1994, 11-07 Permit App: 94011109 ResidencePROJECT NUMBER= 94011109 APP?,ICAT7;ON D E= 11/07/94 PAGE= 01
****** 'THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 14603 E NIXON AVE PARCEL#= 45143."2-311
ADDRESS= SPOKANE WA 99206 gg /Z
PERMIT USE= RESIDENCE/ NAT GAS
PLAT#=
000257 PLAT NAME=
BROCKMAN'S ADD
BLOCK=
1 LOT=
2 ZONE= UR -3.5
DIST#= F
AREA=
F/A=
F WIDTH= 100
DEPTH= 162 R/W= 40
# OF BLDGS=
1 # DWELLINGS=
1 WATER DIST
= VERA
OWNER=
NORTHWEST HOMES
PHONE=
509 926 0978
STREET=
PO BOX 141295
ADDRESS=
SPOKANE WA 99216
CONTACT NAME=
TED ARNOLD
PHONE
NUMBER= 509 926 0978
BUILDING SETBACKS: FRONT= 30 LEFT=
15 RIGHT= 30
REAR= 76
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
---------- --------------------------------------------------------------
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER Q
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY
COMMENTS: d -C-.—
tl
******************************* BUILDING PERMIT *******************************
CONTRACTOR= NORTHWEST HOMES
STREET= P O BOX 141295
ADDRESS= SPOKANE WA 99214
PHONE= 509 926 0978
NEW= X REMODEL=
PROJECT NUMBER= 94011109 APPLICATION
DWELL UNITS= 1 OCCUP. LD=
BLDG W X D = 42 X 40 SQ FT=
REQ PARKING= #HANDICAP=
kDDITION= CHANGE OF USE=
,DATE= 11/07/94 PAGE= 02
BLDG HGT= 12 STORIES= 1
2260 SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP
TYPE
SQ FT
VALUATION
----------- -----
BASEMENT U R-3
----
VN
-----
1130
---------
12430.00
DECK R-3
VN
144
720.00
GARAGE M-1
VN
483
3864.00
RESIDENCE R-3
VN
1130
62150.00
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
-------------------------
PLNG-PERMIT REVIEW; 119
--------
Y
----------
21.00
RESIDENTIAL VALUATION
Y
549.50
STATE SURCHARGE
Y
4.50
RADON MONITOR
1
12.57
SALES TAX
1
1.01
RESIDENTIAL SURCHARGE
Y
98.91
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= QUALITY HEATING & A C PHONE= 509 467 4032
STREET= P O BOX 696
ADDRESS= MEAD WA 99021
ITEM DESCRIPTION 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 4 40.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= RIVER CITY PLUMBING INC PHONE= 509 924 8028
STREET= 111 N VISTA RD 4B
ADDRESS= SPOKANE WA 99212
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
WATER USING DEVICES 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-----------------------------------------------------
PROJECT NUMBER= 94011109
APPLICATION
DATE= 11/07/94 PAGE= 03
PERMIT TYPE FEE
AMOUNT AMOUNT
PAID
AMOUNT OWING
----------------------------
BUILDING PERMIT
------------
687.49
.00
-------- -----
687.49
MECHANICAL PRMT
75.00
.00
75.00
PLUMBING PERMIT
72.00
.00
72.00
-------------
------------
834.49
.00
-------------
834.49
PROCESSED BY: JOHN LARSON
C7q_4PRINTED
BY: JOHN LARSON0
******************************** THANK YOU
************************************
I - -
APPLICATION WORKSHEET -
General Information
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RO.rEcr CONTACT PI -ION[:
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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RO.rEcr CONTACT PI -ION[:
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION
)JECT ADDRESS:
Y ER: PI-IONE:
LING ADDRESS:
(street) (city/state) (Zip)
ITRACTO R:
LICENSE:
[LING ADDRESS:
PHONE:
(street)
(city/state)
(Zip)
ON OF-VtOETr
1.1
AMOUN:r—
FUEL BURNING APPLIANCE
= or <too,000
= S12 -
r
FUEL BURNING APPLIANCE
>100,000
= S15 -
:
UNLISTED FUEL BURNING APPLIANCE
= or <400.000
= $50 -
s
UNLISTED FUEL BURNING APPLIANCE
>400,000
= 5100 -
i
USED APPLIANCE 04ust meet WSECs min. AFUE rating)
= or <400,000
= $50
:
USED APPLIANCE ust meet WSWs min. AFUE rating)>400.000
= $100 -
e
BOH-ER/REFRIGERATION
1-100m Bru
$12 _
r
BOILER/REFRIGERATION
101-soom BTU
= $20
r BOILER/REFRIGERATION
501-1,000mmu
= w -
BOII_ERIREFRIGERATION
1,001-1,750mszv
$35
BOILER/REFRIGERATION
+1.750m BTU
$60
I' GAS LOG, GAS INSERT. AND/OR GAS FIREPLACE
-
/
= $10 -
:
RANGE
-
_ $10 -
DRYER
-
i' FUEL BURNING WATER HEATER
-
$10
1 MISCELLANEOUS FUEL BURNING APPLIANCE
-
$10
I GAS PIPING ea. outlet
-
_ $1
'
i DUCT SYSTFla
-
= $10 -
s
VEN I ILATINGFANS
_
<
$10 -
:
L.' AIR HANDLER ES NOT include duct systems)=
or <lo,000 cl=m
$12 -
:
Z- AIR HANDLER ES NOT include ductsystems)
>10,000cpm
= $15
r
3' EVAPORATIVE COOLERS
-
_ $10 -
:
V TYPE I HOOD
-
$50
•
S TYPEII HOOD
-
= $10 -
:
5 HEAT PUMP/AIR CONDITIONER
o-STOM
= $12 -
:
T AIR CONDITIONER
6-15TOM
$20 -
:
3:1 AIR CONDITIONER
16-30TONS
$25 —
r
4. AIR CONDITIONER
31—SOTOM
= $35 -
:
D AIR CONDITIONER
+50TONs
$60 -
+
1 LPG STORAGE TANK
-
= a10 _
'
2 WOOD OR PELLET STO SERT
-
$25 -
'
NOTE: AfUZU MPERAIITFEEIS$3500
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
$25.00
S
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675
meucrAmcdgxrm.hnd
OJECT ADDRESS:
FNER:
dLING ADDRESS:
NTRACTOR:
PLUMBING PERMIT APPLICATION.
