1996, 04-05 Permit App: 96002161 ResidencePROJECT NUMBER= 96002161 APPLICATION
******
DAT
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE STREET= 4905 N SUNNYVALE DR PARCEL#`= 46364.0405
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE W/GARAGE — GAS
PLAT#`= 005427 PLAT NAME= CHINOOK NO. 1 (CHINOOK ESTATES
BLOCK= 4 LOT= 5 ZONE= UR -3.5 DIST#= H
AREA= 00010733 F/A= F WIDTH= 80 DEPTH= 134 R/W= 50
# OF BLDGS= 1 #` DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= LEVAN, SCOTT & JO
STREET= 217 N WRIGHT BLV
ADDRESS= LIBERTY LAKE WA 99019
PHONE= 509 255 6780
laic .255-1594
CONTACT NAME= JO LEVAN PHONE NUMBER= 509 255 6780
BUILDING SETBACKS: FRONT= 30 LEFT ! RIGHT=,_$EAR= 50+
REVIEW INFORMATION ******************************
******************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER
EEEERR�
CdMMENTS:
,r96
APPROACH/FLOOD PLAIN/DRAINAGE d7 /
_ 1
'-f- :rte— il►'W ff�/_i Mt .A1/17101.iffliil/. �/:�;+.�.:�►.:r.
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
thL . xllittAA
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 20 STORIES= 1
BLDG W X D = 30 X 43 SQ FT= 1893 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 96002161 APPLICATION DATE= 04/05/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 672 7392.00
GARAGE U-1 VN 528 6336.00
RESIDENCE R-3 VN 1221 72039.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 690.93
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 152.00
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
RANGE 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= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18.00
TUBS 2 12.00
SINKS 4 24.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
SEWAGE EJECTOR 1 6.00
WATER USING DEVICES 3 18.00
CROSS CONNECTION DEVICES 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
847.43 .00 847.43
105.00 .00 105.00
96.00 .00 96.
1048.43 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
1048.43
.06
******************************** THANK YOU ************************************
4
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: A/, L/ pcwi y1%/'
OWNER: 50,7i d Jo / e La
MAILING ADDRESS: 4,/ /A) 7 l,(>r��q Ai—,
iU�
(street)
CONTRACTOR: D wfrk E
MAILING ADDRESS:
PHONE: DAYTIME CONTACT S -4 7
L [y st�e) ht' l Zd/'
LICENSE:
PHONE:
(street)
(city/state)
PLUMBING FIXTURES
DESCRIPTION DETAIL
#OF
UNITS
LIED a
COST
/UNIT
(zip)
EQUALS
AMOUNT
TOILETS
WATER CLOSETS. BIDETS
x
$6
$
URINALS
x
$6
$
TUBS
BATH, JACUZZI, SPA, GARDEN
2
x
$6
$
SHOWERS (per trap)
SINKS
BASE. STAR., ON-SITE BUILD
x
$6
$
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD (PREP/CULINARY/MEAT)
x
$6
$
DISHWASHER
x
$6
$
CLOTHES WASHER
x
$6
$
GARBAGE DISPOSAL/GRINDER
x
$6
$
WATER SOFTENER
x
$6
$
ELECTRIC HOT WATER TANKS
(NOTE: if Su water tank, see mechanical)
x
$6
$
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
$
ROOF DRAINS/OVERFLOW DRAIN
x
$6
$
FOUNTAINS, DRINKING
x
$6
$
WATER PIPING/DRAIN-WASTE-VE
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
$
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
$
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR. SWAMP COOLERS
x
$6
$
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS. & SPRINKLER SYSTEMS
x
$6
$
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
$
MEDICAL GAS (per outlet/bottle stati
MISCELLANEOUS FIXTURES
NITROUS, OXYGEN
x
$6
$
x
$6
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FE
$25.00
TOTAL PERMIT FEE DU,
$
Spokane County Department of Building & Planning 1')'►1`1JJlitj11;:4#'!;
99260 ............................. .
Ic n WA
o nue Spokane, Broadway e
1026 W road a
Y
Avenue
.::::::::::::.::.............................................................. .
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.
7/d9! NamalArplumprn.ked
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: L 11.
OWNER: 5-,- J;7 4 A, Ilaw
MAILING ADDRESS: t,! , # / 7 L -(..,/,',414--Y— 44/(17.'
