1994, 08-31 Permit App 94008209 Residence, GarageAPPLICATION WORKSHEET
General Information
qL-
Job address
F/46 L& c 4L / AJE
Parcel number
Owncr
Mailing address
City
H
GREMY INC.
E. 12 212 Sioux CirC19
f)e.
5-4 / Phone ��T 91o6
State
Gip
Site Information
Legal Description
2n 43
74'6
Property size
SX /6 .S
Water Dis net
47- /7, /4 6,
Number oi:
;12oadwidth
Dwellings
Buildings
Project Information
Permit Use
S.,-Le
ii.r-,
New
Addition
Remodel
Change ot use
Building Information
Dwelling units /
Occupant load
Building height
Stories /
Building dimensions
'lotalsquare tootage
Req'dparking
Handicap parking
Sprinkler system
Critical Matenal
uare Coota c breakdown
Main oor ms_
/5-D.e)
Uncover
ck
Second hoar
Outer
Finished basement
Unlimshsd b4sement/
��Q7��
Garage
4 9a
Contractor Information
7
Heating and insulation information (R-values) 1
Heat source
c A
Hat ceding
i?3
Vaulted cedin
/? 3$$
Above grade wall
i2 /7
Below ra ewall
/q
1-
/
Slab on grae
2 /0
Door (u-value)
Window
Furnace e ticency
S-Of
Total window area
..3
% ot tloor area
/.3.aq
Building contractor
SIZE .Y
/N C-
-Plumbmg contractor 9
/
7e
License number y
R.F-e� S
.. 4 I
CZ
Phone
License numbobi
pe
p
��gOs
Phone
Ma `
�e
`
Mailing addre
City. state, zip
City, state, zip
Heating contractor
�`
Other/ Lender
_
L_
icense number
H
it
(
& Ph e
License number
Phone
Mailing address
-Mailing address
City. state, zip
City. sta zip
PROJECT CONTACT
/C-
Co /3i3
PHONE
Sv9 92q 9'6Z0C
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
PHONE:
MAILING ADDRESS:
CONTRACTOR:
(street) (city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
row sr
COST
/UNIT
80UAL4
AMOUNT
B02
TOILETS
WATER CLOSETS BIDETS
-
x
$6
=
$
B03URINALS
-
x
$6
=
$
B04
TUBS
BATH, JACUZZI, SPA, GARDEN
2
x
$6
=
$
B05
SHOWERS (per trap)
BASE, STALL, ON —SITE BUED
/
x
$6
=
S
B06
SINKS
LAVS/BASINS. BAR. FLOOR ICIICHEN,
LAUNDRY, UTILITY. JANITOR. PHOTO.
X—RAY, FOOD (PREP/CULINARY/MEAT)
x
$6
=
S
B07
DISHWASHER
-
I
x
$6
=
$
BOS
CLOTHES WASHER
-
1
x
$6
=
$
B09
GARBAGE DISPOSAL/GRINDER
-
I
x
S6
=
$
B10
WATER SOFTENER
-
/
x
$6
=
$
B1IELEL
IKIC HOT WATER TANKS
(NOTE: if gas water tank, sccmecbankal)
x
S6
=
S
B12
FLOOR DRAINS
AREA. CASE, COIL, TRENCH. CONDENSATE
1
X
$6
=
$
B13
ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
B14
FOUNTAINS, DRINKING
-
x
$6
=
$
B15
WATER PIPING/DRAIN-WASTE-VENT
INSTALLATION. ALTERATIoN OR REPAIR
x
S6
=
$
B16
SEWAGE EJECTORS
GRINDER. SUMP PUMP
x
$6
=
S
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
/
X
56
=
$
B18
CROSS -CONNECTION DEVICES
VACUUMBRFAYFR, CHECK VALVE
AND R.P.B.PD. FOR VAS enwmc
/
x
S6
=
$
TANKS, BOILERS (c SPRINKLER SYSTEMS
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
