1995, 06-29 Permit App 95004776 Residence, Garage PROJECT NUMBER= 95004776 APPLICATION DATE= 06/29/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 3914 S EAGLE LN PARCEL#= 45333 . 9161PTN
ADDRESS= SPOKANE WA 99206
PERMIT USE= NEW RESIDENCE/GARAGE - GAS
PLAT#= 005619 PLAT NAME= THE GREENS AT MIDILOME
BLOCK= 1 LOT= 11 ZONE= UR-3 . 5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 50 DEPTH= 105 R/W= 30
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = MODEL
OWNER= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING SETBACKS: FRONT= 18 LEFT= 5 RIGHT= 12 REAR= 5
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
n
BUILDING SETBACK REVIEW REQUIRED f�
k7)
COMMENTS:
BUILDING SEWER PERMIT PENDING ' q3$
COMMENTS: `-"''`CJC •G5 1( cO. l
ENGINEER APPROACHrFLOODPhAINtDRAINAGE
15.
JAI/4_40 02// %6.'
THE LOWEST BUILDING OPENING, INCLUDING Coupliance with drainage
COMMENTS: BAST OPINING, FOR ANY BUILDING IN conditions filed under a
THIS SUBDIVISION SHALL BE HIGH ENOUGH TO separate covenant required.ALLOW A MINIMUM SLOPE OF 3% AWAY FROM THE
BUILDING. ALL DRAINAGE SHALL BE ROUTED
AWAY FROM THE BUILDING TO NATURAL
************,DRAINAGES OR OTHER LAWFUL DRAINAGE PERMIT c
FEATURES.
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= 9 STORIES= 1
BLDG W X D = 77 X 56 SQ FT= 1645 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 95004776 APPLICATION DATE= 06/29/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 1222 18330. 00
BASEMENT U R-3 VN 423 4653. 00
DECK R-3 VN 216 1512 . 00
GARAGE M-1 VN 1171 14052 . 00
RESIDENCE R-3 VN 1645 95410. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 758 . 50
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 136.53
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE<=100, 000BTU 1 12 . 00
GAS LOG OR GAS INSERT 2 20. 00
RANGE 1 10 . 00
CLOTHES DRYER 1 10 . 00
GAS WATER HEATER 1 10. 00
GAS PIPING 4 4 . 00
VENTILATING FANS 5 50 . 00
HOOD -TYPE II 1 10 . 00
HEAT PUMP OR A/C 0-5 TONS 1 12 . 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= GREMY INC PHONE= 509 924 9406
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18 . 00
TUBS 1 6. 00
SHOWERS 2 12 . 00
SINKS 6 36. 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
FLOOR DRAINS 1 6. 00
WATER USING DEVICES 3 18 . 00
CROSS CONNECTION DEVICES 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 95004776 APPLICATION DATE= 06/29/95 PAGE= 03
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 899.53 . 00 899. 53
MECHANICAL PRMT 138 . 00 . 00 138 . 00
PLUMBING PERMIT 120. 00 . 00 120 . 00
1157 .53 . 00 1157 . 53
PROCESSED BY: DAWN DOMPIER cs,-5-3 )G
PRINTED BY: DAWN DOMPIER
******************************** THANK YOU ************************************
:::APPLICATION WORKSHEET
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Spokane County Division of Buildings ^^-^
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: GREMY INC. PHONE:
E. 12 212 Sioux Circle
MAILING ADDRESS: Spokane, a_/,Q 99-204
(street) (city/state) (Zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
PLUMBING FIXTURES # OF MULTI- COST
DESCRIPTION I DETAIL UNITS PLIED BY /UNIT EQUALS AMOUNT
B02 TOILETS WATER CLOSETS,BIDETS X $6 = $
B03 URINALS — x $6 = $
B04 TUBS BATH,JACUZZI,SPA,GARDEN / X $6 = $
B05 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD 2. x $6 = $
B06 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X—RAY,FOOD(PREP/CULINARY/MEAT)
B07 DISHWASHER - / x $6 = $
B08 CLOTHES WASHER - / x $6 = $
B09 GARBAGE DISPOSAL/GRINDER - / x $6 = $
B10 WATER SOFTENER - x $6 = $
Bl l ELECTRIC HOT WATER TANKS (NOTE: if pas water tank,see mechanical) X $6 = $
B12 FLOOR DRAINS _AREA,CASE,COIL,TRENCH,CONDENSATE_ / X $6 = $
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - X $6 = $
B14 FOUNTAINS.DRINKING - x $6 = $
B15 WATER PIPING/DRAIN—WASTE—VENT/ INSTALLATION,ALTERATION,REPAIR, X $6 = $
PLUMBING REVERSALS REVERSALS _
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP X $6 = $
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $
AND R.P.B.P.D.FOR:VATS SUMPS,
_TANKS,BOILERS,&SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6 = $
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 = $
B21 MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $
PLEASE MAKE CIIECKS PAYABLE TO:
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER
1026 W. Broadway Avenue * Spokane,WA 99260
Tel.No. (509)456-3675 . Fax No. (509)456-4703 `TDD No. (509) 324-3166
UTASTER\PLUMPERMHND
MECHANICAL;PERMIT APPLICATION
PROJECT ADDRESS: •
OWNER: GREMY INC. PHONE:
MAILING ADDRESS: E. 12 212 Sioux Circle
Spokw{ eet) A 9 9 2 0-6 (city/state)
(zip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS n.mn BY /UNIT eouAus AMOUNT
B02 FUEL BURNING APPLIANCE =or<100,000 I $12 -
B03 FUEL BURNING APPLIANCE >loo,000 , $15 -
B04'UNLISI hD APPLIANCE(ADDITIONAL CHARGE) =or<400,000 . $50 - r
B05'UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 , $100 -
B06'USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 . $50 - ,
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 MO _ r
B08 BOILER/REFRIGERATION 1-100M BTU . $12 _ ,
B09'BOILER/REFRIGERATION 101-500M BTU $20 _ ,
B10 BOILER/REFRIGERATION 501-1,000M BTU $25 - ,
Bli BOILER/REFRIGERATION Loot-1.750M BTU . $35 _ s
B12 BOILER/REFRIGERATION +1,750M BTU $f0 _ _
B13` GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - $10 _ :
B14 RANGE - . $10 _
B15`DRYER - . $10 - :
B16 FUEL BURNING WATER HEATER - J , $10 - s
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - = $10 - s
B18`GAS PIPING(ea.outlet) - 1 , $1 - s
B19`DUCT SYS!EMS - / . $10 - ,
B20 VENTILATING FANS - 5- . $10 .
B21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 cFM = $12 -
B22 AIR HANDLER(DOES NOT include duct systems) >10.00o cFM . $15 - ,
B23 EVAPORATIVE COOLERS - , $10 - ,
B24 TYPE I HOOD _ - . $50 - :
B25 TYPE II HOOD - . $10 - :
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS / _ . $12 - ,
B27 AIR CONDITIONER 6-15 TONS , $20 -
B28 AIR CONDITIONER 16-30TONS $25 -
B29 AIR CONDITIONER 31-50 TONS $35 - i
B30 AIR CONDITIONER +50 TONS = $Ci0 -
B31 LPG STORAGE TANK - . $10 - :
B32 WOOD OR PELLET STOVE/INSERT - A $25 - is
NOTE:MINIMUM PERMIT FEE IS$35.00 Subtotal i
PLUS: PROCESSING FEE $25.00
SIGNATURE: !— --
TOTAL PERMIT FEE DUE IS
PLEASE MAKE CHECKS PAYABLE TO:
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER
1026 W.Broadway • Spokane,WA 99260
Tel. No. (509)456-3675 • Fax No. (509)456-4703 *TDD No. (509)324-3166
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REGISTERED AS PROVIDED BY LAW AS A:
$— REGISTRATION NUMBER,
'EXPIRATION DATE
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1221.2 SIOUX CI RCLF
SP kA4Ir~." WA 9? 206a9305
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SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
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GREMY. INC.
E. 12212 Sioux Circle
Spokane. WA 99206
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