1993, 08-24 Permit App: 93007433 Pool Heater, PipingPROJECT NUMBER= 93007433 APPLICATION DATE= 08/24/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 19021 E NIXON AVE
ADDRESS= GREENACRES WA 99016
PARCEL#= 55173.1613
PERMIT USE= SWIMMING POOL, FURNACE, & PIPING
PLAT#= 001092 PLAT NAME= GUTHRIE'S VALLEY VIEW 05TH ADD
BLOCK= 6 LOT= 13 ZONE= AGSUB DIST#= G
AREA= 00000000 F/A= F WIDTH= 75 DEPTH= 150 R/W= 50
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= BECK, RANDY PHONE= 509 922 1841
STREET= 19021 E NIXON AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= KERRY HENDERSON PHONE NUMBER= 509 928 6585
BUILDING SETBACKS: FRONT= NA LEFT= 10+ RIGHT= 22+ REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
---------- --------------------------------------- '
SITE PLAN REVIEW
HEALTHDIST
COMMENTS:
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= POOL WORLD INC PHONE= 509 928 6585
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
GAS APPLIANCE >100,000BTU 1 15.00
GAS PIPING 1 1.00
***************************** SWIMMING POOL
CONTRACTOR= POOL WORLD INC PHONE= 509 928 6585
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PRIVATE POOL Y 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 9.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-----------------------------------------------------
PROJECT NUMBER= 93007433 APPLICATION DATE= 08/24/93 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-----------------------------------------------------
MECHANICAL PRMT 16.00 .00 16.00
SWIMMING POOL 63.50 .00 63.50
------------- ------------ -------------
79.50 .00 79.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: (O C l C
CITY/STATE/ZIP: - l/U l v�! !�
SUBDIVISION:
BLOCK: LOT:�ZONE: DISTRICT:
LOT AREA: • F --/A: WIDTH: DEPTH: R/W:
f OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: PHONE: ,S-Oel - moi Z Z -
MAILING ADDRESS.
CITY/ STATE/ ZIP: •.G l L� (�f/� G `�
CONTACT: PHONE: r
SETBACKS: - FRONT: 3aLEFT:_ RIGHT: REAR:
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR E+ • t: E•
CONTRACTOR:
MAILING ADDRESS: r---
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE: ,Sp q - q?, e _6 S8 C'
PHONE: -
NEW: REMODEL: ADDITION: CHANGE OF USE:
w�
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X
(WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: if HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet r
JOB STREET ADDRESS: %� Z e5- -,
CITY/STATE/ZIP: ae4 (JA-,gi TOil PARCEL NUMBER:
OWNER: &" PHONE NUMBER:
MAILING ADDRESS: /9 -OZ/
(Street) (City/State) (Zip)
CONTRACTOR: C LICENSE NUMBER:O_
PHONE NUMBER:
MAILING ADDRESS: /-?s�q- a,( -e 4��� �10�1- 9-9M4
(Street) (City/State) - (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
Y-':.ii\nv.;?w::.y :"^'•}wn,:tiK'.0^N: •in:W-0^tlJ:.,,,w :v.;{nvvn�,,;•S::ryy:: M'r v{iiy �':i::�%'}v L:�:�
GAS EQUIPMENT +100,000 BTU
.,,,:y.,'•re:•,....y.:..,,w,Y..�...�::s..v+aw+••�•::�nae�•.;}}�,,:�:. •.;:6i?o::,?r.:: "�'":,i:%34i.'ie
: �� :. }. ,f.�:>r: "• .�"' '.•itir�Y:vel%'{'.:�i:-::iyii>�Y'.-_
BOILER/REFRIG 1-100M BTU
:...;::nom ............... .:. v: -.:....; :.........:.... �::::.............................:...............:v.
BOILER/REFRIG 501-1,000M BTU
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
.,.;.yo•,y.. ...y y-. .,{. `'•y>":x :tsY san;., �4�,6•:'7;�% r�'2`•:'y::;>:;r:i•;::s.:S:?;`.::::::x: ••:::.:-:: '•.y:::yo y. '';
:aLjk. :1'yrl9•,:Fv... •> a••,fr-.• k.}.;;:.4F..i.,'.:J::::;:,if:�':::::::;.•`y:•.:..
CLOTHES DRYER
...........:.
GAS LOG
�•.CSC
xM•:.:::n•:q•.\xMx;:::.,-my,rb•3�•.,:nfi.^,vw,•ti.W„x,}vnv::.w:.wM:.,u,w.vw.vypn,, xxxny:.•::: w::,n�• .•{: ;:
-
.t�.:t, :a..,tb. ,. . •.a:.ab ...w.. •• •.;,\,i .o�...wc;,,,,,,•::: h:,•h,:xn::•.o: .a:.•::.:i:2..,:6:X.b.,,
UNLISTED GAS APPLIANCE <400,000 BTU
USED APPLIANCE <400,000 BTU
<1j.�,�t.�:;:A�A�•1.VC�.��4. t�f; .��#T;I���•�:��;h.�h� .�'� �: �;:,:
N: ri,v:' :C}: «wtfr. kv:::v.�CC3J V:,J:r' {:.v'L, S4. •:W by n�,•��-�•{�•. r:
AIR HANDLER <10,000 CFM10§ Asms,ZE
NOTE: MINIMUM PE MIT FEE IS $35.00
SIGNATURE
�OW4 Spokane
NUMBER
OF UNITS
X. EACH
UNIT
-AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00
1S% 6
_ d
SUBTOTAL
$
PLUS: PROCESSING FEE
+$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
//��
= $ �f
County Division of Buildings
Wact 1'10'A Rrntariwav Avani m Cnnkana WA QC19An 0(191 45R-3875
DEPARTMENT OF LAE
°^FTJi1S CERTIFIES THAT THE•PERSC+N NAMED HERI
d,: ..
r t DATE
bw-W511 A14 -2,W94
WA 40927