1996, 02-20 Permit App: 96000773 Finish Basement PROJECT NUMBER= 96000773 APPLICATION DATE= 02/20/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10412 E 15TH AVE PARCEL#= 45204.3730
ADDRESS= SPOKANE WA 99206
PERMIT USE= FINISH BASEMENT
PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 36 LOT= ZONE= AGSUB DIST#= F
AREA= F/A= F WIDTH= 75 DEPTH= 144 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= POLK, JEREMY PHONE= 509 926 0348
STREET= 10412 E 12TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JEREMY POLK PHONE NUMBER= 509 926 0348
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS: D
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 1500.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 42.30
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 9.31
PROJECT NUMBER= 96000773 APPLICATION DATE= 02/20/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
VENTILATING FANS 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
TUBS 1 6.00
SINKS 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 56.11 .00 56.11
MECHANICAL PRMT 10.00 .00 10.00
PLUMBING PERMIT 18.00 .00 18.00
84.11 .00 84.11
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
,
OWNER: ICC2-t-Th`\ -- b I C. PHONE:DAYTIME CONTACT
MAILING ADDRESS: E 1 c Ll/ ( c 4-k-- sPoteLk, \--LI', ct 9 d-0(.0
(street) (city/state) (zip)
CONTRACTOR: tiLP LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
PLUMBING FIXTURES /I OF MULTI- COST
DESCRIPTION I DETAIL UNITS LIED l /UNIT EQUALS AMOUNT
BtrZ TOILETS WATER CLOSETS,BIDETS / x $6 = $
WI;URINALS - x $6 = $
ittgii TUBS BATH,JACUZZI,SPA,GARDEN / X $6 = $
BO :SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $
."gpki SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO, i
••••••••••
X-RAY,FOOD(PREP/CULINARY/MEAT)
BO DISHWASHER - x $6 = $
BC. CLOTHES WASHER - x $6 = $
,....:::
BO%GARBAGE DISPOSAL/GRINDER - x $6 = $
:...
BM WATER SOFTENER - x $6 = $
..„...:.
Bit.:ELECTRIC HOT WATER TANKS (NOTE: if gu water tank,see mechanical) x $6 = $
iiii FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $
......,.,...,.
RIi3:i ROOF DRAINS/OVERFLOW DRAINS(ea - x $6 = $
B14 FOUNTAINS,DRINKING - x $6 = $
:,....,,,
BIS WATER PIPING/DRAIN-WASTE-VENT/ INSTAIIATION,ALTERATION,REPAIR, X $6 = $
PLUMBING REVERSALS REVERSALS
BI SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
PIE WATER USING DEVICES ICE AND/OR CON•hE MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
:.:.:•:.:•:•:.:•::
40!:CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR VATS,SUMPS,
.........
TANKS.BOILERS,&SPRINKLER SYSTEMS
)3*INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
utd MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $
B2 ::MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
PLEASEMAKECHECKVPAYABLEili
Spokane County Division of Building&Planning oSpolCAN.VtOulfilriWartENTERNE
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.
7/6195\amulet:temper.Mel
MECIIAN'1CAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: 'PHONE:DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
A MULTI. COST
DESCRIPTION OF WORK OF UNITS LIED a /UNIT EQUALS' AMOUNT
110.T FUEL BURNING APPLIANCE =or <100,000 = $12 - $
Bt'f ` FUEL BURNING APPLIANCE >100,000 = $15 = s
Bit€UNLISTED APPLIANCE(ADDITIONAL CHARGE) = or <400,000 = $50 = $
VW UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 - s
806.':USED APPLIANCE(Must meet WSEC's min. AFUE rating) = or <400,000 = $50 = $
Bt? ': USED APPLIANCE(Must meet WSEC's min. AFUE rating) >400,000 = $100 - s
Bost BOILER/REFRIGERATION 1-100M BTU = $12 = s
BOILER/REFRIGERATION 101-500M BTU = $20 = s
BI E BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
:B1 €€ BOILER/REFRIGERATION 1,001-1,750M BTU = $35 = s
.Bid:: BOILER/REFRIGERATION +1,750M BTU = $60 = s
BI3` GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - _ $10 - s
'..,:.::,,,:::
BIC RANGE - _ $10 = s
.BIS`:DRYER - _ $10 = s
BI6 FUEL BURNING WATER HEATER - _ $10 = s
BIW MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 = s
B1$ GAS PIPING(ea. outlet) - . $1 = $
31;0i:DUCT SYSTEMS - _ $10 - $
•B2t VENTILATING FANS - _ $10 - s
1321iI AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 = $
B t AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 = s
B23l! EVAPORATIVE COOLERS - . $10 = $
`B2# TYPE I HOOD - . $50 = s
BB2S<`TYPE II HOOD - _ $10 - s
132&HEAT PUMP/AIR CONDITIONER 0-3 TONS = $12 - s
87`: AIR CONDITIONER 3-15 TONS = $20 = s
itiiti AIR CONDITIONER 15-30 TONS = $25 = s
.::132M AIR CONDITIONER 30-50 TONS = $35 = s
`B AIR CONDITIONER +50 TONS = $60 = s
BB3 LPG STORAGE TANK - _ $10 = $
83T WOOD OR PELLET STOVE/INSERT - _ $25 = s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
`PtVAg it::J.1i ■As■.�■� e �������[[yy.;;iyM{.�1yy{{yy�'',{y,���.�:Ly:?yyP��`�.� :�F:iTtiFYyy..::�i�;��y]yO(F
:<. !}CO :•LiVOMI :VE TER?t{:}i
Spokane County Division of Building& Planning :i€��.P`£�:::.:::::::::::::: :..::::::::::::::::::::::::::::::::: :::::::::::::..::::::::
*
2
BroadwayWA 99 60
1026 WSpokane, .................................................... ..
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.
12/14/93...cork..cin••.r•a
•
•
APPLICATION INFORMATION ( 1 �
What is the JOB SITE address? ASSESSOR'S tax parcel number?
F I ( - 1c)
Legal description as it appears on the property deed
).‘
OWNER or OCCUPANT Phone
�etiny Rvlk gats - vT3 H 8
Mailing address City,state Zip
E l G'( 1a, tS ; (moo I Cv} vutfl-- 11 a o
Who should we contact regarding this project? Phone
What work is being done under this permit?
--BA--,C: -b'�L',rJ-4--
Lone Inspector distract Property size Right of way width
a) a)
Water district
r
0
0.
0 a)
O
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
—7 SELF=
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?je .._e,1, jj0pd ,/4-t- /2.
-..)ye_:_
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 •1Swirrl•ming 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.