1995, 12-07 Permit App: 95010207 AdditionPROJECT NUMBER= 95010207 APPLICATION, DATE= 12/07/95 PAGE= 01
a
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11218 E 10TH AVE PARCEL#= 45213.9011
ADDRESS= SPOKANE WA 99206
PERMIT USE= FAMILY ROOM ADDITON / liFqH RE ADJUST DRAIN LINE TO DRYWELL
PLAT#= 000075 PLAT NAME= APPLE VALLEY ADD.
BLOCK= LOT= ZONE= UR 3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 135 R/W= 50
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= THOMPSON, KATHERINE PHONE= 509 924 6892
STREET= 11218 E 10TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JAKE / CAPSTONE CONST. PHONE NUMBER= 509 982 9485
BUILDING SETBACKS: FRONT= NA LEFT= 10 RIGHT= 10 REAR= 70
xwwwwwwwwwww++++x++++++++++xxr REVIEW INFORMATION ********++++rwww++++++++++w++
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON
HEALTHDIST INCREASE IN LOT COVERAGE
COIMIENTS:
DATE: 12/07/95
DATE: 12/07/95
Flurr,-ai�' cbcL-.. Acs. axis' fw"7 -
w�cc ts'hvt 6R,Sii� L�r-^y� M'r P✓�'W .rre �;cc /�2Y
++++++++++++++++++x++++++++++++ BUIL9ING PERMIT ++++++++++++++
CONTRACTOR= CAPSTONE CONSTRUCTION
STREET= PO BOX 388
ADDRESS= NINE MILE FALLS WA 99026
NEW= REMODEL=
DWELL UNITS= 1 OCCUP. LD=
BLDG W X D = 12 X 14 SQ FT=
REQ PARKING= #HANDICAP=
-1 *4014 0 3i 0 to] z me];Cflq i W414
RES ADD R-3 VN
PHONE= 509 467 5330
ADDITION= X CHANGE OF USE=
BLDG HGT= 12 STORIES= 1
168 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
----- ___------
168 9744.00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
xrr++xxxxxxx+x++xxxxxxr+++xxxxxx THANK YOU+++xxxxx+++xxxxxx+r+++xxxxxx+++xxxxx
PROJECT NUMBER= 95010207 APPLICATION
DATE= 12/07/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
_________________________
RESIDENTIAL VALUATION
--------
Y
----------
117.00
STATE SURCHARGE
Y
4.50
RESIDENTIAL SURCHARGE
Y
24.57
xx+++++++xx++++++r++++xxxx++xxx MECHANICAL
PERMIT
xxxxxxxxxxxxxxx+xxxxxx++++xxx
CONTRACTOR= K T U OF SPOKANE
PHONE= 509 467 4000
STREET= PO BOX 28899
ADDRESS= SPOKANE WA 99228-8899
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
_________________________
RANGE
--------
1
----------
10.00
CLOTHES DRYER
1
10.00
GAS PIPING
2
2.00
DUCT SYSTEMS
1
10.00
VENTILATING FANS
1
10.00
+++++x++xxxxxxxxxx+xxx+++++x+ PLUMBING
PERMIT +xxx++xxxx+xx++++++x+xxxxxxxxx
CONTRACTOR= K T U OF SPOKANE
PHONE= 509 467 4000
STREET= PO BOX 28899
ADDRESS= SPOKANE WA 99226-8899
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
______----
_________________________
DISH WASHERS
--------
1
6.00
CLOTHES WASHER
1
6.00
WATER PIPING - DWV
1
6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID
AMOUNT OWING
_______________ _____________ ____________
BUILDING PERMIT 146.07
.00
_____________
146.07
MECHANICAL PRMT 42.00
.00
42.00
PLUMBING PERMIT 18.00
.00
16.00
_________________________
206.07
.00
_____________
206.07
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
xrr++xxxxxxx+x++xxxxxxr+++xxxxxx THANK YOU+++xxxxx+++xxxxxx+r+++xxxxxx+++xxxxx
u
O
y� s 1701
—%D
APPLICATION"INFORMATION
What Is the JOB SITE addressASSESSOR'S his parcel numtai
Legal daeoript. as it appears on the property /
OWNER xOCCUPANT phdine
L C
albnp n reu iN, stale j ip
shouts we contact regarding Nis project'! Phone c�
What work is being one under this permit? ,
i
e
re
gaayw
uMG
Budding
u s # ;'
Building height
# fstodes
�tw f,,
imensicns
X IL(�lV
A SO
A sla COMrxtorlicense k
L S
Main floor area 1
Unfinished basemem arr
ai ing a reu
1'
CA4,F
n oor area
Finished anuenniardmea __yy
4�
rthdeW rpirleer
rage area I
S.. of decal, etc. „
What is the heap sources
What ie the cost of v ur projects
Manutactured Home
Sign -
Width :
Letpth:
Mat is the squartefd,e of
e sign face)
How high is the sign?
