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2001, 06-27 Permit App: 01005162 RemodelProject Number: 01005162 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/27/01 Page 1 of 3 Proiect Information: ZMWARNitart Permit Use: REMODEL TO ADD BATHROOM Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001835 Name: OPP.TR. 1-354 ztagam Contact: RICK GALLINGER Address: 16612 E SECRETARIAT C - S - Z: VERADALE, WA 99037 Phone: (509) 928-8865 Group Name: Project Name: District: F Parcel Number: 45174.2404 Block: SiteAddress: 10306 E VALLEYWAY AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR -22 Water District: Area: 0 Sq Ft Nbr of Bldgs: 2 Review Information: Department BUILDING Permits: Hold Reasons: Permit Conditions: Urban Residential -22 Width: 97 Nbr of Dwellings: 1 Review Plan Review Lot: Owner: Name: BARGE, JAMES W Address: 10306 E VALLEYWAY AVE SPOKANE, WA 99206 Hold: ❑ Depth: 130 Right Of Way (ft): 40 Rely Project Number: 01005162 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/27/01 Page 2 of 3 Contractor: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT VERADAL, WA 99037 Building Permit Firm: GALLINGER CONSTRUCTION Phone: (509) 928-8865 Building Characteristics Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Description Grp Type Notes RESIDENCE R-3 VN BATHROO M ADD Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: E This Application: Total Project: Su Ft Valuation Su Ft Valuation 0 $15,300.00 0 $15,300.00 Totals: 0 $15,300.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Contractor: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT VERADAL, WA 99037 Item Description VENTILATING FANS MINIMUM FEE ADJUSTMENT 0 $15,300.00 Fee Amount $238.00 $4.50 $52.36 Permit Total Fees: $294.86 Mechanical Permit Firm: GALLINGER CONSTRUCTION Phone: (509) 928-8865 Units Unit Desc 1 NUMBER OF 1 Select Contractor: GALLINGER CONSTRUCTION Address: 16612 E SECRETARIAT VERADAL, WA 99037 Item Description TOILETSBIDETS SINKS SHOWERS MINIMUM FEE ADJUSTMENT Permit Total Fees: Plumbing Permit Fee Amount $10.00 $25.00 $35.00 Firm: GALLINGER CONSTRUCTION Phone: (509) 928-8865 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Select Fee Amount $6.00 $6.00 $6.00 $17.00 Permit Total Fees: $35.00 Project Number: 01005162 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/27/01 Page 3 of 3 Payment Summary: Operator: JAS Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Printed By: JAS Print Date: 6/27/01 Fee Amount Invoice Amount Amount Paid Amount Owing $294.86 $294.86 $0.00 $294.86 $35.00 $35.00 $0.00 $35.00 $35.00 $35.00 $0.00 $35.00 $364.86 $364.86 $0.00 $364.86 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: )D3D(p E V )Ity UJ Assessor's Tax Parcel Number(s): S kookav e Oct Legal Description: Project Description: 63 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front Rear. Left: Right School District: Fire District: Zoning OWNER/APPLICANT INFORMATION 0 India &e who fiord(' he onlur/ed no,ardinn /hi.r proied ❑ Owner: A L Phone, Q Z — 0 3 4, 3 TOw! e,.5 A a vr9 Fax: ❑ Applicant Phone: Fax: Mailing Address: 1 b 3 042 E- Ot it y woy Mailing Address: Dimensions 3 �� City, State, Zip S poeivie On q 6;i6, (:,ty, State, Zip 1 inishcd basement sq. ft. 0 Contractor Ph"' ca 6, i g i/ ❑ Architect%I-:ngnnee,r Phone Fax \tailing address 1101 i2 P S ec_✓P,P �'((Pi ct.+ Mailing address I Teat source (electric, gas, (tc.) lec. City, State Zip Ve v rI chc, le 14)0\ Gqo7 City, State Zip V\ :A State Contractor license tr 64 LL I G 4°9 l C. /-1 Contact name: PROJECT INFORMATI Building Information Building height to peak zo' # of stories .. Main flour sq. ft. q - ted Unfinished basement sq. ft. q3et. d Dimensions 3 �� Total habitable space 2°0 floor sq. ft. d ''b 1 inishcd basement sq. ft. Occupancy group� Construction type Garage sq. It. Deck sq. ft. Cost of project 0 IS).3eo I Teat source (electric, gas, (tc.) lec. Manufactured Home Sign Width: Length: What is the square footage of the sign face? 1 low high is the sign? Year: Make: # of signs Arca of existing signs Fireworks display Are critical or hazardous materials used or stored on site? ❑ Yes ,t3 No Address Proposed use Relocation Fire Safety Film Name What is the current use of this property? ,//�� ILP 5 ; eiL4114-01 Previous address Will the site be served by a septic system?* Yes No Paint booth Fire Sprinkler fent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? ❑ Yes ,t3 No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Film Name What is the current use of this property? ,//�� ILP 5 ; eiL4114-01 Phone Will the site be served by a septic system?