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1994, 03-28 Permit App 94002507 ResidencePROJECT NUMBER= 94002507 APPLICATION DATE= 03/28/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2606 N ELIZABETH RD ADDRESS= SPOKANE WA 99212 PERMIT USE= RESIDENCE - FORCED AIR GAS PLAT#= 001866 BLOCK= 190 AREA= # OF BLDGS= 1 PLAT NAME= LOT= F/A= # DWELLINGS= OWNER= SUSEDIK, FRANK STREET= 2513 N ELIZABETH RD ADDRESS= SPOKANE WA 99212 PARCEL#= 35121.5001 ORCHARD AVENUE ADD (TR.1-228) ZONE= UR-3.5 DIST#= E F WIDTH= 160 DEPTH= 166 R/W= 40 1 WATER DIST = ORCHARD AVENUE CONTACT NAME= FRANK SUSEDIK BUILDING SETBACKS: FRONT= 37 LEFT= 43 PHONE= 509 924 8658 PHONE NUMBER= 509 924 8658 RIGHT= 19 REAR= 92 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: 1-029.46/: 61i'rr BUILDING SETBACK REVIEW REQUIRED COMMENTS: btAm P(ce 3�:3/ `/9(/ ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: HEALTHDIST COMMENTS: 9 INCREASE IN LOT COVERAGE ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER NEW= X REMODEL= DWELL UNITS= 1 OCCUP. LD= PHONE= ADDITION= CHANGE OF USE= BLDG HGT= 16 STORIES= 1 BLDG W X D = 31 X 31 SQ FT= 1705 SPRINKLER= N PROJECT NUMBER= 94002507 APPLICATION DATE= 03/28/94 PAGE= 02 REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1685 18535.00 RESIDENCE R-3 VN 1705 93775.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 685.00 STATE SURCHARGE Y 4.50 RADON MONITOR 1 12.57 SALES TAX 1 1.01 RESIDENTIAL SURCHARGE Y 123.30 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100,000BTU 1 12.00 GAS LOG OR GAS INSERT 1 10.00 RANGE 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 5 5.00 VENTILATING FANS 3 30.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 2 12.00 TUBS 2 12.00 SHOWERS 1 6.00 SINKS 4 24.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 GARBAGE DISPOSAL 1 6.00 FLOOR DRAINS 1 6.00 WATER USING DEVICES 4 24.00 CROSS CONNECTION DEVICES 2 12.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 826.38 .00 826.38 MECHANICAL PRMT 77.00 .00 77.00 PLUMBING PERMIT 114.00 .00 114.00 1017.38 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 1017.38 APPLICATION WORKSHEET General Information J qd -050-7 I ,o ,‘ ti z 2,-Z rg ,&' 1'arcel number Owner ///� �j M to mg a r '� �& 2q " / Z' /3 Z/'2tt.Se/i red city State Phone Site Information Legal Description Zip 'W/Z Property size Water District Ifi$pector.:: Numberol: Dwellings Buildings Road width Project Information Permit Us New X Addition Remodel Change of use Building Information ` Dwelling units / Occupant load . 'Total Building height , ,i Stones / aiki(ding dimensions ,rti x .J/-<>/2,9- square tootage / 7c Req'd parking 1 Handicap parking Spnnkter 4stem Cntlea I Matenal Square footage breakdown Ma m floor /e,(7 Uncovered / covered deck Second Boo Other Finished basement Unfinished //basement /g�`5"- Garage 1 Contractor Information Heating and insulation information (R—values) Heat source Hat cethng Vaulted cethng Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace effice.ncy total window area %of floor area Building contractor Uv../.vP.'' /gu(`440 y-2t` � License Plumbing contractor lei _)e/ce number Phone Ma ding License number ` Phone address ,V2 3 •et 2aB,� f li /ii?! City, Mailing address state, zip Aeil vP ltint l I.2/ 2—__ City, state, zip eating contractor License Other / Lender nuVile Phone Mailing License Writr Phone address City, Mailing address state, zip City, state, zip 4#VeIt�,� 1.htic? / PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 PLUMBING PERMIT APPLICATION PROJECT ADDRESS: 7 /i ,) 4 2ce / / OWNER: A)f tsec", f� MAILING ADDRESS: 47 7 3 ,C ! r Z_* t4i (street) CONTRACTOR: MAILING ADDRESS: (street) PHONE: $S v sibtexM& 42' ”Ta2l2 (city/state) (Z1p) LICENSE: PHONE: (city/state) (Zip) PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- PLUM BY COST /UNIT AMOUNT EQUALS B02 TOILETS WATER CLOSETS, BIDETS 07 X $6 = $ - 4;2 $Oi URINALS - x $6 = $ B04 TUBS BATH, JACUZZI, SPA, GARDEN pR. X $6 = $ %a B05 SHOWERS (per trap) BASE, STALL ON -SITE BUILD j - X $6 = $ 6 BO6 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT) 7 x $6 = $ a — B0.7 DISHWASHER - j x $6 = $ 