HomeMy WebLinkAbout1991, 11-14 Permit App: 91007849 RemodelSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:- 0 3 E_ /2 L L C y d y
CITY/STATE/ZIP: l
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: � # OF DWELLINGS:_ WATER DISTRICT: fy)O pE(,,� Ij
OWNER:�a.2,1 I � � �-- - , � i V, I cl PHONE:
a
MAILING ADDRESS:.
CITY/STATE/ZIP:
CONTACT: _� ,1 PHONE: f--1st=1-- —
SETBACKS: – FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
BIIILDING INFORMATIONR / Q
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: 0PHONE:
MAILING ADDRESS: 102 /oL
ARCHITECT ENGINEER: // _ _
ARCHITECT/ENGINEER:
MAILING ADDRESS: I �> C ? �_ \ (� W a a4
i 1
NEW: REMODEL: ADDITION:( C�ANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BIIILDING HGT: STORIES:
BUILDING DIMENSIONS: % (WIDTH % DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance:
� 4
Space heating type (check one)
Forced air electric Electric baseboard or wall mount
=Forced air gas Heat pump
Flat ceilings R
Vaulted ceilings R
Above grade walls R
Below grade walls R ✓'
Floor R
Slab on grade R
Doors U
Windows U
Glazing area %:
Total floor area
of heated space
Furnace efficiency rating
Propane
Other:
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement - Finished:
Unfinished:
Garage
Carport:
Decks:
Additional Areas:
MECHANICAL PERMIT APPLICATION FORM
Infofmation Worksheet
JOB STREET ADDRESS:
CITYISTATEOP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (zip)
CONTRACTOR: LICENSE NUMBER:
MAILING ADDRESS:
PHONE NUMBER:
(Street) (City/State) (zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
............... . .........
GAS WATER HEATER
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M
....TU
......... ...
BOILER/R
. ......... ...
HEAT PUMP &AIR CONDITIONER 3-)5 TONS
HEAT PUMP &AIR CONDITIONER 30-50 TONS
I IRWIN
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
SIM
ITS
GAS LOG
...........UNUSTEO GAS•APPUANCE <400,000 BTUUSED APPLIANCE <400,000 BTUAIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
x 10.00
x 25.00
x 10.00
x 12.00
x 15.00
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00
x 10.00
x 10.00
x 10.00
x 10.00
x 10.00
x 50.00
X100.00
x 50.00
X100.00
x 12.00
x 15.00
SUBTOTAL
$
PLUS: PROCESSING FEE
+$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
`E
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
=AMOUNT
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
Z-
SUBTOTAL
$
PLUS: PROCESSING FEE
+$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675