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2002, 07-19 Permit App: 02006097 RemodelProtect Number: 02006097 Inv: 1 Application THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Date. 7/19/02 Page 1 of 3 Project Information: Permit Use• FINISH BASEMENT & GARAGE & EXISTING Contact: ORSBURN, LINDA PATIO COVER Address: 1618 S PINES RD C - S - Z: SPOKANE, WA 99206 Setbacks: Front Left: Right: Rear. 50 Phone: (509) 924-1852 Group Name: Site Information: Project Name Plat Key: 001220 Name. HILLCREST PARK ADD Parcel Number: 45281.0103 Block: Lot: SiteAddress: 1618 S PINES RD SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 \Vater District: Urban Residential 3.5 District: F Owner: Name: ORSBURN, LINDA Address 1618 S PINES RD SPOKANE, WA 99206 Hold: ❑ Area 0 Sq Ft Width: 87 Depth. 140 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information Review Site Plan Review Released By: Ple[ Review Originally Released: 7/19/02 By jsliatto i Released Bv: L Originally Released: 7/19/02 By: jshatto Permits: - Operator: JAS Printed By: JAS Print Date: 7/19/02 Project Number: 02006097 Inv: 1 Application THIS IS NOT A'PERMIT Penalties will be assessed for commencing work without a permit Date: 7/19/02 Page 2 of 3 Contractor: OWNER Const Category: Nbr Of Dwellings: Bldg W x D: Req Parking: Description C. ' PORT Remodel Building Permit Firm: OWNER Phone: Building Characteristics Group: Occupant Load x Building Sq Ft: Handicap Parking: Grp Tvpe R-3 n VN Typc: Building Height: Sprinklers: ❑ Critical Materials: ❑ This Application: Notes Sq Ft Valuation ROOF 440 $1,930.00 'OVER SOD ODEL 0�$t890000 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Item Description VENTILATINGFANS CLOTHES DRYER MINIMUM FEE ADJUSTMENT Conti actor. OWNER Item Description TOILETS/BIDETS SINKS TI IRS CLOTHES WASHER MINIMUM FEE ADJUSTMENT Operator: JAS Is� 49.00 $tt 30.00 Units Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Firm: OWNER Phone: Units Unit Desc 2 NUMBER Of I NUMBER OF 1 Select Units 1 1 Printed By: JAS Permit Total Fees: Plunking Permit Firm: OWNER Phone Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF Select Permit Total Fees: Print Date: Stories: Total Project: Su Ft Valuation 440 $1,980.00 0 $10,000.00 440 $11,930.00 Fee Amount $20.00 510.00 $5.00 $35.00 Fee Amount $6.00 $12.00 $6.00 $6.00 $5.00 $35.00 7/19/02 Project Number Notes: 02006097 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/19/02 Page 3 of 3 ADDITIONAL COOKING FACILITIES TO BE USED BY OCCUPANTS OF HOME ONLY - KITCHEN DOES NOT AND WILL NOT CONSTITUTE AS A SECOND DWELLING Payment Sunman,: c Permit Type Building Permit Mechanical Pennit Plumbing Permit Disclaimer: Submittal of this application certifies the m, ner (m' person(s) aulhnrived by the miner) has both esaminerl and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Fee Amount $233 86 $35.00 $35.00 $303.86 Invoice Amount $233.86 $35.00 $35.00 $303.86 Amount Paid $0 00 $0.00 $0.00 $0.00 Amount Owing $35.00 $35.00 194-2.11 Signature: Operator: JAS Printed By: JAS Print Date: 7/19/02 ilii AMR SPOKE COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, W.\ 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: /� / 8 j�/i1/� Assessor's Tax Parcel Number(s): Legal Description: Project Description: O Building Permit O Change in Use O Grading O Manufactured 1-lome Permit O Relocation O Sign O Tenant (New/Change) O Other Deparincfit Use...Only, Water Diaries/Puneeror. Sea et Untnct/Pur.eyor - :Road utdth ' -Setbacks . . .. 