(street) (city/statc)
LICENSE:
(PHONE:
ULINGADDRESS:
(street) (city/state) (ZIP)
G FMU
# OF
DESCRIPTION DETAIL
Imm-n-
UNITS
..I
/CuomSITT
AMOX
�Toil=
WATER CLOSETS, BIDETS
/511
x
$0
$
AURINAIS
x
$0
=
$
4-Tuw
BATH, JACUZZI, SPA, GARDEN
x
$0
$
SHOWERS (per trap)
BASF, STALL, ON —SITE BUILD//x
$6
$
oz.
IAVS/BASINS,W,FLOOR.KrHEN,
x
$6
=
$
LAUNDRY, UTIJITY. JANITOR. PHOTO.
T)
X—RAY, FOOD (PREP/CULINARY/MEADISHWASHER
x
$6
=
$
—
CLOTHES WASHER
x
$6
=
$
6[GARBAGE DISPOLAYGRINDER
x
$6
=
$
AWATERSOFMMR
x
$6
=
$
WiLF,CMIC HOT WATER TANKS
(NOTE:- If gas water tank, s" smechanica()
x
$6
=
$
(-�FLOOR DRAINS
AREA, CASE, COIL. TRENCH, CONDENSATE
x
$6
=
$
WROOF DRAINS/OVERFLOW DRAINS (ea.)
x
$6
=
$
WFOUNTAINS, DRINKING
x
$6
=
$
NWATERPIPINGAMAIN—WASTE—VENT
INSTALLATION, ALTERATION OR REPAIR
x
$6
=
$
Rs
1.,6 SEWAGE EJECTORS
A
GRDER, SUMP PUMP
IN
x
$6
$
WATER USING DEVICES
ICE AND/OR COFFEE MAKER.
x
$6
=
$
tz
HOSE BIB, STEAMER, PROOFEF,
CARBONATOR, SWAMP COOLERS
CROSS—CONNECITON
VACUUM BREAKER, CHECK VALVE.
x
$6
=
$
AND R.P.B.F.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
INTERCEPTORSRCEPTORS
GREASBTRAP. SAND TRAP.
x
$6
CHEMICAL HOLDING TANK
WMEDICAL GAS (per outlet/bottle station 1_
NITROUS, OXYGEN
x
$61
=
IS
HMISCEUANEOUS FM`URES
x
$61
=
1$
Subtotal
NOTE: MINIMUM PERMIT FEE IS $35-00
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
, $
SIGNATURE:
U%S7lM%PWMl'ERMJ4ND
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE * SPOKANE, WA 99260 - (509) 456-3675
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C,f'
SPECIFIC TION
rvuE .IF SEWAGE SYSTEM: JJJJ ^'
t NE 1_ ?R SO!! :RE FOOTAGE:
7 RENGH I'VIDTH:
',F.PT;H FRO", OR!GINAL GROUND SURFACE O.BOTTOM
,F SEWAGE SYSTEM:
J ( /2 -/
/ l W
tTHER: /(
SI^NATUR
3d '
�2
S
6" P. V. c .
Com(
o sFTg4
9�qs �A`ooG � �• ( i
y ,
,b^ Uigc.,JA c) Y icAY-OA.)
C,f'
SPECIFIC TION
rvuE .IF SEWAGE SYSTEM: JJJJ ^'
t NE 1_ ?R SO!! :RE FOOTAGE:
7 RENGH I'VIDTH:
',F.PT;H FRO", OR!GINAL GROUND SURFACE O.BOTTOM
,F SEWAGE SYSTEM:
J ( /2 -/
/ l W
tTHER: /(
SI^NATUR
3d '
l'L
H 5�
/2'
I GGnL,
/ 3G ,
30 '
` ZONE:
E FRONT ....�=--FLAN KING:�-----•-
COMMENTS: D
REVIEWED BY`__ -Z _�. _•