1996, 07-25 Permit App: 96005917 Remodel •
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APPLICATION INFORMATION
�Nhat is the JOB SITE address? ASSESSORS tax parcel number?
/,� '/.3 E ,.5" (41)e,Legal description as it appears on the property deed
L OWNER or OCCUPANT
Phone
?/-1-4(-- 7 �4-iSoki (ecq-WiC, )
Mailing address City,state Zip
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'Who should we contact regarding this project? Phone
A.49---, (2Pf-_c�iS /C1)7-903
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What work is being done under this permit?
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e Inspector district: Property size Right of way width ::
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afar district:
a a
Building Building height #of stories
(fctor
(� Dimensions TOTAL SQUARE FOOTAGE
(.c �)t Ft c (✓i'wS I ') ( /)Thate Contractor license# Main floor area Unfinished basement area
/O ()adddress 2nd floor area Finished basement area
?y /VI mb e(, 6-IPi '.ct/ ngineer Garage area Size of decks,etc.
s the heat source? What is the cost of your project? ���/c:,(=>
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 Fire Safety
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
Fuel Storage Tanks Swimming Pool
(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
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
PROJECT NUMBER= 96005917 APILICAAftON DATE= 07/25/96 PAGE= 01
****** THIS IS )OT A PERMIT ******
PENALTIES WILL BE ASSESSES FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12913 E SEMRO RD PARCEL#`= 45272.1551
ADDRESS= SPOKANE WA 99216
PERMIT USE= BASEMENT REMODEL-BATH/LAUNDRY ROOM & EGRESS WINDOW FOR BEDROOM
PLATO= 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 6 LOT= 13 ZONE= AGSUB DIST#= F
AREA= 00000000 F/A= F WIDTH= 85 DEPTH= 136 R/W=
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= MATSON, PHIL PHONE= 509 624 6600
STREET= 12913 E SEMRO RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= HAL OPHUS PHONE NUMBER= 509 927 9031
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION ***************************,r*
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 07/25/96
******************************* BUILDING PERMIT *******************************
CONTRACTOR= GOLDEN RULE CONSTRUCTION PHONE= 509 927 9031
STREET= 624 N MARGUERITE RD
ADDRESS= SPOKANE WA 99212
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
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 7541.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 118.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 26.07
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PROJECT NUMBER= 96005917 APPLICATION DATE= 07/25/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= GOLDEN RULE CONSTRUCTION PHONE= 509 927 9031
STREET= 624 N MARGUERITE RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
CLOTHES DRYER 1 10.00
VENTILATING FANS 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= GOLDEN RULE CONSTRUCTION PHONE= 509 927 9031
STREET= 624 N MARGUERITE RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION 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 149.07 .00 149.07
MECHANICAL PRMT 20.00 .00 20.00
PLUMBING PERMIT 30.00 .00 30.00
199.07 .00 199.07
PROCESSED BY: JULIE SHATTO
PRINTED BY:JULIE SHATTO
******************************** THANK YOU ************************************
PLUMBING'PERMIT APPLICATION
PROJECT ADDRESS: /<`7/ 3 5 72 0
OWNER: ?4-i/ MA-%S 0 Ai' PHONE:DAYTIME CONTACT
MAILING ADDRESS: //9/3 E ,S f O 3Poic .
(street) (city/state) (zip)
CONTRACTOR: 6 .-OE f lA.(_� S T _ LICENSE:
PHONE:
MAILING ADDRESS: 1\) ( I 6171 i%tk'-C--7/ -C-( ) poI44-/Uz (,v GR Z,I Z
(street) city/state) (zip)
PLUMBING FIXTURES A OF mart- COST
DESCRIPTION 1 DETAIL UNITS LIED s /UNIT EQUALS AMOUNT
Bta TOILETS WATER CLOSETS,BIDETS / x $6 = $ Co
BOA s URINALS - x $6 = $
Btu`TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $ /
•B S SHOWERS(per trap) BASE STALL,ON-SITE BUILD / x $6 = $ C '
Ba6 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, i x $6 = $ /
LAUNDRY,UTILITY,JANITOR PHOTO,
X-RAY,FOOD(PREP/CULINARY/MEAT) _
Bi.? DISHWASHER - x $6 = $
'BC3 CLOTHES WASHER - / x $6 = $ Cp
BOO GARBAGE DISPOSAL/GRINDER - x $6 = $
1110::WATER SOFTENER - x $6 = $
B.:11.:ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
Bit FLOOR DRAINS AREA,CASE,COIL TRENCH,CONDENSATE x $6 = $
BI3` ROOF DRAINS/OVERFLOW DRAINS(ea - x $6 = $
B14'FOUNTAINS,DRINKING - x $6 = $
BO WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $
iiifiim PLUMBING REVERSALS REVERSALS
iii IV SEWAGE EJECTORS GRINDER,SUMP PUMP X $6 = $
Bit WATER USING DEVICES ICE AND/OR Corm MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
iiiP CARBONATOR,SWAMP COOLERS
B1$'CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
B 1 ` INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
RIE CHEMICAL HOLDING TANK
B24.>MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 = $
Jiat MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.W Subtotal g6-c"
PLUS: PROCESSING FEE 25.00
SIGNATURE: TOTAL PERMIT FEE DUE $ S-C- `22
1 D C'>:::::ECKS: >:Y:: :::::> >::�<:::Aittit `tai
Spokane n
a e Cou t Division of Building
&Planning
1026 W. Broadway road a Avenue*n
uek n
S aeWA 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 activities.
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