2002, 04-19 Permit App: 02002728 Duplex West Half Project Number: 02002728 Inv: 1 Application Date: 4/19/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: -GAS Contact: BOB JACOBSON/NW REGIONAL FAC
L23 P O-n, / f1 Ln1� Address: 525 E MISSION AVE
C-S-Z: SPOKANE WA 99202
Setbacks:Front 25 Left: 5 Right: 8 Rear: 46 Phone: (509)484-6733
Group Name: lU at:" )44€44
Site Information: Project Name:
Plat Key: 006123 Name: DISHMAN COMMONS District: F
Parcel Number: 45291.1912 Block: 3 Lot: 9B
SiteAddress: 10016 E 17th LN Owner:Name: NORTHWEST REGIONAL FACILI
SPOKANE,WA USA 99206 Address: 525 E MISSION
Location::SPO SPOKANE WA 99202
Zoning: UR-12 Urban Residential-12
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: 4,550 Sq Ft Width: 45 Depth: 100 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Release By:
t I-)p r
Plan Review Released By:
Approach/Drainage Released B
Sewer ReviewAi c C : C pit _:_� r Released By: jGI`e - air
4-
Permits - c c < r�
-`9.-off
Operator: JAS Printed By: JAS Print Date: 4/19/02
Project Number: 02002728 Inv: I Application Date: 4/19/02 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: 20 Stories: 1
Bldg W x D: 27 x 32 Building Sq Ft: 1780 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 890 $10,288.40 890 $10,288.40
RESIDENCE R-3 VN 890 $55,180.00 890 $55,180.00
Totals: 1,780 $65,468.40 1,780 $65,468.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $680.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $149.60
Permit Total Fees: $834.10
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 2 NUMBER OF $20.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $64.00
Operator: JAS Printed By: JAS Print Date: 4/19/02
Project Number: 02002728 Inv: 1 Application Date: 4/19/02 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
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
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: $54.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $834.10 $834.10 $0.00 $834.10
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $54.00 $54.00 $0.00 $54.00
$952.10 $952.10 $0.00 $952.10
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JAS Printed By: JAS Print Date: 4/19/02
Qcrctiuct�
1 1 PROJE .
CT APPLICATION 'F K 2002
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT I " I Pm
lk, 1026 WEST BROADWAY AVENUE
AU SPOKANE,WA 99260
MI
SPOIL COUNTY 509-477-3675
"VC - (fit$�i^6t 67:74%/0 rt
Project Description: "
TYPE OF APPLICATION
G3 Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant(New/Change) O Other
SPECIFIC SITE INFORMATION
Street Address: /00/6 £ // ,--t,/i/,
Assessor's Tax Parcel Number(s): Lot. 9 jQ ck 3 ✓� e ys�,2}�• �f,�.z/ 4-1 S'Z-c i
Legal Description: / /Ga f
vrf C � �.4`Z-'sq ...:',> ,-' .°}`�+ s `t*„}, _5#1 ,7,,,,-Z,"7:',,,. 00,'''-4,0"..—. 1.4,...•
i:1,, ! ,{� p x,g-i.,. 'A- t_ax, •sa"„ e' '.a4 ':A-v.4,,' � "L'{.,,,;tP°.t`,
-.b �' - 'fix 1 h 3c ... . .� +., � ,
r �. Y' x' 't .. „�R '-',-*4-7-4:-C. -:;, 4x .y _ le xx `'�. x4x " S�r -.
Y.s�r•'� '�, ' �- � �"� x 3,�w.. a x � ..� tir y�v. �5z t r�s.,. �.,� t �� v � 44 '� ,� ,t � �r�+ 3 Y 4,
, . _ ,.a�.rx y.,, } . 4 I- '!,":-,*&, `4"` tics-tom tF r ,�t� x !•' '_{ ,,: . , .4 ,, - r"
a ,, t f�°axr "'�`�c a^ �Z �" 3 ..s�a^C r.�:++. ,c-., t t' _ e'!"�-9
-444
--
OWNER/APPLICANT INFORMATION
Ei Indrittte who should be contacted regarding this pr eco
®Owner. Phone: 4/e y t+��7/.7CIApplicant Phone:
/1%r�,�- c s?` k1x n < Fax: X83 —0 3 y� 54 /i
�' Fax:
Mailing Address: `/ � / Mailing Address: —
City,State,Zip City,State,Zip
J��� or,"x t -~A /6
❑Contractor Phone Phone
❑Architect/Engineer
SFax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
NO I t� AF c t? 77/ /��h - ?53-,4 O?/ Hc,7'y 1./ 1/---6 7733
PROJECT INFORMATION
,$w�c ,g<Information
Building height to peak #of stories Main floor sq.ft. y� Unfinished basement sq.ft.
