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1995, 06-06 Permit App: 95001327 Residence• PROJECT NUMBER= 95001327 APPLICATION DATE PAGE= 01 ****** THIS IS NOT A PERMIT ****** (11 (0/6)5 PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMI SITE STREET= 17510 E MONTGOMERY AVE PARCEL#= 55073.0209 ADDRESS= GREENACRES WA 99016 PERMIT USE= RESIDENCE W/GARAGE — GAS PLAT#= 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC BLOCK= LOT= ZONE= SR -1 DIST#= G AREA= 00000001 F/A= F WIDTH= 100 DEPTH= 630 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = SPOKANE SUBURBAN OWNER= DARRINGTON, BRUCE R STREET= PO BOX 71 ADDRESS= LIBERTY LAKE WA 99019 CONTACT NAME= BRUCE BARRINGT®N PHONE= 509 226 0703 PHONE NUMBER= 509 226 0703 BUILDING SETBACKS: FRONT= 280 LEFT= 10 RIGHT= 60 REAR= 100+ ********************** COMMENTS: BUILDING COMMENTS: ****** REVIEW INFORMATION ***************************** ;97 Y� --1 PLAN REVIEW REQIIREI REVIEW REQUIREMENT ,ern .,.1 i se�n7La.ns •6-aS SETBACK REVIEW REQUIRED ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: �` D 41,..0 ee s F —7 HEALTHDIST NEWORADDI IONAL WAS WATER ©%L 0/0, r 2-4.04-dv...., COMMENTS: O L/ ******************************* BUILDING PERMIT*,k**,t,t**-k***********,r****,t***** CONTRACTOR= OWNER PHONE= NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 20 STORIES= 2 BLDG W X D = 30 X 40 SQ FT= 1200 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N PROJECT NUMBER= 95001327 APPLICATION DATE= 03/10/95 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION GARAGE M-1 VN 1200 14400.00 RESIDENCE R-3 VN 1200 69600.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 567.50 STATE SURCHARGE Y 4.50 RADON MONITOR 1 12.57 SALES TAX 1 1.01 RESIDENTIAL SURCHARGE Y 102.15 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100,000BTU 1 12.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 2 2.00 VENTILATING FANS 2 20.00 HOOD -TYPE II 1 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER .PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 1 6.00 TUBS 1 6.00 SINKS 2 12.00 PERMIT TYPE BUILDING PERMIT MECHANICAL PRMT PLUMBING PERMIT FEE -AMOUNT AMOUNT PAID AMOUNT OWING 687.73 64.00 24.00 775.73 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO .00 .00 .00 687.73 64.00 24.00 .00 775.73 ******************************** THANK YOU ************************************ L General Information L Site Information Legal Description E ,Ion FT or Th fa 1�2.-orTtz 9 Cs2EEMItt'.R-.S S2R TiST i APPLICAT?ON WORKSHEET dd ress /'15 (O E. d/toftiTGok(E 2YAVE- . JI 1Tarc�55 37 3 0,109 Fhonr Owner u.at, IZ, 17R12(ZI1.1a---o..G---------55oct 22,E --011o3 ---- Maibngadddress _ -.- - Tho X. 11 ( State -- --- Tr City b efzT4- I _ do kG wAs N . C190 15 1 Yii.mile rty'v4' ACRES W(nntdAi 1 :DirtIS7•i9 Lone ' ?- Inspector .. L Project Information ` ermn Use QdzSuc�lse L Building Information Numberol: Roadwdth UWenin s -Eat- - i1111dmg 11- 11 1 Dwellmg units Occupant load Budding dimensions I out square lootage 3o c4o Square footage breakdown Main floor k GO Second Iloor Uncovered /covered deck Other Finished basement Unfinished basement j Addition 1 Remodel I Change of use Building height Stones Keq"d partsog I Handicap parking SpnnUer system It—nits! Materul Garage 'ZOC> LContractor Information II Buddmg coo rector rnru 94 License number 1 Flumbsog contractor CR.