1995, 01-19 Permit App: 95000308 AdditionPROJECT NUMBER= 95000308
******
APPLICATIOU DATE= 01/19/95 PAGE= 01
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
******
SITE STREET= 1310 N PIERCE RD
ADDRESS= SPOKANE WA 99206
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
PARCEL#= 45162.0511
RESIDENCE ADDITION - DEN & SEWING ROOM
001852
31
00000000
1
PLAT NAME= OPPORTUNITY(TR.1-142INC.143-35
LOT= ZONE= UNKN DIST#= F
F/A= F WIDTH= 100 DEPTH= 150 R/W=
DWELLINGS= 1 WATER DIST =
OWNER= MERTENS, EDWARD J
STREET= 1310 N PIERCE RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= ED MERTENS
BUILDING SETBACKS: FRONT= NA
****************
DEPARTMENT
PHONE= 509 926 9930
PHONE NUMBER= 509 928 2100
LEFT= 10 RIGHT= NA REAR= 50+
************** REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK
COMMENTS:
REVIEW
REQUIRED
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
21 X 12 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RES ADD R-3 VN
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
252 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
252 13860.00
4-
PROJECT NUMBER= 95000308 APPLICATION DATE= 01/19/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 153.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 27.54
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
VENTILATING FANS
QUANTITY FEE AMOUNT
1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS
TUBS
SINKS
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
1 6.00
1 6.00
1 6.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
185.04 .00 185.04
10.00 .00 10.00
18.00 .00 18.00
213.04
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 213.04
******************************** THANK YOU ************************************
PLUMBING PERMIT APPLICATION
[PROJECT ADDRESS:
OWNER:
Ni 3 r o „sm,esz
MAILING ADDRESS:
CONTRACTOR:
f7 /14ErreN°s
MAILING ADDRESS:
r)(iuMeir
(street)
PHONE: 9g - q `7 _3 D
(city/state) (zip)
LICENSE:
PHONE:
(street)
6,1A-Aie )/4 q q e
(city/state) (zip)
�......,
Tel. No. (509) 456-3675 $ Fax No. (509) 456-4703 * TDD No. (509) 324-3166
\MASTER\PLUMPEEM.HND
PLUMBING FIXTURES
DESCRIPTION DETAIL
# OF
UNITS
iuLn-
PLIED BY
COST
/UNIT
EQUALS
AMOUNT
1302
TOILETS
WATER CLOSETS. BIDETS
x
$6
=
$ 6! ` 06
B03
URINALS
-
I I
x
$6
=
$
1304
TUBS
BATH, JACUZZI, SPA. GARDEN
(
x
$6
=
$ t / , . 0 L9
`
1305
SHOWERS (per trap)
BASE, SCALL, ON—SITE BUILD
x
$6
=
$
B06
SINKS
LAVSBASINS,BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MFAT)
c
x
$6
=
$ 6,6D
1307
DISHWASHER
-
x
$6
=
$
1308
CLOTHES WASHER
-
x
$6
=
$
1309
GARBAGE DISPOSAL/GRINDER
-
x
$6
=
$
1310
WATER SOFTENER
-
x
$6
=
$
811
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
X
$6
=
$
1312
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
=
$
1113
ROOF DRAINS/OVERFLOW DRAINS (ea.)
FOUNTAINS, DRINKING
-
-
x
x
$6
$6
=
=
$
$
B14
B15
WATER PIPING/DRAIN—WASTE—VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
=
$
B16
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
=
$
1317
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
=
$
1318
CROSS -CONNECTION DEVICES
VACUUM BREAKER. CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
1319
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
=
$
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
=
$
1321
MISCELLANEOUS FIXTURES
x
$6
=
$
Spokane
NOTE: MINIMUMPERMIT FEE IS $35.00
,PLUS:
SIGNATURE: /�, ,ij� 1911 AtCtig
Subtotal
PROCESSING FEE$2S.00
TOTAL PERMIT FEE DUE
$
County Division of Buildings
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANECOUNTY PERMIT' CENTER
�......,
Tel. No. (509) 456-3675 $ Fax No. (509) 456-4703 * TDD No. (509) 324-3166
\MASTER\PLUMPEEM.HND
PROJECT NUMBER= '950003
PENALTIES LL B
AP LICATIO*.T�...=- DATE= 01/19/95
THIS.;TS. NOT A'P
SESSED7FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE -STREE
ADDRESS=
PERMIT USE=
POKANE 41,7A"699206
RESIDENCE ADDITION -
PLAT#= 001852 PLAT NAME=
BLOCK= 31 LOT=
AREA= 00000000 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= MERTENS, EDWARD J
STREET= 1310 N PIERCE RD
ADDRESS= SPOKANE WA 99206
DEN
PARCEL#= 45162.0511
& SEWING ROOM
OPPORTUNITY(TR.1-142INC.143-35
ZONE= UNKN DIST#= F
F WIDTH= 100 DEPTH= 150 R/W=
1 WATER DIST =
CONTACT NAME= ED MERTENS
BUILDING SETBACKS: FRONT= NA LEFT= 10
PHONE= 509 926 9930
PHONE NUMBER= 509 928 2100
RIGHT= NA REAR= 50+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING
REVIEW REQUIREMENT
SETBACK REVIEW REQUIRED
,;HEALTHDIST,:INCREASE IN LOT COVERAGE
.COMMENTS:°
P/rr 4e
Aext
ERMIT *******************************
******************************* BUILDING
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
21 X 12 SQ FT=
#HANDICAP=
DESCRIPTION GROUP
TYPE
RES ADD R-3 VN
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
.252 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
252 13860.00
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
AJ • (3) 0 el 1-c-"( 6 2.657
Legal description as it appears on the property deed
errati)(3 3/- so Fr- Of
Nola -FA, ,o0 Fr o -F Wit
Phone
SNS ��-gg3o ,e- q-,�rac)
Cay, state Zip
yo Ner WA- -
Phone
OWNER or OCCUPANT
Ed WA 2d
Mailing address
1310 PiEt2C.
Who should we contact regarding this project?
Ed me
What work is being done under this permit?
Acid (46- finr AcIc1 t +7 „1. ►
Contractor
Ed Me r re-lt s
WA State Contractor license #
Building height
r T
Dimensions
Mailing address
Main floor area
'2nd floor area
Architect/Engineer
barage area
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
'Finished basement area
Size of decks, etc.
What is the heat ,source?
N0 coA i Eg- 1417Ae6--
What is the cost of your projec7J o ' 6
N
a)
0
Manufactu
red Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Wa State Contractor license #
Mailing address
Relocation;
Previous address
Contractor
Wa State Contractor license #
Mailing address
Fire Safety
Fire Sprinkler _
Tent
Paint booth _ Fire Alarm _ Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/seml-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Site Plan
Eltilly
0
F
rr,
711
s
0-
Q-
rt
04.1
_44r/ '97 ..e
INCLUDE THE FOLLOWING:
® All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
All existing & proposed buildings
❑ Underground utilities
,®. North arrow
ex Septic tanks & wells