Dimensions Total habitable space 2' floor sq.ft. Finished basement sq.ft.
02 7x 3 / 7�o 0N/, /U�ia
Occupancy group Construction type Garage sq.�ftt..� Deck sq.ft.p/ y
ir�•� /V�-1
Cost of project I Teat source electric,gas,etc.)
6-4,-5
i- >s ynTlF Y`- y '. 'N'( t x ? cmc' t A. 4
3� "11.14.4'-*-
u a t r 3`� Y 1 + s xr ,,, ' ,tu ,f 7.n ,pr F" `yTis �4� v Y €$X;h f ` � 4
Width Length: What is the square footage of the sign How high is the sign?
face?
Year Make: • #of sighs gn Area of existing signs
�, �+01 R 6 ! ,,, eke •;5 < -'",- „,,,,-,,-,•„.-,,I:
'''4 F 'i
, :%'44::.
'}. '.f
-?: ta,.. },`* rp' !z „ r a+'c°'a a ,.,
. 4 r�' r N' , 3e t rb rt '€ .s '." - y. ^i
,. ..;,,,A 7741,.1 r�*,.,— _2 ,.rL,'?1,1. .4 } X ...;sa t2.7,--4,aA. �" s, ,.-a l S t:' }'c i ? ',,,,'X
Previous address Fire Sprinkler _ ��Tent 5
Paint booth— Fire Alarm Fireworks display
Proposed use Value
•,-;:„..7,--,
3 .`v,rnf a a "t":Ta -� 3 '3: .-.„.. ., # :%YF°Y „;-s
1s�iic�t'„�� "4��1s,,�t9.1ti .'e�� �a„ §'tt��y ��. ,� � r t � _� ^��,S �c � ea
r� C Van k. �� ^` . vj,� . r. ,,7 zx. E A. ��` d5 4 € Sa€ S s� E , a . a , �$a�.-sr
A ,
t' s w+ +' ` �^S,a�L2.�K td ,_am a 5q.. ..,t...... _ .s_�_Y.za.s. ,..h-.a. ._w....?'J.�'L- _,:.;::::,,-,,,,,,,..,..,;,...:::__A
Finn Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes Flo What is the current property size?
Ifyes,identify on site plan (square feet or acres) y,s /X /0.0
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identifi,on site plan O Yes INo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes C3 No
0 Don't know O Yes Er-No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan Ifyes,ident�on the site plan O Yes CYYNo
O Maybe O Don't know O Yes a r'1 io
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan O Yes C No O Yes CIrNo
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( .......---"")/c) 0 Yes L'No O Yes 19VNo
DEPARTMENT USE ONLY
Is the p operiy:in a designated Stta iwater Control Area? Is ublic sewer v L :F
It $ A ft 6d c - k 'S' g
KSS 4rCZ
r - -1--,-"'-7'''-
..w} 0 Yes• fl....,. NO ,-;,:-.,Y,--.:-.1'.
s'n 3�' w:rt�' a �.'"""� ' "4.' i��:
.1.lid property inside the ASA?' C7 Yes O No Is public watef a a` k .4, �a ry• ,�'i s a ,,l
�- O Yes ' Cl No ` � '1
' the property:inside the PSSA? O Yes. 0 No Is theproperty�located' thin1 O V 4Itt -
Date Received: Staff Representative:
PLUMBING PERMIT APPLICATION
'r
PROJECT ' '
PERMIT
ADDRESS: /0 C»6 t. /7 L lY USE:
OWNER f 1/o rf ,w c sf 4-4, "c7,, / r C ///,‘,".I./C-7 =' PHONE DAYTIME CONTACT &o. 9S-3"/C0?
