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2001, 08-03 Permit App: 01006089 Duplex Project Number: 01006089 Inv: 1 Application Date: 8/3/2001 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ...............................................................................................................................................................................................................: ::... Permit Use: WEST 1/2 OF DUPLEX-NATURAL GAS Contact: NORTHWEST REGIONAL FACILITATO Address: 525 E MISSION AVE C-S -Z: SPOKANE,WA 99202-1824 100...... Setbacks: Front 25 Left: 6" Right: 10 Rear: 44 Phone: (509)484-6733 Group Name: Site Information: Project Name: ...................................................................................................................................................................................................................................... Plat Key: 006123 Name: DISHMAN COMMONS District: F Parcel Number: 45291.2102 Block: 2 Lot: 1A SiteAddress: 10104 E 16TH AVE Owner: Name: NORTHWEST REGIONAL FA SPOKANE,WA USA 00000 Address: 525 E MISSION AVE Location::SPO SPOKANE,WA 99202-1824 Zoning: UR-12 Urban Residential-12 Water District: Hold: ❑ Area: 5,239 Sq Ft Width: 42 Depth: 123 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In ormation: :. f Department Review 7 BUILDING Site Plan ReviewReleased By: ) rttC� - i/ ' ck Hold Reasons: ,Q C L4 , " k>Ai\Lam Permit Conditions: J BUILDING Plan Review Released By: _ � 2 —co/ Hold Reasons: &k, t f 4� t4 AL -I.•c• � C t_�n (6'1Ct e r Permit Conditions: ENGINEER Approach/DrainageReleased By: .- 4F-3-0 T Hold Reasons: / C',/ Permit Conditions: -12t) '2,. ilk; ,Ei, UTILITIES Sewer Reviewrr ++ Released By: f V (Hoeasons: CO . ( J1 ( ( t�` 1 � .1 � Permit Conditions: C / L/ PLANNING Landuse/Zonin /� P'/�/ t1 g/4iti/.0 4,,M'✓1- ?, IC�ele aced B e +_a. a �I .A, • a - Hold Reasons: 8^ -3 -- Permit Conditions: Y Project Number: 01006089 Inv: 1 Application Date: 8/3/2001 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI Address: 525 E. MISSION AVE Phone: (509)484-6733 SPOKANE,WA 99202 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 24 Stories: 2 Bldg W x D: 24 x 32 Building Sq Ft: 1536 Sprinklers: 0 Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Si Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 768 $47,616.00 768 $47,616.00 CARPORT U-1 VN 130 $585.00 130 $585.00 RESIDENCE R-3 VN 768 $47,616.00 768 $47,616.00 Totals: 1,666 $95,817.00 1,666 $95,817.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $867.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $190.85 Permit Total Fees: $1,062.85 Mechanical Permit Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI Address: 525 E. MISSION AVE Phone: (509)484-6733 SPOKANE,WA 99202 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 2 #OF UNITS $2.00 VENTILATING FANS 3 NUMBER OF $30.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $64.00 Project Number: 01006089 Inv: 1 Application Date: 8/3/2001 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI Address: 525 E. MISSION AVE Phone: (509)484-6733 SPOKANE,WA 99202 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $72.00 a ment um P S V Operator: MKC Printed By: MKC Print Date: 8/3/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,062.85 $1,062.85 $0.00 $1,062.85 Mechanical Permit $64.00 $64.00 $0.00 $64.00 Plumbing Permit $72.00 $72.00 $0.00 $72.00 $1,198.85 $1,198.85 $0.00 $1,198.85 Notes: . . :.:::::::::::::::::.::::::.:...............................: ....................:.::.:........:::::.......:...:.....................................................................................................................:............................. Y . -, 01 ' " .i90 CA/a IOC icl t , I PROJECT APPLICATION �p�'�wA,C-/V )' SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFO CEME� OD 1026 WEST BROADWAY AVENU '�i, 1 V }� Iiui SPOKANE,WA 99260 v'`�. 