n.
Ye-
Make:
Installer
Contractor
'
We State Contractor license #
We State Convector
c nse a
Meiling sot ...
Mailirp .ddrau
Relocation
Fire Safet
Previous address
F
..' Paint booth
SpdnMer _ Tem
Fire Alarm _ Fireworks dlepzy
VALUE
Oontnmd.r
Contractor
A State Cmtractor became M
WA State ContraG (cense # 1
h`alling addre..
Mailipg address
Fuel Storage Tankswirnming
Pool
(Circle anal Abov routs Una routs
ka. / gallons
RivNe
Zeneard. of tank(.) Sze / galbns
PublirJsemi-priMe
Vactor
We SMe Cpntnetor license M
WA State Contractor license #
shading address
Mailing add.
GOMPLEI E ALL APPLIGAULE INIYVHMA I ium
Spokane County don hot dinoiminate on the tunas of disedlity in the Wmission to, w treatman, er employment in, its papramu a uctvitx.
Site Plan
1
1
90
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
Cl North arrow
❑ Septic tanks & wells
PLiJMBING PERMIT APPLICATION
PROJECT ADDRESS: F Zo Lh
DESCRIPTION DETAIL
UNITS
®.
/UNIT
AMOUNT
96:. TOILETS WATER CU)SM. BIDETS
x
$6
=
$
90 URINALS
x
$6
=
$
80 TUBS BATH. JACUZZI. SPA. GARDEN
x
$6
=
$
96 SHOWERS trap) BASE. STALL ON-SITE BUILD
x
$6
=
$
0 SINKS IAVS INS. BAR DDDR KDCHEN,
\\ LAUNDRY. I111IJTY. IA MR. PHOTO,
X-RAY. PWD (PRPP/CUMNARYIMFAT)
x
$6
=
$
$ii'; DISHWASHER
x
$6
=
$
80 CLOTHES WASHER
x
$6
=
S
80 GARBAGE DISPOSAL/GRINDER
x
$6
1 =
$
-:: WATER SOFTENER
x
$6
=
$
--1 ELECTRIC HOT WATER TANKS (NOTB: R,....rcr uet..ee mevb.niwB
x
$6
=
$
131 FLOOR DRAINS AREA, CASE. COIL TRENCH. CONDENSATE
x
$6
=
$
$I. ROOF DRAMS/OVERFLOW DRAIN
x
$6
=
$
RI FOUNTAINS DRINKING
x
$6
=
S
- WATER PIPING/DRAIN-WASTE-VE INSTA MON, ALTFE ON. REPMR
s..... PLUMBING REVERSALS REvERSALS
x
$6
=
$
91 SEWAGE EJECTORS GRINDER,SUx1 MW
x
$6
=
$
HIT': WATER USING DEVICES ICE ANDMR COFFEE MARFE.
HOSE M. STEAMER. MWFER
CARBONATOR. SWAMP CWL@tS
It
$6
=
S
B! CROSS -CONNECTION DEVICES VACUUM BREAKER. CHECK VALVE,
AND RRB.P.D. FOR VATS, SUWS.