MAILING ADDRESS: Sas E V1 :5.5 'c . d/cane 14/14-- 12.2-6 2-
street
street city/state) (zip)
CONTRACTOR: 5,44-1.11,/=- LICENSE: Nor tit,/2/-12,,7 J/
PHONE: x/1'/-67 33
MAILING ADDRESS:
(street) (city/state) (zip)
JDESCRIPTION PLUMBING FIXTURES #OF lam r,. COST
DETAIL I UNITS I rum sY /UNIT EQUALS AMOUNT
B02::TOILETS WATER CLOSETS,BIDETS _/ x $6 = $ g e o
•
4i-di:=URINALS - x $6 — $
Bfl.4:TUBS BATH,JACUZZI,SPA,GARDEN / x $6 $
8G5: SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $
B()fi::SINKS IAVS/BASINS,BAR FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO, AI
r
X-RAY,FOOD(PREP/CULINARY/MEAT) _
•
BOX::DISHWASHER / x $6 $ �--^'"'"
: O$::CLOTHES WASHER , -
B09 GARBAGE DISPOSAL/GRINDER - x $6 = $
10::WA[ER SOFTENER _ - x $6 = $
B1 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $ /
:B12::FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / X $6 = S �o
BJH::ROOF DRAINS/OVERFLOW DRAINS(ea j - x $6 = $
:DK:FOUNTAINS,DRINKING - x $6 = $
B1?5::WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 $
- :::PLUMBING REVERSALS .REVERSALS
Bifs:SEWAGE EJECTORS GRINDER,SUMP PUMP
B17::WA 1'Eft USING DEVICES ICE AND/OR COFFEE MAKER, x $6 - $
HOSE BIB,STEAMER PROOFER, / 0 O
CARBONATOR,SWAMP COOLERS
13.1$::CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 $
AND R.P.B.PD.FOR:VATS,SUMPS,
_ TANKS,BOILERS,be SPRINKLER SYSTEMS
-13.A.?.::INTERCEPTORS GREASE TRAP,SAND TRAP,
CHEMICAL HOLDING TANK
B20::MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 = $
:13 ::MISCELLANEOUS FIXTURES _ x $6 = $
Subtotal crg o n
Method of Payment:
__ ;;._.• 525.00
��� �o ) PLUS: PROCESSING FEE
❑ r .- ❑
El Cash ❑ Check ❑ TOTAL PERMIT FEE DUE $
FAXED PERMITS WILL ONLY BEACGFPTED W17NPAYMENT OFA MAJOR CREDIT CARD 4ci:::.i1J1V1K 1d ii1'. S : : f:Ab::-::::R::;::
: :
Date: Expires: PLEASEAK:CH-ECK :PAYAB .iiii ::
:--:::SOKAECOUNYPERMITCEJ : ::::>
Bankcard Number:
Authorized Signature: • 12/19/97 master phumbpemi.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
PRPERMIT
ADDRESS:ECT IOdfCP I- �7-d i- N. USE:
OWNER: /Aor 1 A w c '71.-. iee_i;Cryk 6 / h //,fc,,c'r 5 'PHONE:DAYTIME CONTACT 60-6 /5Y-/6a r
MAILING ADDRESS: 5 Y '22.1 %5 i %a">,, 5/.144k (1 t 1't"` )? 59`20 2.
street) (city/state) (zip)
CONTRACTOR: 9 hv T LICENSE: /1/0r74/1 /2 1 0 S 737
PHONE: 9 Y4'--6 7.3 3
MAILING ADDRESS:
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS PLIED BY /UNIT EQUALS_ AMOUNT
B62 FUEL BURNING APPLIANCE – or <100,000 / x _ $12 – $ /02 o-=
BQ3 FUEL BURNING APPLIANCE >100,000 x $15 – $
804 UNLISTED APPLIANCE(ADDITIONAL CHARGE) – or<400,000 x $50 – $
$PS UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 x $100 – $
B66 USED APPLIANCE(Must meet WSEC's min.AFUE rating) – or<400,000 x $50 – $
BQ7 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 x $100 – " $
Sb$BOILER/REFRIGERATION 1-100M BTU x $12 – S
$09 BOILER/REFRIGERATION 101-500M BTU x $20 – S
$ib BOILER/REFRIGERATION 501-1,000M BTU a $25 $
BI1 BOILER/REFRIGERATION 1,001-1,750M BTU x _ $35 – $
.832 BOILER/REFRIGERATION +1,750M BTU x $60 – $
$x3 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE -• x $10 $
Bio RANGE - x $10 – $
Bay DRYER - x $10 – $
Bib FUEL BURNING WATER HEATER - / x $10 – $ /0 'IC-
iii;
I-
$17 MISCELLANEOUS FUEL BURNING APPLIANCE - x $10 – $
Bi$GAS PIPING(ea.outlet) - x $1 – $ .2 o'
B19 DUCT SYSTEMS - x $10 – S
toe
820 VENTILATING FANS - x $10 - $ ,24,
is I AIR HANDLER(DOES NOT include duct systems) – or<10,000 CFM • x S12 – $
822 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM x $15 – $
B73 EVAPORATIVE COOLERS - x $10 – $
824 TYPE I HOOD - x $50 – $
Baa TYPE II HOOD - / x $10 - $ ld '21
Bid HEAT PUMP/AIR CONDITIONER 0-3 TONS x $12 – $
Bit AIR CONDITIONER 3-15 TONS x $20 – $
Si-8,AIR CONDITIONER 15-30 TONS x $25 $
$a9 AIR CONDITIONER 30-50 TONS x $35 – $
B30 AIR CONDITIONER +50 TONS a $60 - $
B3i LPG STORAGE TANK - a $10 – $
B32 WOOD OR PELLET STOVE/INSERT - a _ $25 – $
Method of Payment:
Subtotal .5-ii
V1� PLUS: PROCESSING FEE $25.00
El Cash El Check 0 El L z� EJ LI
TOTAL PERMIT FEE DUE S
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT GRD
:->: MTNJMfJMPERM7TYEE IS$15:0 ::.:..-: :::::::::
Date: Expires: >: I'I EASP:MAI?;L: 1 C1( ?AY`-0 .0 l :.:.>:: : :.'::
SPOKANE:COUNTY:P:ERMI'.:CENTER::::>: :
Bankcard Number:
'`=
..
