2002, 05-03 Permit App: 02003291 DuplexProject Number: 02003291
lnv: 1
` Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/02 Page 1 of 3
Project Information:
Permit Use: EAST 1/2 OF DUPLEX - GAS
Setbacks: Front 25 Left:
Site Information:
Right: 5 Rear: 43
Plat Key: 006123 Name: DISHMAN COMMONS
Parcel Number: 45291.1909
Contact: NORTHWEST REGIONAL FACILITATO
Address: 525 E MISSION
C - S - Z: SPOKANE WA 99202
Phone: (509) 484-6733
Group Name:
Project Name:
District: F
Block: 3 Lot: 11A
SiteAddress: 10004 E 17TH LN
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5
Water District: 100
Area: 4,550 Sq
Nbr of Bldgs: 1
Review Information:
Review
Site Plan Review
Owner: Name: NORTHWEST REGIONAL FACILI
Address: 525 E MISSION
SPOKANE WA 99202
Urban Residential 3.5
SPO CO WATER DIST#3A
Hold: ❑
Ft Width: 45 Depth: 100 Right Of Way (ft): 32
Nbr of Dwellings: 1
Plan Review
Approach / Drainage
Landuse/Zoning
Released By: �.... G ,� --� -� c•.1
Released By:
Released By: ZjLeVJ&04.
Gee. 8e olx 21-0J&
Baq)
Sewer Review
Operator: JAS
Printed By: JAS
[ Released By:
Print Date: 5/3/02
Project Number: 02003291
Permits:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/02 Page 2 of 3
Contractor: NORTHWEST REGIONAL
Address: 525 E. MISSION AVE
SPOKANE, WA 99202
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 32
Req Parking:
Description
BASEMENT U
DECK
RESIDENCE
Building Permit
Firm: NORTHWEST REGIONAL FACILI
Phone: (509) 484-6733
Building Characteristics
Group: R-3 Type: VN
1 Occupant Load:
x 32 Building Sq Ft:
Handicap Parking:
Grp Type Notes
R-3 VN
R-3 VN
R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: NORTHWEST REGIONAL
Address: 525 E. MISSION AVE
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE 11
Building Height: 18
1832 Sprinklers: 1]
Critical Materials: 0
This Application:
Stories: 1
Total Project:
Su Ft Valuation Sq Ft Valuation
916 $11,266.80 916 $11,266.80
108 $845.64 108 $845.64
916 $60,456.00 916 $60,456.00
Totals: 1,940 $72,568.44 1,940 $72,568.44
Units Unit Desc Fee Amount
1 Y OR BLANK $723.75
1 Y OR BLANK $4.50
1 Y OR BLANK $159.23
Permit Total Fees: $887.48
Mechanical Permit
Firm: NORTHWEST REGIONAL FACILI
Phone: (509) 484-6733
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$10.00
$64.00
Print Date: 5/3/02
Project Number: 02003291
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/02
Contractor: NORTHWEST REGIONAL
Address: 525 E. MISSION AVE
SPOKANE, WA 99202
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: NORTHWEST REGIONAL FACILI
Phone: (509) 484-6733
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Fee Amount
$887.48
$64.00
$72.00
$1,023.48
Permit Total Fees:
Invoice Amount
$887.48
$64.00
$72.00
$1,023.48
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$887.48
$ 64.00
$72.00
$1,023.48
Page 3 of 3
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:
5/3/02
RECEF a
MAY 0 2 V. PROJECT APPLICATION 912
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: wz w e0,7
1.5 ft e -7'
TYPE OF APPLICATION
D''Building Permit
O Change in Use
O Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:
/000 `� _ /2 , 1 /V
0 Applicant,
peak
Assessor's Tax Parcel Number(s): , e // , Ae j
Mailing Addresz
_5a ( r
�ij7 %ss ,i:""›,_
Legal Description:
2
'Total habitable space
/71,i' 2
s'y 1 dil �W fi 114A0
it T ? '�...f* �.Wf��Tt'L T`+•if
i• � 'C�•iyTA �� J•1'+
City, State, Zip
74-441e411-1.-4":"4::
rjt•, $� 4
l.
,,� -'2-1;-'''""^:1::;.•:
t'''
7�" ;•. , �e �E
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OWNER/APPLICANT INFORMATION
Iadlal!e wbo should be con(asred rrgunfing lhir proord
0 Owner. �Ptaoac Y�' " 6'. 73. 3
IVeml.(tvesl- ,e0.5 0,,A/ fcc. m �'r''sys.3—o3vs
0 Applicant,
peak
Phone:
Fax:
Mailing Addresz
_5a ( r
�ij7 %ss ,i:""›,_
Mailing Address
2
'Total habitable space
/71,i' 2
City, State, Zip
S,6) O / Ci.
Il r 11, -%}
5:143•Z 0 'Z'.