4 �- r �(\'1� ^ 509-477-3675 Zoo, V1 V1 WOUWY --ti /1 c�y,C�R Project Description: N�°`k. C.-Gr?1.,571/`A. C 1 +C,i,. CF/j,JF�r yy TYPE OF APPLICATION [ 3uilding Permit 0 Change in Use O Grading O Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: /60 ,--.iv ,/ 6 ,6 ! tr Assessor's Tax Parcel Number(s): / a /3 ®C 1° Petr/C - 4/5,95i ' 02 Legal Description: G— 'SY t^ta2$ •c-�i�t3.-4 '$ i;+ .: G ^�",� !#�g, Ni „� { r `i , + ,, , N vr'�''c w,, r'xN , a...�.�a .,.�"�z 5,& Y "" �' �' :.� `T h �- .rel. �y» ', Y �" < ` y i >i".ri F*"'�q Y L r k f,L �..'2°''{ '�,,.aY..L` a� .a-'E v '{' T`, fi" ',�3 ' A i�f 2s '�� s�`" 4'r r d ��i '^ve"�°��fs� s r �� i w�' 'ys y'+�u z r ��"'t a x "R"+ ,� � � "��, "4 � °& `r y � {. St �Z.' £' .' s_it '�+.t 'y ; Sv.: 4 s < .,r �s.. iy'. ^r #- :r x g> YFE k'r.: '�S.�-� r r x^fir r"y �` A r r �' � 3'i�9,t� r... x * � .�."' s. ."1�rt- +ms '�-;z r� f`x�"-W+r x ' "G' rG �r `'+.r� :$'' ."gi"b�-Zar y - .x` $' +x_n; s" z -�:�c x�+y¢ "u:. -s:r :rr �,: -�.. r� � t, �.tz,...@.a x t5 .fi «..�v ^r�r r .° rry 4 a 7 s ~ .ze S t a s 2 ,x c z n:ax _ 1 s +e s- Ana.. t ,, ;, 4,_ a €h x.r �, 1 x ts<a.. .-477 to't+- .7 ...r rer: i2 L .',11:h i,i: ., �,.,� . .c..,,: `-.=x' ,.. OWNER/APPLICANT INFORMATION 0 Indiaue who should be contacted regarding Chir fine,jut 0 Owner. Phone: y1 Y- C 733 0 Applicant: Phone: ,tet Q / '71'3 p tr ,_5/)- 17 1 / Na��'.t r~.��!`�/}'e�C r0/I R.( Fax: �O.3� ��( ✓� Fax: MailingryryAddress: J-1',t.C e//le`a'-/-pr, Mailing Address: City,State,Zip City,State,Zip 404 A n.e L✓14- j^5'.2 0 „,/ 0 Contractor "/y' Phone ►!J Architect/Engineer Phone 3�f V.5-ie .,. 41-'1,1/1..e,_ Fax A-/„.5 G a, J s IL,Ci--5 Fax 41Z-7,F- .19/c Mailing address Mailing address - 3 /y41, 5 ,1,5 7‘ct�,. City,State Zip City,State Zip 400/C. : f4 lam. A. 961242/ WA State Contractor license# Contact name: Nor-,A. 2,c ©S '7, --/ Se /t', /= /`>cc, ,4 SC PROJECT INFORMATION . . Building Information Building height to peak / #of stories Main floor sq.ft. Unfinished basement sq.ft. 94 ,2 26 gi /V/M-. Dimensions Total habitable space 2.1 floor sq.ft. Finished basement sq.ft. 171)( 3 2. '7536 P 26 6” iii / '/A Occupancy group Construction type Garage sq.ft. Deck sq.ft.51c/) trd _ 13/) 11/ /14 J~ '7✓k/D +410 Cost of project I leat source(electric,gas,etc.) CT-c,.....5 ed" om ]Marufactuz .He Width: ff- Length: What is the square footage of the sign How high is the sign? face? Year Make: #of signs Area of existing signs Previous address Fire Sprinkler _ Tent Paint booth Fire Alarm _ Fireworks display _ Proposed use Value ., xs4is v ` " .fiw '; 01� & to.xxr.ai`` ,t_.t ..fr T ^sf ifii �e j te,r:�e $ : iI ® c `,„ . r �4is+m'x. , * ut4 "S• sF . +`2' r. 7 kR,; . 4 ``s ., ,?^„,, +'zi^ ":'�.+f''''''''''''''''''?''''' .''_ _aG,�.r_ ;=i . �.<.,„ "; s: . r ..:.� t.1Phone , . Plans Examiner PhoneFirm Name Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes Lll''&o What is the current property size? Ifyes,iderrt on site plan (square feet or acres) ��, ��3, V/ Is any part of the property within 250 feet of a shoreline? What is the current use of this property? Ifyes,identt on site plan O Yes Ilk-no Is your property in a designated wildlife habitat area? ...., Will the site be served by a septic system?O Yes g34io O Don't know O Yes LNo Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyer,idem on site plan Ifyes,ident�on the site plan O Yes G7 l o O Maybe O Don't know O Yes gelio Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? �� Ifyet,identify on site plan O Yes L No 0 Yes lS No Are there slopes greater than 30%on the property?