( Phone ai mg a ress License number ?bone -Miairgrddress City, state, zip I 'eatingcootracrt _ —License number a�mga ress — ny, Gala zip Phone City. state. rip Other/ Lender !Sersu number Plane bin mgaddreu Cry. state. np II PROIECI- CONTACT 1'IIONE Spokane County Division of Buildings 1026 West Broadway Ave ' Spokane. Wa 99260 " (509) 456-3675 II MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: 5/'0 E. M p- $ 1 OWNER: reQcA_C 12. • l R f -1 / L&rb-\ MAILING ADDRESS: kve 'PHONE: (street) CONTRACTOR: (city/state) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDI) No. (509) 324-3166 masmrM.rhprrm hnd DESCRIPTION OF WORK # wan— OF UNITS irer COST /UNIT Rooms AMOUNT 1102 FUEL BURNING APPLIANCE = or <100,000 1$12 _ s HQ3' FUEL BURNING APPLIANCE >100,000$15 - s B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) = or <400,000 $50 - s 1105' UNLISTED APPLIANCE (ADDTITONAL CHARGE) >400.000. $100 - B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,000$50 - s B07: USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000$1W - s BOB BOILER/REFRIGERATION 1-100MBIU$12 - s B09 BOILER/REFRIGERATION 101-500MBIU$20 - B10' BOILER/REFRIGERATION 501-1,000M BTU$25 - s B11' BOILER/REFRIGERATION 1,001-1,750M BrU$35 - s 812 BOILER/REFRIGERATION +1,750M BfU$60 - s 813 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - $10 - s B14 RANGE - $10 - s B15 DRYER- $10 - s 816 FUEL BURNING WATER HEATER -S10 - s 817 MISCELLANEOUS FUEL BURNING APPLIANCE -S10 - s B18 GAS PIPING (ea. outlet) - $1 - s 1119 DUCT SYSTEMS -$10 - s B20, VENTILATING FANS - $10 - s 821 AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM$12 - s B22 AIR HANDLER (DOES NOT include duct systems) >10,000 CFM515 - s B23 EVAPORATIVE COOLERS -$10 - s B24' TYPE IHOOD -$50 - s B25 TYPE II HOOD- $10 - s B26 HEAT PUMP/AIR CONDITIONER o—s TONS. S12 - $ B27 AIR CONDITIONER 6-15 TONS. $20 - s B28 AIR CONDITIONER 16-30 TONS . S25 - s B29 AIR CONDITIONER 31-50 TONS535 - r 1130 AIR CONDITIONER +50 TONS $60 - r 1331' LPG STORAGE TANK - $10 - s B32 WOOD OR PELLET STOVE/INSERT -$25 - s Spokane 1026 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE 5 County Division of Buildings W. Broadway • Spokane, WA 99260 PLEASE MAKE CI IECKS PAYABLE TO: SPOKANE COUNTY PERMPJ CENTER • ., Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDI) No. (509) 324-3166 masmrM.rhprrm hnd PLUMBING PERMTI' APPLICATION PROJECT ADDRESS: 17 5 1(D VAI n av,N�., ,! OWNER: S J S c• i R %`')2 2,146-mA J MAILING ADDRESS: l3t if CONTRACTOR: PHONE: (street) (city/state) 9'9611 (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES DESCRIPTION DETAIL #OF UNITS rsnn- ?LER00Y COST /UNIT ROOµi AMOUNT B02 TOILETS WATER CLOSETS, BIDETS 1 x $6 $ 1103 URINALS x 56 B04 TUBS BATH. IACUZZL SPA GARDEN 1 x 56 $ B05 SHOWERS (per trap) BASE, STALL. ON—SITE BUILD x 56 $ 806 SINKS LAVS/BASIN& BAR FLOOR. KITCHEN, LAUNDRY, UTILITY. JANITOR PHOTO, X—RAY. FOOD (PREP/CULINARY/MEAT) a_ x 56 $ B07 DISHWASHER x S6 $ B08 CLOTHES WASHER x $6 $ B09 GARBAGE DISPOSAL/GRINDER x 56 $ B10 WATER SOFTENER x 56 $ B11 ELECTRIC HOT WATER TANKS (NOTE: il ryas nater Ink. see mechanical) x $6 $ B12 FLOOR DRAINS AREA. CASE. COIL. TRENCH. CONDENSATE x 56 $ B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) x 56 $ B14 FOUNTAINS, DRINKING x $6 $ B15 WATER PIPING/DRAIN-WASTE-VENT INSTALLATION. ALTERATION OR REPAIR x $6 $ B16 SEWAGE EJECTORS GRLNDER SUMP PUMP x $6 $ 817 WATER USING DEVICES ICE ANDTOR COFFEE MAKER, 110SE BIB. STEAMER. PROOFER, CARBONATOR. SWAMP COOLERS x $6 $ 1318 CROSS -CONNECTION DEVICES VACUUM BREAKER. CHECK VALVE. AND R.P.B P.D. FOR: VATS. SUMPS, TANXS, BOILERS & SPRINKLER SYSTEMS x $6 $ B19 INTERCEPTORS GREASE TRAP. SAND TRAP.. CHEMICAL HOLDING TANK x 56 $ 820 MEDICAL GAS (per outlet/bottle station) NITROUS OXYGEN x 56 $ B21 MISCELLANEOUS FIXTURES x $6 $ NOTE: MINIMUM PERMIT FEE IS 535.00 SIGNATURE: Spokane County Division of Buildings 1026 W. Broadway Avenue • Spokane, WA 99260 Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TIM No. (509) 324-3166 WNTERVLUMPERM 11ND Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ PLEASE MAKE CIIECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Pv# REFtJN: C1d:6C07 Dept VENDOR: v. r 1 "Cc, Vendor Contact/Tel — FA= Ff.FC LGFS PAYMENT DOCUMENT