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1995, 09-27 Permit App 95007774 AdditionPROJECT NUMBER= 95007774 APPLICATION DATE= 09/27/95 PAGE= 01 PENALTIES ****** THIS IS NOT A PERMIT ****** WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= ADDRESS= 16806 E BROADWAY AVE PARCEL#= 45134.0207 SPOKANE WA 99206 PERMIT USE= RESIDENCE ADDITION - LAUNDRY ROOM, EXTEND BATHROOM, & DEN PLAT#= 002756 PLAT NAME= VERA BLOCK= LOT= ZONE= UR 3.5 DIST#= AREA= 00000000 F/A= A WIDTH= 160 DEPTH= # OF BLDGS= # DWELLINGS= 1 WATER DIST = OWNER= ANDERSON, JON STREET= 16806 E BROADWAY AVE ADDRESS= SPOKANE WA 99206 F 640 R/W= PHONE= 509 927 7534 CONTACT NAME= HANK SMITH - A & S PHONE NUMBER= 509 924 2166 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= 535 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT BUILDING COMMENTS: BUILDING COMMENTS: L4tt HEALTHDIST COMMENTS: REVIEW REQUIREMENT PLAN REVIEW REQUIRED SETBACK REVIEW REQUIRED INCREASE IN LOT COVERAGE ******************************* BUILDING PERMIT ******************************* CONTRACTOR= STREET= ADDRESS= NEW= DWELL UNITS= BLDG W X D = REQ PARKING= A & S CONSTRUCTION 23419 E BOONE RD LIBERTY LAKE WA 99019 REMODEL= 1 OCCUP. LD= 16 X 28 SQ FT= #HANDICAP= DESCRIPTION GROUP TYPE RES ADD R-3 VN PHONE= 509 924 2166 ADDITION= X CHANGE OF USE= BLDG HGT= 8 STORIES= 1 448 SPRINKLER= N CRITICAL MAT= N SQ FT VALUATION 448 25984.00 PROJECT NUMBER= 95007774 APPLICATION DATE= 09/27/95 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 258.50 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 49.12 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= A & S CONSTRUCTION STREET= 23419 E BOONE RD ADDRESS= LIBERTY LAKE WA 99019 ITEM DESCRIPTION CLOTHES DRYER VENTILATING FANS PHONE= 509 924 2166 QUANTITY FEE AMOUNT 1 1 10.00 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= A & S CONSTRUCTION STREET= 23419 E BOONE RD ADDRESS= LIBERTY LAKE WA 99019 ITEM DESCRIPTION SINKS CLOTHES WASHER PERMIT TYPE BUILDING PERMIT MECHANICAL PRMT PLUMBING PERMIT PHONE= 509 924 2166 QUANTITY FEE AMOUNT 2 1 12.00 6.00 FEE AMOUNT AMOUNT PAID AMOUNT OWING 312.12 20.00 18.00 350.12 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO .00 .00 .00 312.12 20,00 18.00 .00 f 350.12 ******************************** THANK YOU ************************************ PLUMBING PERMIT APPLICATION (PROJECT ADDRESS: OWNER: PHONE: DAYTIME CONTACT MAILING ADDRESS: (street) CONTRACTOR: (city/state) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (71P) PLUMBING FIXTURES DESCRIPTION DETAIL TOILETS 13Q: c), B05 SHOWERS per trap URINALS TUBS ;1301 DISHWASHER CLOTHES WASHER WATER CLOSETS, BIDETS BATH, JACUZZI, SPA, GARDEN BASE, STALL, ON -SITE BUILD LAVS/BASLNS BAR FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) # OF UNITS YULTt— rLIBD BY x COST /UNIT $6 EQUALS AMOUNT x x x x x x S6 $6 S6 S6 S6 $6 $ $ $ $ B09 GARBAGE DISPOSAL/GRINDER x S6 $1(} 811 B12 WATER SOFTENER ELECTRIC HOT WATER TANKS FLOOR DRAINS (NOTE: if gas water tank, sce mechanical) AREA, CASE, COIL., TRENCH, CONDENSATE x x x S6 $6 $6 B13 B14 131: ROOF DRAINS/OVERFLOW DRAINS (ea.) FOUNTAINS, DRINKING WATER PIPING/DRAIN—WASTE—VENT/ PLUMBING REVERSALS 146 SEWAGE EJECTORS Br7 WATER USING DEVICES 8 8 CROSS —CONNECTION DEVICES B1§ INTERCEPTORS INSTALLATION ALTERATION, REPAIR, REVERSALS GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BB, STEAMER, PROOFER, CARBONA1DR. SWAMP COOLERS VACUUM BREAKER CHECK VALVE, AND R.P.B.PD. FOR: VATS, SUMPS, TANKS