Authorized Signature: .. .... ........ ...... ......................
• ''.-.•....•'..'.. 12/19/97 master\mechpera
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
3' ADDITIONAL R/W TO BE DEDICATED — 1�
— N89'10"45'W r EASEMENT
r
} 589.42' t
�n 229.05' I ir ,n rn 228.41' + 85.94' /1 CSG 92.' I
•- t — — — — ~ 543.4§ETOTAL) F85.94'
• — — -- TBa-- 112.99' 1
9920 T 5'cAgM NT_►; Z. o �1 10010 10026 1 -/,
10' UTILITY N W C 25' B.S. 17' WIDE FUTURE - 3 10' UTILITY-�-I
EASEMENT
\\ 1-6.-INN-DRAINAGE R/W ACQUISITON oo 6 EASEMENT'
EASEMENT 2 AREA ,� 14,076 S.F.
co
1 b - co N
\rn 28,205 S.F. o N89'20'04"W 00
28,386 S.F. 65.00' " cv 1
n. rn
1
o
O N
N gg
NO N .
T
I ID 0 I
S89'20'04"E 1 572.74' '- -
228.39' 228.34' Illt'- 116.01' -
wl
DRAINAGE in r
-•- 26' ,ALLEY, SEWER & o EASEMENT o
UTILITY EASEMENT i��� - `n `t
6 -0 0 5 / o 0 4 0 r z
33,938 S.F. 0 •0 0l 0 24,203 S.F. cD I
0 12,184 S.F.
•
vor cc)oo l O
16
10' UTILITY 1 25' B.S. 1. , .4- I
9919 EASEMENT 10015 10027
y
T10 ,,T4 v1- 65.00' --NA
313.23' 4 228.28' . - 86.04' _ `
738.10' _ ti
_ S89'.07'00"E 17TH LANE
•
5.49' * 45.51' 45.49' i 45.51• ' i 45.49' 45.51' f. 45.49' ♦ 45.51' 45.49' . 45.51' 45.49' 45.51' 1
? 14 9918 1 9922 r 9926 T 10004 7 0008 r 10012 10016 i 10020 100241 10028 10032 r 11
+ F { F i 1• -•
10' UTILITY • 25' B.S. 25
�� EASEMENT Oi �� 3i pi 3i
p o, o o, o o, o - o,- o o,• o o,-
p O8 O 0 O.0 O p O.8 O 8 o.p O 8 O.8 O 13,.
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i0 S.F. 4,550 S.F. i 4,550 S.F. 4,550 S.F.u):' 4,550 S.F. 4,550 S.F. i 4,550 S.F. 4,550 S.F. : 4,550 S.F. 4,550 S.F.u): 4,550 S.F. 4,550 S.F. I 4,5.
. 1 1 I I I 1
5. —45.49'— --L=5.51'——45.49'— - —45.51'— + —45.491'— ; —45.51'— —45.49'— —45.51'— • —45.49'— ; —45.51'— • —45.49'— —4
tTY i`;-FOUND 5/8" I.P. I I S89'07'00"E 1303.76' (B!
FOUND 1/2" I.P.. I I 889'07'00"E 11333. '
1
:NT 0.14' NORTH OF ! 0.08' NORTH OF I _, 11333.7676'(R1)
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