1996, 07-19 Permit App: 96005704 ResidencePROJECT NUMBER= 96005704 APPLICATION DATE= 07/19/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12319 E SOUTHWOOD LN PARCEL#= 45272.9040
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE/ATTACHED GARAGE — FORCED AIR GAS
PLAT#`= 005170 PLAT NAME= THE ESTATES AT SOUTHWOOD PINES
BLOCK= 3 LOT= 10 ZONE= UR -3.5 DIST#`= F
AREA= 00011561 F/A= F WIDTH= DEPTH= R/W= 50
# OF BLDGS= 1 1 DWELLINGS= 1 WATER DIST =
OWNER= STANTON SPOKANE
STREET= 16720 NE 116TH AVE
ADDRESS= REDMOND WA 98052
PHONE= 509 921 1610
CONTACT NAME= VERNE JACOBSEN PHONE NUMBER= 509 921 1610
BUILDING SETBACKS: FRONT= 20 LEFT= 20 RIGHT= 20 REAR= 15
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
TG 'ter 4
BUILDING FIRE DISTRICT REQUIREMENTS
COMMENTS:
lila L U it d ( (o 5 a 5 C a i eft.
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
REVIEW REQUIRED ¢c-rr %' CtIE DITE (�
7//7 c1V?
7/fp
PLAIN/DRAINAGE G/X1il4� er,1
BUILDING SETBACK
COMMENTS:
BUILDING SEWER PERMIT PENDING
COMMENTS:
C),(ct
ENGINEER APPROACH/FLOOD
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DEAN HOUSLEY COMPANY LLC
STREET= 16720 NE 116TH ST
ADDRESS= REDMOND WA 98052
PHONE= 206 869 6618
NEW= X REMODEL= ADDITION= CHANGE OF USE=
PROJECT NUMBER= 96005704
APPLICATION
DATE= 07/19/96 PAGE= 02
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 15 STORIES= 1
BLDG W X D = X SQ F'= 7815 SPRINKLER= N
REQ PARKING= #`HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1407 15477.00
GARAGE U-1 VN 485 5820.00
RESIDENCE R-3 VN 1468 86612.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 801.25
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 176.28
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= DEAN HOUSLEY COMPANY LLC
STREET= 16720 NE 116TH ST
ADDRESS= REDMOND WA 98052
ITEM DESCRIPTION
PHONE= 206 869 6618
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 3 3.00
VENTILATING FANS 4 40.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= DEAN HOUSLEY COMPANY LLC
STREET= 16720 NE 116TH ST
ADDRESS= REDMOND WA 98052
ITEM DESCRIPTION
PHONE= 206 869 6618
QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18.00
TUBS 3 18.00
SINKS 6 36.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
WATER USING DEVICES 2 12.00
CROSS CONNECTION DEVICES 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 982.03 .00 982.03
PROJECT NUMBER= 96005704 APPLICATION DATE= 07/19/96 PAGE= 03
PERMIT TYPE FEL AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT
PLUMBING PERMIT
95.00
108.00
1185.03
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00
.00
95.00
108.00
.00 1185.03
******************************** THANK YOU ************************************
APPLICATION INFORMATION
Vihat is the JOB SITE addr, ? ASSESSOR'S tax parcel number?
Legal description /l property of le & As /`(7 d'eyefic=2loz.----A/SccC
/A( iC 7e) / J/ / �Pcge-� T 2o/
OWNER UPANT .5A/ .`mit' 4, /�
Mailing address Qate Zip
/67a9 C‘' /,'fle6 Ci e/0/n,� 664. 91Asa
Who should
tact regarding this project? Prone
tvze Ze i,s6ti 9�//6/o �` y� 6? -9,6--/
What work is being done under this permit?
,4a_) ZeA/c&
Lone
Inspector district
Property size
Right of way width
Water district
Building
Building height I
i —01I
# of stories
for
t -07 /606 .L 1 .�C• '
Dimensions
TOTAL SQUARE FOOTAGE
State Contractor license
(01/45--N'S: �
Main floor area
14��
Unfinished basement area
al
ai ing address I/v/H/��
167,70 / 1" ( c /CQ �!`/y- K//`'f ' PS 0.
'lndfloor area
ed
Finish sement'area
Architect/Engineer
451/ AVA4.,7ntri44/7iirki
Garage area 4e1A
Size of decks, etc.
What is the heat source? 6348
J�
What is the cost of your project?
q.0 109e)
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
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
Fuer Storage Tanks
Swimming Pool
(Circle one) Above -ground Under
round
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 programs or activities.
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: j'7A44A/
MAILING ADDRESS: %(Q zzo ,l c /76.7g
CONTRACTOR:
(street)
MAILING ADDRESS:/0;? () we /76 74%/
(PHONE: 9,›2/1/0 y 609
0 aVO) /i24. 9&z
(city/state) (zip)
(street)
LICENSE: /vex.. ,05--/D
PHONE:/- d2 9- 6-/g
/NIJ 764 Pg
(city/state) (zip)
1026 W. Broadway Avenue Spokane, WA 992 0
Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166
MASTER \PLUMPERM.HND
PLUMBING FIXTURES
DETAIL
# OF
UNITS
MULTI-
ruEDEY
COST
/UNIT
EQUALS
AMOUNT
DESCRIPTION
B02
TOILETS
WATER CLOSETS, BIDETS
:_jfr
x
$6
=
$ 1 r
:BO3
URINALS
-
x
$6
=
$
BO4
TUBS
BATH, JACUZZI, SPA, GARDEN
j
X
$6
=
$ 1 l-
1305
SHOWERS (per trap)
BASE, STALL, ON—SITE BUILD
X
$6
=
$
1306
SINKS
LAVS/BASINS,BAR, FLOOR, KITCHEN,
UTILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
.1LAUNDRY,
x
$6
=
$ I
�J
1307
DISHWASHER
-
k
x
$6
=
$
1308
CLOTHES WASHER
-
1
x
$6
=
$ (P
B09
GARBAGE DISPOSAUGRINDER
-
1
x
$6
=
$ (,.(
1310
WATER SOFTENER
-
> x
$6
=
$
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
=
$
1312
FLOOR DRAINS
AREA, CASE, COIL TRENCH, CONDENSATE
x
$6
=
$
B13
ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
B14
FOUNTAINS, DRINKING
-
x
$6
=
$
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
COFFEE MAKER,
HOSE BIB ER, PROOFER,a_
BONATOR, 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
1
X
$6
=
$ W
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
=
$
1320
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
=
$
B21
MISCELLANEOU XTURES
x
$6
=
$
NOTE: MI
SIGNATURE: ���
'
Spokane County Division of
' ' PERMIT FEE IS $35.00
'-
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ b3
Buildings
6
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER'.
1026 W. Broadway Avenue Spokane, WA 992 0
Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166
MASTER \PLUMPERM.HND
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: `gyi(44/J,/
MAILING ADDRESS:
CONTRACTOR:
//(t7 7,(f
(street)
MAILING ADDRESS: /67,)/Ye 7'f
street
PHONE: ? —%/Q-)
(W4� 0 J
(city/state) (zip)
LI CENS E:OyeZCS)(6)'v
PI-IONE:p?,S6-f6,g,67
a 664.7tea
(city/state) (zip)
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 • TDD No. (509) 324-3166
master\mechperm.hnd
DESCRIPTION OF WORK
#
OF UNITS PLIED
MULTI-
BY
COST
/UNIT
EQUALS
AMOUNT
B02
FUEL BURNING APPLIANCE$12
- s
t 2�
1303
FUEL BURNING APPLIANCE
>100,000=
$15
- s
1304
= or <400,000$50
- s
UNLIS I hD APPLIANCE (ADDTIIONAL CHARGE)
1305
UNLIS 1 hD APPLIANCE (ADDITIONAL CHARGE)
>400,000
=
$100
-
s
1306
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000
=
$50
-
s
1307
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000$100
-
s
B08
BOILER/REFRIGERATION
1-100MBTU
$12
-
s
B09
BOILER/REFRIGERATION
101-500M BTU
=
$20
-
s
B10`
BOILER/REFRIGERATION
501-1,000M BTU
=
$25
-
s
1311
BOILER/REFRIGERATION
1,001-1,750M BTU
=
$35
-
s
B12
BOILER/REFRIGERATION
+1,750M BTU
=
$60
-
s
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
—
(
_
$10
-
s 10
B14
RANGE
—
_
$10
-
s
B15
DRYER
—
/
_
$10
-
:
1316
FUEL BURNING WATER HEATER
—
(
_
$10
-
s ID
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
—
_
$10
-
s
1318
GAS PIPING (ea. outlet)
—
3
_
$1
-
s 2.-
iB19'
B19
DUCT SYSTEMS
—
_
$10
-
: 1 a
B20
VENTILATING FANS
—
$10
-
s Aja
B21<
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
111
=
$12
-
s
B22
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
=
$15
-
s
B23
EVAPORATIVE COOLERS
—
_
$10
-
s
B24
TYPE I HOOD
—
_
$50
-
s
B25
TYPE II HOOD
—
if
_
$10
-
$
B26
HEAT PUMP/AIR CONDTIIONER
0-5 TONS
=
$12
-
s
B27
AIR CONDITIONER
6-15 TONS=
$20
-
s
B28
AIR CONDITIONER
16-30 TONS$25
-
s
B29
AIR CONDITIONER
31-50 TONS=
$3.5
-
s
1330
AIR CONDITIONER
+SO TONS_
$60
-
$
1331
'> LPG STORAGE TANK..
—$10
-
s
B32''
WOOD OR PEL O /INSERT
—$25
-
s
Spokane
in7A
NOTE: MINI ' 'RMIT FEE IS $35.00
/
SIGNATURE: ,i I�
�
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ 99 -"
,
County Division of Buildings
W 1-2...,,.1....., * C=.nlrane_ WA 99260
( i
PLEASE MAKE CI IECKS' PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 * Fax No. (509) 456-4703 • TDD No. (509) 324-3166
master\mechperm.hnd
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