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1999, 11-04 Permit App: 99010690 ResidenceProject Number: 99010690 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/04/19 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Contact: HAWKINS, J M & J S Address: 13718 E 41ST AVE C - S - Z SPOKANE, WA 99206-9332 Phone: (509) 922-1047 Site Information: ....... ..................................................... Plat Key: 005862 Name: SHELLEY LAKE 3 District: District: F Setbacks: Front 30 Left: 16 Right: 10 Rear: 52 Parcel Number: 45242.1305 SiteAddress: 522 S SHELLEY LAKE LN VERADALE, WA USA 9903 Location:: VER Owner: Name: HAWKINS, J M & J S Address: 13718 E 41ST AVE SPOKANE, WA 99206-9332 Zoning: UNKN Unknown Water District: 010 VERA Hold: El Area: 10,160 Sq Ft Width: 70 Depth: 145 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Department Review BUILDING Site Plan Review Comments: BUILDING Plan Review Comments: p _ 3 /7— 9 - ENGINEER Approach / Drainage Comments: UTILITIES Sewer Review/a/4J ehisid4 Comments: rn• Project Number: 99010690 Inv: 1 Application , THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/04/19 Page 2 of 3 Contractor: HAWKINS CONST CO Address: 13718E 41ST AVE SPOKANE, WA 99206 Const Category: New Nbr Of Dwellings: 1 Bldg W x D: 44 x 60 Req Parking: Description BASEMENT U GARAGE RESIDENCE Grp R-3 U-1 R-3 Building Permit Finn: HAWKINS CONST CO Phone: (509) 922-1047 Building Characteristics Occupant Load: Building Sq Ft: Handicap Parking: Type Notes VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: Address: Building Height: 16 2965 Sprinklers: ❑ Critical Materials: El This Application: Sq Ft Valuation 1,400 $16,184.00 462 $5,544.00 1,565 $97,030.00 Stories: 1 Total Project: Su Ft Valuation 1,400 $16,184.00 462 $5,544.00 1,565 $97,030.00 Totals: 3,427 $118,758.00 Units BLUE FLAME HEATING & A/C 6011 E 9TH SPOKANE, WA 99212 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK 3,427 $118,758.00 Fee Amount $990.00 $4.50 $217.80 Permit Total Fees: $1,212.30 Mechanical Permit Firm: BLUE FLAME HEATING & A/C Units 1 1 3 3 1 1 Phone: Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: (509) 536-0186 Fee Amount $10.00 $12.00 $3.00 $30.00 $10.00 $10.00 $75.00 Project Number: 99010690 Inv: 1 , Application Date: 11/04/19 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: ALPHA PLUMBING & HEATING Address: 5805 E SHARP AVE SPOKANE, WA 99212 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Payment Summary: Operator: JAS Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: ALPHA PLUMBING & HEATING Phone: Units Unit Desc 3 NUMBER OF 6 NUMBER OF 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Printed By: JAS Permit Total Fees: (509) 535-0727 Fee Amount $18.00 $36.00 $6.00 $12.00 $6.00 $6.00 $6.00 $6.00 $6.00 $102.00 Print Date: 11/04/1999 Fee Amount Invoice Amount $1,212.30 $1,212.30 $75.00 $75.00 $102.00 $102.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,212.30 $75.00 $102.00 $1,389.30 $1,389.30 $0.00 Notes OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4 BLOCK 5 - LOTS 2 THROUGH 6 & 19 BLOCK 6 - LOTS 1 THROUGH 10 $1,389.30 1600 APPLICATION INFORMATION What is the JOB ITE address SSESSOR'S tgx parcel number? Y Legal description, as it appear on a property dee. I I ( 411 00 Pr_ OWNS or OCCUPANT Phone •� or/z x047 0, Mailing address City, state Zip Fv Pil 1,% "l >i---- orA.,..