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1995, 12-15 Permit App: 95010405 AdditionPROJECT NUMBER= 95010405 APPLICATION DATE= 12/15/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11903 E 4TH AVE PARCEL#= 45211.1014 ADDRESS= SPOKANE WA 99206 PERMIT USE= RESIDENCE ADDITION - REC ROOM, BATHROOM, & (2) BEDROOMS PLAT#= 001839 PLAT NAME= OPP.TR. 1-354 BLOCK= 179 LOT= ZONE= UR -3.5 DIST#= F AREA= 00013000 F/A= F WIDTH= 100 DEPTH= 130 R/W= 30 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= TIFFANY, JAMES A STREET= 11903 E 4TH AVE ADDRESS= SPOKANE WA 99206 PHONE= 509 927 8376 CONTACT NAME= JIM TIFFANY PHONE NUMBER= 509 927 8376 BUILDING SETBACKS: FRONT= 25 LEFT= NA RIGHT= 17 REAR= 50 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED APPROVAL: J LARSON DATE: 12/15/95 HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: -V/g ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= ADDITION= X CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 24 STORIES= 2 BLDG W X D = 20 X 30 SQ FT= 1080 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION RES ADD R-3 VN 600 34800.00 2ND FLOOR R-3 VN 480 26400.00 PROJECT NUMBER= 95010405 APPLICATION DATE= 12/15/95 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 468.50 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 98.39 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= UNKNOWN STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN ITEM DESCRIPTION PHONE= QUANTITY FEE AMOUNT GAS PIPING 1 1.00 DUCT SYSTEMS 1 10.00 VENTILATING FANS 1 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= UNKNOWN STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN ITEM DESCRIPTION PHONE= QUANTITY FEE AMOUNT TOILETS/BIDETS 1 6.00 SHOWERS 1 6.00 SINKS 2 12.00 CLOTHES WASHER 1 6.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 571.39 .00 571.39 MECHANICAL PRMT 21.00 .00 21.00 PLUMBING PERMIT 30.00 .00 30.00 622.39 PROCESSED BY: JULIE SHATTO PRINTED BY: JOHN LARSON .00 622.39 ******************************** THANK YOU ************************************ APPLICATION INFORMATION 'What is the JOB SITE address? ASSESSORS tax parcel number? l to 3 6 CI -FL Legal description as it appears on the property deed OWNER or OCCUPANT cq Teti Malting address 7 qv g c cz ho uld we contact regarding this project? J ►►n.. ring vv What work is being done udder this permit? de -NC -C cafe -1-;0„) F Rcsircee Phone eity, state 9Z7 8? 7(C Phone ,D cc Building .................... Contractor Jame j // WA State Crontractor license # Building height Dimensions 26X30 e 6263° # of stories TOTAL SQUARE FOOTAGE Main floor area a. Unfinished basement area Mailing address / Bio3 c` cet 2nd floor area Finished basement area Architect/Engineer Garagrfarea Size of decks, etc. What is the hes source? tatcz Q /4 'IL <T/4 What is the cost of your project? Manufactured Horn Width: Length: Sig What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Safest 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 m O NeivStorag wimmmg (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private 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. MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: aAn e4iOl (areeiJt) MAILING ADDRESS: ) \ i o, G CONTRACTOR: .