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2002, 02-27 Permit App 02001200 AdditionProject Number: 02001200 Inv: 1 Application Date: 2/27/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: RES ADD- STUDY, BATH & FAMILY ROOM Setbacks: Front 62 Left: 48 Right: NA Rear: 400 Contact: CHD, INC. Address: PO BOX 13717 C - S - Z: SPOKANE, WA 99213 Phone: (509) 926-5229 Group Name: Site Information: Project Name. -. Plat Key: 002043 Name: PLAT"A" GREENACRES IRR.DISTRICT District: G Parcel Number: 55074.0612 Block: Lot: SiteAddress: 18203 E INDIANA AVE Owner: Name: OBERST, JOAN M GREENACRES, WA USA 990 Address: 18203 E INDIANA AVE Location:: GRE GREENACRES, WA 99016-8503 Zoning: UR -7 Urban Residential -7 Water District: Hold: ❑ Area: 175,950 Sq Ft Width: 95 Depth: 640 Right Of Way (ft): 40 Nbr of Bldgs: 4 Nbr of Dwellings: 2 Review Information Revi Site Plan Septic System Review Lan Permits: Operator: DMD Printed By: DMD Print Date: 2/27/2002 Project Number: 02001200 Inv: 1 A-lication Date: 2/27/2002 Page 2 of 3 vp THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: WES CROSBY Firm: C H D INC Address: P O BOX 13717 Phone: (509) 926-5229 SPOKANE, WA 99213 Units Unit Desc Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 14 Bldg W x D: 22 x 28 Building Sq Ft: 606 Sprinklers: Req Parking: Handicap Parking: Critical Materials: MINIMUM FEE ADJUSTMENT 1 This Application: Description Grp Type Notes Sg Ft Valuation RES ADD R-3 VN 606 $37,572.00 Item Description RESIDENTIAL VALUATION STATESURCHARGE RESIDENTIAL SURCHARGE Totals: 606 $37,572.00 Stories: 1 Total Project: Sg Ft Valuation 606 $37,572.00 606 $37,572.00 Units Unit Desc Fee Amount 1 Y OR BLANK $469.00 1 Y OR BLANK $4.50 1 Y OR BLANK $103.18 Permit Total Fees: Mechanical Permit $576.68 Contractor: ALPHA PLUMBING & HEATING Firm: ALPHA PLUMBING & HEATING Address: 13615 E. TRENT AVE Phone: (509) 535-0727 SPOKANE, WA 99216 Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 MINRAUM FEE ADJUSTMENT 1 Select $25.00 Contractor: ALPHA PLUMBING & HEATING Address: 13615 E. TRENT AVE SPOKANE, WA 99216 4 Permit Total Fees: $35.00 Plumbing Permit Firm: ALPHA PLUMBING & HEATING Phone: (509)535-0727 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 . MINIMUM FEE ADJUSTMENT 1 Select $17.00 Permit Total Fees: $35.00 Operator: DMD Printed By: DMD Print Date: 2/27/2002 Project Number: 02001200 Inv: I Apl7lication Date: 2/27/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes _ ...._ Payment Summ Permit Tye Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $576.68 $576.68 $0.00 $576.68 Mechanical Permit $35.00 $35.00 $0.00 $35.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $646.68 $646.68 $0.00 $646.68 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: DMD Printed By: DMD Print Date: 2/27/2002 I�I PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 Aiilik SPO 509-477-3675 6 2_la'?t?0 SPECIFIC SITE INFORMATION Street Address: C Assessor's Tax Parcel Number(s): Legal Description: cu' Project Description: 10,01 " Building Permit ❑ Change in Use Grading ❑ Manuc red Home Permit ❑ Relocation ❑ Sign 1 ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/P.,eyoe. Sewer District/Pun-eyin Roadwidth Setbacks F. C1�E%-ice Fa.: 9xb—GzriZ� .Front Rea,. School District Fite District Zonin