BOILERS, do SPRINKLER SYSTEMS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x x x x $6 $6 S6 S6 S6 = B20 B21 MEDICAL GAS (per outlet/bottle station) MISCELLANEOUS FIXTURES NITROUS, OXYGEN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Spokane County Division of Buildings 1026 W. Broadway Avenue • Spokane, WA 99260 x x S6 S6 Subtotal PLUS: PROCESSING FEE TOTAL PERMIT FEE DUE $ $ $ PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIr CENTER Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 • TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. 1126197 Wre,tphrpenst MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: ?HONE: DAYTIME CONTACr MAILING ADDRESS: (street) CONTRACTOR: (city/state) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) DESCRIPTION OF WORK OF UNITS MDLTI- ►LIED DV COST /UNIT 1DDALf AMOUNT 1302> FUEL BURNING APPLIANCE = or <100,000 S12 1303:'. B04' B:05 FUEL BURNING APPLIANCE UNLISTED APPLIANCE (ADDITIONAL CHARGE) UNLISTED APPLIANCE (ADDITIONAL CHARGE) >100.000 = or <400,000 >400,000 $15 $50 $100 B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400,000 $50 B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 S100 B08 BQ9 BOILER/REFRIGERATION BOILER/REFRIGERATION 1-100M BTU 101-500M BTU S12 $20 B10: BOILER/REFRIGERATION 501-1,000M BTU S25 B'11: BOILER/REFRIGERATION 1,001-1,750M BTU $35 B:12> BOILER/REFRIGERATION +1,750M BTU S60 B:13. GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE $10 RANGE $10 B15 DRYER :B16 B1' . B18 B11: FUEL BURNING WATER HEATER MISCELLANEOUS FUEL BURNING APPLIANCE GAS PIPING (ea. outlet) DUCT SYSTEMS S10 S10 $10 B2( 1321: B22: VENTILATING FANS AIR HANDLER (DOES NOT include duct systems) AIR HANDLER (DOES -NOT include duct systems) = or <10,000 CFM >10,000 CFM $10 $12 S15 B23 EVAPORATIVE COOLERS $10 TYPE I HOOD TYPE II HOOD HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER 0-5 TONS 6-15 TONS 16-30 TONS 31-50 TONS S50 $10 $12 $20 $25 $35 L B30:. AIR CONDITIONER +50 TONS $60 B31 LPG STORAGE TANK $10 B32' WOOD OR PELLET STOVE/INSERT NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: $25 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S PLEASE MAKE CHECKS PAYABLE TO SPUK°ANE COUNTY PERMIT CENTER Spokane County Division of Buildings 1026 W. Broadway ` Spokane, WA 99260 Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 * TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. HILT ] ...,.,w.y.. m.... APPLICATION INFORMATION What is the JOB SITE address? /� ASSESSOR'S tax parcel number? �.7 b e 6 ,k U /_l LL�Ik Legal description as it appears on the property deed OWNER or OCCUPANT Phone Jo ( /-} (J ("4 c� Mailing address CitVi, state Zip /� y c r 43 a /3k- Who should we contact regarding this project? / Phone /?/ /4 Li <— S, 1z77i What work is being done under this permit? Contractor 1 � 1)%cz�-✓ 6 �" O /�i s i4 WA State Contractor license # c Building height Dimensions /c y Main floor area # of stories TOTAL SQUARE FOOTAGE Unfinished basement area Mailing address .2 .3 L( / cl 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? CY A What is the cost of your project? .2 Gfi' G c c Manufactured Home Width: Length: Sign' What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation ......................... Fire Safety., Previous address Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Y a a) Mailing address Mailing address Fuel Storage Tanks Swimming roof (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.