1995, 07-12 Permit App: 95005167 AdditionPROJECT NUMBER= 95005167 APPLICATION''
DATE= 07/12/95
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4711 N SUNNYVALE DR
ADDRESS= SPOKANE WA 99216
PERMIT USE= KITCHEN ADDITION
PLAT#= 002579
BLOCK= 3
AREA=
# OF BLDGS= 1
PLAT NAME=
LOT=
F/A=
# DWELLINGS=
OWNER= ANTICH, JOHN & BETSY
STREET= 4711 N SUNNYVALE DR
ADDRESS= SPOKANE WA 99216
PARCEL#= 45011.0915
SUNNYVALE ADDITION
15 ZONE= UR -3.5 DIST#= H
F WIDTH= 90 DEPTH= 140 R/W= 60
1 WATER DIST =
CONTACT NAME= TED ARNOLD
BUILDING SETBACKS: FRONT= 35 LEFT= 15
PHONE= 509 928 9157
PHONE NUMBER= 509 993 2035
RIGHT= 13 REAR= 74
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
REVIEW REQUIREMENT
COMMENTS:
BUILDING
COMMENTS:
HEALTHDIST
COMMENTS:
VIEW REQUIRED
SETBACK REVIEW REQUIRED
?a -7' s_S.
�-�
INCREASE IN LOT COVERAGE
******************************* BUILDING PERMIT *******************************
CONTRACTOR= TED RAY ARNOLD
STREET= PO BOX 20
ADDRESS= MICA WA 99023
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
3 X 22 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RES ADD R-3 VN
PHONE= 509 922 5409
ADDITION= X CHANGE OF USE=
BLDG HGT= 10 STORIES= 1
66 SPRINKLER= N
CRITICAL MAT= N
SQ FT
66
VALUATION
3828.00
PROJECT NUMBER= 95005167 APPLICATION DATE= 07/12/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 11.34
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= RIGGINS PLUMBING INC
STREET= 5316 N BEST RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PHONE= 509 926 1894
QUANTITY FEE AMOUNT
SINKS 1 6.00
DISH WASHERS 1 6.00
GARBAGE DISPOSAL 1 6.00
WATER PIPING - DWV 1 6.00
MINIMUM FEE ADJUSTMENT 11.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 78.84 .00 78.84
PLUMBING PERMIT 35.00 .00 35.00
113.84
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 113.84
******************************** THANK YOU ************************************
APPLICATION INFORMATION
'What isth JOB SITE address? ASSESSOR'S tax parcel number?
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Wears Legal description as it ears on the propeeed
OWNER or UPANT
`)6 A/,_Ce i/ / ' AJ/
/C�C state
Mailifig address
/( y7// 0s VI/VAC 1°k
Who should we contact regarding thisproject? -2C)-2 ,j ---
Phone Phone
Phone l
Zip
1 o37
What work is being done under this permit?
Contractor
�4 <&W.'t
WA State Contractor license #
Building height r�
C�
# of stories 1
Dimensions
K2
TOTALS SQUARE FOOTAGE
h
0.
p
-7-WC v ' /(0 PS
Mailing 'address
RbK
Main floor area
741/A- lel e)23
2nd floor area
Architect/Engineer
Garage area
Unfinished basement area
Finished basement area
G
Size of decks, etc.
What is the heat source?
What is the cost of your project?
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
Paint booth _ Fire Alarm _
Tent _
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/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.
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PLUMBING PERMrr APPLICATION
PROJECT ADDRESS:
OWNER: o i) 2
MAILING ADDRESS: 4. L/ 7 /f,44 ,St,1, ✓i
PHONE: DAYTIME CONTACT 3 )- d/) S
CONTRACTOR: 7 -Al (00-5
MAILING ADDRESS: P 6& ),_ 26 /L, ( 4.
6441
(street)
!! (city/state)
Fyo3 7
(zip)
('
(street)
LICENSE: _ (07/ P S
PHONE: 2 t) 2, r-
)
(city/state)
(zip)
PLUMBING FIXTURES
DESCRIPTION DETAIL
# OF
UNITS
MULTI—
PLIED BY
COST
/UNIT
EQUALS
AMOUNT
B02
TOILETS
WATER CLOSETS, BIDETS
x
$6
$
B03
URINALS
x
$6
$
B04
TUBS
BATH, JACUZZI, SPA, GARDEN
x
$6
$
B05
SHOWERS (per trap)
