1996, 09-12 Permit App: 96007646 Residence PROJECT NUMBER= 96007646 kAPRLICAT,ION f DATE= 09/12/96 PAGE= 01
G
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11307 E 14TH AVE PARCEL#= 45213.9224
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE W/GARAGE - GAS
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000001 F/A= F WIDTH= 155 DEPTH= 130 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = MODEL
OWNER= KANNALL, BILL PHONE= 509 926 2289
STREET= 10522 E 28TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BILL KANNALL PHONE NUMBER= 509 926 2289
BUILDING SETBACKS: FRONT= 45 LEFT= 40 RIGHT= 66 REAR= 73
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED (-9.\()-9 - 13- S.
COMMENTS: ; -(242.b/
BUILDING SETBACK REVIEW REQUIRED �i.'?t ,
COMMENTS: ` ? /1C:1 / ,
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 28 X 44 SQ FT= 2200 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1100 12100.00
DECK R-3 VN 120 840.00
GARAGE U-1 VN 560 6720.00
RESIDENCE R-3 VN 1100 64900.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 685.55
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 150.82
PROJECT NUMBER= 96007646 �APPLICA'�.ION DATE= 09/12/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 3 30.00
HOOD -TYPE II 1 10.00
***************************** 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
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
FLOOR DRAINS 1 6.00
WATER USING DEVICES 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 840.87 .00 840.87
MECHANICAL PRMT 84.00 .00 84.00
PLUMBING PERMIT 78.00 .00 78.00
1002.87 .00 1002.87
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER r OCCUPANT Phone
Mailing address City,state Zip
/1 Z 2, 2 2 1' s ? 7-2. G)Who snould we contact r ar ' g thjeyroject? l?_project?
ic CP-Nvyt— e_S2-4)
What work is being done under this permit?
Lone Inspector district: Property size Right of way width
a) m
y > co
Water district:
Y
a
a
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
O $^ , 17( ( /do
WA State Contractor license# Main floor area / Unfinistfed basement area
Mailing address 2nd floor area Finished basement area
/----1
Architect/Engineer Garage area Size of decks etc.
2 '2' e(7 `&4 /
What is the heat source?..,2_1 What cost _(:. r project?
Manufactured Home✓ Sign Cr:-..-)
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Ma
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.
PLUMBING-PERMIIT APPLICATION
PROJECT ADDRESS:
OWNER: KA JIV A L PHONE:DAYTIME CONTACT /2.‘(;:,(7 22J 9
MAILING ADDRESS: /d<'22 6
(treet) (city/state)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS: 5
(street) (city/state) (zip)
PLUMBING FIXTORES - if OF MULTI- COST
DESCRIPTION I DETAIL UNITS Lao s /UNIT EQUALS AMOUNT
BOZ TOILETS WATER CLOSETS,BIDETS Z x $6 = $
BQ3€!URINALS - Z x $6 = $
B( ` TUBS BATH,JACUZZI,SPA,GARDEN / X $6 = $
B6(5': SHOWERS(per trap) BASE,STALL,ON-SITE BUILD / x $6 = $
ARM SINKS IAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTIIITY,JANITOR,PHOTO.
•:�"::::'•: X-RAY,FOOD(PREP/CULINARY/MEAT)
lii"::
Bt DISHWASHER / x $6 = $
B()I CLOTHES WASHER - / x $6 = $
Bas;. GARBAGE DISPOSAL/GRINDER - / x $6 = $
BIO WATER SOFTENER - .----+ x $6 = $
BI ''ELECTRIC HOT WATER TANKS (NOTE: if gee water tank,see mechanical) x $6 = $
BI `FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / x $6 = $
FI3 ROOF DRAINS/OVERFLOW DRAINS(ea - x $6 = $
BI'F FOUNTAINS,DRINKING - x $6 = $
RO WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, X $6 = $
ligi PLUMBING REVERSALS REVERSALS
iiii&SEWAGE EJECTORS GRINDER,SUMP PUMP ' x $6 = $
AR `'WATER USING DEVICES ICE AND/OR COI.Fk&MAKER, x $6 = $
HOSE BIB,STEAMER PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,PRI �_
TANKS,BOILERS,&SPRINKLER SYSTEMS
B19s INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
BX MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN (----' x $6 = $
B "MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
PLEASESIOCItitausthailPAYAitsWiTOME
Countyof Spokane Division Building&Planning
1026 WBroadway Avenue Spokane,WA99260 ............................................ .........
....................
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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