2002, 07-16 Permit App: 02005986 ResidenceProject Number: 02005986 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/02 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 30 Left: Right: 30 Rear:
Site Information:
Plat Key: 000237 Name: BOWDISH PLACE ADD
Parcel Number: 45163.0144 Block: 2
SiteAddress: 614 N PIERCE RD
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 011 MODERN
Area: 10,596 Sq Ft Width: 86
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:,
Review
Site Plan Review
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
Lot: 7
Owner: Name:
Address:
JULIANO, SHEILA & DICK
14314 E STOUGHTON RD
VALLEYFORD WA 99036
(509) 291-3148
District: F
JULIANO, SHEILA & DICK
14314 E STOUGHTON RD
VALLEYFORD WA 99036
Hold: ❑
Depth: 122 Right Of Way (ft): 50
Releasy3:
Approach / Drainage
o2.FAI
Released By:
.
Sewer Review / �� e_i)1•1x:?-171
Permits:
Operator: JAS Printed By: JAS
Print Date:
7/16/02
Project Number: 02005986
Inv: 1
Application
Date: 7/16/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 1
Bldg W x D: 57 x 28 Building Sq Ft: 1936 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: O
This Application: Total Project:
Description gm Tvpe Notes Sa Ft Valuation Sa Ft Valuation
BASEMENT U R-3 VN 968 $11,906.40 968 $11,906.40
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 616 $7,392.00 616 $7,392.00
RESIDENCE R-3 VN 968 $63,888.00 968 $63,888.00
Contractor: OWNER
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor:
Address:
Totals: 2,672 $84,126.00 2,672 $84,126.00
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
MCCLEARY HEATING & A/C LLC
6507 E MALLON AVE
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Units
1
1
2
3
1
Operator: JAS Printed By: JAS
Fee Amount
$798.75
$4.50
$175.73
$978.98
Firm: RON MCCLEARY HEATING & A/C
Phone: (509) 535-5915
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$30.00
$10.00
$64.00
7/16/02
Project Number: 02005986 Inv: 1
Contractor:
Address:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/02 Page 3 of 3
RICK'S PLUMBING & HEATING
PO BOX 3874
SPOKANE, WA 99220
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
WATER USING DEVICES
Notes
Payment Summary: w..
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: RICK'S PLUMBING & HEATING
Phone: (509) 926-2437
Units Unit Desc
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
arm
Fee Amount Invoice Amount
$978.98
$64.00
$66.00
$978.98
$64.00
$66.00
$1,108.98
$1,108.98
Fee Amount
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$66.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$978.98
$64.00
$66.00
$1,108.98
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined 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 he cont rued to he 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.
Signature:
Operator: JAS
Printed By: JAS Print Date:
7/16/02
Manufactured Home
Sign
What is the syuarc footage of the sign
face?
1 low high is the sign?
Width:
Length:
Year:
Make:
# of signs
Arca of existing signs
Fire :Alarm
Fireworks displav
Are critical or hazardous materials used or stored on site?
O Ycs ‘19. No
Address
Relocation
Fire Safety
Firm Name
What is the current use of this property?
v d c._\'C<T
Previous address
Will the site be served by a septic system? O Ycs Isi No
Paint booth
Fire Sprinkler
Tent
Fire :Alarm
Fireworks displav
Are critical or hazardous materials used or stored on site?
O Ycs ‘19. No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
v d c._\'C<T
Phone
Will the site be served by a septic system? O Ycs Isi No
Plans Examiner
Phone
Inspectors:
Is there evidence of 011 or excavation on the property?
0 Ycs 19. No
Are there slopes greater than 30° o on the property'? (30 ft risc in 100 ft)
( °%) O Ycs 1St No
Are critical or hazardous materials used or stored on site?
O Ycs ‘19. No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
.Arc there structures on the property? O Ycs 'Q No
If yes, idenl1/4 on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifie_s, idem s on site plan O Yes I No
What is the current use of this property?
v d c._\'C<T
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs O No
Will the site be served by a septic system? O Ycs Isi No
Is any part of the property within a 100 yr flood plain?
Ifyes, idenlif, on site plan
O Maybe O Don't know O Ycs 11 No
Arc or will there be wells located on the property?
Ifyes, ideal, on the site plan O Ycs in No
:Arc there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, ideutifjy on site plan O Ycs Q No
Is there evidence of 011 or excavation on the property?
0 Ycs 19. No
Are there slopes greater than 30° o on the property'? (30 ft risc in 100 ft)
( °%) O Ycs 1St No
Are critical or hazardous materials used or stored on site?