Cin, Stam, Zip Dimension.,q I - ghe OWNER/APPLICANT INFORMATION 0 Indlmte mbo tbonld be eontaried revardine this broieet ❑ 0"'m Phone: C/;, i/Z g7 7 ❑ Applicant Phone: 9'g y— 4;7'zi `rOE+V OkESPI F. C1�E%-ice Fa.: 9xb—GzriZ� Mailing Address: [ � 2 o -3 i�. lNdi,�,, Marling Address: a �' /3717 A 61 Cin, Stam, Zip Dimension.,q City, State, Zip 2"d floor sq. ft. Finished basement sq. ft. ❑ Contractor Phone ❑ Architect/Engineer Phone t 44-CFa, Garage sq. ft. ra. Madinga dress pp Mailing address City, State Zip Coat of project City, State Zip l lest source (electric, gas, etc.) \\'A State Contractor liccost # 6!'40'1#C Contact name: PROTECT INFORMATION Building Information Building h6ght to ptak # of stones- Main floor sq. ft Unfinished basement sq. R. A 61 Dimension.,q 'Total habitable space 2"d floor sq. ft. Finished basement sq. ft. Occupancy group Construct, on type Garage sq. ft. Deck sq. ft. pp Coat of project l lest source (electric, gas, etc.) Manufactured Home Sign Width: Length: What is the square footage of the sign face? flow high is the sign? Year Make # of signs Aura of esisung signs ❑Don'tknow ❑ Yes �R`No Is any part of the property within a 100 yr flood plain? ,Are or will there be wells located on the proper}•? Relocation Fire Safety Previous Iddre,¢ hire Sprinkler Tret Paint booth Fire Alarm _ Fireworks display _ Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Ficm Name Phnne Plans Em,=incr Phone Inspcaors: Add,,, Inspettnr Phone ❑ Concrete ❑ Welding O Bolting ❑ Reinforcement Adatass ADDITIONAL SITE INFORMATION Are there stmemees on the property? Yes Cl No ',X hat is the current property size? _ Lfycs ideufi on site las (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? Zfyes, ideuii p au site plan ❑ YesNo No Is your property in a designated wildlife habitat arca? the site be served by a septic system? �( Yes ❑ No ❑Don'tknow ❑ Yes �R`No Is any part of the property within a 100 yr flood plain? ,Are or will there be wells located on the proper}•? If yes, identij, ou site plan f(yet. idelmifi, on the site plan ❑ Yes ` tNo ❑ Mavbe ❑ Don't know ❑ Yes WNo ❑ Yes ❑ No Arc there any wetlands, streams or ponds within 206 feet of the property? Is there aidcnce of fill or excavation on the property? Ifjes, idents y ret site lar ❑ Yes No ❑ Yes No .Are there slopes greater than 30% on the property? (30 fi "se in 100 ft) ,Are critical or hazardous materials used or stored on site? %) ❑ Yes No ❑ Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Arca? Is public sewer available to the site? ❑ Yes ❑ No ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes ❑ No METHOD OF PAYMENT VISA ❑ C:vSII ❑ C]ll:(:K ❑ I&IMM ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DA I IS_ IfSPI RI!S: R;ANKCARD NUA111FR- AU"I'I IORIZhI) SIGN _A'PURI SU13'1'6'IAL TOTAL FEE MIAWMUMPEMWTFEH15 £35.00P1J'i \SE M kkF, CHECKS Pdl'A13LE TO STOI kNF_ COLN"IY ITIV,Hl CIENSCII PLUMBING PERMIT APPLICATION PROJECT �i Z' 0l 3 PERMIT ADDRESS: ( /, 11 '9// a?✓'�'i-^ USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: 1S2 /�r>i✓r14 Street Cit /State i CONTRA(T _ LICENSE: MAILING ADDRESS: PHONE: ,4 .7 z Street) (City/State)Zi PLUMBING FIXTURES #OF MULTI COST/ AMOUNT DESCRIPTION DETAIL UNITS PLIED BY UNIT EQUALS -B02 TOILETS WATER CLOSETS, BIDETS x $6 JB03 URINALS x $6 B04 TUBS x $6 B05 SHOWERS(per trap) BATH, STALL, ON-SITE BUILD x $6 -B06 SINKS LAVS/BASINS, BAR, FLOOR, x $6 - KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD / REP/CULINARY/MEAT ''. B07 - DISHWASHER x $6 -.B08 CLOTHES WASHER x $6 B09 GARBAGE DISPOSAUGRINDER x $6 e `BIO WATERSOFTENER x $6 Bll.. ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 = mechanical B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, x $6 - CONDENSATE B13'.. ROOF DRAINS/OVERFLOW DRAINS - x $6 = ea. B14 FOUNTAINS, DRINKING x $6 B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION, ALTERATION, x $6 - VENT/PLUMBING REVERSALS REPAIR, 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 $6 - VALVE, 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 $6 METHOD OF PAYMENT SUBTOTAL PLUS PROCESSING FEE $ 25.00 VISA - ❑ CASH ❑ CHECK ❑ RMOM ❑ ❑ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE / �i DATE: EXPIRES: MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER AUTHORIZED SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 Wen Broadway Avenue " Spokane, WA 99260-0050 Telephone No. (509) 477-3675 " Fax No. 477-7198 " TDD No. (509) 477-7133 MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: PERMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: Street Ci[ /State Zi CONTRACTOR: LICENSE: ._ MAILING ADDRESS: Street PHONE: Cit /State Zi Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 992600050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 DESCRIPTION OF WORK # OF muLTF PLIED UNITS BY COST/ UNIT EQUALS AMOUNT B02 FUEL BURNING APPLIANCE =OR<100,.000 X $12 $ B03 FUEL BURNING APPLIANCE > 100,000 X $15 — $ B04 UNLISTED APPLIANCE ADDITIONAL CHARGE — OR <400,.000 X $50 $ B04 UNLISTED APPLIANCE ADDITIONAL CHARGE >400,000 X $100 - $ B06 USED APPLIANCE (Must meet WSEC's min. AFUE rati.0 = OR <400,.000 X $50 — $ B07 USED APPLIANCE (Must meet WSEC's min. AFUE .6.0 > 400,000 X $100 — $ BOS I BOILER/REFRIGERATION 1.100MBTU X $12 $ B09 BOILER/REFRIGERATION 101-500M BTU X $20 $ B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 — $ Bli BOII.ER/REFRIGERATION 1,001-1,750M BTU X $35 $ Bit BOILER/REFRIGERATION +1,750M BTU X $60 $ B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - X S10 — $ B14 RANGE - X $SO — $ B15 DRYER X $10 $ B16 FUEL BURNING WATER HEATER X $SO — S B17 MISCELLANEOUS FUEL BURNING APPLIANCE X $10 — S B18 GAS PIPING (ea. Outlet) X $1 — $ B19 DUCT SYSTEMS X $10 — S B20 VENTILATING FANS - X $10 — S B21 AIR HANDLER(DOES NOT include ducts stems = OR < 10,000 CFM X $12 — $ B22 AIR HANDLER(DOES NOT include ducts stems > 10,000 CFM X $15 — $ B23 EVAPORATIVE COOLERS X $10 — $ B24 TYPE I HOOD X $50 $ B25 TYPE II HOOD - X $10 $ B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 — $ B27 AIR CONDITIONER 3-15 TONS X $20 — $ B28 AIR CONDITIONER 15.30 TONS X $25 — $ B29 AIR CONDITIONER 30-50 TONS X $35 $ B30 AIR CONDITIONER +50 TONS X $60 — $ B31 LPG STORAGE TANK X $10 — $ B32 WOOD OR PELLET STOVEANSERT X $25 — $ METHOD OF PAYMENT VISA ❑ CASH ❑ CHECK ❑ W== ❑ - ❑ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL PLUS PROCESSING FEE $ 25.00 TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 992600050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 JO I� r cr y C, J � 1165 ,-! 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