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1993, 02-17 Permit App 93000921 Enlarge BedroomPROJECT NUMBER= 93000921 APPLICATION DATE= 02/17/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 14712 E BROADWAY AVE PARCEL#= 45144.0630 ADDRESS= SPOKANE WA 99216 PERMIT USE= INTERIOR REMODEL - ENLARGING BEDROOM PLAT#= 000000 PLAT NAME= UNKNOWN BLOCK= 52 LOT= ZONE= GA DIST#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= SMITH, SCOTT STREET= 14712 E BROADWAY AVE ADDRESS= SPOKANE WA 99216 PHONE= 509 891 0275 CONTACT NAME= SCOTT SMITH PHONE NUMBER= 509 891 0275 BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS BUILDING PLAN REVIEW REQUIRED ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= X ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= BLDG W X D = X SQ FT= SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION REMODEL R-3 VN 100.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 35.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 6.30 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS 1 SINKS 1 6.00 6.00 PROJECT NUMBER= 93000921 APPLICATION PERMIT TYPE BUILDING PERMIT PLUMBING PERMIT PROCESSED BY PRINTED BY ************ DATE= 02/17/93 PAGE= 02 FEE AMOUNT AMOUNT PAID AMOUNT OWING 45.80 12.00 57.80 : DOMITROVICH, ROBIN : DOMITROVICH, ROBIN .00 .00 .00 45.80 12.00 57.80 ******************** THANK YOU ************************************ Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET`� PARCEL NUMBER: `t S I t-k4 , O C9 C7 VC&-4-- R" 52 STREET ADDRESS: r I 7 Afc2 c JCL CITY/STATE/ZIP: C� Y—a_ 2 b 1 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: - F/A: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: OWNER: IA): / f leiti k \) SC-Q t1 Lr;M , riTh PHONE. 9 ( - .5v73- # OF BUILDINGS: c)fc-cNi MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: _ /c 7/c CpCse_i tea. qqa/, PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: j ( 210 2 (ZEm OD E 1Ben as_ ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: 3-a q 4Q ( - n 73 MAILING ADDRESS: = C t � S p U /O' of C(a 16 ARCHITECT/ENGINEER: PHONE: 574 - (7 - (S « 7, MAILING ADDRESS: < ` `{ ? �� Igro a A `'��25 (s � �C ��-� (? a 1 6 NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS R DOORS U VAULTED CEILINGS R WINDOWS U ABOVE GRADE WALLS R GLAZING AREA % BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R SLAB ON GRADE R FURNACE EFFICIENCY RATING PLEASE INDICATE ON YOUR PLANS: The location of the radon vent, and the location of the vent fan area. ******************************************************************************* SQUARE FOOTAGE: MAIN FLOOR SECOND FLOOR BASEMENT - FINISHED UNFINISHED GARAGE CARPORT DECKS ADDITIONAL AREAS: ****************************************************************************** LENDER/BOND HOLDER: ADDRESS CONTACT PHONE PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Zip) (Street) (City/State) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SHOWERS KITCHEN SINKS GARBAGE DISPOSAL UTILITY SINKS BAR SINKS .:......................... LAWN SPRINKLER - FOR EACH BACKFLOW DEVICE WATER SOFTENER .::.......:......:........ DRINKING. FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x 6.00 = x 6.00 = f x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) CONTRACTOR: LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Zip) (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTO /EIINSEKit GAS WATER HEATER GAS #. 000M04.1201401#WIMMODOCIE GAS EQUIPMENT+100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU t3OILER/REFRIG 101;-500M BTU BOILER/REFRIG 501-1,000M BTU ............................................................................................... BOILER/REFRIG 1,0001 1,750M BTU_' BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0 3 TONS.$ .....:......................::.....................:.........................:......................................: HEAT PUMP & AIR CONDITIONER 3-15 TONS itRAT PUMP & AIR CONDITIONER 15 3k TONS ..................................................................................................................... HEAT PUMP & AIR CONDITIONER 30-50 TONS ........................................................................................................................ HEAT PUMP & ACR CONDITIONER +50>TONS VENTILATING FANS EVAPORATIVE COOLERS:.€. .................................................................... TYPE 1 HOOD (PER 12' OR TYPE II HOQD CLOTHES DRYER ......................... ......................... ;MUG E < GAS LOG ............................................................................................................................... MISCELLANEOUS (NOT COVERED ELSEWHER> : UNLISTED GAS APPLIANCE <400,000 BTU .............................................................................................................. UNNSTED GAS APPLIANCE>400,000 BTU ....:...........................................::..................::::.:...................:.................: USED APPLIANCE <400,000 BTU ....................................................................................... t)SED APPLIANCE>'400,000 BTU :;':. AIR HANDLER <10,000 CFM ....................................................................................... AIR HANDLER >10,Q. 0 CFM :.:€ NOTE: MINIMUM PERMIT FEE IS $35.00 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675