O Ycs ‘19. No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes O No
Is the property inside the ASA? O Yes O No
O Yes O No
Is public water available to the site? O Yes O No
Is the property inside the PSSA? O Yes o No
Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 N
Date Received:
Staff Representative:
METHOD OF PAYMENT
0 Cr\till
❑ CHECK
VISA
0 L9�.
'CAVI
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
?\PIRI?S:
BANKC.ARD NUMBER:
1011 10121ZI) S1(NATURI ::
SUBTOTAL.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.XPLEASE
MAKE CHECKS PAYABLE. TO SPOKANE
COUNTY PERMIT CENTER
PLUMBING PERMIT APPLICATION
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) <;,?,,, .:-:.;•J 'Z (Zip)
CONCTOR:
I
LICENSE:
< < : F.v..\ \ 6 3 '3 -
7
1cs1G t 1--�`NA�1 M
MAILING ADDRESS:
71-
2 c3 , f, Pim S---,- e.s_ :'-
PHONE:
.?)2(--
(Street) (City/State) (Zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
Perp
COST/
UNIT
EQUALS
AMOUNT
B02
TOILETS
WATER CLOSETS, BIDETS
1
x
86
—
B03
URINALS
x
86
—
B04
TUBS
-
1
x
86
—
B05
SHOWERS (per trap)
BATH, STALL, ON-SITE BUILD
x
$6
—
B06
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
(PREP/CULINARY/MEAT
"3
x
$6
—
B07
DISHWASHER
-
1
x
$6
—
B08
CLOTHES WASHER
-
1
x
$6
—
B09
GARBAGE DISPOSAL/GRINDER
-
x
$6
—
B10
WATER SOFTENER
-
x
$6
—
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical)
x
86
—
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
x
$6
—
B13
ROOF DRAINS/OVERFLOW DRAINS
(ea.)
-
x
86
—
B14
FOUNTAINS, DRINKING
-
x
$6
—
B15
WATER PIPING/DRAIN-IN WASTE-
VENT/PLUMBING REVERSALS
INSTALLATION, ALTERATION,1
REPAIR, REVERSALS
x
$6
—
B16
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
—
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
�'1
,•!�-0
x
$6
—
B18
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR :
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
$6
—
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
—
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
86
—
B21
MISCELLANEOUS FIXTURES
$6
—
METHOD OF PAYMENT
VISA
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
COW '
--
• CASH
■ CHECK • •
FAXED PERMITS WILL ONLY BE ACCEPTED
OF A MAJOR CREDIT
EXPIRES:
■
WITH PAYMENT
CARD
DATE:
BANKCARD
ATTTT-TC)RT7ED
TOTAL PERMIT FEE DUE
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
MECHANICAL PERMIT APPLICATION
PROJECT
ADDRESS:
DESCRIPTION OF WORK
PERMIT
USE:
# OF
UNITS
OWNER:
COST/
UNIT
PHONE (Daytime Contact):
AMOUNT
MAILING ADDRESS:
FUEL BURNING APPLIANCE
— OR <100,.000
f
(Street) (City/State)
(Zip)
CON CT :LICENSE:
$
B03
FUEL BURNING APPLIANCE
MAILING ADDRESS:
PHONE_
$15
—
$
B04
(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-
PLIED
BY
COST/
UNIT
EQUALS
AMOUNT
B02
FUEL BURNING APPLIANCE
— OR <100,.000
f
X
$12
—
$
B03
FUEL BURNING APPLIANCE
> 100,000
X
$15
—
$
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
— OR <400,.000
X
$50
—
$
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
X
$100
—
S
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
— OR <400,.000
X
$50
—
$
B07
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
> 400,000
X
$100
—
$
B08
BOILER/REFRIGERATION
1-100MBTU
X
$12
—
$
B09
BOILER/REFRIGERATION
101-500M BTU
X
$20
—
$
B10
BOILER/REFRIGERATION
501-1,000M BTU
X
$25
—
$
B11
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35
—
$
B12
BOILER/REFRIGERATION
+1,750M BTU
X
$60
—
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
X
$10
—
$
B14
RANGE
-
X
$10
—
$
B15
DRYER
-
1
X
$10
—
$
B16
FUEL BURNING WATER HEATER
-
1
X
810
—
$
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
-
X
$10
—
$
B18
GAS PIPING (ea. Outlet)
-
rel--�
X
$1
—
$
B19
DUCT SYSTEMS
-
X
$10
—
$
B20
VENTILATING FANS
-
X
$10
—
$
B21
AIR HANDLER (DOES NOT include duct systems)
— OR < 10,000 CFM
X
$12
—
$
B22
AIR HANDLER (DOES NOT include duct systems)
> 10,000 CFM
X
$15
—
$
B23
EVAPORATIVE COOLERS
-
X
$10
—
$
B24
TYPE I HOOD
-
X
$50
—
$
B25
TYPE II HOOD
-
X
$10
—
$
B26
HEAT PUMP/AIR CONDITIONER
0-3 TONS
X
$12
—
$
B27
AIR CONDITIONER
3-15 TONS
X
820
—
$
B28
AIR CONDITIONER
15-30 TONS
X
$25
—
$
B29
AIR CONDITIONER
30-50 TONS
X
$35
—
$
B30
AIR CONDITIONER
+50 TONS
X
$60
—
$
B31
LPG STORAGE TANK
-
X
$10
—
$
B32
WOOD OR PELLET STOVE/INSERT
-
X
$25
—
$
METHOD OF PAYMENT
V
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
t i
-
• CASH
• CHECK • Witana • ■
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
EXPIRES:
DATE:
BANKCARD
AUTHORIZED
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS S35.00
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