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2001, 05-08 Permit App: 01003357 Remodel .4t1r-7 , 76 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 1111 SPOKANE,WA 99260 SPOMNE Cj -y 509-477-3675 SPECIFIC SITE INFORMATION Street Address: n / , Assessor's Tax Parcel Number(s): Legal Description: Project Description: g -4-A ao rV 0. Building Permit 0 Change in Use 0 Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other • OWNER/APPLICANT INFORMATION Indicate who should be contacted regarding this project ❑Owner Phone: O A licant PP r/�1 rt r t E.l 5 y S-y-. Phone:CS—U `t)4 2_Z—`t 1-70 Fax: ✓ Fax: Mailing Address: Mailing Address: 1' Z.-Li j- LA.A-.is/e.ic City,State,Zip City,State,Zip o k-wvtc W�•- 42O 4 ❑ Contractor Phone O Architect/Engineer Phone Fax Fax Mailing address Mailing address Ciry,State Zip City,State Zip WA State Contractor license d Contact name: PROJECT INFORMATION 'E ry4 00 A 9 ' OD* l as e ar ` likl _1 Building height to peak N of stories Main floor sq.ft Unfinished basement sq.ft- Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage sq.ft_ Deck sq.ft. Cost of project - Heat source(electric,gas,etc) ®_ € t�. �3 .�''- •fi"--�ti'"a' �.�,z�",,> Wiz. � O K„ '.`s-., � � j � `�_�-r�*�-_ '-- . >v ,mac- _�^;»x ��"�w: t,i..��. z��;�xN•'��,- a � �-� ' Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs 1 Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes Cl No What is the current property size? If yes,identib,on site plan square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,ident y on site plan O Yes O No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No 0 Don't know 0 Yes 0 No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify+on site plan If yes,identify on the site plan O Yes O No 0 Maybe O Don't know O Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes 0 No fyes,identitb,on site plan 0 Yes O No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( l°.6) 0 Yes 0 No O Yes O No ® to .e, DEPARTMENT USE ONLY 5 -If. ®n '.� �•si`,�t,,.�Z�+'�'.R-',.� �C a �� @ �.�'�,*��, -y�.,��r.� � �,. x.� 2i, n s e s.y. t "' s— �-.�-,� �r�W „s.. � -tom rsr..,° of 3° '"'.4e .*V ANP- # s t a 's a 0-a a a 4%P c�< a e c a S a& s 6:, ` lta ` b,_-. � Date Received Staff Representative. METHOD OF PAYMENT ``£{COVE SUBTOTAL PISA ❑ CASH ❑ CHECK ❑ INEMON ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: _ s , �� - -mow BANKIMCARD NUMBER: rraiii I MP iT "trgr zMA L-fIdtk'A't 4t E,,T "SI 504EZ AUTHORIZED SIGNATURE. _ c�tJrtt�rpatucR PLUMBING PERMIT APPLICATION PROJECT PERMIT ADDRESS: Z','L�l 5 . i.L.A.i..4 z�v;�,l-L a ,USE: OWNER: 5 hallo"n Qu 4--- PHONE (Daytime Contact): s92._--.. 0--) or 12-1 —'in MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES #OF MULTI- COST/ AMOUNT DESCRIPTION DETAIL UNITS rBYn UNIT EQUALS B02 TOILETS WATER CLOSETS,BIDETS / x $6 — B03 URINALS x $6 = B04 TUBS - x $6 = B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 = B06 SINKS LAYS/BASINS,BAR,FLOOR, / x $6 — KITCHEN,LAUNDRY,UTILITY, JANITOR,PHOTO,X-RAY,FOOD (PREP/CULINARY/MEAT B07 DISHWASHER - x $6 = B08 CLOTHES WASHER - x $6 = B09 GARBAGE DISPOSAL/GRINDER - x $6 = B10'< WATER SOFTENER - x $6 = B11`' ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 = mechanical) B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x $6 = CONDENSATE B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 — (ea.) B14 FOUNTAINS,DRINKING - x $6 — B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 VENT/PLUMBING REVERSALS REPAIR,REVERSALS B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = HOSE BIB,STEAMER,PROOFER, CARBONATOR,SWAMP COOLERS B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 = VALVE,AND R.P.B.P.D.FOR: VATS,SUMPS,TANKS,BOILERS,& SPRINKLER SYSTEMS B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 — CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 — B21 MISCELLANEOUS FIXTURES $6 = METHOD OF PAYMENT SUBTOTAL ....______............_..... V a . PLUS PROCESSING FEE $ 25.00 1:3 CASH 11 CHECK 0 .� 0 - ❑ �` FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE DATE: EXPIRES: MINIMUM PERMIT FEE IS 135.00 PLEASE MAKE CHECKS PAYABLE TO BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER AUTHORIZED SIGNATURE: Spokane County Division of Building&Code Enforcement 1026 West Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133 MECHANICAL PERMIT APPLICATION PROJECT PERMIT ADDRESS: ,...____,J USE: .. OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE: MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) #OF pu D- COST/ AMOUNT DESCRIPTION OF WORK UNITS BY UNIT EQUALS B02 FUEL BURNING APPLIANCE =OR<100,.000 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 = $ B31'1' BOILER/REFRIGERATION 1,001-1,750M BTU X $35 m $ B12;' BOILER/REFRIGERATION +1,750M BTU X $60 = $ B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - X $10 — $ B14 RANGE - X $10 = $ B15; DRYER - X $10 = $ B16 FUEL BURNING WATER HEATER X $10 a $ B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 = $ B18:, GAS PIPING(ea.Outlet) - X $1 = $ B19 DUCT SYSTEMS - X $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 = $ B28 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 SUBTOTAL . PLUS PROCESSING FEE $ 25.00 El CASH El CHECK ❑ . 0 ', ....._ ❑ = FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00 PLEASE MAKE CHECKS PAYABLE TO BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER AUTHORIZED SIGNATURE: Spokane County Division of Building&Code Enforcement 1026 West Broadway Avenue*Spokane,WA 99260-0050 Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133 r