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1994, 03-21 Permit App: 94002267 Residence
PROJECT NUMBER= 94002267 APPLICATION I TE= 03/21/9 WAGE= 01 ****** THIS IS NOT A PERMIT ****** "`/// PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11923 E 40TH CT i PARCEL#= 45331. 9158PTN ADDRESS= SPOKANE WA 99206 PERMIT USE= RESIDENCE W/GARAGE (F.A. GA ) PLAT#= 005230 PLAT NAME= MIDILOM 7TH ADD BLOCK= 2 LOT= 4 ZONE= UR-3.5 DIST#= F AREA= F/A= F WID H= 58 DEPTH= 110 R/W= 50 # OF BLDGS= # DWELLINGS= 1 ATER DIST = MODEL OWNER= GREMY INC PHONE= 509 924 9406 STREET= 12212 E SIOUX CIR ADDRESS= SPOKANE WA 99206 CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406 BUILDING SETBACKS: FRONT= 25 LEFT= 21 R GHT= 14 REAR= 57 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REbUIREMENT BUILDING REVIEW COORDINATOR-C BRADBURN APPROVAL: LICENSE OK DATE: 03/21/94 BUILDING PLAN; REVIEW REQUIRED t2-'z2 9 Y ce C -/ COMMENTS: BUILDING SETBACK REVIEW REQUIRED APPROVAL: R BURRIS DATE: 03/21/94 BUILDING SEWER PERMIT PENDING q -22Gc 1 gos - 2f8 COMMENTS: C_ a te,O 3 '2-1, -G uf' 4 £ • 00 ou.scAel / ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE A A - y r�y,6,', ,„009'COMMENTS: ��� �� 1 1 4-10 h4 I . . i kts) , ..(2),...443, ******************************* BUILDING PE IT ******************************* CONTRACTOR GREMY INC PHONE= 509 924 9406 STREET= 12212 E SIOUX CIR ADDRESS=SPOKANE WA 99206 NEW= X REMODE = ` • ADDITION= CHANGE OF USE= PROJECT NUMBER= 94002267 APPLICATION DATE= 03/21/94 PAGE= 02 DWELL UNITS= 1 OCCUP. LB= BLDG HGT= 20 STORIES= 2 BLDG W X D = 62 X 42 SQ F = 3352 SPRINKLER= N REQ PARKING= #HANDICA'= CRITICAL MAT= N DESCRIPTION GROUP TY'E SQ FT VALUATION BASEMENT U R-3 VN 1087 11957 . 00 GARAGE M-1 VN 776 6208 . 00 RESIDENCE R-3 VN 1105 60775 . 00 2ND FLOOR R-3 VN 1160 32480. 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 681.50 STATE SURCHARGE Y 4 .50 RADON MONITOR 1 12 .57 SALES TAX 1 1. 01 RESIDENTIAL SURCHARGE Y 122 . 67 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= R & R HEATING & AI COND INC PHONE= 509 484 1405 STREET= 4019 E CENTRAL ADDRESS= SPOKANE WA 99207 ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100, 000BTU 1 12 . 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 ***************************** PLUM ING PERMIT ****************************** CONTRACTOR= PIPER PLUMBING & HEATING PHONE= 509 534 6986 STREET= PO BOX 3992 ADDRESS= SPOKANE WA 99220 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 4 24 . 00 TUBS 2 12. 00 SHOWERS 2 12 . 00 SINKS 8 48 . 00 DISH WASHERS 1 6. 00 CLOTHES WASHER 1 6. 00 GARBAGE DISPOSAL 1 6. 00 WATER SOFTENER 1 6. 00 FLOOR DRAINS 1 6. 00 WATER USING DEVICES 3 18 . 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING I I PROJECT NUMBER= 94002267 APPLICATION DATE= 03/21/94 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 822 .25 . 00 822 .25 MECHANICAL PRMT 85 . 00 . 00 85 .00 PLUMBING PERMIT 144 .00 .00 144 . 00 1051.25 .00 1051.25 4- I(330 .O• • . $ ,apSL. -U¢ aj PROCESSED BY: CAROL BRADBURN z O ' 1 • 5- PRINTED BY: CAROL BRADBURN ******************************** THANK YOU ************************************ • 9+- Zzbri APPLICATION WORKSHEET • General Information 7 y Job addressParcel number �. // 9z.> 4B 74 C%— Phone Owner y N c____ ..6.._d 7 - ���-9}'o l-, Mailingaddres� Z /2- 5/d 64_,k, C> � d G-04 0 ^ , GGC) City State Lip - S �6iA9.te Gel/ ZD L ite Informatiorl/Vrel t Legal Description/ Z._- - / ///� / /L O lt-kSZ Property size Water D t Numberol: lJ elimgs � : ....... .................. ••::::::•:•:::..:p:.. .. ? .}.........:........ ......:Buil //Z Z 69 P L / d gg... Q...} ... n.: vnw. :4! 4.: : v r x ' g} rPrQv ' :; i > } i : ::; q t � �:}:4vW4•vti: �Aax # p , a: ti4 o- : :^ wro :cewnin �. ¢ . Project Information II Permit U /� geew c__________ (ddition Remodel Change of use li //l/'�L e -/L C 1 v L Building Information ` Dwelling units / Occupant load Budding height Stories .-7 Building dimensions total square rootage Peq'd parking Handicap parking bpnakler system Critical Material Heating and insulation information (R-values) Square rootabe breakdown Heat source am Iloo// Uncovered/covered deck 6 4 S Q Second floor Other Hatcedm Vaulted ceiling Above dewall //Co g3 7--- 30 2�/9 1-tnshe basement Be irde wall Mor Slab on grade C, de/il 3© / - /O Untinshedbasement Door(u-value Win ow Furnace4tlaency tiarage/D total Window area %01 floor area � �� '33g /n352® /D. og Contractor Information ll 7 Build g contractorPlumbm contractor (I fr y [N c So`r- aay-9ei°� �1 �.€2— -..) I 1,, _ ,3 I 0 Cs License number Phone License numbei Phone ( F--/‘". •/ -11 �{ ( C3 N M ding address Mailing address 12-2--\ 2 S to V..x C12 • City,sta te,zipCity,state,zip - 1p0 I.vA 9cr2_o C. Heatin contras or • ., Leader Licens`number` Phone License number •Phone Mailing address Mailing address City,state,zip City,state,zi. -r PROTECT CONTACT PHONE Spokane County Division of Buildings 4 nna %M....4 R,•nnirl , ti Awn * Cnnkano Wa 99960 * 15091 456-3675 • REGISTERED AS PROVIDED BY LAW AS A: CONST CONT GENERA! REGISTRATION NUMBER EXPIRATION DATE 01 FREMYI*2' i(N 01/07/95 EFFECTIVE DPIE ` 11/15/76 GREMY, INC E 12212 SIOUX CIRCLE SPOKAN WA 1,9920693O5 SIGNAT "y \.... .-111111111116.... / r ISSUED BY DEPARTMENT OF LABOR AN' INDUSTRIES i. . . , • 1 C.) /41-r. I41-. . / l . n / 1 ADpRfiSS: 7 L.- L--C-,I H ( I 6 ✓,,- 4NE: LS o ti`s' QAD WIDTH: .5� �- FRONT: 2.t-r FLANKING: N. `/\Q COMMENTS: - ,--, 0 r REVIEWED BY;_. � (-1- 'L,�_ / !` i" i // / .2" -' lEt-- _. a 4. . a I- :, p yG . \\'' ) ir) 0 CO 7BRy \ rD13y / \_ -\ \ ``, /1/�4C'f. \ I t C�3\ --, -rte L k r}�// 2 f.p;t' J -!\431 4 ___-,.„-,,_: • J.� r-may ," !' ��� a �ASMCN7 `` ... 5.\' e; 0 .-1 _,---___L ---.,„ .... .., ,x,.. , . ,,.._, ..„ - ,...,. —A-------___4_ ., . ., '-\ \ r-2---,--1,---e -........ .s. • /' TPAV4SFORV1N MN, \ rc-1 ,..„...„.S. sem,... N, • \\ // 1/ / ` • • / DE'pAt t E /.' \\ \\ I'T 7 .\\ GRtesE122Circle�P��oFw�skitic%o •. �,' \, Spokane. WA 9-9206 \\ \\ , v �� 0 L N .\ h c/�e E.. ti' ''^„ x 1' ! Gr APksc S'CAL E ON F ET1c 1 i c)/A1 94671 \ ....,-. . :_ T�•/} .S9 \ y._`N 04'.�"i _____ �.o'-•.. NLVI'O.'!...11'=''JV !ONALt 1., 20 EXPIRES 71171 93 I ' r as �,�s tb 'J11►t.�frntt Engineers. I r,, t_4•auv nn,QP4Nf ft(?AU Iqf. YViil p� cry*, wa vp'19 PH U^f. i T2?/