(street)
CONTRACTOR:
1PHONEA DAYTIME CONTACT ,2 E 5 — 2 2 . 6)
Kiceisti/alt4/Pd/7
(zIP
MAILING ADDRESS:
LICENSE:
PHONE:
(street)
(city/state) (zip)
DESCRIPTION OF WORK
OF UNITS
FUEL BURNING APPLIANCE
= or <100,000
1
MILT
L® 1
COST
/UNIT
LQUAIJ
AMOUNT
$12
$
FUEL BURNING APPLIANCE
>100,000
$15
$
UNLISTED APPLIANCE (ADDITIONAL CHARG
= or <400,000
$50
s
1105
UNLISTED APPLIANCE (ADDITIONAL CHARG
>400,000
$100
s
USED APPLIANCE (Must meet WSEC's min. AFU
= or <400,000
_
$50
$
USED APPLIANCE (Must meet WSEC's min. AFU
>400,000
$100
$
Blas
BOILER/REFRIGERATION
1-100M BTU
$12
$
B09
BOILER/REFRIGERATION
101-500M BTU
$20
$
1O
BOILER/REFRIGERATION
501-1,000M BTU
$25
$
BOILER/REFRIGERATION
1,001-1,750M BTU
$35
$
sit
BOILER/REFRIGERATION
+1,750M BTU
$60
$
in3
GAS LOG, GAS INSERT, AND/OR GAS FIREPLA
$10
$
RANGE
DRYER
$10 ,
$10
$
$
1:16
FUEL BURNING WATER HEATER
1�1
MISCELLANEOUS FUEL BURNING APPLIANCE
r
$10
$10
$
$
GAS PIPING (ea. outlet)
$1
$
DUCT SYSTEMS
$10
$
VENTILATING FANS
21
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
y
$10
s
$12
$
23
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
$15
$
B23
EVAPORATIVE COOLERS
$10
$
B24
TYPE I HOOD
$50
825
TYPE II HOOD
$10
B26
B27
HEAT PUMP/AIR CONDITIONER
0-5 TONS
$12
AIR CONDITIONER
6-15 TONS
$20
$
B28
AIR CONDITIONER
16-30 TONS
$25
$
829
AIR CONDITIONER
31-50 TONS
$35
$
B30
AIR CONDITIONER
+50 TONS
$60
$
1331
LPG STORAGE TANK
$10
B32
WOOD OR PELLET STOVE/INSERT
$25
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
Spokane County Department of Building & Planning Qlfi i>w TI T' `3 'l l ll'T E aiTER
1026 W Broadway Spokane, S okan e
f W 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 act
7/6193 ..w.A..pap.o.Yd
APR -12-1996 06:38
PROJECT NUMBER= 96002161 APPLICATION DATE 04/05/9] PAGE= 01
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4905 N SUNNYVALE DR
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE W/GARAGE - GAS
PARCEL#= 46364.0405
PLAT#= 005427 PLAT NAME= CHINOOK NO. 1 (CHINOOK ESTATES
BLOCK= 4 LOT= 5 ZONE= UR -3.5 DIST#=' .H
AREA= 00010733 F/A= F WIDTH= 80 DEPTH= 134 R/W= 50
# OF ELDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= LEVAN, SCOTT & JO
STREET= 217 N WRIGHT BLV
ADDRESS= LIBERTY LARK WA 99019
PHONE= 509 255 6780
1.04( ass -094
CONTACT NAME= JO LEVAN PHONE NUMBER= 509 255 6780
BUILDING SETBACKS: FRONT= 30 LEFT. RIGHT=_= 50+
****************************** REVIEW INFORNATION*****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER``APPROACH/FLOOD PLAIN/DRAINAGE lfWlgG �R
Meal'
HEALTHDIST NEW OR ADDITIONAL WASTE WATER () L / 901--//-10
COMMENTS:
BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 20 STORIES= 1
BLDG W X D = 30 X 43 SQ FT= 1893 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PHONE=
What is the JOB SITE address?
•
APPLICATION INFORMATION
ASSESSORS tax parcel number?
Legal description as it appears on the property deed /
45- `� c A i n U,* 4
OWNER or OCCUPANT
ra/// Jp
Phone
Mailing address
%1/ a / 7
Who should we contact regarding Ms project?
J0 1e_(.1 v`
City, state ,(
.0 , k --
Zip70`
What work is being done under this permit?
B
wilding'
Contractor
(//,(//%Pr
A State Contractor license #
Mailing address
Building height
dimensions
# of stories
din floor area
for area
TOTAL SQUARE FOOTAGE
U/7>' r.4/�J I,b h .0./? x
3D
r so Garage a ea
Architect/Engineer
I G� I
What is the hea ource?
v
/,06,
Unfinished basement area C
�X3-
Finished basefnent area
a, s X 2�
at is the cost of your project?i
7 ooJ
Manufactured Home
Sign
Width:
Year:
Length:
What is the square footage of
the sign face?
How high is the sign?
Make:
Installer
Wa State Contractor license #
Contractor
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Contractor
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
WA State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
..........................
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground
Underground
Contents of tank(s)
Contractor
'Size / gallons
Size / gallons
Private
Public/semi-private
Wa State Contractor license #
Mailing address
Contractor
WA State Contractor license #
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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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
0 All existing & proposed buildings
❑ Underground utilities
❑ North arrow
O Septic tanks & wells