1985, 12-27 Permit: 00009243 ResidenceSIGNATURE OF
OWNER ORAGENT
JOB ADDRESS:
DO SS
2812
STRUCTURAL
rBu
AV
J. .1 d J (1 Code
Fee
t,I 11.111
$ 1 5 i)
CIT ST:
zip:
1,11-5
p#IofRFloorsC01R#�of
Bedrooms 000
# of Rooms 000
es : N D E L
ug—F, t 940 ccogancy
Croop� R-3
Load
Tyge; VN
SE[ONDARY STRUCTURES�
SPOKANE* w A
9921
Croop� R-3
Type; V
940 Occupancy
1oad
NaT e 6.50
jARC L*:
CENSUS TR:
(LAT* :
j D254400
LOT BLOCK
FINAL
PLAT NAME:
COUNTER A�j
PLANS EXAM:
DATE:
USE OF PERMIT:
JOB ADDRESS:
-
APPLICATION
DATE
62 1212'M:
STRUCTURAL
rBu
Energy 5todies Surcharge
J. .1 d J (1 Code
Fee
t,I 11.111
$ 1 5 i)
Stuclies
Valoation orr
1,11-5
p#IofRFloorsC01R#�of
Bedrooms 000
# of Rooms 000
es : N D E L
ug—F, t 940 ccogancy
Croop� R-3
Load
Tyge; VN
SE[ONDARY STRUCTURES�
�ate 35 5U
'
Desc N DWELLUB
Sq—Ft
Croop� R-3
Type; V
940 Occupancy
1oad
NaT e 6.50
COUNTER A�j
PLANS EXAM:
DATE:
Boilding Code Fee
STRUCTURAL
Energy 5todies Surcharge
BUILDINC
Valoation orr
39480
p#IofRFloorsC01R#�of
Bedrooms 000
# of Rooms 000
es : N D E L
ug—F, t 940 ccogancy
Croop� R-3
Load
Tyge; VN
SE[ONDARY STRUCTURES�
�ate 35 5U
'
Desc N DWELLUB
Sq—Ft
Croop� R-3
Type; V
940 Occupancy
1oad
NaT e 6.50
^
l�� 7 7 -- '
�
- ^. .
TOTAL FEE
TOTAL FEE
TOTAL FEE
Permit Fee
$1 .50
$15.00
$276.80
276.0O
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PECT
PLAT NAME;
/\ppUCAT|ON
DATE
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Boildino Code Fee STRUCTURAL
Energy Studies Surcharge
BUILDIN�
Valuatinni Corr 39480
# of Floor 01 #of Bedrooms 000 # of`Rooms 000
PRIMARY STRUCTURE:
Des c: N DWELL G, up: R-3 Tyge; VN
-Ft 940 cco�ancy Load Rate 35,51)
3ECONDARY STRUCTURES:
`
Desc: N DWELLUB Croop: R13 Type: VN
Sq-Ft 940 Occupancy Load Rate 6.50
�, 9
0�
��
/~
`f'�"
TOTAL FEi
TOTAL FEE
TOTAL FEE
Permit Fee
$15.00
$276..
276.8/'
IL
�
1 SET BACKS_
2 FTG.S & FORMS
-IT
_F
3 STEEL
4 PROGRESS-
i
5 BOND BEAMS
6 ROOF DECK
7 FRAMING
8 INSULATION
9 SPECIAL INSP_._
10 ASSEMBLY
1�1 FIREPLACE _
12 EXTERIOR FINISH
13 DRYWALL
114 EXT. GRADING
15 FINAL
16 GRID. PLBG.
17 WATER
18 DWV TEST
-
19 FIXTURES_ _
- -
- --
�-
20 SEWAGE DISP._v
21 SEWER _ -_
22 ` "'ATER HEATER_
23 ,OGRESS
.24 WATER SERVICE
25 ROOF DRAIN'
26 FINAL
38 VENTILATIO_N_SYS, .
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE��
r
-
42 DAMPERS ____
43 INLET /OUT LET
44 COMPBUSTION AIR
45 COMPRESSOR -
>
46 APPLIANCE _
47 FIRE DAMPER
y
48 SMOKE DETECTOR
- -- _
- --
49 HOODS
50 PROGRESS �-
51 FINAL
52 FINAL INSP._ _
53 FIRE PREVENT.
�s
54 OCCUPANCY/TEMP.
0
55 REQUESTED_
_
56 OCCUPANCY /FINAL
~
57• OCCUPANCYIOT H E F
58 COMPLAINTIZONE�-
--
-
-
59 ',vlPLAINT /PLDG.
>
60 1VIPLAI N VOTH E R
-�
-�-
-
r
COMMENTS:
E
n
N
DEPARTMENTAL REVIEW
1 certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature. Date % ��~
Approved
Cond.
Approval
Hold
Environmental Health Permit Number
W. 1101 College '-
Room 200
Planning /Zoning
N. 721 Jefferson
Engineers Permit Number
N. 811 Jefferson 4 12
i
Utilities
N. 811 Jefferson
Plan Review /Fire Prevention
N. 811 Jefferson
Other (SEPA /Critical Material /etc.)
Fast Track /Special Inspection Information
Project Representative
Phone
Address
1 certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature. Date % ��~
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APPLICANT TUPPER INC.
STYLE 940CS - elevation A
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WATER /n 0,c c2A� }
SCALE 1 " =20'
JOB # 16 9
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