City, State, Zip
Construction type
Garage sq. ft.
0 Contractor �y
519 / 17 C
Phone
Fax
❑ Architect/Engineer
I leat source (electric, gas, etc.)
Phone
Fax
Maaing address
Mauling address
City, State Zip
City, State Zip
WA State Contractor
license #
Contact name
Ate
9s3/6o?
PROJECT INFORMATION
,: .,,n,,,..;: -,..s...... .$. Information.. 'r;'' ' • . 4.
J
ButIcimg height to
/r'
peak
# of stories
/
Main floor sq. ft.
2/4
Unfinished basement sq. ft.
Dimensions
32x 3
2
'Total habitable space
/71,i' 2
2'd floor sq. ft.
N/sem
Finished basemeno ft.
9/6
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
/0 €
Cost of project
I leat source (electric, gas, etc.)
Width:
Length
Wlnt is the aqua(c footage of the sign
fact
Year.
Mate
# ofripns
ADDITIONAL SITE INFORMATION
Ase these strucnues on the property? 0 Yes 0"No
ijy ikshft ensite plan
What is the current property size?
(square felt or acres) .g X/DO
Is soy put of the ptoperty within 250 feet ofa shoreline?
If ik 0 f3�lo
What is the current use of this property?
yes, site Pax Yes
Is your property in a designated wildlife habitat am?
O Don't know 0 Yes Irflo
Will the site be served by a septic system? 0 Yes f9'No
Is any pan of the property within s 100 yr flood plain?
IIf 'denffr site
Are or wi0 there be wdls located on the property?
,. s plait
O Maybe O Don't know 0 Yes CVNo
Ibex. ik frb the site ?ha 0 Yes I3—No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifs; iksa{y sadtrplas 0 Yes El—No
Is there evidence of fill or excavation on the property?
0 Yes f9'No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) 0 Yes WNo
Are critical or hazardous materials used or stored on site?
_ 0 Yca [ice
DEPARTMENT USE ONLY
Dare Received
Sunneptesmemc
PLUMBING PERMIT APPLICATION
PROJECT'
DRRESSSS: /coo y p / 7 <s
PERMIT
USE:
Ti/1/.e f�
OWNER: NO /n✓e 6'% 4,/3h41U'r s
,p
PHONE:DAYTIME CONTACT /-W /ale
MAILING ADDRESS: Sas .E 4)/%5.1 :o -a. ,S�ewewn e WA— 9%O2
(street) (city/state) (zsp)
p..�/,,ae<
CONTRACTOR: Si/- /f
LICENSE
PHONE:
MAILING ADDRESS:
(street) (city/state)
(zip
■
PLUMBING FIXTURES
DESCIUPTION
R OF
DETAIL UNITS
�i
COST
/UNIT
EQUALS
AMOUNT
TOILETS
WATER EdnS ERBIDErS o2
x
$6
—
$ /3
iii
URINALS
-
x
$6
—
$
a'
TUB$
BATH,JACUPZL, SPA, GARDEN
x
$6
$ 6 `=
C 4:.n
HSS:
SHOWERS (per trap)
ASE, HAIL, ONSLESURD /
x
$6
—
$
0b:
SBO
LAVS/BASINS, BAR. FLOO&ffiTCI@N,
LAUNDRY, UTILITY, JANITOR PHOTO,
NARYALEAH
X-RAY, FOOD WMP/CUD3
X
$6
—
$
ST�O
/ <
7 D7=
D15HWASHER
- /
x
$6
—
$ 4
' e is
CLOTHES WASHER
- -
x
$6
'99:
GARBAGE DISPOSAL/GRINDER
-
x
$6
—
$
'•
WATER SOFTENER
-
x
$6
—
$
7 I:
ELECTRIC HOT WATER TANKS
(NOTE Ups water nals mechania1
x
$6
—
$
FLOOR DRAINS
AREA. CASE, CO1t,TRENCH. CONDENSATE -
x
$6
$. 4
.13:
ROOF DRA1NS/OVERFLOW DRAINS (ea.
-
x
$6
—
$
..14:
FOUNTAINS DRINKING
-
x
$6
—
$
7:13:
:::
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION ALM:RATION:REPAIR
REVERSALS
x
$6
—
$
16.
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
—
$
•
7.17:
WATER USING DEVICES
ICE AND/OR COFFEE HARM
HOSE NB, MAHER, PROOFER,
CARBONATOR. SWAMP COOLERS
.
x
$6
—
$ pe
/a if_
:.IB:
CROSS -CONNECTION DEVICES
VACUUM BREAKER. CHEER VALVE:
AND RPBPD. FOR: VATB,EWER
TANKS, BOILERS, Y SPRINKLER SYSTEMS
x
$6
— ,
$
3.9.