--_Tm l l iriCe 1 'PHONE. DAYTIME CONTACT p d LA) (city/ LICENSE: MAILING ADDRESS: )) 9 o 3 C= V7/-4 (street) PHONE: S ©o l ,A,.,yC//state n In (cit Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 • TDD No. (509) 3243166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or act 7/6f95 ontorto.Spn.1d DESCRIPTION OF WORK A OF UNITS MULTI- urn COST /UNIT aama7a AMOUNT FUEL BURNING APPLIANCE = or <100,000 . $12 - s e FUEL BURNING APPLIANCE >100,000 . $15 - s y#3t4 UNLISTED APPLIANCE (ADDITIONAL CHARG = or <400.000 $50 - s 104 UNLISTED APPLIANCE (ADDITIONAL CHARG >400,000 . $100 . s USED APPLIANCE (Must meet WSEC's min. AFU = or <400,000 $50 - s USED APPLIANCE (Must meet WSEC's min. AFU >400,000 . $100 - s BOILER/REFRIGERATION 1-100M BTU . $12 - s t�,�'8 �t00 BOILER/REFRIGERATION 101-500M BTU 1 $20 - s BOILER/REFRIGERATION 501-1,000M BTU = $25 - s BOILER/REFRIGERATION 1,001-1,750M BTU . $35 - s tieBOILER/REFRIGERATION +1,750M BTU . $60 . s ra. GAS LOG, GAS INSER��AND/OR GAS FIREPLA - 1 = $10 - s WO1$ ORANGE - . $10 _ s 'i"E DRYER - = $10 - s i. y 6 FUEL BURNING WATER HEATER - = $10 - s MISCELLANEOUS FUEL BURNING APPLIANCE - = $10 . 1448 GAS PIPING (ea. outlet) - . $1 - s gg DUCT SYSTEMS - = $10 - s VENTILATING FANS - . $10 - s w.: tr2J AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM = $12 . $ AIR HANDLER (DOES NOT include duct systems) >10,000 CFM = $15 - t:' EVAPORATIVE COOLERS - . $10 - s iiiii TYPE I HOOD - = $50 . $ 425 TYPE 11 HOOD - . $10 - s 1416 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - s AIR CONDITIONER 6-15 TONS . $20 - s 01 AIR CONDITIONER 16-30 TONS = $25 - $ ✓. $ AIR CONDITIONER 31-50 TONS = $35 - : lig AIR CONDITIONER +50 TONS . $60 - s SO LPG STORAGE TANK - . $10 _ $ ,14 WOOD OR PELLET STOVE/INSERT - $25 - s Spokane 1026 NOTE: MINIMUM SIGNATURE: PERMIT FEE $35.00 /iu_ de �V. Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ /yN.:yt...`.).Y•.i:t°d•.....�e.....5y.yo..y.�'y // County t 1rtment of Building : Planning W. Broadway * Spokane, WA 99260 k$fbo-H'�ag.E1.'ff' :.cm+ PoL Q. s��"�n����w.a3a�e:c��o....xis^1.��.�aw���:g��'s�.•.:s�.�'. Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 • TDD No. (509) 3243166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or act 7/6f95 ontorto.Spn.1d PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: ,T2 VA / 7 f 'F"-Fcw' MAILING ADDRESS: f I O 3 G vfL S P a R -'c W AS L (street) (city/state) • PHONE: DAYTIME CONTACT CONTRACTOR: MAILING ADDRESS: 9920 I / e LICENSE: PHONE: 1 19 0 3 '' street) ccIty/smote>Sl ‘117.154. (a4) 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. vayst..s n.rs PLUMBING DESCRIPTION FIXTURES DETAIL At OF UNITS MULTI. MD COSI /UNIT EQUALS AMOUNT gOt TOILETS WATER CLOSETS. BIDETS 1 x $6 = $ `?: URINALS - x $6 = $ ) (# TUBS BATH, JACUZZI. SPA. GARDEN x $6 = $ iiti SHOWERS (per trap) BASE, STALL, ON-SITE BUILD 1 x $6 = $ SINKS IAVSBASINS, BAR FLOOR, KITCHEN,I LAUNDRY, UTILITY, JANITOR PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT) x 56 = $ £: DISHWASHER - x $6 = $ $. CLOTHES WASHER t• x $6 = $ GARBAGE DISPOSAL/GRINDER - x $6 = $ .j WATER SOFTENER x 56 = $ x i . �ELECTRIC HOT WATER TANKS (NOTE: if S.s water tank, see mechanics» x $6 = $ FLOOR DRAINS AREA, CASE, COIL TRENCH. CONDENSATE x $6 = $ ROOF DRAINS/OVERFLOW DRAIN - x $6 = $ : FOUNTAINS, DRINKING - x $6 = $ ,' WATER PIPING/DRAIN-WASTE-VE x PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR REVERSALS x $6 = $ H: ' SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ WATER USING DEVICES ICE AND/OR COFFEEMAXER. HOSE BIB, STEAMER PROOFER, CARBONATOR. SWAMP COOLERS x $6 = $ B: CROSS -CONNECTION DEVICES moo$ VACUUMBRFAXER, CHECK VALVE, AND RP.B.P.D. FOR: VATS. SUMPS, TANKS. BOILERS. & SPRINKLER SYSTEMS x $6 = $ 3M;.. INTERCEPTORS GREASE TRAP, SAND TRAP. CHEMICAL HOLDING TANK x $6 = $ w.n t MEDICAL GAS (per outlet/bottle stati NITROUS, OXYGEN x $6 = $ tisi MISCELLANEOUS FIXTURES x $6 = $ Spokane 1026 NOTE: Mb IMUM PERMIT FEE IS $35.00 SIGNATURE: //ice _ /II Subtotal PLUS: PROCESSING FE $25.00 TOTAL PERMIT FEE DU $ -, County 1 -.: .. ent of Building & Plan 1._ W. Broadway • venue • Spokane, WA 99260,_ gd � 1 .: ?: < a: � �. SMt .t 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. vayst..s n.rs 0 3 to E 1 ADDRESS: //903 ;</2:1 ROAD WIDTH: ZONE: r, � o FRONT* COMMENTS:_ REVIEWED BY: -oa a-8' — jE— 3 o ' ....._7 _ 7 l ri a