2002, 08-21 Permit 02001482 RefundProject Receipt Summary Wednesday, August 21, 2002
Address 11202 E BROADWAY AVE
SPOKANE WA 99???
Owners Name: HENSON, JACK W
Address: 11202 E BROADWAY AVE
SPOKANE, WA 99206-5010
Occupant:
Applicant: HENSON, JACK W
Page 1 of I
PROJECT#: 02001482
Phone: (509) 216-6398
Phone:
Phone: (509) 216-6398
Use: KITCHEN SINK & CLOTHES WASHER —Cancelled 8/21/02"" PAP
Application Date: 3/11/2002 Permit Issue Dale: 3/11/2002
Receipt Nbr: 1421
Acct
Account
Description
00610 PLUMBING PMTS
Tender Type
Cash
Transaction Date/Time: 3/11/2002 9:51:24 AM
Transaction
P
Amount Paid Payer
$100.00
Total Due
$37.00
$37.00
Amount Paid
$37.00
$37.00
Receipt Nbr: 6433
Acct Account
Description
00610 PLUMBING PMTS
Transaction Date/Time: 8/21/2002 9.17:41 AM
Transaction
R
Total Due
$0.00
$0.00
Tender Type Amount Paid Payer
Checkl ($9.60)
AMOUNT REFUNDED W/ PPS VOUCHER # 00151442 — CONTRACTOR CANCELLED.
Amount Paid
($9.60)
($9.60)
in`
SpovmEComry
SPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
1
Site Information
Project Information
Site Address:
Parcel Number:
Subdivision
Block
Zoning
Owner
Address
11202 E BROADWAY AVE
SPOKANE, WA 00000
45163.0126
UNKNOWN
Lot:
UR-3 Urban Residential 3.5
HENSON, JACK W
11202 E BROADWAY AVE
SPOKANE, WA 99206-5010
Building Inspector: DAN HOWARD
Water Dist:
Project Number: 02001482 Inv: 1 Issue Date: 3/11/02
Permit Use: KITCHEN SINK & CLOTHES WASHER
Applicant: HENSON, JACK W
11202 E BROADWAY AVE
SPOKANE, WA 99206-5010
Contact: HENSON, JACK W
11202 E BROADWAY AVE
SPOKANE, WA 99206-5010
Phone:(509)216-6398
Phone: (509) 216-6398
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
I
Permits
t YturthitrC l T,Pfi%
Contra
OWNER
License 11: OWNER
SINKS
PROCESSING FEE
FOR PLUMBING INSPECTIONS CALL (509)477-3675_
S6.00 CLOIIIFS WAS1fFit
$25.00
Total Permit Fee:
S37n,?I
1
Payment Summary
1
Total Fees AmountPaid AmountOwing
337.00 337.00 $0.00
Tran Date
3/11/02
AMOUNT TO BE REFUNDED:
$37.00
— 25.00
$12.00
— 2.40
$ 9.60
Receipt # Payment Amt
1421 $37.00
LESS PROCESSING FEE
LESS 20%
80% TO BE REFUNDED
(221003)
BUILDING AND CODE ENFORCEMENT
James L. Manson, C.B.O., Director
JACK HENSON
11202 E BROADWAY AVE
SPOKANE WA 99206-5010
RE: Refunding of the Processing Fee
Mr. Henson:
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Oberg, Director
8/20/2002
As you may be aware, Section 107.6 of the Uniform Building Code allows for up to 80%
of permit fees to be refunded if no work has been done and the request is received in
writing within 180 days of permit fee payment.
This notice is to inform you that in accordance with the provisions of Section 3.08.010 of
the Spokane County Code, processing fees associated with plumbing and mechanical
permits will no longer be refundable. The section states that:
..."Fees, other than processing fees, for permits issued pursuant to this title may be
refundable pursuant to Section 107.6 of the Uniform Building Code. (Res. 96-0744
Attachment A (part), 1996; Res. 92-1518 (part), 1992: Res. 90-0415 Attachment A (part),
1990)"
The refund percentage will be applied to the remainder of the fees paid. If you have any
questions or need further information, please don't hesitate to contact me.
