1996, 05-17 Permit App: 96003555 Remodel PROJECT NUMBER= 96003555 APPLICATION DATE= 05/17/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13021 E VALLEYWAY AVE PARCEL#= 45153.2115
ADDRESS= SPOKANE WA 99216
PERMIT USE= INTERIOR REMODEL / KITCHEN / BATHROOM ETC
PLAT#= 001858 PLAT NAME= OPPORTUNITY SUB.TR.121
BLOCK= 1 LOT= 10 ZONE= UR 3.5 DIST#= F
AREA= F/A= F WIDTH= DEPTH= R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= HOSE, JAMES PHONE= 509 928 1071
STREET= 13021 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= JAMES HOSE PHONE NUMBER= 509 928 1071
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON DATE: 05/17/96
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 10000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 140.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 30.80
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PROJECT NUMBER= 96003555 APPLICATION DATE= 05/17/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
DUCT SYSTEMS 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
SHOWERS 1 6.00
SINKS 2 12.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
WATER PIPING - DWV 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 175.30 .00 175.30
MECHANICAL PRMT 10.00 .00 10.00
PLUMBING PERMIT 48.00 .00 48.00
233.30 .00 233.30
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears o the pfopirty deed /� 1 - -
/Cat- 7, G e/Q-/.07 4 v_ 6.),S` /''a -.1',..e7'
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OWNER or OCCUPANT / f
/ Phone {,��e � ��;'iJ�,'7){J0 r
ry;,9 I1ec I /�U3� '�, iS',rf1 1�c1'—/O7/ �Jprr r11pl1< 5?--- -.), .G
Mailing address J City,state Zip
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Who should we contact regarding this project? Phone
P i� r : h /. 1
WhatT- work is being clone under this permitj? 1 J / J
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,tip /c c,q�,,_ A0j�c. Y- AA,, V
Lane ".: Inspector distnct Property size . K.Ight pf way whdth
N
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Water distr ct
Y
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Building Building g #ofstories
B in height
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
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Mailing address 2nd floor area Finished basement area
C /: t"/2 S, -/u'-g----, 0.- 0
Architect/Engineer Garage area Size of decks,etc.
<.� &'xS
\What is the heat source? What is the cost of your project?
F/9 cu(),00U
Manufactured Home Sign;
Width: Length: What is the square footage of How high is the sign?
the sign face?
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 Underground 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.
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PLUMBING PERMIT APPLICATION
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PROJECT ADDRESS: � !3�I ��1 I���� ��A � � ,.� �� 7
OWNER: '4 , Nn I yl o S e- PHONE:DAYTIME CONTACT 'y SY-' A/3 /{
�= j a; I S' /• r `pc) /P tri-e_ 6t 1 A
MAILING ADDRESS: `/ ` ,
(street) (city/state) (zip)
CONTRACTOR: CJ zzik) r LICENSE:
PHONE:
MAILING ADDRESS: A S 4 4 0 i/Z.
(street) (city/state) (zip)
PLUMBING 1!IXTURLS #OF &awn- COST
DESCRIPTION i DETAIL UNITS LIED a /UNIT aQuu.s AMOUNT
ito TOILETS WATER CLOSETS,BIDETS ( x $6 = $
BE) URINALS - x $6 = $
: ::TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $
:3 :SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $
SINKS
LAVS/BASINS,BAR,FLOOR,KITCHEN, a x $6 = $
LAUNDRY.UTILITY.JANITOR,PHOTO, 4'
X-RAY.FOOD(PREP/CULINARY/MEAT)
':DISHWASHER - x $6 = $
CLOTHES WASHER - x $6 = $
:GARBAGE DISPOSAL/GRINDER - x $6 = $
tig WATER SOFTENER - x $6 = $
Bi?:ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
ofii FLOOR DRAINS AREA,CASE.COIL TRENCH.CONDENSATE x $6 = $
€ ::ROOF DRAINS/OVERFLOW DRAIN - x $6 = $
:BI y FOUNTAINS,DRINKING
K WATER PIPING/DRAIN-WASTE-VE INSTALLATION,ALTERATION,REPAIR, x $6 = $
�••`••> .PLUMBING REVERSALS REVERSALS
tit SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
Et WATER USING DEVICES ICE AND/OR COFrhb MAKER. x $6 = $
lin HOSE BIB,STEAMER,PROOFER,
CARBONATOR.SWAMP COOLERS
BU CROSS-CONNECTION DEVICES VACUUM BREAKER CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS.BOILERS,&SPRINKLER SYSTEMS
Et INTERCEPTORS GREASE TRAP.SAND TRAP. x $6 = $
Iiiiiie CHEMICAL HOLDING TANK
iiii MEDICAL GAS(per outlet/bottle stati NITROUS,OXYGEN x $6 = $
Biz MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FE $25.00
SIGNATURE: TOTAL PERMIT FEE DU $
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Department of Building&Planning
S Q►KANE CO ViVERM::::CENTER::::::::::::::::::::.
n De a
n County Spokane e
99260
WA
Avenue
Spokane,
Ave •
Tel.No..(509)456-36756y * 24-3198'TDD No. (509)3243166
Tel. Fax No.(509)3
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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