STREET= 4019 E CENTRAL
ADDRESS= SPOKANE WA 99207
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 PHONE= 509 535 0727
STREET= 5805 E SHARP AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
TOILETS/BIDETS
TUBS
SHOWERS
SINKS
DISH WASHERS
CLOTHES WASHER
QUANTITY FEE AMOUNT
2 12.00
1 6.00
1 6.00
3 18.00
1 6.00
1 6.00
4
GARBAGE DISPOSAL -- 1 6.00
FLOOR DRAINS 1 6.00
PROJECT NUMBER= 94002405 APPLICATION
DATE= 03/24/94 PAGE= 03
WATER USING DEVICES 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
.00 618.70
618.70
BUILDING PERMIT .00 64.00
MECHANICAL PRMT 64.00
PLUMBING PERMIT 78.00 .00 78.00
760.70
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 760.70
3)00 aefek
c"nla6,7(7
******************************** THANK YOU ************************************
03/28/94 13:24 05uy VLo oouo
Department of Labor & Industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504-4450
REGISTRATION VERIFICATION
(206) 956-5226
SCAN 269-5226
FAX (206) 956-5228
FOlym rom r� RP' rag
"'"kgi scrod name _
_.. �iegistratiunnum�er .. .. .."�. .....C...
pia office and
&a
1d be Your Certificate tof e Registration
Please keep this record until you u rece ve your
sh����ld be received wit
Certificate of Registration..
F625.036-000 registration verification 4-93
'[0C 06£ 'ON
'Mani. you
89££ 9ZS 60S * NOIOd?JLNOO SISO3 SZ:VI t76iSZ!£0
Contractor Information 1
APPLICAT•ION WORKSHEET
General Information
Job address - o E,
Owner
Mailing address
City
03
Parcel number
Phone
State Zip
Site Information 1
Legal Dcscnption
CO I
Property size
.j')
am 7t
Zone
Water Disinct
Number of:
Inspector
Road width
Dwellings Buildings
Project Information
Permit Use
Addition
Remodel
Change or use
Building Information
Dwelling units
Occupant load
Building height
Stories
Cntical Material
Building dimensions
I otal square footage t
Req d parting
handicap parking
Spnnkler system
i Mailing address
l
City, state, zip
Square footage breakdown
Main tloor
Uncovered /covered deck
Second Iloor
Other
Finished basement
License number
Unfinished basement
Mailing address
Garage
i Mailing address
Building contractor
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
i Mailing address
City, state, zip
City. state, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
PROJECT CONTACT
PIIONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION
3.0JEcr ADDRESS:
1 '� � / V1AC
WNER:
AILING ADDRESS:
ONTRACFOR:
[AILING ADDRESS:
(street)
302::
303'
B04.
B05
806::
1307`'
B08
B09
B10
B11 B12
$13
street
PHONE:
(city/state)
LICENSE:
PHONE:
(city/state)
(zip)
(zip)
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED FUEL BURNING APPLIANCE
UNLISTED FUEL BURNING APPLIANCE
ust meet WSEC's min. AFUE ratin
ust meet WSEC's min. AFUE ratin
USED APPLIANCE
USED APPLIANCE
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
< BOILER/REFRIGERATION
` BOILER/REFRIGERATION
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
1314' RANGE
B15
B1G DRYER
FUEL BURNING WATER HEATER
B17 MISCELLANEOUS FUEL BURNING APPLIANCE
1-100M BTU
101-500M BTU
501-1,000M BTU
1.001-1.750M BTU
+1,750M BTU
B]$` GAS PIPING ea. outlet
DUCT SYSTEMS
B20' VENTILATING FANS
B21 AIR HANDLER DOES NOT include duct tems
B22 AIR HANDLER DOES NOT include duct terns
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
B31 LPG STORAGE TANK
B32` WOOD OR PELLET STOVE/INSERT
PER MI FEE t $35.00
B24
B25.
B26
B27
B28.
B29
1330
NOTE: MI
SIGNATURE:
= or <10,000 CFM
>10,000 CFM
B23
0-5 TONS
6-15 TONS
16-30 TONS
31-50 TONS
+50 TONS
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
Spokane County Division of Buildings
1026 W. Broadway * Spokane, WA 99260
Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 ' TDD No. (509) 324-3166
master \mcchperm.hnd
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: /7c77()
OWNER:
PHONE:
MAILING ADDRESS:
CONTRACTOR:
(street) (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
MAS ERVLUMPERM HND
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
ssuLn-
FLUID BY
COST
/UNIT
sevwu
AMOUNT
B02 TOILETS
WATER CLOSETS, BIDETS
.-
x
$6
=
$
B0I URINALS
-
x
$6
=
$
B04 TUBS
BATH, JACUZZI, SPA, GARDEN
)
X
$6
=
$
BOA SHOWERS (per trap)
BASE, STALL, ON-SITE BUILD
1
x
$6
=
$
B06 SINKS
LAYS/BASINS, BAR, FLOOR. KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD (PREP/CULINARY/MFAT)
3
x
$6
=
$
B07 DISHWASHER
x
$6
=
$
B08 CLOTHES WASHER
-
/
x
$6
=
$
009 GARBAGE DISPOSAL/GRINDER
-
I
x
$6
=
$
010 WATER SOFTENER
-
x
$6
=
$
BI1 ELECTRIC HOT WATER TANKS
(NOTE: it gas water tank, see mechanical)
x
$6
=
$
1312 FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
/
x
$6
=
$
B13 ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
B`1'4 FOUNTAINS, DRINKING
-
x
$6
=
$
815 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,SWAMPCOOLERS
Z
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
=
$
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 PERMIT FEE IS $35.00
J'
SIGNATURE: /
Subtotal
7�
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ 73.`
County Division of Buildings
W. Broadway Avenue • Spokane, WA 99260
PLEASE MAKE CHECKS PAYABLE' TO;
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 * Fax No. (509) 456-7403 • TDD No. (509) 324-3166
MAS ERVLUMPERM HND
•
60'
- L-
/V\oi+gamen
Roa d
rsolyda�ea Yr���.,1l.ni
r—
male IO'= y
Lo -f. c
SP 896-93
Parcel nvM er-
T `) f\ I lr
)/At +1�IInTH FLAN ING
1=RONT % 1
:.;UMMENTB
!DAD BY
SO'
2
n9`
n
03/28/94
s
Cart C
?/4'V3
CliI /1 Lip JAI!
15:08
$509 324 1567
NeA,
%,4404, �,
�P
Si'44, cf
CT—Y MhA1:4t1
ice
AIM emmell
LRt i�
t.kit& ,.a: