1993, 08-26 Permit App: 93007549 Residence •
' PROJECT NUMBER= 93007549 APPLICATION DATE= 08/26/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11912 E 40TH AVE PARCEL#= 45331. 9158PTN
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE - NWEC
PLAT#= 005230 PLAT NAME= MIDILOME 7TH ADD
BLOCK= 2 LOT= 3 ZONE= UR-3.5 DIST#= F
AREA= F/A= F WIDTH= DEPTH= R/W= 50
# OF BLDGS= # DWELLINGS= 1 WATER DIST = MODEL
OWNER= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= GREMY INC PHONE NUMBER= 509 924 9406
BUILDING SETBACKS: FRONT= 30 LEFT= 14 RIGHT= 8 REAR= 70
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED rte 73_ lc'
COMMENTS:
/
BUILDING SETBACK REVIEW REQUIRED �,. _�!.,f,_, 2/, - l_2 f:I
COMMENTS:
BUILDING SEWER PERMIT PENDING I
COMMENTS: ��
ENGINEER APPROACH/FLOOD PLAIN/DRAINAG -W '/
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 17 STORIES= 2
BLDG W X D = 51 X 39 SQ FT= 1989 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
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PROJECT NUMBER= 93007549 APPLICATION DATE= 08/26/93 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 1792 26880. 00
BASEMENT U R-3 VN 90 990. 00
GARAGE M-1 VN 764 6112. 00
RESIDENCE R-3 VN 1989 107406. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 786.50
STATE SURCHARGE Y 4 . 50
RESIDENTIAL SURCHARGE Y 141.57
RADON MONITOR 1 12 . 57
SALES TAX 1 1 . 01
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= R & R HEATING & AIR COND INC PHONE= 509 484 1405
STREET= 4019 E CENTRAL
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25 . 00
GAS APPLIANCE >100, 000BTU 1 15 . 00
GAS LOG OR GAS INSERT 1 10. 00
GAS WATER HEATER 1 10. 00
GAS PIPING 3 3. 00
VENTILATING FANS 5 50. 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PIPER PLUMBING & HEATING PHONE= 509 534 6986
STREET= PO BOX 3992
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25 . 00
TOILETS/BIDETS 3 18 . 00
TUBS 2 12 . 00
SHOWERS 2 12 . 00
SINKS 4 24 . 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
FLOOR DRAINS 2 12 . 00
WATER USING DEVICES 2 12 . 00
CROSS CONNECTION DEVICES 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 946.15 . 00 946. 15
iI APPLICATION WORKSHEET 1
General Information `
Parcel number
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Mailing address
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LSite Information
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Water D tract Numberol: Dwellings Sui mg
Property size
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LProject Information y
INav I�.dditionI Remodel ICha ngeotuse Yernut U se
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L Building Information
Dwelling units / Occupant load
Building height Stories 2
Building dimensionsTotal square[Dotage Req'd parking I Handicap parking Spnakler system I Critical Material
Heating and insulation information (R—valued
Square[Dotage breakdown Uncovered/covered deck Heat Bounce
ain floor /44 �A G� S
/ 0 h a ceiling Vaulted ceiling Above gra de wall
Smsv.itebtk tax�� Other 3 p `�
.-.4 in m 4 73 G Slab on de
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inched asement 6.1,C / 9' /O
Door
(u—value) Window Furnaceellieency
Unfinished basement 2 2 O6f�/Gt.S
'I-/�/ iota i wiilndow area %of floorarea
Garage 776 7 '/ ' .. /.;:-- /O
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Contractor Information il
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License number
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Mailing a ddrtss Mailing address
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Phone License number -Phone
License number
Mailing address
Mailing address .
City,state,zip
City,state,zip
PHONE Or., ,r e 92_4-94o C I
V'ROJECT CONTAcr , P y'1 — e) e I
Spokane County Division of Buildings
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GRAPHIC SCALE (IN FEET)
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fwndnd 1946'
CIVIL ENGINEERS & LAND SUR
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