1996, 07-01 Permit App: 96005079 AdditionPROJECT NUMBER= 96005079 APPLICATION DATE= 07/01/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4606 N LILLIAN RD PARCEL#= 45011.9004
ADDRESS= SPOKANE WA 99214
PERMIT USE= 2ND STORY KITCHEN ADDITION OVER GARAGE c X4 o -L11. bILA-4-1i')
PLAT#= 001984 PLAT NAME= PEPLINSKIS 1ST ADDITION
BLOCK= 1 LOT= 16 ZONE= UR -3.5 DIST#= H
AREA= F/A= F WIDTH= 90 DEPTH= 140 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= SULLIVAN, PATRICIA
STREET= 4606 N LILLIAN RD
ADDRESS= SPOKANE WA 99214
PHONE= 509 926 5898
CONTACT NAME= DENNIS POLLOCK PHONE NUMBER= 509 926 6860
BUILDING SETBACKS: FRONT= 36 LEFT= 11 RIGHT= NA REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REOUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
14-11 a
******************************* BUILDING PERMIT *******************************
CONTRACTOR= PARK PLACE CONSTRUCTION
STREET= 1711 N PARK RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 926 6860
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 21 STORIES= 2
BLDG W X D = 24 X 22 SQ FT= 528 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 528 31152.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 356.25
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 78.38
P,
PROJECT NUMBER= 96005079 APPLICATION DATE= 07/01/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= PARK PLACE CONSTRUCTION
STREET= 1711 N PARK RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
DUCT SYSTEMS
HOOD -TYPE II
PHONE= 509 926 6860
QUANTITY FEE AMOUNT
1
1
10.00
10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PARK PLACE CONSTRUCTION
STREET= 1711 N PARK RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PHONE= 509 926 6860
QUANTITY FEE AMOUNT
SINKS 1 6.00
DISH WASHERS 1 6.00
WATER PIPING - DWV 1 6.00
MINIMUM FEE ADJUSTMENT 17.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 439.13 .00 439.13
MECHANICAL PRMT 20.00 .00 20.00
PLUMBING PERMIT 35.00 .00 35.00
494.13
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 494.13
******************************** THANK YOU ************************************
Relocation
Previous address
Sign
What is the square footage of
the sign face?
How high is the sign?
What is the JOB SITE address?
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
APPLICATION INFORMATION
OWNER or OCCUPANT
///)/f ,.,
Phone
Mailing address
it P •76) 6
Who should we contact regarding this project?
I✓1 VI
City, state Zip
/4/ ///4? >1. ��1 wn /(=,
/g//%4 --
What work is being done under this permit?
17 ova 0\1 er �arc�
Right of way width
Building
Building height
# of stories
Contrac r
P/1C e_
S/
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
i)�%� C. d7z (9
Mailing ad ress
Main floor area
Unfinished basement area
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Width:
Length:
Year:
Make:
Installer
Wa State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
Contractor
Wa State Contractor license #
Mailing address
Fire Safety
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
WA State Contractor license #
Mailing address
-rue' Jtordge tanks
Dvvitlin tiny ruvl
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
IJ
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: (4 6 D(,�/ Cho tk
MAILING ADDRESS:
CONTRACTOR:
PHONE: DAYTIME CONTACT
O/„
(street)
(city/state)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
PLUMBING FIXTURES
DESCRIPTION DETAIL
#OF
UNITS
MULTI -
LIED 1
COST
/UNIT
EQUALS
AMOUNT
B02
B03
Bi
TOILETS
URINALS
TUBS
WATER CLOSETS, BIDETS
x
$6
$
x
$6
$
BATH, JACUZZI, SPA, GARDEN
x
$6
$
B05::
SHOWERS . - r tra
B06::
SINKS
DISHWASHER
BASE, STALL, ON-SITE BUILD
x
$6
BOB
CLOTHES WASHER
LAVS/BASINS, BAR, FLOOR�I�TCHEN, X
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD (PREP/CULINARY/MEAT)
$6
x
$6
$
$
$
x
$6
$
B(
GARBAGE DISPOSAL/GRINDER
x
$6
WATER SOFTENER
X
$6
1
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank. see mechanical)
X
$6
$
8:12::
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
$
B1'3''
ROOF DRAINS/OVERFLOW DRAINS (ea
x
$6
$
B14
FOUNTAINS, DRINKING
x
$6
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
B
B
SEWAGE EJECTORS
WATER USING DEVICES
GRINDER, SUMP PUMP
X
ICE AND/OR COFFEE MAKER.
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
$6
$6
x
$6
X
$6
B2Q3
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
$
$
$
$
$
$
$
B<
MISCELLANEOUS FIXTURES
x
$6
$
NOTE: MINIMUM PERMIT FEE IS $.35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
UfgErtOtAttrERIvirtttNItit:::
Spokane County Division of Building & Planning y.;;..'.......................................,,,,,,;;,,:::::::::.::.:::::::::::::::::
12 Avenue Spokane, kane WA 99260......................................................................................
Broadway e u
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Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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COMMENTS
REVIEWED BY
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