1994, 03-28 Permit App 94002493 Residence & GaragePROJECT NUMBER= 94002493 APPLICATION: DATE 03/28/94 PAGE= 01
****** THIS IS NOT `A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
\� -----------------------------------------------------------------------------
SITE STREET= 14420 E EVERETT AVE PARCEL#= 46353.2702
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE W/GARAGE - GAS
PLAT#=
004125 PLAT
NAME=
SWAN ACRES
3RD ADD
BLOCK=
1
LOT=
2 ZONE=
UR -3.5
DIST#= H
AREA=
00000000
F/A=
F WIDTH=
118
DEPTH= 157 R/W= 50
# OF BLDGS=
1 # DWELLINGS=
1 WATER
DIST
= TRENTWOOD
OWNER=
SWAN, GEORGE
PHONE=
509 924 6359
STREET=
5518 N BANNEN
RD
ADDRESS=
SPOKANE WA 99216
CONTACT NAME=
GEORGE SWAN
PHONE
NUMBER= 509 924 6359
BUILDING SETBACKS: FRONT= 30
LEFT=
25 RIGHT=
17
REAR= 50+
****************************** REVIEW INFORMATION ***+*****+*******+***********
DEPARTMENT REVIEW REQUIREMENT
------------------------------------------------------------------------
BUILDING PLAN REVIEW REQUIRED 9� ( p,j/ l
COMMENTS:
BUILDING SETBACK REVIEW R QUIRED
COMMENTS: aj
ENGINEER APPROACH/FLOOD PLAIN/D�a
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE4�1jiTERy//���
COMMENTS:
L�l /I
CONTRACTOR= GEORGE SWAN
STREET= 5518 N BANNEN RD
ADDRESS= SPOKANE WA 99216
BUILDING PERMIT
PHONE= 509 924 6359
NEW= X REMODEL= ADDITION= CHANGE OF USE -
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 28 X 76 SQ FT= 1764 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 94002493 APPLIC:ATIO-V
DATE= 03/28/94 PAGE= 02
DESCRIPTION GROUP TYPE
SQ FT
VALUATION
---------
----------- ----- ----
COV DECK R-3 VN
-----
192
1344.00
GARAGE M-1 VN
780
6240.00
RESIDENCE R-3 VN
1764
97020.00
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
--------- ----------------
RESIDENTIAL VALUATION
--------
Y
----------
657.00
STATE SURCHARGE
Y
4.50
RADON MONITOR
1
12.57
SALES TAX
1
1.01
RESIDENTIAL SURCHARGE
Y
118.26
MECHANICAL PERMIT
CONTRACTOR= UNKNOWN
PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
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
5
5.00
DUCT SYSTEMS
1
10.00
VENTILATING FANS
3
30.00
HEAT PUMP OR A/C 0-5 TONS
1
12.00
«:.*+***+•::...+***tea+<+ PLUMBING
PERMIT •«*****:•.a+.+*******+****•
CONTRACTOR= UNKNOWN
PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
QUANTITY
FEE AMOUNT
----------
-------------------------
TOILETS/BIDETS
--------
3
18.00
TUBS
1
6.00
SHOWERS
1
6.00
SINKS
4
24.00
DISH WASHERS
1
6.00
CLOTHES WASHER
1
6.00
WATER SOFTENER
1
6.00
WATER USING DEVICES
2
12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID
AMOUNT OWING
--------------- ------------- ------------
BUILDING PERMIT 793.34
.00
-------------
793.34
PROJECT NUMBER= 94002493
APPLICATION
DATE= 03/28/94 PAGE= 03
PERMIT TYPE FEE
AMOUNT AMOUNT
PAID
AMOUNT OWING
----------------------------
MECHANICAL PRMT
------------
109.00
.00
-------------
109.00
PLUMBING PERMIT
84.00
.00
84.00
-------------
------------
986.34
.00
-------------
986.34
'
PROCESSED BY: JULIE SHATTO
-7rftfe
PRINTED BY: JULIE SHATTO
J�
THANK YOU***+*******************a***+****
APPLICATION' WORKSHEET —
General Information
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Contractor Information
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License number Phone
License number Phone
M.ilingaddren
Mailinga ress
rty, state, zip
citystatemp
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:
MAILING ADDRESS:
(street) (city/state) (lip)
(street) (city/state) (zip)
ac$. No. (509) 456-56-/5 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
uu$'rea,n.�wreewinvo
PLUMBING FIXTURES
OF
rmm-
CO
BO
To1LETS
WATERct.oSm BmErS
BO_
URINALS
BO
TUBS
BATH, JACUZZL SPA, GARDPN
x
$6
=
S
BO
SHOWERS rtra
Bose, 57ALL, oN-srre Burin
x1
$6
-
$
BO
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
x
$6
=
$
LAUNDRY, UTB.rrY, JANITOR PHOTO,
X-RAY, FOOD REP/CULINARY/MEA
BO
DISHWASHER
-
x
$6
=
$
BO
CLOTHES WASHER
-
x
$6
=
$
B-
GARBAGE DISPOSAUGRINDER
-
x
$6
=
$
B1
WATER SOFTENER
-
x
$6*=$
BI--
ELECTRICHOTWATER TANKS
(NOM, Bwa
ae$ ter Usk see meeaacut)
x
$6
BI
FLOOR DRAINS
AREA, CASE, COH, TRENCH, CONDENSATE
x
$6
Bl,
ROOF DRAINS/OVERFLOWDRS,INS ea.
-
x
$6
Bl
FOUNTAINS, DRINKING
-
x
$6
Bl
WATER PIPING/DRAIN-WASTE-VENT
uMALiAMDN, ALTPItATIONORREPAIR
x
S6
BI
SEWAGE EJECTORS
GRINDER SUMP PUMP
x
$6
=
S
BI
WATER USING DEVICES
ICEAND/OR COFFEE MAKER,
x
$6
=
S
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
E1
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
x
$6
=
$
AND R.P.B.PD. FOR: VATS, SUMPS
TANKS. BOILERS, & SPRINKLER SYSTEMS
Bl
INTERCEPTORS
GREASE TRAP, SAND TRAP,
x$6
=
$
CHEMICALHOLDING TANK
B2
MEDICAL GAS r outlet/bottle station
I7
NxoUS, OXYGEN
x
$6
-
$
B2
MISCELLANEOUS FIXTURES
x
$6
=
S
NOTE: MINIMUMPERMIT FEE IS $35.00
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
S
SIGNATURE: 5*—
v
PLEASE MAKE CHECKS PAYABLE TO
Spokane County Division of Buildings
SPOKANE COUNTY PERMIT CENTER
1026 W. Broadway Avenue a Spokane, WA 99260
ac$. No. (509) 456-56-/5 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
uu$'rea,n.�wreewinvo
MECHANICAL PERMIT APPLICATION
JPROIECF ADDRESS:
o !'P> -r' fi'`
COSIFnV
I
i�
,�•
$12
,
/ c-
OWNER:r.l
c
jL
(PHONE:
,
B04 UNLISTED FUEL BURNING APPLIANCE
= or <400,000
n
S50
B05<UNLISIEDFUEL BURNING APPLIANCE
>400.000
MAILING ADDREss
$100
&:214 Y
y
99 i
(street)
(City/state)
B07 USED APPLIANCE(Must meet WSECs min. AFUE ratio
(zip)
CONTRACTOR: jam
Y AS A -y-r
,
LICENSE:
&AlaI7 *
% Roq'Vb S '
$12
B09 BOILER/REFRIGERATION
PHONE: z
2- / ,,
S20
MAILING ADDRESS:
B10 BOILER/REFRIGERATION
sol -1,000M Bot
S25
(street) (City/state) (zip)
Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
mmWr\mcchp rm.hnd
COSIFnV
BM FUEL BURNING APPLIANCE
= or <100,000
$12
,
B03 FUEL BURNING APPLIANCE
>100,000
$15
,
B04 UNLISTED FUEL BURNING APPLIANCE
= or <400,000
S50
B05<UNLISIEDFUEL BURNING APPLIANCE
>400.000
$100
,
B06USED APPLIANCE(Must meet WSEC s min. AFUE ratio
- or <400,00o
S50
,
B07 USED APPLIANCE(Must meet WSECs min. AFUE ratio
>400,000
$100
,
B08' BOILER/REFRIGERATION
1-100M BTU
$12
B09 BOILER/REFRIGERATION
101-500MBTU
S20
,
B10 BOILER/REFRIGERATION
sol -1,000M Bot
S25
1311 BOILER/REFRIGERATION
1.001-1.750M BTU
$35
,
B12 BOH ER/REFRIGERATION
+1.750m um
$60 .
,
B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
$10 .
,
B14 RANGE
-
$10 .
,
BIS IDRYER
-
$10 _
,
B16 FUELBURNING WATER HEATER
-
$10 .
,
B17 MISCELUINEOUSFUELBURNINGAPPLL4NCE
-
$10 _
,
B18 GAS PIPING ea. outlet
-
$1 _
,
B19` DUCTSYSIEMS
-
$10 _
,
B20 VENTII_AT NG FANS
-
$10 _
,
B21 AIR HANDIER ES NOT include duct teles
= m <10.00o CFM
$12
,
B22 JAIR HANDLER DOES NOT include ductsystems)
>10,000cFM
$15
,
B23 EVAPORATIVE COOLERS
-
$10 .
,
B24 TYPE I HOOD
-
m _
,
B25' TYPE II HOOD
-
$10 .
,
B26 HEAT PUMP/AIR CONDITIONER
o-5 TONS
x
S12 -
,
B27; AIR CONDITIONER
6-15TON5
S20 .
,
WA AIR CONDITIONER
16-30TONS
S25
,
B29 AIR CONDITIONER
31-50TONS
$15 _
,
B.30 AIR CONDITIONER
+50TONS
$60 _
,
B31 LPG STORAGE TANK
-
So-
,
B32 WOOD ORPELLEI'SI'OVEANSERT
S25 _
,
NOTE: MINIMUM PERMIT FEE IS $35.00
J
SIGNATURE:
Spokane County Division of Buildings
1026 W. Broadway • Spokane, WA 99260
Subtotal
PLUS: PROCESSING FEE $25.00
TOTAL. PERMIT FEE DUE S
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY PERMIT CENTER
Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166
mmWr\mcchp rm.hnd
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