2005, 02-10 Permit App: 05000422 Mechanical Fixtures Project Number: 05000422 Inv: 1 Application Date: 02/10/2005 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: VENT FAN IN SHOP BUILDING Contact: NELSON,LON&LORETTA
Address: 13924 E 12TH AVE
C-S-Z: SPOKANE VALLEY,WA 99037
Setbacks:Front Left: Right: Rear: Phone: (509)927-2418
Group Name:
Site Information: Project Name:
a;" w a .5C.-3,33..,f-'e; 313 3F m �rT 113./ .A 4P—A4'" 4 a '�#'; K°"_s'�'ts
Plat Key: 002751 Name: VERA _ District: Sout
Parcel Number: 45233.1909 Block: Lot:
SiteAddress: 13924 E 12TH AVE Owner:Name: NELSON,LON&LORETTA
Address: 13924 E 12TH AVE
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: AGRI
Water District: Hold: ❑
Area: .00 Acres Width: 112 Depth: 200 Right Of Way(ft): 0
Nbr of Bldgs: 4 Nbr of Dwellings: 1
Review Information: —x 3r 33 3.3 3
Permits: . 3 A. "
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
SUPPLEMENTAL PERMIT 1 SELECT $7.50
Permit Total Fees: $17.50
Payment Summary :: . , s < 414.= .<;; : - : <- ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $17.50 $17.50 $0.00 $17.50
$17.50 $17.50 $0.00 $17.50
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 02/10/2005
„.. ts-----,- Lf ?-9____
, .. .
MECHANICAL PERMIT APPLICATION Community Development Department
• (� Building Division
sL Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call(509) 688-0054 Spokane Valley, WA 99206
Project Address: l 3 `.� , L( I -: , - - Permit Use:
Owner: L a v /;, , i^i e_t 3 U ,vPhone (Daytime Confect):
Mailing Address: t u 01 ( r r_ \-L -t ,e, 0 5 Pa A-1-'d- il¢i)@ (.L.,_b_ g so 3 7
City State Zip Code
Contractor: 5cy ,,,,, License#: Phone#:
Mailing Address: 5e/ .,,,,,p
City - State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X ST2.00 =
2 FUEL BURNING APPLIANCE • More than 100,000 X $15.00 =
3 UNLISTED APPLIANCE(Additional Fee) • Equal to or less than 400.000 X $50.00 =
4 , UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X ' $100.00 =
'
7 BOILER/REFRIGERATION 1-100M BTU X 512.00 =
8 BOILER/REFRIGERATION 101-500M BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 =
+
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $35.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 =
13 RANGE X $10.00 =
14 DRYER
X $10.00 -
=
15 FUEL BURNING WATER HEATER
X $10.00 =
-
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) ( X $1.00 =
18 DUCT SYSTEMS / X $10.00 =
19 VENTILATING FANS / X $10.00 j =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = ,
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15.00 =
t
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE I HOOD
X $50.00 -
-
-
' 24 TYPE II HOOD
X $10.00 -
-
25 HEAT PUMP/AIR CONDITIONER 0-3 TON ' / X $12.00 =
•
26 .AIR CONDITIONER. 3-15 TON X $20.00 .=
27 AIR CONDITIONER15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 = 1
32 .WOOD STOVE-FREE STANDING X $25.00 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X _ MAX = •
35 VENTILATION MECHANICAL EXHAUST _ X $12.00 =
36 INCINERATOR-RESIDENCE ' _ X $19.00
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
SPOKANE • REGIONAL
•
H LT H
DISTRICT
January 14, 2005
1101 West College Avenue
Spokane,WA 99201-2095
Mr. Lon W. Nelson 509.324.1500 TEL
�, 509.324.1464 I TDD
14915 E. 17 Court www.SRHD.org
Veradale, WA 99037
RE: Lonnie Bills Tropical Sno, Located at 13924 E. 12th Avenue., Spokane Valley, WA
Dear Mr. Nelson:
As required under Section 1.05.145 of the Spokane Regional Health District Rules and Regulations for
Food Service Establishments, this agency has reviewed the food menu, the food preparation sheet, and
the building construction plans for the above-referenced project. We are not able to approve your plans
at this time because the Liquid Waste Program has denied the proposed commercial design use, giving
the following reasons:
1. The current drain field is sized for 360 gallons a day
2. The proposed use would increase this flow
3. The current permit is for a single-family residence
4. The owner may submit a letter from an engineer or licensed designer stating the proposed
use will not affect the current septic system
Contact the Liquid Waste Program at 324-1560, ext. 1,to talk with the program's technical lead or to
request a list of engineers and designers.
A fee of $65.00 per hour is charged for plan review and pre-occupancy inspection. Enclosed is an
invoice for the plan review. An invoice for the pre-occupancy inspection and any additional plan
review fees will be given to the person in-charge at the time of the pre-occupancy inspection. The fee is
to be paid within 30 days of receipt of invoice. A $65.00 late fee will be applicable if the plan review
and/or pre-occupancy fees are not paid within the 30 days.
Thank you for the opportunity to review your project. If you have any questions, please feel free to
contact me at 324-1560 ext. 2.
Sincerely,
ENVIRONMENTAL HEALTH DIVISION
amt (A)A.x-e-Qe x - R, s
anet Wheeler, R.S.
Environmental Health Specialist
c: City of Spokane Valley Bldg. Dept.
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