1996, 01-17 Permit App: 96000319 Remodel PROJECT NUMBER= 96000319 APPLICATION DATE= 01/17/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1107 N WOODRUFF RD PARCEL#= 45172 . 1304
ADDRESS= SPOKANE WA 99206
PERMIT USE= REMODEL KITCHEN & BATHROOM
PLAT#= 001854 PLAT NAME= OPPORTUNITY PLAT 3
BLOCK= 57 LOT= ZONE= UR-3.5 DIST#= F
AREA= F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= STELZER, JERRY PHONE= 509 455 9353
STREET= 1107 N WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JERRY STELZER PHONE NUMBER= 509 455 9353
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REV 'EQUIRED No STR-LiCrt_ L CX4A�1L
j
I
COMMENTS:- � /- 7' ! �O
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 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 15000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 162.00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 35 . 64
PROJECT NUMBER= 96000319 APPLICATION DATE= 01/17/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS LOG OR GAS INSERT 1 10. 00
RANGE 1 10. 00
GAS WATER HEATER 1 10. 00
GAS PIPING 3 3. 00
VENTILATING FANS 2 20. 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12 . 00
TUBS 1 6. 00
SHOWERS 1 6. 00
SINKS 3 18 . 00
DISH WASHERS 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 202 . 14 . 00 202 . 14
MECHANICAL PRMT 53 . 00 . 00 53. 00
PLUMBING PERMIT 48 . 00 . 00 48 . 00
303. 14 . 00 303 . 14
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
NO STRUCTURAL CHANGES, REPLACING CABNETS IN KITCHEN AND
BATHROOM, VENTILATING FANS REQUIRED IN KITCHEN AND BATHROOM
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
k,1 APPLICATIONINFORMATION 9r- z
What is the JOB SITE address? ASSESSOR'S tax parcel number?
/7 //' 2 (2C, c ,�U- r( X51-1 a , 13otj
Legal description as it appears on the property deed
it)PPnfnr—ci
or OCCUPANT ( Phone
_ /� " /moi e/?W674/� . ()1 9 2 32
Mailing ad" ress City,state Zip
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Who should we contact regarding this project? Phone
What work is being done under this permit?
® ,EL "RES r DeN CE
lone - inspector arstncr I roperty;size l light ot>way width
v_ N;..
Water istiict... . :; :>::.
n a
clea
a, a�
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Building height ht #of stories
Contractor
Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area \
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? . What is the cost of your project? ,`,
//,.^j
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 - Faire Safety
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
A State Contractor license# A State Contractor license#
Mailing address Mailing address
Fuel Storage 'Tanks SwimmingPool
(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
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: PHONE:DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
PLUMBING FIXIUkES If OF MULTI- COST
DESCRIPTION DETAIL UNITS LIED s /UNIT EQUALS AMOUNT
ptx TOILETS WATER CLOSETS,BIDETS 2 x $6 = $
0(,);E.URINALS - x $6 = $
ao TUBS BATH,JACUZZI,SPA,GARDEN // x $6 = $
SHOWERS(per trap) BASE.STALL,ON-SITE BUILD / x $6 = $
SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR PHOTO, j
X-RAY.FOOD(PREP/CULINARY/MEAT)
DISHWASHER - / x $6 = $
SO CLOTHES WASHER - x $6 = $
Boi GARBAGE DISPOSAL/GRINDER - x $6 = $
tit WATER SOFTENER - x $6 = $
ELECTRIC HOT WATER TANKS (NOTE: if Sas water tank,See mechanical) x $6 = $
#1'i FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 = $
P ROOF DRAINS/OVERFLOW DRAIN - x $6 = $
AU FOUNTAINS,DRINKING - x $6 = $
Br WATER PIPING/DRAIN-WASTE-VE INSTALLATION,ALTERATION,REPAIR x $6 = $
>><PLUMBING REVERSALS REVERSALS
nit:SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
BI"WATER USING DEVICES ICE AND/OR COFrr.0 MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
BIS.CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
OV INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
MEDICAL GAS(per outlet/bottle stati NITROUS.OXYGEN x $6 = $
BZ 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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Spokane CountyDepartment of Building&Planningnning
; SPOKANWCOUNTVreamtrCENTERB
1026 W Avenue Spokane,kane WA 99260 ................................................
Broadway ad a
y
Tel.No. (509)456-3675*Fax No.(509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: 'PHONE:DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
MULTI- COST
DESCRIPTION OF WORK OF UNITS LIKDI /UNIT EQUALS AMOUNT
Oh FUEL BURNING APPLIANCE =or <100,000 $12 - s
Tifil FUEL BURNING APPLIANCE >i00,000 $15 s
BM UNLISTED APPLIANCE(ADDITIONAL CHARG =or <400,000 $50 - s
tiit UNLISTED APPLIANCE(ADDITIONAL CHARG >400,000 $100 s
0:05\USED APPLIANCE(Must meet WSEC's min. AFU = or <400,000 $50 -
USED APPLIANCE(Must meet WSEC's min. AFU >400,000 = $100 s
B08 BOILER/REFRIGERATION 1-100M EtTU = $12 s
BE BOILER/REFRIGERATION 101-500M BTU = $20 s
#14 BOILER/REFRIGERATION 501-1,000M BTU $25 - s
Rh BOILER/REFRIGERATION 1,001-1,750M BTU . $35 - s
tib BOILER/REFRIGERATION +1,750M BTU = $60 -
f8 GAS LOG, GAS INSERT, AND/OR GAS FIREPLA $10 - s
BI4RANGE $10 = s
1ifi6 DRYER $10 - s
NM FUEL BURNING WATER HEATER $10 = s
RI?MISCELLANEOUS FUEL BURNING APPLIANCE $10 - s
GAS PIPING (ea. outlet) $1 - s
b DUCT SYSTEMS = $10 - $
B2 VENTILATING VENTILATING FANS $10
.Ifdl AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
Ii2.2 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 s
1.323 EVAPORATIVE COOLERS $10 - s
1.124TYPE I HOOD . $50 -
.825 TYPE II HOOD . $10 s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS = $12 - s
UO. AIR CONDITIONER 6-15 TONS = $20 -
td$AIR CONDITIONER 16-30 TONS . $25 - s
AIR CONDITIONER 31-50 TONS . $35 = s
tdo AIR CONDITIONER +50 TONS = $60 s
341 LPG STORAGE TANK $10 s
B32 WOOD OR PELLET STOVE/INSERT . $25 - s
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
egtgAg30010W.CPAYM.g40.g1
Spokane County Department of Building & Planning VROKM:copismgragitgEtaggaii:,:yil
1026 W. Broadway*Spokane,WA 99260
Tel. No. (509)456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or act
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