SPOKANE COUNTY AUDITOR SHIP TO: Cordlrmmq Order BDL TO: Chance Order # Bid IID Blanket# RC# VI# FOB: ACCTG. PERIOD: PO DATE: BLDG; ROOM: DELIVERY DATE: WAREHOUSE: BUYER COMMENTS COMM LN# FNTFDrD R`f DI lar wA ,r1r n i rrTCnR• DESCRIPTION COMMODITY NO 1 REF ACCT LINE QUANTITY UNIT UNIT PRICE TOTAL PRICE 80% REFUND PAGi TOTAL: DISCOUNT TOTAL: FREIGHT TOTAL: SALES TAX TOTAL: PURCHASE ORDER VALUE: USE TAX TOTAL: 525.66 0.00 0.00 0.00 525.66 0.00 LINE NO. FUND AGCY ORG SB ORG ACT OBI SB OBI REV SRC SB REV RPT CAT BS ACCT JOB NO. PAY THIS AMOUNT PIF 02 1 03 04 N,? C: 406 406 406 030 0008 030 0008 030 0008 2210 2210 2210 02 07 4.50 450. 76 31.20 19.20 25.60 RECEIVING CERTIFICATION Materials noted in quantity J have been received in good condition or contracted for. q '/ SIGNE/ OA 4 1/Z3/96 TITLE DATE PAYMENT CERTIFICATION 1, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this daim, the materials have been furnished, services tendered or labor performed as described herein or contracted for, that the claim is ■ just, due and unpaid obligation against Spokane County or fund agency indicated above, that 1 am authorized to authenticate and certify topid claim. SIGNED DATE 1/23/96 TITLE OFFICE ADMINISTRATOR DEPARTMENT 2 TRAVEL CERTIFICATION 1 hereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by me and that no payment has been received by me on account thereof SIGNED TITLE DATE PAGE SDOW 'NOR777' Today's date: ORIGINAL SITE PLAN Site address: 11570 E • O c'`+3 nevi I'm proposing to build: Parcel number or legal description: 5F,<D7 -3 a -U` by piecing an &Roll and an 'W' on one of the above linty. r n „„, Ivi;c J 0 .1)d { J tr o '9 W 8 C/) APPLICATION FOR CERTIFICATE OF EXEMPTION APPLICATION FEE - $15.00 APPLICATION NO. 'W PLEASE PRINT` OR TYPE 1. Applicant's Name: )6h (-e Home Phone: Business Phone: Address: F O. a x 1 105 City: State: (.J A Zip: 2. Legal description of property for which this "Certificate of Exe9ption" is being applied: Section -7 Township )--) Range z-15 within Spokane County, Washington. /01)/ a 1.0 1/2 / r- 7 frrk 915t A a -C 1^rl • 3. Tax parcel number. ?,b i 3 , D ,7.-01 4. Property size (square ft. or acres): i QC t"'e? 5. Zoning: 6. Comprehensive Plan category: r 1 r Exrr._ 7. Intended use of p perty: 8. Additional comments which may substantiate your qualification for an exemption: 9. I, the undersigned, swear under penalty of perjury that the above responses are made truthfully and to the best of my knowledge. I also agree to furnish any further documentation that may be required by the Subdivision Administrator. I also understand that, should there be any willful misrepresentation or willful lack of full disclosure on my part, Spokane County may withdraw any approval that it might issue in reliance on this application. a' TfiTgF "1114- eL UBDIVI ROVED STAFF ONLY DATE: C( Z0 1 C/ DATE: Q - - 9 DATE RECEIVED: _J_J_ ION ADMINISTRATOR FINDS THAT THIS "CERTIFICATE OF EXEMPTION" IS FOR SAID PROPERTY DESCRIBED ABOVE, PURSUANT TO SPOKANE DIVISION(S) SECTION r') THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR FINDINGS: g3The applicant shall comply with all requirements and regulations of the Spokane County Zoning Ordinance. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Department regarding wastewater disposal and on-site water or public water systems. 3. The applicant shall comply with the following additional conditions: THIS CER 111-ICATE OF EXEMPTION IS AND SHALL RUN WITH THE LAND, AND SHALL BE E TO THE APPLICANT, OWNER, THEIRS, SUCCESSORS OR ASSIGNS. I DAY OF SS 19 / 0 . APPROVE ' / THIS IL THIS CERTIFICATE MUST ACCOMPANY YUR BUILDING PERMITAPPLICATION SPOKANE COUNTY PLANNINCI::DEPT., 721 N. JE1-1-ERSON, SPOKANE, WA 99260 (509) 456-220.5.'4..i CER 111"1CATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON