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1996, 07-22 Permit App: 96005711 ResidencePROJECT NUMBER= 96005711 APPLICATION DATE= 07/22/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 12416 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= 7 ZONE= UR -3.5 DIST#= F AREA= 00011561 F/A= F WIDTH= DEPTH= R/W= 50 # OF BLDGS= 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= 5 REAR= 15 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT e'OEV,N3 BUILDING HOLD FOR FIRE DIST REQUIREMENT COMMENTS: 1 Ic-tr.- / (.406_, ticiza/(. BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED Q 4;e iTA CI leITC- -------- LD COMMENTS: I VmV c__ Wil./_, ,, y—„, 7/ / BUILDING SEWER PERMIT PENDING ( `�-� �7 r :› y COMMENTS: 6 -'5 / a � OW/ 'G�%6- t-�t%u7�-, ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 PHONE= 206 869 6618 NEW=AC REMODEL= ADDITION= CHANGE OF USE= PROJECT NUMBER= 96005711 APPLICATION DATE= 07/22/96 PAGE= 02 DWELL UNITS= 1 OCCUP. LD=- BLDG HGT= 15 STORIES= 1 BLDG W X D = X SQ FT= 2210 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1105 12155.00 GARAGE U-1 VN 361 4332.00 RESIDENCE R-3 VN 1105 65195.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 669.41 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 147.27 ******************************* 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 2 12.00 TUBS 1 6.00 SHOWERS 1 6.00 SINKS 3 18.00 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 PROJECT NUMBER= 96005711 APPLICATION DATE= 07/22/96 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 821.18 .00 821.18 MECHANICAL PRMT 95.00 .00 95.00 PLUMBING PERMIT 78.00 .00 78.00 994.18 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 994.18 ******************************** THANK YOU**********************,t****,r***,r***,r APPLICATION INFORMATION ,/Vhat is the JOB SITE address? V- ASSESSOR'S tax parcel number? A/✓Yid Legal description as it a rs on the property • _ �'h j s cu c iYJ��1S 5 r -o3T -iY• J. , �� ,11ioA) 60A/ OWNE�; o OCCU ANT 4' a '�e. one /-�7�- y /-/.�/D Mailing address 16Sao e �i��.� J to Zip 0/170/1/.0} Z1, 9/410Z- I zWho Whoshou.ldwecontact regarding this project? Phone What work is being done under this permit? /Wee_) s/.l rzyd ) Lone Inspector dlstnct Property size Right of way width Water district ! A K Building Building height# ‘.-. 1 of stories ctor a// ,a,/ L, ,C, r / 'Dimensions •TOTAL SQUARE FOOTAGE 2� 1a WA State Contractor , license # --pge V x/ t.o�� _ Main floor rea � \o Unfinished base area \ k o S Mai ing address -2nd floor area VO // e //6 �` �J �'�0 _ Finished basement area ArchdecbEnginGarage "Al"� area i 1 Size of decks, etc. What is the heat source? a/467 What is the cost of your project? (4;4ebe, 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 Fuel Storage Tanks Swimming Pool (Circle one) Above -ground Under round Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor ontractor Wa State Contractor license # A State Contractor license # Mailing address Mailing address ABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. i PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: vil/(/bv `g96/We', MAILING ADDRESS: /6 /?Q ,G ` // 7-# / (street) CONTRACTOR: 6V/t/ -4//t5/ /C , PHONE: DAYTIME CONTACTig"% /(/( ) MAILING ADDRESS: /67270 (street) 0/06/) %UA - Pte' (city/state) (zip) LICENSE.a ,hV e,6,4 0 PHONE:/ 2 stf/(U/ -/B a4X / ZeA , q�asa, (city/state) (zip) Tel. No. (509) 456-3675 ` Fax No. (509) 324-3198 * TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. vts vs..rroI..,.,..l.a PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- FLED BY COST /UNIT snu*t.s AMOUNT 1302 TOILETS WATER CLOSETS BIDETS 47K` x $6 = S 11.../ B03 URINALS - x $6 = $ BIM TUBS BATH JACUZZI SPA GARDEN 1 x $6 = $ . • 1305 SHOWERS (per trap) BASE, STALL, ON-SITE BUILD ) x $6 = � $ `fes B06 SINKS LAVS/BASLNS, BAR FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO. X-RAY, FOOD (PREP/CULINARY/MEAT) 3 X $6 = S I 1307 DISHWASHER - 1 x $6 = $ B08 CLOTHES WASHER - L x $6 = $ co 1309 GARBAGE DISPOSAL/GRINDER - + x $6 = $ 1p B10 WATER SOFTENER - x $6 = $ B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) x $6 = $ B12 FLOOR DRAINS AREA, CASE. COIL, TRENCH, CONDENSATE X S6 = $ 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 = $ B17 WATER USING DEVICES IcE I OFFEEMAKER, HOSE BIB, R, PROOFER, ATOR. SWAMP COOLERS --Q._ 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 = $ Le 1319 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 = $ B21 MISCELLANEO FI x $6 = $ Spokane 1026 r.ES NOTE: Mit T'. / PERMIT PEE IS $35.00 1 �/ SIGNATUR :: I __AA Subtotal Lte PLUS: PROCESSING FEE $2S.00 TOTAL PERMIT FEE DUE S �I County Division of Buildings W. Broadway Avenue • Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Tel. No. (509) 456-3675 ` Fax No. (509) 324-3198 * TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. vts vs..rroI..,.,..l.a MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: (3 iA/) n v /.�t/I/Y7d MAILING ADDRESS: / ' ' ? , ke_ //7-# (street) CONTRACTOR:A/- j44.S.4 1' -, MAILING ADDRESS:/%2r/k, C.� � //6�' ' ONE: DAYTIME cowTACP/p21 /6/0 &.) ,10 /a . � )4. 91a,O- (city/state) (zip) (street) LICENSE: �./v 61X,``,�� PHONE:J--9/)/`p�1P9-6 /257 d�nl/l�1 a 24 . 996a5"c= (city/state) (zip) DESCRIPTION OF WORK OF UNITS Mnnn- PURD IT COST /UNIT NQUALS AMOUNT B02:: FUEL BURNING APPLIANCE = or <100,000 1 512 1 2" B03i FUEL BURNING APPLIANCE > 100,000 $15 B04: UNLISTED APPLIANCE (ADDITIONAL CHARGE) = or <400,000 $50 B05'!. UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 $100 B06P. USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,030 $50 B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 $100 B08'' BOILER/REFRIGERATION 1-100M BTU $12 B09 BOILER/REFRIGERATION 101-500M BTU $20 B1D: BOILER/REFRIGERATION 501-1,000M BTU S25 B11: BOILER/REFRIGERATION 1,001-1,750M BTU S35 B12 BOILER/REFRIGERATION +1,750M BTU $60 B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE S10 B14 RANGE $10 B.15'; DRYER $10 B16' FUEL BURNING WATER HEATER 810 ID B17 MISCELLANEOUS FUEL BURNING APPLIANCE S10 B18 GAS PIPING (ea. outlet) S1 B19': DUCT SYSTEMS S10 t0 B20'. VENTILATING FANS 510 2-0 B21' AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM $12 B22 AIR HANDLER (DOES NOT include duct systems) >10,000 CFM $15 B 23: EVAPORATIVE COOLERS $10 B 24 TYPE I HOOD $50 B25 TYPE II HOOD $10 B26: HEAT PUMP/AIR CONDITIONER 0-5 TONS 512 `B27: AIR CONDITIONER 6-15 TONS $20 B28 AIR CONDITIONER 16-30 TONS $25 B29 AIR CONDITIONER 31-50 TONS $35 B30: AIR CONDITIONER +50 TONS 560 B31; LPG STORAGE TANK S10 B32> WOOD OR PEL ET S NSERT NOTE: MINI IT FEE IS 535.00 1 SIGNATURE: $25 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S Spokane County Division of Buildings 1026 W. Broadway • Spokane, WA 99260 Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 • TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER Uiw+s.w.n.wrr