(30 ft rise in 100£t) Are critical or hazardous materials used or stored on site? ( /%) O Yes Ct]1 Jo O Yes No DEPARTMENT USE ONLY Is the f roperty in a designated Stor>tiwater Control Area? Is pudic sewer•avatIabte to e�i� � �.'> f�1�'' Is the p"roperty inside the ASA?' ❑ Yes ❑ No Is public water available to the 5{I ." 3 2,° 1) `S S { i ,� O Yes O No � �� fry Is the property inside the PSSA? O Yes O No Is the property located within`20()Q fet 3fa Natural RcSQtUCe Area., -..,�. Date Received: Staff Representative: PLUMBING PERMIT APPLICATION PROJECT � n PERMIT ADDRESS: /0/0 Z-/ /J /6 /�( tfe USE: OWNER:Wor i_...A.-6,"1- kC_, i!J/1 G,/ F4 c /o 1OO/"5 PHONE:DAYTIME CONTACT Zee re /-673 $ MAILING ADDRESS: .S.25 f :',"1*,. -S ok t y.e 14,-,4-- 9 "' g (street) (city/state) (zip) CONTRACTOR: 514-M E?.- LICENSE: Wo rM 2J: D8 2J / PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES #OF mum. COST DESCRIPTION I DETAIL UNITSr� PLIED BY /UNIT EQUALS AMOUNT 302:-.TOILETS WATER CLOSETS,BIDETS a2 x $6 = $ /2 04 8(33: URINALS - x $6 = $ B(}4::TUBS BATH,JACUZZI,SPA,GARDEN / x $6 = $ 6 , 00 B05::SHOWERS(per trap) BASE,STALL,ON-SITE BUILD / x $6 = $ 4 . O a B( i::SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, /S-j` co X-RAY,FOOD(PREP/CULINARY/MEAT) 3 C B07 DISHWASHER - / x $6 = $ C , 0 0 :B08::CLOTHES WASHER - / x $6 = $ (, :-t0-0 B0 GARBAGE DISPOSAL/GRINDER - x $6 = $ :B1Q::WATER SOFTENER - x $6 = $ B 1:1::ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $ / .B12::FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / X $6 = $ 6 7 00 B13::ROOF DRAINS/OVERFLOW DRAINS(ea i - x $6 = $ :814::FOUNTAINS,DRINKING - x $6 = $ )30::.WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $ :. : :PLUMBING REVERSALS REVERSALS B16:SEWAGE EJECTORS GRINDER,cUMP PUMP x $6 = $ ::]::”.7:: WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $ HOSE BIB,STEAMER,PROOFER, / 4°0 CARBONATOR,SWAMP COOLERS62 :B1$::CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $ AND R.P.B.P.D.FOR:VATS,SUMPS, TANKS,BOILERS,Sc SPRINKLER SYSTEMS B 19::INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $ CHEMICAL HOLDING TANK B20::MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 = $ :821::MISCELLANEOUS FIXTURES x $6 = $ Subtotal 72, oo Method of Payment: ❑ i23 ❑ DISCOVER 1 PLUS: PROCESSING FEE $25.00 ❑ Cash ❑ Check ❑ `"" I TOTAL PERMIT FEE DUE $ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OFA MAJOR CREDIT CARD : PERMF IT EE:I :1,0.*::3 : ::::: :::-: Date: Expires: ;::PPLEASE 1V- A1 : ICfIECKS:PAYABLE'�'O .: : :-::::SPOKANE:COUNTY ERMI:'T:CE1*i'1£R:::::::::: Bankcard Number: Authorized Signature: 12/19/97 mss[er\plumbperm.b Spokane County Division of Building Planning 1026 West Broadway Avenue*Spokane WA 99260 Tel.No.(509)456-3675*Fax No.(509)324-3198*TDD No.