4 BOS CLOTHES WASHER - ( x $6 = $ -• B09 GARBAGE DISPOSAL/GRINDER - l x $6 = $ B10 WATER SOFTENER - x $6 = $ BI`I ELECTRIC HOT WATER TANKS (NOTE if gas water tank, see mechanical) X $6 = $ B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE / X $6 = $ C B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 = $ B14 FOUNTAINS, DRINKING - x $6 = $ B15 WATER PIPING/DRAIN-WASTE-VENT INSTALLATION, ALTERATION OR REPAIR x $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP X $6 = $ Iii.4 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS / X $6 = $ LQ7 BI8 CROSS -CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS X $6 = $ / -- WO INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN X $6 = $ 1121 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUMPERMIT FEE IS $35.00 7 Subtotal // y — 1 c PLUS: PROCESSING FEE $25.00 SIGNATURE: �/i TOTAL L PERMIT FEE DUE ' $ Spokane County Division of Buildings 1026 W. Broadway Avenue ' Spokane, WA 99260 PLEASE SPOKANE MAKE CHECKS PAYABLE TO' COUNTY PERMIT CENTER. Tcl. No. (509) 456-3675 ' Fax No. (509) 456-7403 * TDD No. (509) 324-3166 M A S TE R1PL UM P E R M.!! N D MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: ,,F6c,6 A ) !;‘2Q.iP,,(f. ,f � i[ !PHONE: 732 OWNER: /9A) tt S'e-f Seri e MAILING ADDRESS: ,4/ //3 :4- 2 a&/4 (street) CONTRACTOR: MAILING ADDRESS: LvitJE/C /'c7�, ,vP Zvi t' l-2/ (city/state) (zip) LICENSE: PHONE: (street) (city/state) zip DESCRIPTION OF WORK # OF UNITS hewn— maw sr COST /UNIT BouALsl AMOUNT B02` FUEL BURNING APPLIANCE = or <100,000 I $12 - s B03; FUEL BURNING APPLIANCE > 1oa,000 . $15 - s B04` UNLI51 hD FUEL BURNING APPLIANCE = or <400,000 $50 - s B05is >400,000 , $100 - s UNLIS1 ED FUEL BURNING APPLIANCE B06` USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,000 , $50 - s B07` USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 s $100 _ r BOS BOILER/REFRIGERATION 1-1ooM BTU s $12 - s FB09' BOILER/REFRIGERATION 101-500M BTU s $20 - s E1310 BOILER/REFRIGERATION 501-1,000M BTU , S25 - r B11> BOILER/REFRIGERATION 1,001-1,750M BTU , $35 - s B12' BOILER/REFRIGERATION +1,750M BTU $60 - , 1313 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE — ! $10 _ s r� — B14' RANGE — / s $10 _ s /o B15`, DRYER — $10 - s B16 FUEL BURNING WATER HEATER — / s $10 - : %(9 — B:17 MISCELLANEOUS FUEL BURNING APPLIANCE — s $10 - s B18' GAS PIPING (ea. outlet) — —3--- s $l _ : B19 DUCT SYSI'hMS — s $10 _ r B20' VENTILATING FANS — 3 , S10 _ s x) B21`: AIR HANDLER (DOES NOT include duct systems) = or <10,000 CFM s $12 _ s B22 AIR HANDLER (DOES NOT include duct systems) >1o.00o CFM $15 _ : B23' EVAPORATIVE COOLERS — s $10 _ : B24 TYPE I HOOD — s $50 - s 132.5 TYPE II HOOD — s S10 - s B26 • HEAT PUMP/AIR CONDITIONER 0-5 TONS $12 - -I s B27 AIR CONDITIONER 6-15TONS : $20 - r 1328 AIR CONDITIONER 16-30TONS , $25 _ s B29. AIR CONDITIONER 31-50TONS $35 _ s B30: AIR CONDITIONER +50TONS $60 - s B31` LPG STORAGE TANK — s $10 - s B32 WOOD OR PELLET STOVE/INSERT — $25 - s Spokane 1026 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE C Subtotal PLUS: PROCESSING FEE $25.00 TOTALPERMIT FEE DUE $ County Division of Buildings W. Broadway * Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE SPOKANE COUNTY PERMIT TO: CENTER Tc1. No. (509) 456-3675 * Fax No. (509) 456-7403 * TDD No. (509) 324-3166 master\mcchperm.hnd I: TH• FLANKING: COMMENTS: _ Q Feil S. 1 04/21/94 08:24 Vsoa 324 1567 SP CT-Y HEALTH 001 •....esea• Tte, ILO 1).01„, E. 16of —t _ pficgiew Afro, 1.• EV 47 atifletttemcwi...._ . 0. 5. I sir •11111.1101... 1 34' 1. gl'—esfiAt.4. _ 5 /41007i Agfr-Sed 160‘, IV. te"'" .t. &ger Dv 02.--.7eh I 5eAr ect-A TYPE OF SEWAGE SYSTEM: of I t 10/1 SPECIFI,TIONS LiNtAL UH suuARETODTAF-- / So TRENCH MOTH: 76 -13,EPTH FRONFORIMAEGROUND SURFACE -ter -BOTTOM-" OF SEWAGE SYSTEM: 3 c .R: E 11 1%. F - - ----- ---W YOU CARNOT-114STALL THIS" YsTE/A MOW/mu ---I-- • I MIMS APPROYFID PLAN. YOU UST CALL THE OFFICE PRIOR 1 I IPISTALLATIOAL > 901 EXG A k47/72C-- /6°' rel „a,t(tr. rnbeU.—St.n c546.sed; 4 s34-,143 , seni; c r A) s/g/Its/e na I," 51011, o6{2Ne's sca,,,-n,- IT fr-,ows tit' •••••••••••.--... 4-Z-Z45,544 .470,1%1