1985, 04-16 Permit: 00004970 CarportSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS:
7815 E AUGUSTA AV
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SMITH, CLIFFORD J
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7815 E AUGUSTA AV
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SPOKANE WA 99212-0000
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SMITH, CLIFFORD J
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SANTA RUSA PARK
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USE OF PERMIT:
130000 CARPORT OPEN 3 SIDES
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7815 E AUGUSTA AV
STRUCTURE
APPLICATION
DATE
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0005282
DATE:
04/16/85
PROJ*'
00004970
Structure Fe* $32.00
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$32.00
PAID BY:
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DATE:
04/16/85
PERMIT
STRUCTURE
Description N CARPORT Group M-1 Type VN
Square feet 000384 Occupancy Load 0000
Est Pin Chk $0.00 Actual Pin Chk $0.00 Var
TOTAL FEES
$0.00
$32.00
OFFICE COPY
04~1645 16375 *3,2086
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�UGNATUREOF / / '----- APPLICATION
OWNER ORAGENT / '�/>i/�/�--' ' '/����[/�'-z DATE
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JOB ADDRESS:
ACUSTA
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DATE:
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FEES:
$32
PAID °`'
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COUNTER frt. :
PLANS EXAM:
STRUCTURE PERMIT
AUCTURE
�escription N • CARPORT Group M-1 Type VN
.qoare feet 000384 Occupancy Load 0000
Pln Chk $0.00 Actual Pin Chk $0.00 Var
TOTAL $32.«»
$0.00
INSPECTOR'S COPY
2
3
SET BACKS
I1_
I�
BUILDING
FT GS & FORMS
1
STEEL
PROGRESS
6
BOND BEAMS
ROOF DECK
7
8
9
10
FRAMING
INSULATION
SPECIAL !NSF'.
ASSEMBLY
11
FIREPLaCF
12
13
14
EXTERIOR FINISH
DRYWALL
_
r
EXT. GRADDiNG
1S
FINAL
4
16
1'7
GRD. PLBG,
WATER PTIN6
PLUMBING
18
DWV TEST
19
FIXTURES
20
SEWAGE DISP.
21
SEWER
22
TER
,— ;TER HEATER
("I
,;OGRESS
24
WATER SERVICE
25
ROOF DRAINS
26
FINAL.
38
VENTILATION SYS.
rMECHANICAL
39
PLENUM & DUCT
40
GAS TEST
41
FURNACE
42
DAMPERS
43
INLET /OUTLET
44
COMPBUSTI ON AIR
45
COMPRESSOR
46
APPLIANCE
47
FIRE DAMPER
48
SMOKE DETECTOR
49
HOODS
50
PROGRESS
51
FINAL
52
FINAL INSP.
OCCUP / SPECIAL
53
FIRE PREVENT.
54
OCCUPANCY /TEMP.
55
REQUESTED
56
OCCUPANCY /FINAL
57
OCCUPANCY /OTHER
58
COMPLAINT /ZONE
59
I1PLAINT /BLDG-
60
'Z:OMPLAINT /OTHER
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) // (first) /(m)
%7 �OFCC) &13 V 01 ` /V
Department Only
lizis. Comm
2 Project Address (not Mailing Address) a Road Name Space Zip
3
c 1 e_
State
664
Subdivision /Plat Name
S 1?-asA PA1t<„
4 Assessor Parcel No.
n 7s- i 2 — D 7 le
%
Lot
L �,
Block
! + . + DEPARTMENT USE ONLY * * *
�P
5 Sic Code
Zone Act. #
Zone Project No
6 Dwell #
[
No. of Buildings
l
Sq. Ft. /Acre
Depth i
3_
Frontage
75 1
7 Set Back -Front (L)S -1
�i�N� -
(R)S -2
s s'
Rear
1 -
Census Tract
Module No.
(
Initials
,cvN rn
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
License No.
Phone if different than above
( )
8 Owner /Agent (if different than #1 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y /N)
Other (Y /N)
SEPA Exempt (Y /N)
Date
15 Type Work x Bldg
❑ Fire
❑ MH
❑ Demo
❑ New
E Add /Alter
❑ Replace
❑ Move
❑ Other
14 Describe Work
l'itOgA)C ®FeN 3 s:OeS
10 Applicant Name r �n
J . rat
Street Address
7e /S 65
11 Zip
/9:22/1()N
City
C dir---i 4
State
6.-6 AL
Phone
(SD 9) 9g-8-76 P 7
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
O.
0
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is not a Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure;
❑ Residential
❑ Bldg alteration /addition
APPLICATION #
Conditions /Comments•
Planning /Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; ❑ lot w /d; ❑ lot size; ❑ use /zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Conditions /Comments•
Engineers: ❑ Commercial; ❑ Residential; ❑ Flood Plain;
N. 811 Jefferson ❑ drainage ❑ new access /approach; ❑ fence;
❑ road improvements
Conditions /Comments•
Utilities:
N. 811 Jefferson
Conditions/Comments:
Other:
Plan Exam
Fire Prev.
Conditions /Comments•
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
Release
Release
w /cond 1
Hold 2
i/�
Conditions /Comments•
Planning /Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; ❑ lot w /d; ❑ lot size; ❑ use /zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Conditions /Comments•
Engineers: ❑ Commercial; ❑ Residential; ❑ Flood Plain;
N. 811 Jefferson ❑ drainage ❑ new access /approach; ❑ fence;
❑ road improvements
Conditions /Comments•
Utilities:
N. 811 Jefferson
Conditions/Comments:
Other:
Plan Exam
Fire Prev.
Conditions /Comments•
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
0
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