1995, 06-19 Permit App: 95004415 Residence PROJECT NUMBER= 95004415 APPLICATION DATE= 06/19/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 5617 E 19TH AVE PARCEL#= 35261 . 1612
ADDRESS= SPOKANE WA 99212
PERMIT USE= RESIDNECE W/GARAGE - NATURAL GAS
PLAT#= 001170 PLAT NAME= HEATHER PARK 1ST ADD
BLOCK= 3 LOT= 11 ZONE= UR-3 . 5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 81 DEPTH= R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = EAST SPOKANE
OWNER= DESJARLAIS, BUZZ PHONE= 509 926 4732
STREET= 5617 E 19TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= JIM DUNHAM PHONE NUMBER= 509 448 3166
BUILDING SETBACKS: FRONT= 30 LEFT= 25 RIGHT= 15 REAR= 70
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING EXPIRED CONTRACTOR' S LICENSE
aL (.1CAY1S--
COMMENTS:
BUILDING PLAN REVIEW REQUIRED 'Age'
Ag ` /
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED D Q,Q l�1(J �� - LC,i Q 5
COMMENTS:
BUILDING SEWER PERMIT PENDING ct5 q5 -5(40'COMMENTS: � . :-+�'�(lZt� ( ' I. Q • q�j C 1j o
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 6/i9/93-.P2 Hrigi
ere4)4-eeaf
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= BRYANT JAMES COMPANY PHONE= 509 448 3166
STREET= 6105 S REGAL
ADDRESS= SPOKANE WA 99223
,
NEW= X REMODEL= ADDITION= CHANGE OF USE=
PROJECT NUMBER= 95004415 APPLICATION DATE= 06/19/95 PAGE= 02
DWELL UNITS= 1 OCCUP. LD BLDG HGT= 14 STORIES= 1
BLDG W X D = 56 X 48 SQ FT= 4168 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 2084 22924 . 00
GARAGE M-1 VN 924 11088 . 00
RESIDENCE R-3 VN 2084 120872 . 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 832 . 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 149.76
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= AIR FLOW HEATING & A/C PHONE= 509 325 0799
STREET= P 0 BOX 9982
ADDRESS= SPOKANE WA 99205
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE<=100, 000BTU 1 12 . 00
GAS LOG OR GAS INSERT 1 10. 00
RANGE 1 10 . 00
CLOTHES DRYER 1 10 . 00
GAS WATER HEATER 1 10 . 00
GAS PIPING 4 4 . 00
VENTILATING FANS 4 40 . 00
HOOD -TYPE II 1 10 . 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PIPER PLUMBING & HEATING PHONE= 509 534 6986
STREET= PO BOX 3992
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18 . 00
TUBS 2 12 . 00
SHOWERS 2 12 . 00
SINKS 6 36. 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
FLOOR DRAINS 1 6. 00
WATER USING DEVICES 3 18 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
•
PROJECT NUMBER= 95004415 APPLICATION DATE= 06/19/95 PAGE= 03
•
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 986.26 . 00 986. 26
MECHANICAL PRMT 106. 00 . 00 106. 00
PLUMBING PERMIT 120. 00 . 00 120. 00
1212 . 26 . 00 1212 .26
,00 CL
PROCESSED BY: CAROL FRAZIER 7'1 ) ) lotX4C.
PRINTED BY: CAROL FRAZIER —.'17--
******************************** THANK YOU ********* ***************
PLUMBING PEIWIT APPLICATION
PROJECT ADDRESS: /9-f6- 600'e7—
OWNER: 13,;22 D F.ST/4.2L.A l S PHONE:DAYTIME CONTACT
MAILING ADDRESS: -
(street) (city/state) (zip)
CONTRACTOR: /3Q t A l-_S cS 6O. LICENSE: /3R i>A+1.'T c 0-7 a DR)
/ S �Fz PHONE: yy� -- 3 16G
MAILING ADDRESS: 6/' 5, �L— SPoKA Aig cv4 y`I Z z3
(street) (city/state) (zip)
PLUMBING FIXTURES #OF swim- COST
DESCRIPTION I DETAIL UNITS PLIED BY /UNIT wQuaz.s AMOUNT
B02 TOILETS WATER CLOSETS,BIDETS Y 3 x $6 = $
B03 URINALS — x $6 = $
B04 TUBS BATH,JACUZZI,SPA,GARDEN .2, x $6 = $
BUS SHOWERS(per trap) BASE,STALL,ON-SITE BUILD X 2 x $6 = $
B06 SINKS LAVS/BASINS BAR,FLOOR.KITCHEN, X $6 = S
LAUNDRY,UTILITY,JANITOR,PHOTO, /
X-RAY,FOOD(PREP/CULINARY/MEAT) (z.
807 DISHWASHER — / x $6 = $
808 CLOTHES WASHER — / x $6 = $
B09 GARBAGE DISPOSAL/GRINDER — / x $6 = $
B10 WATER SOFTENER — x $6 = $
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH.CONDENSATE / X $6 = $
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = $
B14 FOUNTAINS,DRINKING — x $6 = $
815 WATER PIPING/DRAIN—WASTE—VENT/ INSTALLATIONALTERATION,REPAIR, X $6 = $
PLUMBING REVERSALS REVERSALS ^.