(509)324-3166 MECHANICAL PERMIT APPLICATION PROJECTPERMIT DDRE S: /0/cy 2 , _ J`7✓J ' USE: DWNER: IV6,/.7A a.C.5' /C9$,I /i 4 /. / C'/,/-4,4or y ''PHONE:DAYTIME CONTACT #o' i --4 7 1 MAILING ADDRESS: .5-0,25- k- 42 °S.5 ,"ir Al ✓APolcG/\e ti/A- 71;1 2- (street) (city/state) ,�y (zip) CONTRACTOR: 5 'q- sem- ,�.P LICENSE:No t t A i2 OS 75 PHONE: MAILING ADDRESS: (street) (city/state) (zip # MULTI- COST DESCRIPTION OF WORK OF UNITS PLIED BY /UNIT EQUALS AMOUNT B02 FUEL BURNING APPLIANCE - or <100,000 / x $12 - $ /.2. CO BQ3 FUEL BURNING APPLIANCE >100,000 x $15 - $ E0'4 UNLISTED APPLIANCE(ADDITIONAL CHARGE) - or <400,000 x $50 - $ 1.3v5 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 x $100 - $ B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) - or<400,000 x $50 - $ AO USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 x $100 - $ EO$BOILER/REFRIGERATION 1-100M BTU x $12 = $ $09 BOILER/REFRIGERATION 101-500M BTU x $20 = $ Mt)BOILER/REFRIGERATION 501-1,000M BTU x $25 $ Bj:l BOILER/REFRIGERATION 1,001-1,750M BTU x $35 = $ iii BOILER/REFRIGERATION +1,750M BTU x $60 $ 813 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE x $10 = $ Bio RANGE - x $10 - $ B15DRYER - x $10 = $ EI6 FUEL BURNING WATER HEATER - / x $10 - $ /O.00 B17'MISCELLANEOUS FUEL BURNING APPLIANCE - x $10 = $ $GAS PIPING(ea.outlet) - 81 2 x $1 = $ ,2, 0 O $l9 DUCT SYSTEMS - x $10 = $ 0 VENTILATING FANS - B2 3 x $10 = $ 30, C70 B.21 AIR HANDLER(DOES NOT include duct systems) - or <10,000 CFM x $12 = $ 122 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM x $15 - $ B23 EVAPORATIVE COOLERS - x $10 S 4 TYPE I HOOD - '32 x $50 - $ Bas TYPE II HOOD - / x $10 = $ /0,00 826 HEAT PUMP/AIR CONDITIONER 0-3 TONS x $12 = $ B27 AIR CONDITIONER 3-15 TONS x $20 = $ E28 AIR CONDITIONER 15-30 TONS x $25 - $ Bz9 AIR CONDITIONER 30-50 TONS x $35 = $ *AIR CONDITIONER +50 TONS x $60 = $ B31 LPG STORAGE TANK - x $10 - $ B32 WOOD OR PELLET STOVE/INSERT - x $25 = $ Method of Payment: Subtotal �p y. O 2 ........._........_...__ ❑ Cash ❑ Check ❑ ❑ a ❑ x°1'7:7 I`' PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ .................................................. ........... FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OFA MAJOR CREDIT CARD ::::::M1NVI11'l UM PEIR;YIZT:FE. IS:$35:0ti: Date: Expires: ::FL ASE:MAKE:C.1-#E 5:PAYABLE•'10 ::::: ::::::: :.: POICAi`IE:C0.0.SM:P.ER;MI•f:GEN ER:.:::::>:::: Bankcard Number: Authorized Signature: `.: .::::. 12/19/97 nuuer\mechpem Spokane County Division of Building Planning 1026 West Broadway Avenue*Spokane WA 99260 7 Tel.No.(509)456-3675 *Fax No.(509)324-3198*TDD No.(509)324-3166 ........... . . - .... T Sibilltted f°r" anPurecorMet 1/444- ribuilding pen—--;Au known Pr°Pw''Imams 01010019 . of els prOpOlia• no Din ease representabr s Dinoms,structu. _,...., ,wetlands, mestdirnensi°11.' .me)inchalluom,ar.'crewel areas. Li CL- %Ws been 4 **es°r aulwu U0 ,,,water,WO bodies w' _............. 9-5 ........-imo• SW**-"""'""--"---m.......,...........„....0.1."-............................- •••• Auyv.,:iik_.: 4 Ot V _daltr.& OM Vi_laf1A 6. ,___ ' lisL,0 . 6,‘, . , 1 ALL V ,..\ -,... .....„),.. , _. ?..... , .. —1 „.....____4. e---/146--tv __ — .„............ ...._ • . . . a-ru et- rt.AT1/4A rze . .. 1 , , . . ., GARA9t.- , fellecheic... , . , ... Ir sr . , I 2' :21 IN- i i f \I (9 , , ' ....w...a..om.“.s...\.., A 414. 3.2,' ....„,,..„.,----.....-4.4.4.6.........--..... --11 I --.S —1 ....C.------- 321 .41 -vellis /0/0 V E. /6 r '1- , ---)4 -ri..1.,0 sroitit N , . (..,, 1 1111 1 i4, or /3 4 oT / J ',c`t ...ra.1. -k 4 .r 1 rsi rs1'. 1 r- _ .....A\ 1 1 . 4 ,.,'jp".............,......,,---- 1 i 4 TO teC4 k ; ...si . 1 , . . , --- 4.... —(....." _i':_......_,, '..,—....,....., h . . • ..4 , Q .. - 1 . , • 4, . . . . . ....................._ ............_ ,......, __ .......,...... . , . ...7v.7....,.. ,. 0 .1.,..:4......... . ,.. , i 411im••tt. . t2. Alt!50 4z. 545 P L., N I, ,:..