56
=
5
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS. OXYGEN
x
$6
=
S
B21
MISCELLANEOUS FIXTURES
x
S6
=
$
Spokane
tn96
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
S
County Division of Buildings
W Rrn dw.v Avenue * Snnkane_ WA 99260
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
•
Tel. No. (509) 456-3675 * Fax No. (509) 456-7403 ' TDD No. (509) 324-3166
WASTERTLUMPERMHND
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
MAILING ADDRESS:
!PRONE:
(street)
CONTRACTOR:
(city/state)
LICENSE:
PIIONE:
MAILING ADDRESS:
(zip)
street
(city/state)
(zip)
DESCRIPTION OF WORK
man-
OF UNITS l.mea
COST
/UNIT
scums
AMOUNT
B02€
FUEL BURNING APPLIANCE
= or <100.000
/
512
-
,
B(Y3FUEL
BURNING APPLIANCE
>100.000
S15
-
ni
UNLISTED FUEL BURNING APPLIANCE
= or <400.000
S50
-
,
:
UNLISTED FUEL BURNING APPLIANCE
>400,000
S100
-
s
BOG
USED APPLIANCE (Must meet WSECs min. AFUE rating)
= or <400,000
S50
-
B07f
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
$100
-
&C
BOILER/REFRIGERATION
1-100M BTU
S12
-
s
Bdg;
BOILER/REFRIGERATION
101-500M BTU
S20
-
,
Bf0l
BOILER/REFRIGERATION
501-1.000M BTU
S25
-
,
'le
BOILER/REFRIGERATION
1.001-1,750M BTU
.
S35
-
r
BOILER/REFRIGERATION
+1a50M 8113
S60
-
,
iiiigi
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
/
S10
-
B14'i
RANGE
-
.
S10
-
B15
DRYER
-
510
-
,
BIG`
FUEL BURNING WATER HEATER
-
/
510
-
,
B17
-
•
S10
-
,
MISCELLANEOUS FUEL BURNING APPLIANCE
.,*.:.,...:::
BM
GAS PIPING (ea. outlet)
-
3
.
S1
-
,
Big
DUCT SYSTEMS
-
/
.
510
-
OW
VENTILATING FANS
-
4
.
S10
-
le
AIR HANDLER (DOES NOT include duct systems)
= or ct0,000 cFM
.
512
-
s
822'
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
S15
-
,
:02:3T.EVAPORATIVE
COOLERS
-
.
S10
-
,
, .
Bilfi
TYPE I HOOD
-
S50
-
. I
TYPE IIHOOD
-
S10
B26!
HEAT PUMP/AIR CONDITIONER
0-5 TONS
S12
-
,
B27:
MR CONDITIONER
6-15YONS
.
520
-
s
I.32Si
AIR CONDITIONER
16-30TONS
S25
-
B29
AIR CONDITIONER
31-50TONS
S35
-
,
AIR CONDITIONER
+50TONS
.
560
-
,
t'...
LPG STORAGE TANK
-
S10
-
s
B32!
WOOD OR PELLET STOVE/INSERT
-
S25
-
r
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS S35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING PEE
$25.00
TOTAL PERMIT
$
FEE DUE
County Division of Buildings
W_ Broadway * Spokane. WA 99260
PLEASE MAKE CHECKS`PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 * Fax No. (509) 456-7403 * TDD No. (509) 324-3166
maemr\meehperm.hnd
rItt2VJ X p JIVL.0.V1N J LAl., i 'Olt
12212 SIOUX CR.
POKAME, WA 99206
OB: L 16, B 2, THE GREENS AT MIDILOME
S. 3811 EAGLE LANE
;CALE 1"=16'
. LgnL
cgs
3: "'8 03M31A38
'"—' : '. 3WW00
- •SNOW
t :H101M OV08
- i! =3NOZ
N7 al Ida SS3800v
/V