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
:INTERCEPTORS GREISE TRAP, SAND TRAP,
CHE CALHOLDINGTANK
x
$6
=
$
Bj-, MEDICAL GAS r outlm/Rg. Sa[i Nf mS, OXVGPN
x
$6
=
$
82:MISCELLANEOUS FIXTURES
x$6
=
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Spokane County Department of Building & Planning
1026 W. Broadway Avenue • Spokane, WA 99260
Subtotal
PLUS: PROCESSING FE
TOTAL PERMIT FEE DU
$
PLHASE \ r
SPOICA14EC6UNTY /&=
I*A:$'ABI.k' 7' a
C" EIS 1*
Tel. No. (509( 456.3675 • Fax No. (509( 324-3198 . TDD No. (509( 324-3166
Spolmnc Cuumy dae. rot dmrimirure on Nr be.ic of dmbiliry in Ne .dmieuon b, or rrtetmcm ar employment in, im pmaranu or ecavi6o.
vc'nr✓pv+e
MECHANICAL PERAUT APPLICATION
ADDRESS:
MARLING ADDRESS:
street city stale nn
Tel. No. (509) 456-3675 • Fax No. (509) 3243198 • TDD No. (509) 324-3166
Spokam County doer na discrimitua on Ne beau of diubilily in the W n iss oa lo, or treatment or employm n, in, as pmynme or act
DESCRIPTION OF WORK
OF UNITS ®. !UNIT
AMOUNT
FUEL BURNING APPLIANCE'
or <100,0001$12
S12
" FUEL BURNING APPLIANCE
> im,000
$15
-: UNLISTED APPLIANCE ADDITIONAL CHARG
- or <400 0Uo$50
-. -- UNLISTED APPLIANCE ADDITIONAL CHARG
>w ,"
$100 -
s
-- USED APPLIANCE ust meet WSEC's min. AFU
m or <400 000$50
USED APPLIANCE Must meet WSEC's min. AFU
>aoo,0ao
$100 -
s
BOILER/REFRIGERATION
1-100m BTO
BOILER/REFRIGERATION
101-500M Bru
$20 1 .
,
•. BOILER/REFRIGERATION
501-1,aoom aru
$25 -
+
• 1 BOILER/REFRIGERATION
1,001-1,750M BTU
$35 -
+
BOILER/REFRIGERATION
+1,750M BTU
$60
--� GAS LOG GAS INSERT AND/OR GAS FIREPLA
$IO
RANGE
$10
DRYER
$10 -
s
FUEL BURNING WATER HEATER
$IO
01 MISCELLANEOUS FUEL BURNING APPLIANCE
$10
I GAS PIPING n. outlet
$ I
s
END= SYSTEMS
$IO -
s
.,,,.. VENTILATING FANS
02
$10
s
OZI AIR HANDLER(DOES NOT include ducts stems
= or <to,aoo c
$12
-% AIR HANDLER(DOES NOT include ducts stems
> 10,000 cm
$15
_-_.<, EVAPORATIVE COOLERS
$10
,` TYPE I HOOD
$50
,E TYPE lI HOOD
$10
_'_ HEAT PUMP/AIR CONDITIONER
0-5 TONS
$12
s
__-; AIR CONDITIONER
6.15 TONS
$20 -
WA AIR CONDITIONER
16-30 TONS
$25
_.,__.__ AIR CONDITIONER
31-50 TONS
135
AIR CONDITIONER
+50 TONS
$60
B3I LPG STORAGE TANK
1 110
-_ -" WOOD OR PELLET STOVE/INSERT
1 1 $25 -
+
NOTE. MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
TOTAL PERMIT FEE DUE
$
Spokane County Department of Building & Planning
1026 W. Broadway • Spokane, WA 99260
w
'PLEASE MAKE CHECKS P'AYARLE TO;.
SPOKANE COUNTY IST � »'
Tel. No. (509) 456-3675 • Fax No. (509) 3243198 • TDD No. (509) 324-3166
Spokam County doer na discrimitua on Ne beau of diubilily in the W n iss oa lo, or treatment or employm n, in, as pmynme or act