1ront.i :Rear 4 Left' Right:. School Dtstnct I Fire lhstnct' - Zoning 4'4.4 OWNER/APPLICANT INFORMATION InJiaile oho .bout be,nNaefcd rreintim the. pna/nl Ch.nee Phone.y —/ , '3 Z 2v/t/dA 69,58U'et/ '' 5'39-4,116 5° 0 Applicant I'hone fa. Nladmg Address 3– /‘/ S /1,06,5 a Nailing /address Urmenstons Can Stare, "//.,p/1 s' /,, �t �� T� �I b//4106 lavA V Cgs , State, Zip lamshed basement sy ft. 0 Con oauw Construction type Phone Pas 0 Arnhaccl/1 npnu,r Thom Pas Mailing address Mailing address City, State Yip t :in, State Zip WA State Contactor license 5 Contact name PRO IECT INFORMATION . `..B2ulding Information Budding height t', peak et # of aeons Main floor 04 Ii. Unfinished basement sy ft Urmenstons Total habitable space 2nd floor sy. ft lamshed basement sy ft. t keupancy group Construction type Garage sy ft Dick ay It. Cost of project I leaf source (eleetnc, gas, etc.) Manufactured Home Sign width- Length \\X'hat is the hill re funta,mt. i d the s1r 1) face% 111,W high w the sign% Year: Flake # of rlgms Arca of utstmg signs I'ucworks display AJdmss Proposed use Relocation - Fire Safety Finn Name \\'Itat is the current use 011111S property? Previous address Plans 0v miner Paint booth lure Spnnklcr Tent Fire Alan I'ucworks display AJdmss Proposed use Value Inspector Special hispeetions Required? Non -Residential Energy Code Compliance?' Finn Name \\'Itat is the current use 011111S property? Phone Plans 0v miner Phone Inspectors Are there any wetlands, streams or ponds within 200 feet of the property? If yes. identfr on sift plan 0 Yes 0 No Is there evidence of fill or excavation 011 the property? 0 Yes 0 No Ale there slopes greater than 3090 00 the pi (perry? (30 ft rise in 100 ft) ( /%) 0 Sys 0 No AJdmss Inspector Phone 0 Concrete ❑ Welding ❑ Bolting 0 Reinforcement Acidic. ADDITIONAL SITE INFORMATION Are there structures on the property? ❑ Yes ❑ No rites, zdentrfy on me plan What is the current property sire? (spline Feet o, acres) Is any part of the property within 250 feet of a shoreline? Mies. yes. a7ent j on site plan ❑ Yes ❑ No \\'Itat is the current use 011111S property? Is your property in a designated wildffc habitat arca? ❑ Don't know 0 Yes 0 No Will the site be entd by a septic system? 0 lyes 0 No Is any part of the property within a 100 yr hood plain? 1fjes, :dent;, on we plan 0 Nlayhe 0 Don't know 0 lyes 0 No .1re or will there be wells It catcd on the property'? lfPer. rdenii[y on the sitepin 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes. identfr on sift plan 0 Yes 0 No Is there evidence of fill or excavation 011 the property? 0 Yes 0 No Ale there slopes greater than 3090 00 the pi (perry? (30 ft rise in 100 ft) ( /%) 0 Sys 0 No Ate cit tical or It ard(us milt coals used or stored on site? 0 \cs 0 No DEPARTMENT USE ONLY is the property in a designated Stonnwater Control Area? : _ ❑: Yes , ❑ No Is public sewer available to the site? ❑ Yes 0 No _ .,Is the property inside the ASA? .'. 0 Yes ❑'No .. t ❑ lyes ❑ No:. . Is public water available to the site? . 0 Yes 0 No : ., . Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Arca? 0 Yes 0 No" " Date )teemed Staff Itepresentame METHOD OF PAYMENT VISA ❑ CASH ❑ CI INCK ❑ MEM ❑ l„ CHIMER m eaen FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DA'1'If \I'IItl:S HANKC.\RD NuauiFR: \TM I( )R1'71,13SIGN A'fIJ1211- SUI IS I OTAI. TOTAL FEE AUNLNUAI PERMIT FEE 15 $3500 P LEASE . 0' \AP I,I1 PCIS PAVAISI 0 11 SPOKANE cuLN"n' I'Plt\II r CI_N'i l'it , . PLUMBING PERMIT APPLICATION PROJECT ADDRESS: i . PERMIT FUSE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES I DESCRIPTION DETAIL # OF UNITS MULTI- PLIED By COST/ UNIT EQUALS AMOUNT sB022 TOILETS WATER CLOSETS, BIDETS I x 56 — `B037 URINALS x 56 — IB04 TUBS - .1 x 56 — B05; SHOWERS (per trap) BATH, STALL, ON-SITE BUILD x 36 — =B06" tb. --_„-,- SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT -II, x 56 — 11307 DISHWASHER - x S6 — kBo8, CLOTHES WASHER - 1. x $6 — 1B09= GARBAGE DISPOSAL/GRINDER - x 56 — 1B10,. WATER SOFTENER - x 56 — ' B11” .. ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) x 56 - 'B12 i FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x 36 — -B13` ROOF DRAINS/OVERFLOW DRAINS (ea.) - x 56 — -B14- FOUNTAINS, DRINKING - x 56 — IB15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x S6 — .B16- SEWAGE EJECTORS GRINDER, SUMP PUMP x 56 — !B17. i;: 'WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS x 56 — ;B18, .e+T CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR : VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS - 56 — B19. -- .. INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x 56 - :B20: MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x 56 — :B21-: MISCELLANEOUS FIXTURES 56 — METHOD OF PAYMENT VISA SUBTOTAL �q 30,0 PLUS PROCESSING FEE S 25.00 DISCOVER 7: - • CASH • CHECK 0 cam • FAXED PERMITS WILL ONLY BE ACCEPTED OF A MAJOR CREDIT EXPIRES: .'1‘11.1:11".:±;,-.! ■ WITH PAYMENT CARD DATE: BANKCARD AUTHORIZED TOTAL PERMIT FEE DUE SS . 0 . -. MINIMUM PERMIT FEE IS 535.00 - PLEASE MAKE CHECKS PAYABLE TO* ' ' SPOKANE COUNTY.PERMIT CENTER. - NUMBER: SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 " Fax No. 477-7198 " TDD No. (509) 477-7133 MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: PERMIT USE: # OF UNITS OWNER: COST/ UNIT PHONE (Daytime Contact): AMOUNT MAILING ADDRESS: FUEL BURNING APPLIANCE — OR <100,.000 (Street) (City/State) (Zip) CONTRACTOR: $ LICENSE: FUEL BURNING APPLIANCE MAILING ADDRESS PHONE: 515 — $ '804. (Street) (City/State) (Zip) Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 DESCRIPTION OF WORK # OF UNITS MULTI. BLED By COST/ UNIT EQUALS AMOUNT ',B02 • FUEL BURNING APPLIANCE — OR <100,.000 X $12 — $ .1303. FUEL BURNING APPLIANCE >100,000 X 515 — $ '804. UNLISTED APPLIANCE (ADDITIONAL CHARGE) — OR <400,.000 X 550 — $ :B04- UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X 5100 — $ :806. USED APPLIANCE (Must meet WSEC's min. AFUE rating) — OR <40Q.000 X 550 — $ B07.. USED APPLIANCE (Must meet WSEC's min AFUE rating) > 400,000 X $100 — $ ,1308 BOILER/REFRIGERATION 1-100M BTU X 512 — $ B09.: BOILER/REFRIGERATION - I01 -500M BTU X 520 — $ BIO: BOILER/REFRIGERATION 501-1,000M BTU X 525 — $ BI1- BOILER/REFRIGERATION 1,001- 1,750M BTU X 535 — $ .1312 BOILER/REFRIGERATION +1,750M BTU X 560 — $ ;813.. GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - X 510 — $ ,814': RANGE - X 510 — $ B15.: DRYER- / X 510 — $ B16. FUEL BURNING WATER HEATER - X 510 — $ .B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — $ I B18 - GAS PIPING (ea. Outlet) - X 51 — $ B19- DUCT SYSTEMS - X 510 — $ B20 VENTILATING FANS - (I X 510 — $ B21 AIR HANDLER (DOES NOT include duct systems) — OR < 10,000 CFM X 512 — $ B22 AIR HANDLER (DOES NOT Include duct systems) >10,000 CFM X 515 — $ B23' EVAPORATIVE COOLERS- X 510 — $ '1324 . TYPE I HOOD- X 550 — $ 1325 TYPE II HOOD - X 510 — $ B26' HEAT PUMP/AIR CONDITIONER 0-3 TONS X 512 - $ .B27. AIR CONDITIONER 3-15 TONS X 520 — $ :1328 AIR CONDITIONER 15-30 TONS X $25 — $ B29 AIR CONDITIONER 30-50 TONS X $35 — $ :B30 AIR CONDITIONER +50 TONS X 560 — $ B31 LPG STORAGE TANK - X 510 — $ B32 WOOD OR PELLET STOVE/INSERT- X 525 — $ METHOD OF PAYMENT _ t" -:t, VISA ' SUBTOTAL Q. PLUS PROCESSING FEE $ 25.00 DIJCSVER _ _ _ 7-- — ■ CASH _ • CHECK ■ IIL.■ FAXED PERTIITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD EXPIRES: DATE: BANKCARD AUTHORIZED TOTAL PERMIT FEE DUE C S S,e - ;MINIMUM PERMIT FEE IS$35.00'=';: ,. -- PLEASE MAKE CHECKS PAYABLE TO; '.- - SPOKANE COUNTY PERMIT,CENTER : -. NUMBER SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 qo ADDRESS ZONE ROAD WIDTH) K) G FLAN FRONT /✓_ COMMENTS REVIEWED BY c›,0