2002, 03-18 Permit App: 02001686 Remodel Project Number: 02001686 Inv: 1 Application Date: 3/18/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: INTERIOR REMODEL(2 BATHROOMS) Contact: LOTT,DAVID
Address: 2707 S RAYMOND RD
C-S-Z: SPOKANE,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509) 891-9122
Group Name:
Site Information: Project Name:
Plat Key: 000382 Name: CHESTER HILLS ADD. District: E
Parcel Number: 45294.0409 Block: Lot:
SiteAddress: 2707 S RAYMOND RD Owner: Name: LOTT,DAVID
SPOKANE,WA 99206 Address: 2707 S RAYMOND RD
Location::SPO SPOKANE,WA 99206
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Released By: _a 4k. ,,1,� !, Q
Permits:
Operator: CKF Printed By: CKF Print Date: 3/18/02
Project Number: 02001686 Inv: 1 Application Date: 3/18/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
Building Characteristics
Const Category: Remodel Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN INTERIOR 0 $5,000.00 0 $5,000.00
REMODEL
Totals: 0 $5,000.00 0 $5,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $100.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $22.11
Permit Total Fees: $127.11
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 2 NUMBER OF $20.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $45.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 2 NUMBER OF $12.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00
WATER SOFTENER 1 NUMBER OF $6.00
WATER PIPING-DWV 1 NUMBER OF $6.00
Permit Total Fees: $60.00
Operator: CKF Printed By: CKF Print Date: 3/18/02
Project Number: 02001686 Inv: 1 Application Date: 3/18/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $127.11 $127.11 $0.00 $127.11
Mechanical Permit $45.00 $45.00 $0.00 $45.00
Plumbing Permit $60.00 $60.00 $0.00 $60.00
$232.11 $232.11 $0.00 $232.11
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 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.
Signature:
Operator: CKF Printed By: CKF Print Date: 3/18/02
L
i t PROJECT APPLICATION WORK SHEET
Ilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOK<GOUTY
SPECIFIC SITE INFORMATION
/Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: Oct ► Fe✓ 1 we+zt ck Akr Pr,f i °t..• a.s en t'nI---
yi,
M/Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front Rear:
School District Fire District: Zoning
Left Right.
OWNER/APPLICANT INFORMATION
2 Indira/t,who should be con/a,Yed tcnarding this project
[lA Chrner Phone: ,q 1- Q t3..2._ (71Applicant: Phone:
_VGA.V tlY L a 1, lax: Fax:
Mailing Address: Mailing;Address:
,e270'7 S Ra.yrn0id eri
Cin',State,/ip City,State,Zip
❑ Contractor PhonePhone
❑ Architect'l�:n nnccr
lax Fax
Mailing address Mailing address
City,State Zip City,State Zip
\\A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 25/floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project # 5 I kat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign Flow high is the sign?
face?
Year: Make: #of signs Area of existing signs
•
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
- Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No What is the current property size?
Ifyes,identi on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identz on site plan ❑ Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes ❑ No
❑Don't know ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan Ifyes,identify on the site plan ❑ Yes ❑ No
❑Maybe ❑Don't know ❑ Yes ❑ No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan ❑ Yes ❑ No ❑ Yes ❑ No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( (izo) ❑ Yes ❑ No ❑ Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes 0 N
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
CI Yes 0 N
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
MEMOVISA
°'COVE SUBTOTAL
❑ CASH 0 CIII?CK 0 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATI : I:XPIRI,'S: TOTAL FEE
BANKCARD NUI NIBI?R: MINIMUM PERMIT FEE IS$35.00P1F.ASE
MAKE CHECKS PAYABLE.TO SPOKANE
\U'1 1 IOR1
ZED SIGN TURF: COUNTY PERMIT CENTER
MECHANICAL PERMIT APPLICATION
PROJECTt2 7 D 7 )? A /' PERMIT
ADDRESS: 5q I'I'I o V( d( USE:
OWNER: r PHONE (Daytime Contact): jp`(C.
v t S L ` X57-2- 8'o4 S 1--"iia 2. '4°m
MAILING ADDRESS:
7O7 S. ROI YV10vJ Rd _ ( Ka I7 iJA- Q��G
(Street) Cit3State) (Zip)
CONTRACTOR: LICENSE:
MAILING ADDRESS: PHONE:
(Street) (City/State) (Zip)
#OF MULTI- COST/ AMOUNT
PLIED
DESCRIPTION OF WORK UNITS BY UNIT EQUALS
B02 FUEL BURNING APPLIANCE —OR<100,.000 1 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 — $
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 1-100M BTU X $12 — $
B09 BOILER/REFRIGERATION 101-500M BTU X $20 — $
BIO 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 - / g X $10 — $
B14 RANGE - X $10 — $
B15DRYER - X $10 — $
B16 FUEL BURNING WATER HEATER - X $10 — $
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — $
B18 GAS PIPING(ea.Outlet) - 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 $20 — $
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 SUBTOTAL
VISA PLUS PROCESSING FEE $ 25.00
❑ CASH 0 CHECK 0 Mall 0 0
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED 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
PLUMBING PERMIT APPLICATION
PROJECTPERMIT
ADDRESS: ,:27 6-7 5 &v✓il c id irce USE:
OWNER: PHONE (Daytime Contact):
J 1C 1-0 .4gs-g-S4 0 <a0 891 - 91.2z 44a.,-7 )
MAILINGADDRESS:
7o7 s' ✓,'may 112 ektd A2ck spneq ,,- tk! H- PYaaC
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE:
MAILING ADDRESS: PHONE:
(Street) (City/State) (Zip)
PLUMBING FIXTURES I
#OF MULTI- COST/ AMOUNT
PLIED
DESCRIPTION DETAIL UNITS BY UNIT EQUALS
7371 TOILETS WATER CLOSETS,BIDETS a. x $6 —
B03 URINALS x $6 —
B04 TUBS - 1 x $6 —
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD a x $6 —
B06 SINKS LAVS/BASINS,BAR,FLOOR, x $6 —
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD
(PREP/CULINARY/MEAT ,
B07 DISHWASHER - x $6 —
B08 CLOTHES WASHER - x $6 —
B09 GARBAGE DISPOSAL/GRINDER - x $6 —
B10 WATER SOFTENER - I x $6 —
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 —
mechanical) I
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x $6 —
CONDENSATE
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 —
(ea.)
B14 FOUNTAINS,DRINKING - x $6 —
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 —
VENT/PLUMBING REVERSALS REPAIR,REVERSALS
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 —
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 —
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 —
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 —
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 —
B21 MISCELLANEOUS FIXTURES $6 —
METHOD OF PAYMENT SUBTOTAL
MEMi I' "` ' JC Vl PLUS PROCESSING FEE $ 25.00
0 CASH ❑ CHECK 0 - 0 0 ':
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED 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