Sincerely,
1 atty P le
Accounting Tech
Div. of Bldg & Code Enforcement
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
P140NF, L5091 477-167.5 • FAX: (5091 477-4703 • TDD: (5091 477-7133
Voucher ID 00151442
Vendor ID HENSJACK01
Invoice # Prj# 02-1482 & 1483
Dept ID
VENDOR:
Henson. Jack W
11202 E Broadway Ave
Spokane WA 99206-5010
Vendor Contact/Tel
SPOKANE COUNTY PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO:
BILL TO:
PAGE 2 OF 2
Rel Vchr
RCk
ENTERED DATE : 08/20/2002
ACCTG. PERIOD: 08/2002
LINE NO.
PROJECT
DISTRIB LINE
PO DATE:
ENTERED BY: Patty Eickstadt
1 ACCOUNT
ACTIVITY
FUND
RES. TYPE
DEPTID j PROGRAM
CATEGORY
CLASS
SUB CAT
BUYER:
PURCHASING DIRECTOR: BELA G. KOVACS
RPT CAT
AM UNIT
BDPER
PC UNIT
PROFILE
PAY THIS AMOUNT
ASSET FLG
ASSET ID
Comments:
80% REFUNDED = PLUMBING PORTIONS OF PRJ #(s); 02- 1482 = SITE
LOCATION: 11202 E. BROADWAY AVE.; SPOKANE WA 99???? PRJ # 02-1483
= SITE LOCATION: 1508 N. UNIVERSITY RD.; SPOKANE WA 99206
DISCOUNT TOTAL:
FREIGHT TOTAL:
SALES TAX TOTAL:
SUBTOTAL:
USE TAX TOTAL:
GRAND TOTAL:
TOTAL TO VENDOR:
0.00
0.00
0.00
19.20
0.00
19.20
19.20
RECEIVING CERTIFICATION
Materials noted in quantity =have been received in good condition or
contracted for.
DATF 8/21/02
TITLE ACCT TECH 4
PAYMENT CERTIFICATION
I, the undersi geed do hereby certify under penalty of perjury that sufficient funds hale been budgeted
for Ih is n, the m'aienals.hve been furnished, services rendered or labor performed as described
herein o contracted for, tin. the o .'in is x ),¢I, doe and unpaid obligation against Spokane County
or fund age ey Indicated abo t am authorized to authenticate and certify to said claim.
DATE a/-21/02 TITLE OFFIrF AnMTNTSTRATOR
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury that this
is a true and correct claim for necessary expenses
incurred by me and that no payment has been received
by me on account thereof.
SIGNED
DATE TITLE
Voucher ID 00151442
Vendor ID HENSJACKOI
Invoice # Prj# 02-1482 & 1483
Dept ID
VENDOR:
Henson, Jack W
11202 E Broadway Ave
Spokane
Vendor Contact/Tel
WA 99206-5010
SPOKANE COUNTY PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO:
BILL TO:
PAGE 1 OF 2
Rel Vchr
RC#
ENTERED DATE : 08/20/2002 PO DATE BUYER:
ACCTG. PERIOD: 08/2002 ENTERED BY: Patty Eickstadt PURCHASING DIRECTOR: BELA G. KOVACS
DESCRIPTION ITEM ID
LINE NO.
PO#
1 80% Plumbing Portion of permit
2
80% = Plmbng prj # 02-1483
CHG ORD#
0
0
PO LINE#
0
0
QUANTITY
0.0000
0.0000
UNIT
PO SCHED#
0
0
UNIT PRICE
EXTENDED AMOUNT
CONTRACT#
0.00
0.00
9.60
9.60
LINE NO.
DISTRIB LINE
ACCOUNT
PROJECT El ACTIVITY
1 1 221003
BACE 240
2 1
BACE 240
FUND
DEPTID
PROGRAM
CLASS
RPT CAT
BDPER
PC UNIT
PAY THIS AMOUNT
RES, TYPE
406 0300008
REFND
221003 406 0300008
REFND
CATEGORY i SUB CAT
AM UNIT
PROFILE
2002 PROJA
2002 PROJA
ASSET FLG
ASSET ID
9.60
9.60