1995, 02-27 Permit App 95001012 Residence, Garage4DETACH TO DISPLAY CERTIFICATE --
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
STATE OF WASHINGTON
F625 052-00013 92) �! �
PROJECT NUMBER= 95001012 APPLICATION
DA E= 02/27/95 /PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 3818 S EAGLE LN
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE W/GARAGE
PLAT#= 005619 PLAT NAME=
BLOCK= 1 LOT=
AREA= 00000000 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= GREMY INC
STREET= 12212 E SIOUX
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FRANK COBB
BUILDING SETBACKS: FRONT= 21
PARCEL#= 45333.9161PTN
THE GREENS AT MIDILOME
23 ZONE= UR-3.5 DIST#= F
F WIDTH= 55 DEPTH= 105 R/W= 30
1 WATER DIST = MODEL
LEFT= 17
PHONE= 509 924 9406
PHONE NUMBER= 509 924 9406
RIGHT= 9 REAR= 30
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS Compliance with drainage
'conditions filed under a
� /L/o z, 6/`
se a C/en re fired.
d, No
************
CONTRACTOR= GREMY INC
STREET= 12212 E SIOUX CIR
ADDRESS= SPOKANE WA 99206
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
40 X 53 SQ FT=
#HANDICAP=
DESCRIPTION GROUP
BASEMENT F
BASEMENT U
GARAGE
jai(le0k
THE LOWEST BUILDING OPENING, INCLUDING
BASEMENT OPENING, FOR ANY BUILDING IN
THIS SUBDIVISION SHALL BE HIGH ENOUGH TO
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
FEATURES.
.; PERMIT ******** ********* **********
PHONE= 509 924 9406
ADDITION= CHANGE OF USE=
BLDG HGT= 12 STORIES= 1
2716 SPRINKLER= N
CRITICAL MAT= N
TYPE SQ FT
R-3 VN 893
R-3 VN 448
M-1 VN 475
VALUATION
13395.00
4928.00
5700.00
RESIDENCE R-3 VN 1375
PROJECT NUMBER= 95001012 APPLICATION
ITEM DESCRIPTION
75625.00
DATE= 02/27/95 PAGE= 02
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 639.50
STATE SURCHARGE Y 4.50
RADON MONITOR 1 12.57
SALES TAX 1 1.01
RESIDENTIAL SURCHARGE Y 115.11
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= R & R HEATING & AIR COND INC
STREET= 4019 E CENTRAL
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION
PHONE= 509 484 1405
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 3 3.00
DUCT SYSTEMS 1 10.00
VENTILATING FANS 5 50.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PIPER PLUMBING & HEATING
STREET= PO BOX 3992
ADDRESS= SPOKANE WA 99220
ITEM DESCRIPTION
PHONE= 509 534 6986
QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18.00
TUBS 2 12.00
SHOWERS 1 6.00
SINKS 5 30.00
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
BUILDING PERMIT 772.69 .00 772.69
MECHANICAL PRMT 115.00 .00 115.00
PLUMBING PERMIT 114.00 .00 114.00
1001.69
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 1001.69
Property sae
General Information 1
rre,r
APPLICATION WORKSHEET II
Ira rcet number
Owner
Thifiilnigaaddress
"City
'; EfVF'(if�fE�
E. 12212 Sioux Circle
Spokane, Si'A 99206
So 9 9 -66
lip
L Site Information
i
egal Descnpi on
�3
%/%E 6-erg/us
Water District
AO7- /7'o /Lary E
Number on
Lone
Inspectors.-+:
Road width
Dwellings
Ifuildmgs
Project Information
New I Addition
Building Information
Information
Remodel
Change of use
r
Dwelling units/
Occupant load
Budding height
Stones /
t.nboi Material
Budding dimensions
total square footage
Req'd parking
Handicap parking
Sprinkler system
j
Square footage breakdown
Main floor
/3 -a
Uncovered /covered deck
p_®'
o
Second floor
Other
„-------.
Finished basement
Unfinished baee�ent
Garage
/ 1
._..
Contractor Information
Building contractor
I N C
Plumbing coo tor
/�
License numnr ry^y
cRgt
�p
/ / QA)
Phone
License mum r�
v
Phooe
..Z
Mailing address
Marling address
City, state, zip
City, slate, zip
Heart";conttrractor
`` —/
,-/-{,— q'
4 a/
Other/render
`
License number
',
(� J/
Phone
License number
Pine
Mailing address
Mailing address
City, stale, zip
City. stale. zip
PROJECT CONTACT
tiz4AfK G9,st3
PHONE
diaf-iia6
Spokane County Division of Buildings
,noa wort Rrnnrlwav Ave * Sookane. Wa 99260 * (509) 456-3675
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: 3 , F /� olltit
OWNER:
PI-IONE:
MAILING ADDRESS:
(street)
CONTRACTOR:
(city/state)
(zip)
LICENSE:
PIIONE:
MAILING ADDRESS:
street
Vats/
DESCRIPTION OF WORK
#
OF UNITS
MULTI _
ptmoBY
COST
/UNIT
AMOUNT
1302
FUEL BURNING APPLIANCE
= or <100,000
/
$12
eoowu
-
B03
FUEL BURNING APPLIANCE
>100.000
$15
-
,
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
= or <400,000
$50
-
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
$100
-
,
B08
BOILER/REFRIGERATION
1-100MBTU
$12
-
B09
BOILER/REFRIGERATION
1o1—sooM BTU
$20
-
,
B10
BOILER/REFRIGERATION
501-1,000MBTU
$25
_
B11
BOILER/REFRIGERATION
1,001-1.750M BTU
$35
-
,
B12
BOILER/REFRIGERATION
+1,750M BTU
$60
-
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
/
$10
_
,
B14
RANGE
-
$10
-
,
B15
DRYER
$10
_
B16
FUEL BURNING WAI ER HEATER
-
/
$10
-
,
BI7
MISCELLANEOUS FUEL BURNING APPLIANCE
-
$10
-
B18
GAS PIPING (ea. outlet)
-
j
$1
_
,
B19
DUCT SYSTEMS
-
/
$10
-
,
IB20
VENTILATING FANS
-
$10
_
,
B21
AIR HANDLER (DOES NOT include duct systems)
= or <10.000 CFM
:J
$12
-
B22
AIR HANDLER (DOES NOT include duct systems)
>10.000 CFM
$15
-
B23
EVAPORATIVE COOLERS
-
$10
-
,
B24
TYPE I HOOD
-
$50
-
,
B25
TYPE II HOOD
-
$10
-
s
B26
HEAT PUMP/AIR CONDITIONER
0-5 ToNs
,
$12
_
B27
AIR CONDITIONER
6-15TONS
$20
-
1B28
AIR CONDITIONER
16-30TONS
$25
-
B29
AIR CONDITIONER
31-50TONS
$3$
-
B30
AIR CONDITIONER
+50TONS
$60
-
,
B31
LPG STORAGE TANK
-
$10
-
,
B32
WOOD OR PELLET STOVE/INSERT
-
$25
-
SIGNATURE:
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS $35.00
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT
$
FEE DUE
County Division of Buildings
W. Broadway' Spokane, WA 99260
PLEASE MAKE CHECKS PAYABLE TO:
SPOICANL COUNTY PERMIT CENTER
ax No. (509) 456-4703 * TDD No. (509) 324-3166
master \meth perm.hnd
PLUMBING PERIv1ZT APPLICATION
PROJECT ADDRESS: -3. 3 6-/ O
OWNER:
LE_
PHONE:
MAILING ADDRESS:
CONTRACTOR:
(street) (city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(2ip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
worn-
r1.um>BY
COST
/UNIT
Boum.*
AMOUNT
B02
TOILETS
WATER CLOSETS. BIDETS
3
x
$6
=
$
B03
URINALS
—
x
$6
=
$
B04
TUBS
BATH, JACUZZI, SPA, GARDEN
P-
x
$6
=
$
B05
SHOWERS (per trap)
BASE, STALL, ON —SITE BUILD
/
x
$6
=
$
B06
SINKS
LAVSBASINS.BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X—RAY FOOD (PREP/CULINARY/MEAT)
X
$6
=
$
B07
DISHWASHER
-
/
x
$6
=
$
BO8
CLOTHES WASHER
-
/
x
$6
=
$
B09
GARBAGE DISPOSAL/GRINDER
-
/
x
$6
=
$
B10
WATER SOFTENER
-
x
$6
=
$
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas 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
=
$
1315
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION. ALTERATION, REPAIR,
REVERS/al S
x
$6
=
$
B16
GRINDER, SUMP PUMP
x
$6
=
S
SEWAGE EJECTORS
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB. STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
=
$
1318CROSS—CONNECTION
DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
B19
IN 1ERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
X
$6
=
$
1321
MISCELLANEOUS FIXTURES
x
$6
=
$
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS$35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
S
County Division of Buildings
W. Broadway Avenue " Spokane, WA 99260
PLEASE MAKE CIIECKS PAYABLE TO.
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 • Fax No. (509) 456-4703 " TDD No. (509) 324-3166
UTASTERWLUMF@M.HND
GREMY, INC., CONTRACTOR
E. 12212 SIOUX CR.
SPOKANE, WA 99206
JOB: S. 3818 EAGLE LN
LOT 23, BLOCK 1, THE GREENS AT MIDILOME
55.35
40.00
PLAN #1375
9.98
CO�CRETE
WA K
CONCRETE DRIVE
59.15
EAGLE LANE