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
—
$
: PD:
MEDICAL GAS (per outlet/bottle nation)
NTrxous, OXYGEN
X
$6
—
$
BZ$:
MISCELLANEOUS FIXTURES
x
$6
—
$
Method
of Payment:
Subtotal
6 6 %"-
PLUS: PROCESSING FEE
525.00
M.. R.;
��c:
I1'a�l
.
•L='-�'-
El
TOTAL PERMIT PEE DUE
•
Cash
•
Check
.'�
FAY POPERMDS WILL ONLY 13£ ACCEPTED WITH PAYMENT OFA MAJOR CREDIT CARD
Date:
Baakcard Number.
Authorized Signature:
Expires:
Spokane County Division of Buildhug Planing
1026 West Broadway Avenue' Spokane WA 99260
Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 TOD No. (509) 324-3166
MECHANICAL PERMIT APPLICATION
PROJECT r, -
ADDRESS: 49007 `� t. t -M
PERMIT
uSE:
nn//
c 7c e4 f01.14_/ /6. 0.247'0/`1
OWNER:/Vs•154. a- 1rc
PHONE: DAYTIME CONTACT ed. 1F53 /( O?
['
MAILING ADDRESS: car G i9S://Yt 5, 644.r e_ W14- 97.2o 2 -
(strcct) (city/state) (zip)
(street)
CONTRACTOR: 5,9-.102 e
LICENSE
PHONE:
MAILING ADDRESS:
(street)
(city/state) (zip)
DESCRIPTION OF WORE
>
OF UNITS
MULTI-
PLIED BY
COSI
/UNIT
EQUALS
AMOUNT
B02FUEL
BURNING APPLIANCE
- or <100,000
/
x
$12
-
3 / a eo
Epj
FUEL BURNING APPLIANCE
>100,003
x
515
-
S
901
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
-.or <400,000
z
$50
-
S
11155
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
x
1100
-
S
B06
USED APPLIANCE (Must meet WSEC's min. AFUE ming)
- or <400,000
x
550
-
S
E7
USED APPLIANCE (Must meet WSECs min. AFUE rating)
>400,000
x
5100
-
S
BO$
BOILER/REFRIGERATION
1-100M BTU
x
112
-
$
Ilii*
BOILER/REFRIGERATION
101-500M BTU
x
320
_
S
810
BOILER/REFRIGERATION
501-1,000M BTU
x
125
S
Eii
BOILER/REFRIGERATION
1,001-1,750M BTU
x
$35 J
-
S
B19
BOILER/REFRIGERATION
+1750M BTU
x
160
-
1
1315
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
x
510
-
S -
Bld
RANGE
-
1
310
-
3
915
DRYER
-
x
510
-
S u
91
FUEL BURNING WATER HEATER
-
/
x
510
-
S /0 ---
1117
MISCELLANEOUS FUEL BURNING APPLIANCE_
-
z
HO
-
3
a__
'819
GAS PIPING (ea. outlet)
-
2.-
x
31
-
5 2
E14
DUCT SYSTEMS_
-
x
310
-
5
E34
VENTILATING FANS
'f-
x
510
-
S 20 C-
AIR HANDLER (DOES NOT include duct systems)
- or C 10,000 CFM
-
x
512
-
S
-al
812
AIR HANDLER (DOES NOT include duct systems)
> 10,000 CFM
x
315
-
S
EIj
EVAPORATIVE COOLERS
-
x
510
-
5
B24
TYPE I HOOD
-
x
150
-
5
$75
TYPE E HOOD
-
/x
110
-
1 /0 o0
816
HEAT PUMP/AIR CONDITIONER
0-3 TONS
z
112
-
5
5W
AIR CONDITIONER
3-15 TONS
x
520
-
$
31
AIR CONDITIONER
15-30 TONS
x
325
-
S
BO
AIR CONDITIONER
30-50 TONS
x
335
-
S
840
AIR CONDTIONER
+50 TONS
z
160
-
$
Ej1
LPG STORAGE TANK
510
ftS
Ej2
WOOD OR PELLET STOVE/INSERT
-
z
525
-
S
Method
of
Subtotal
S`/o°
PLUS: PROCESSING FEE
525.00
'0
L
II �q,s•�
TOTAL PERMIT FEE DUE
S
IN
■
Casht:
❑Check
.
k:"
FAXED PEWITS WILL ONLY SEACCEPTED W1771 PAYMENT CFA MAJOR R.FDIT CLCD
Expires:
''-:':':"'"':.'+`iP'ii
:MINIMIMFRM TEEEiSOt:z::
:AY
YL)SEMARE GMEGFS:PAABhfOi
.............
4_P,
Poia M061 :FAMECNtEIS
Date:
Bankcard Number:
Authorized Signature:
Spokane County Division of Building Planning,. .
1026 West Broadway Avenue • Spokane WA 99260
Tel. No. (509) 456-3675 • Fax Na. (509) 324-3198 • TDD No. (509) 324-3166
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