1991, 10-29 Permit App: 91007276 WoodstoveMECHANICAL PERM',T ARPLICATION FORM
p Information Worksheet �+
JOB STREET ADDRESS: C ig*1D ,(�\\Ve'YV
CITY/STATE/ZIP: &PUN\0-Cff'S V\J 990Ib PARCEL NUMBER: 6755 - 02,0
OWNER: VJ,Uj wnP,tktln$Y PHONE NUMBER: 'LLL' 5357
MAILING ADDRESS: t \9,�ID I\/t' Waka &vec hGC r?15 AWA 990 lb
(Street)(City/State) (Zip)
CONTRACTOR: 0111/4/.6Cr'` LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Zip)
(Street) (City/State)
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
GAS WATER HEATER
ZA irQ IPME 'C ";1,!Ut1,ttOM (ft C1 t1D'
GAS EQUIPMENT+100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
ffetiLoPOSSIEr
CLOTHES DRYER
aeltz
GASLOG
igtalgPISMOntgegt.,
�lI
UNLISTED GAS APPLIANCE <400,000 BTU
fignaltat 1 tdL" a?t1aOO(J.,,r
USED APPLIANCE <400,000 BTU
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
1 •
P'
West 1303 Broadway enue Spokane, WA 99260 (509) 456-3675
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
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 =
x10.00'=
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
I
25. 6.,7
SUBTOTAL
$ "1%J.tro
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ S
ne County Division of Buildings
Spokane County •
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
LOT AREA:
INFORMATION WORKSHEET
c970
C c $ `� I � I<�.�.•cv�
r9 reA0,mtt,,-es � qq6/
Cant Tio-11- f4)- CX( 19
w o,+Il�+ , 6 P S hc\. rl-fy4 Pt 1 -rA
LO : ZONE: DISTRICT:
# OF BUILDINGS:
OWNER:
F/A:
WIDTH: DEPTH:
R/W:
# OF DWELLINGS: WATER DISTRICT: GrT
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: Vv
<rovv•-•
PHONE: 5/176i4%-3577
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
PHONE:
ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
BUILDING HGT:
STORIES:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Co,e compliance:
Space heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area %:
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
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:
SITE ADDRESS: E 1841Q;.P•IVERWAY RD
PROJECT NUMBER: $5004462 PERMIT TYPES: BU
PERMIT USE: FINISH BASEMENT, WIROOMS E BATH
"DESCRIPTION INSPEC°TQR DATE RESULT
PROGRESS
DRAIN/WASTE/VENT
VOIDED/EXPIREC
"CHIP" ALLEN
KEVIN NYRE
KEVIN MYRE.
11/20/89 APPROVED
12/12/84 APPROVED
10/30/90 APPROVED