„ __/ k/ -, 54t20 -L Who should we contact regarding this project? Phone What work is being done under this permit? Lone Inspector district Property size Right of way width Water district Building Building height # of stories / Cont actor 1,�,, /V.. Dimensions qt y cio TOTAL SQUARE FOOTAGE 2gcs WA Sta Contra or license # t 1 c it 4(-4 (d Main floor area 1505 Unfinished basement area /Lim Mailing address e t i t( F 2nd floor area --e---- Finished bas ent area Architec gineer / 4-11/4.4--1-1-/%—___ Garage area( 1�� Size of decks, etc. --� What is thneat source? What is the cost of your pro -. Manufactured Home Sign Width: Length: What is t +ser�fee e� How high is the sign? e sig e? Year: Make: C Installer Contractor • Wa State Contractor license # Contract license # Mailing address Mailing a s Relocation Fire Safety Previous address 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 Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its prograrr1s or activities. PLUMBING PERMIT APPLICATION PROJECT ADDRESS: , PERMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) COTT�R: pktrvvt ,\`i`- LICENSE: _ MAILING RESS: d PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- PLIEDBYUNIT COST/ EQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS 2- x $6 — B03 URINALS 7 x $6 — B04 TUBS BATH, STALL, ON-SITE BUILD x $6 — B05 SHOWERS (per trap) - 1 x $6 — B06 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT 5 x $6 — B07 DISHWASHER - x $6 - B08`' CLOTHES WASHER - x $6 — B09 GARBAGE DISPOSAL/GRINDER x $6 — B10 WATER SOFTENER (NOTE: if gas water tank see mechanical) x $6 — B11 ELECTRIC HOT WATER TANKS AREA, CASE, COIL, TRENCH, CONDENSATE x $6 — B12 FLOOR DRAINS - 1 x $6 — B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x S6 — B14 FOUNTAINS, DRINKING - x $6 — B15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, 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 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 $6 — B21 MISCELLANEOUS FIXTURES $6 — METHOD OF PAYMENT ...................... . VISA e SUBTOTAL PLUS PROCESSING FEE $ 25.00 it • CASH • CHECK ■ — ■ FAXED PERMITS WILL ONLY BE ACCEPTED OF A MAJOR CREDIT EXPIRES: ■ WITH PAYMENT CARD DATE: BANKCARD A T T'V-TCP TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER NUMBER: T7FTl CV1N A TT TR F• Spokane County Division of Building & Planning 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 324-3198 * TDD No. (509) 324-3166 MECHANICAL PERMIT APPLICATION PROJECT , PERMIT ADDRESS: I USE: OWNER: i j ( S PHONE (Daytime Contact): COST/ UNIT EQUALS MAILING t i FUEL BURNING APPLIANCE 34 L b qt_c (Street) (City/State) (Zip) CONT C1ST: (\ 1 . I- tea/ �\ �.Q� LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) Spokane County Division of Building & Planning 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 324-3198 * TDD No. (509) 324-3166 DESCRIPTION OF WORK # OF UNITS MULTI- PLIED BY COST/ UNIT EQUALS AMOUNT 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 - $ 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 - 1 X $10 - $ B14 RANGE - X $10 - $ B15 R� DRYER�l:J� X $10 - $ B16 FUEL BURNING WATER HEATER- I X $10 - $ B17 MISCELLANEOUS FUEL BURNING APPLIANCE- X $10 - $ B18 GAS PIPING (ea. Outlet)- 3 X $1 - $ B19 DUCT SYSTEMSX $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 - $ 828 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 VISA ' SUBTOTAL PLUS PROCESSING FEE $ 25.00 �11C ■ CASH ■ CHECK • w • • 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 $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER NUMBER: SIGNATURE: Spokane County Division of Building & Planning 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 324-3198 * TDD No. (509) 324-3166 7 1. 4. •••••••11. • • •••• • • • dqh^)(i I Dc, _ I )