BASE, STALI, ON—SITE BUILD
x
$6
$
1306
SINKS
IAVS/BASINS BAR, FLOOR, KITCHEN,
LAUNDRY, UTIIITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
J
x
$6
$
1307
DISHWASHER
x
$6
$
808
CLOTHES WASHER
x
$6
$
B09
GARBAGE DISPOSAL/GRINDER
1
x
$6
$
1310
WATER SOFTENER
x
$6
$
BIT
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
1
x
$6
B1:6
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
$
B18
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
$
B21
MISCELLANEOUS FIXTURES
x
$6
$
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
Spokane County Division of Buildings
1026 W. Broadway Avenue • 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.
126/95 memorpM,mpe,aYd
PLEASE MAKE CHECKS' PAYABLE TO
SPOKANE COUNTY PERMIT CENTER'
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
1PHONE: DAYTIME CONTACT
MAILING ADDRESS:
(street)
CONTRACTOR:
(city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
DESCRIPTION OF WORK
OF UNITS
ULn—
roan IT
COST
/UNIT
{OVALS
AMOUNT
B02
FUEL BURNING APPLIANCE
= or <100,000
S12
803:
FUEL BURNING APPLIANCE
>100,000
$15
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
= or <400,000
$50
B05>
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
$100
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000
S50
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
1310
BOILER/REFRIGERATION
501-1,000M BTU
$25
Bn
BOILER/REFRIGERATION
1,001-1,750M BTU
$35
B12
BOILER/REFRIGERATION
+1,750M BTU
$60
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
$10
1314>
RANGE
$10
B15'`
DRYER
$10
B16
FUEL BURNING WATER HEATER
$10
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
$10
B18
B19
GAS PIPING (ea. outlet)
DUCT SYSTEMS
S1
$10
820
VENTILATING FANS
$10
B21
B22
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CPM
$12
AIR HANDLER (DOES NOT include duct systems)
>10,000 CSM
$15
B23'
EVAPORATIVE COOLERS
$10
1124';
B25(:
B26.
TYPE I HOOD
$50
TYPE II HOOD
$10
HEAT PUMP/AIR CONDITIONER
0-5 TONS
S12
B27z
AIR CONDITIONER
6-15 TONS
S20
B28
AIR CONDITIONER
16-30 TONS
$25
NM
B29
B30
AIR CONDITIONER
31-50 TONS
$35
AIR CONDITIONER
+50 TONS
$60
B317
LPG STORAGE TANK
$10
B32
WOOD OR PELLETSTOVE/INSERT
S25
NOTE: MINIMUM PERMIT FEE IS S35.00
SIGNATURE:
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
UMW] maresAmulimalbsil
PROJECT HUMBER= 95005167 APPLICATION DATE= 07/12/95 PAGE= 01
******
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR —COMMENCING —WORK —WITHOUT —A— PERMIT
-------
SITE STREET.'
4711 N SUNNYVALE DR PARCEL#= 45011.0915
ADDRLW3.. SPOKANE WA 99216
PERMIT J E.. KITCHEN ADDITION
002579 PLAT NAME= SUNNYVALE ADDITION
3 LOT= 15 ZONE= UR -3.5 DIST#= H
F/A= F WIDTH= 90 DEPTH= 140 R/W= 60
1 # DWELLINGS= 1 WATER DIST =
PLATO'.
BLOCK'
AREA
# OF SLUGS,.
OWNER'. A47N]T,1CN� SUNNYVALEDR
PHONE= 509 928 9157
STREET.'
ADDRESS SPOKANE WA 99216
CONTACT NAME
TED ARNOLD PHONE NUMBER= 509 993 2035
BUILDING SETBACKS: FRONT= 35 LEFT= 15 RIGHT= 13 REAR= 74
••..•*************************
REVIEW INFORMATION
*****************************
REVIEW REQUIREMENT
DEPARTMENT
GILDING PLAN REVIEW REQUIRED
COMMENTS :
linZLDUIG
C Q,NTS :
SETBACK REVIEW REQUIRED,
Gr ,-7.t o rL )
111UUMEDIST INCREASE IN LOT COVERAGE
nk J4:'
•frntowfw***************.BUILDING PERMIT *******************************
TED RAY ARNOLD
PO SOX 20
MICA WA 99023
REMODEL=
OCCUP. LD=
X 22 SQ FT=
#HANDICAP=
PHONE= 509 922 5409
ADDITION= X CHANGE OF USE=
BLDG HGT= 10 STORIES= 1
66 SPRINKLER= N
CRITICAL MAT= N
GROUP TYPE SQ FT VALUATION
R-3 VN 66 3828.00
ExPJMilortj?Aft,!.
'.,VILOADALE •
WA 99031
SIGNATURE
:0;;X,