B16 SEWAGE EJECTORS GRINDER SUMP PUMP x $6 = $
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
J
B18 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR:VATS.SUMPS,
TANKS BOILERS,&SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, _ X $6 = $
CHEMICAL HOLDING TANK
820 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN — x $6 = $
B21 MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT PEE IS$35.00 Subtotal
'n PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
PLEASE MAKE CHECKS PAYABLE TO
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER!
1026 W. Broadway Avenue• Spokane,WA 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.
1126/95 WrAplu pn.lid
MECHANICAL PERMIT APPLICATION • .
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j
PROJECT ADDRESS: // 60(!l-7— / G
OWNER: Q3 U2-1_ D es514 0-G-4 is Immo:DAvmat cowrAcr L 7 yA -31 (C ST(i''"•_
MAILING ADDRESS: SPoKF-1,iTZ_ to H-
(street) (city/state) (zip)
CONTRACTOR: 8 ' I r✓1 - J' 'f S C.om P/`l�`1 LICENSE: 13P-xi 4 'TC; 07o DA)
�J, PHONE: `77(/�- 3/6 6
MAILING ADDRESS: op /D� .S. I�-�c 61 L- Spoiz4,C kAA- y --z. 2.3
(street) (city/state) (zip)
# MULTI— COST
DESCRIPTION OF WORK OF UNITS ruins, /UNIT EQUALS AMOUNT
1102 FUEL BURNING APPLIANCE =or<100,000 / 512 - s
1103 FUEL BURNING APPLIANCE >100,000 . $15 - s
B04i:UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 . $50 s
1105<UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 . $100 - s
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 . 550 - s
B07!!USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 $100 s
BQ8 BOILER/REFRIGERATION 1-100M BTU $12 - s
B09 BOILER/REFRIGERATION 101-500MBTU . $20 - s
B10` BOILER/REFRIGERATION 501-1,o00M BTU . $25 - s
B11' BOILER/REFRIGERATION 1,001-1,750M BTU . $35 - s
B12 BOILER/REFRIGERATION +1,750MBTU . $60 s
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - / 510 - s
B14 RANGE - I $10 - s
B15 DRYER - ! . S10 - s
B16 FUEL BURNING WATER HEATER - / . S10 - s
B17'>MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
B18 GAS PIPING(ea.outlet) - if . $1 . s
1119 DUCT SYSTEMS - . $10 - s
B20 VENTILATING FANS - Lf . $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM . $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >10,000CFM . $15 - s
B23 EVAPORATIVE COOLERS - . 510 - s
B24 TYPE I HOOD - . $50 - s
B25' TYPE II HOOD - / . $10 . s
1126 HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 s
B27 AIR CONDITIONER 6-15 TONS $20 - s
B28'rAIR CONDITIONER 16-30 TONS . $25 - s
B29,AIR CONDITIONER 31-50 TONS . $35 - s
B30'!AIR CONDITIONER +50 TONS $60 s
B31 LPG STORAGE TANK - $10 - s
B32 WOOD OR PELLET STOVE/INSERT - . $25 - s
NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE _ $25.00
SIGNATURE: St')." TOTAL PERMIT FEE DUE $
JPLEASE MAKE CHECKS PAYABLE TO:
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER
1026 W.Broadway* Spokane,WA 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.
vnns..w.li...y..�sw
Department of Labor & Industries
Contractor Registration Section
PO.B4* 44450
Olympti WA 98504-4450
06-3- 9-5
REGISTRATION VERIFICATION
TEMPORARY
(360) 902-5226
FAX (360) 902-5228
From
Olympia Headquarters
Registered n
T.VPrr\F Compri/
RegistatiFr -,-901 7,6
ppI Regis ation expires
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
F625-036-000 registration verification 2-95
08-a3-7-5
'Receipt expires
'Thank, you
•
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
'5(oI E /q -6.3 ver---
Legal description as it appears on the property deed
4 o7 // p6',d c,3 /lf=A741/I
OWNER or OCCUPANT Phone
/3j SJ)2k-Iei.RlS `J 2-6 4/73
Mailing address City,state Zip
S fpGiCKrAJFL t:vl�
Who should we contact regarding this project? Phone
i-r"- 9c/9- 3 6 E
What wor�k/is bein/Jg�'done under this permit? 1
1313
ton, pertys�ze might o wldttl
>;:;:<::;.;;:tnspectvr tltiatnet:; Pro
Building> >
Building height g #of stories
/
Contractor Dimensions TOTAL SQUARE FOOTAGE
gi VA,V"- 5/Am€S o.
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
l o s- S. k 664 - --
Architect/Engineer Garage area Size of decks,etc.
1. I) IGiVS cJ _j-)-
What is the heat source? What is the cost of your project?
/9;/uvv_ �;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
Fb'et 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# A 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.
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