* Yes No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? ❑ Yes ray No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( !%o) ❑ Yes 'No Are critical or hazardous materials used or stored on site? ❑ Yes ,t3 No Address ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑Yes 0 N Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address AL SITE INFORMATION Are there structures on the property? g Yes ❑ No If yes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? Ifyes, identi, on site plan ❑ Yes Cif No What is the current use of this property? ,//�� ILP 5 ; eiL4114-01 Is your property in a designated wildlife habitat area? ❑ Don't know ❑ Yes 7 No Will the site be served by a septic system?* Yes No Is any part of the property within a 100 yr flood plain? Ifyes, identify on site plan ❑ :Maybe Don't know ❑ Yes ❑ No Are or will there be wells located on the property? Ifyes, identify on the site p/an ❑ Yes *No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identi' on site plan ❑ Yes g' No Is there evidence of fill or excavation on the property? ❑ Yes ray No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( !%o) ❑ Yes 'No Are critical or hazardous materials used or stored on site? ❑ Yes ,t3 No T USE ONLY Is the property in a designated Stormwater Control Area? ❑Yes 0 N Is public sewer available to the site? ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes ❑Yes ❑ No 0 N Is public water available to the site? ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑Yes 0 N Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ C:ASI1 ❑ (:I11?CK ❑inn= ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D A•1•I:: I?XPIRFS: B.WK(::AR1) NUMMBI•:R: AU'1'110R1/I•11) SIGN flRI•:: SUM fO1•:V, TOTAL FEE MINIMUM PERMIT FEE IS $35.00 Plk_UE Al A KE. CI IECKS PA) 1131.E 10 SPOKANE COL'N'IAPERM] r CNN lER PLUMBING PERMIT APPLICATION PROJECT ADDRESS: /030a, E . II/ Ilpy (Afta y PERMIT USE: OWNER: / r wteS lggµ9e PHONE (Daytime Contact): MAILING ADDRESS: /b C,C, F Vr. // r.y i»o y Slpn L vt. P bc, W.76 (Street) (City/State) (Zip) CONTRACTOR:LICENSE: Ga- G 11; ra c�z°,1r____ (c VISA/ me I-) /3 4 &4 /„_z.. I c_ �j9' / r I-1 MAILING ADDRESS: PHONE: /Vole1e r.�P�JPe' tVja]- tie. t/'ida fr 1110 g-gfZ7 (Street) (City/State) (Zip) PLUMBING FIXTURES I DESCRIPTION DETAIL # OF UNITS MULTI- ED PBY COST/ UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS 1 x $6 — B03 URINALS x $6 — B04, TUBS - x $6 — B05 SHOWERS (per trap) BATH ALL ON-SITE BUILD ) x $6 — B06 SINKS VS/BASINS, AR, FLOOR, KI UNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT 1 x $6 — B07 DISHWASHER - x $6 — B08 CLOTHES WASHER - x $6 — B09 GARBAGE DISPOSAL/GRINDER - x $6 — B10 WATER SOFTENER - x S6 — B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) x $6 — B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x 56 — B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 — B14 FOUNTAINS, DRINKING - x $6 — B15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 — B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 — B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS x 56 — B18 CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR : VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS $6 — B19 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 — B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 — B21 MISCELLANEOUS FIXTURES $6 — METHOD OF PAYMENT SUBTOTAL PLUS PROCESSING FEE $ 25.00 •IL VISA CASH • CHECK ■ • • FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER BANKCARD NUMBER: 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 ADDRESS: • PERMIT USE: # OF UNITS OWNER: COST/ UNIT PHONE (Daytime Contact): AMOUNT MAILING ADDRESS: FUEL BURNING APPLIANCE — OR < 100,.000 (Street) (City/State) (Zip) CONTRACTOR: $ LICENSE: FUEL BURNING APPLIANCE MAILING ADDRESS: PHONE: $15 $ B04 (Street) (City/State) (Zip) 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 DESCRIPTION OF WORK # OF UNITS MULTI- PLIED By COST/ UNIT EQUALS AMOUNT 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 — $ B11, BOILER/REFRIGERATION 1,001- 1,750M BTU X $35 — $ 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 = $ 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 — $ - X $25 — $ B32 WOOD OR PELLET STOVE/INSERT SUBTOTAL METHOD OF PAYMENT VISA PLUS PROCESSING FEE PLUS $ 25.00 VF • CASH • CHECK • ■ • PAYMENT TOTAL PERMIT FEE DUE DATE: BANKCARD FAXED PERMITS WILL ONLY BE ACCEPTED WITH OF A MAJOR CREDIT CARD EXPIRES: MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER NUMBER: 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