1990, 05-31 Permit App: 90002425 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit /application, state that the information contained in it and submitted by me or my agent to compile said permit /application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS /NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit /application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= DATE= . ..s: 0].37;9) PAGE= Oi APPLICATION
:R 9C 3i• tt• '?!' ?!• r• P• !!• i!: •i!: 4tr'P: '?!' 1i'?!' • ?C 9!• )k :!!. .p; .JL. 9!..ri . ?!.. ?!. g!. r ! ! r !... I i.: r•! ! .!. l..l N *******************:k*****);:***:**
SITE STREET= 916 S BANNEN PARCF10= 23543-0733
ADDRESS= '-'0KrtINE WA 9° 76
PERMIT I..!`..... • i':F::,"1:DDi:::N`?i::::r:.
PLATO= 004169 PLAT NAME= SP-400
1 , ii" l :::: LOT= ZONE= SFR r. ,i,. , -.
AREA= = , r » - WIDTH= . I i . r -
DEPTH= t • : ; - i � ; x : : !
0 OF (
OWNER= S ; 4 - R v = ` t , JOHN N PHONE= 509 'f • 6160
STREET= Fti:::i: T= 1:::OD :{ 3882
ADDRESS= SPOKANE WA 99220
CONTACT Nr• "?ME =:: WESTERN
i SETBACKS: C: J sD: FFiNE NUMBER=
509 q r F 5
BUILDING ° F [rT: -_ 1. ° F. i :::: ,: :3 0 R E A `: :- e
ii• * * :?t::?i' .ii..il * * * * i!4 •ji: * •ji Pi hi * * P: * •Pr * Pi * Pr Ai Pi •Ai •ji' h!: i i' :1: i°: IAi :i: NJ I° o R i'1 A ..i. 1 f:• NJ ***************A**********
DEPARTMENT
REVIEW COMMENTS
5,
......................................... ...............................
BUILDING PLAN REVIEW REQUIRED
{1.;i:L_DD:[N'Jc; SETBACK F'Eu'?:E:L1 REQUIRED
QUIR1:ED.j
BUILDING ENERGY PLAN REVIEW 1:; i::: i;; i.i :i: R1::: (D
L:.i- t_T.i.i••.i::.i::.I ". E'{ i.: i.=!•; :l_.IAt.,i_iil..k..ut :i,.• 1°'.... i••l. I.N,'.(DI•::AINr "?t.Tt::.
i°ii:::AI... t r'iD),I.E ? I''-t!.:.t4 OR ADDITIONAL WASTE r;. t, A I E ''
APPROVAL COMMENTS
AtaaJEJYr
yuetr .... 41/
9P •N: ?h 'Pi i!r •14 •Pi )ri 'N: * •i•.• 37i 'Pr 'i!i iG 3i• iii .j!i .ji..ji. .ji: *.1i• -Pr •J!• •!:: 9,; :!,;
:, i!: ii- p: Sn: * •jk * ri * n: iii * Ni .j,• * ji• ji• § it !::!: u: * :u:• i5 •N:.ii• •ii. •ii hi B I•. i a:1.. c: T i'J i; I°` E:: R M is i
CONTRACTOR= W • `:' r' J CO NET T N INC PHONE= 509 993 089
STREET= 1::= r•.i BOX iX :; :i2
ADDRESS= "`''' ,''.iF::( : ' •Ji:- `i9220
�; ?. i�'F ::,�- ,:;:�: I�.t�'s WA ...
NEW= A REMODEL= ADDITION= CHANGE OF : t... •
DWELL UNITS=
.. i t••., !, t "' ;; =:: 'r
I1( :: t" i.i P :. i... DD :::: BLDG H i;:Y ' ' :::: 12 STORIES-
BLDG
: ( i i 11 `:
f ?y l Y ? . '} 11 x; FT= S. . SPRINKLER= r
FEt PARKING= Ci°J ±i A1: CRITICAL
MAT= i•J
DESCRIPTION GROUP TYPE `' f;+ 1 ::...i' VALUATION
BASEMENT „ 9.12 c: 2 0
DECK R—:4 V r % y
i !j
y
ITEM DESCRIPTION QUANTITY FEE AM()1..n'.1r
RESIDENTIAL VALUATION Y 423,50
STATE SURCHARGE X ..54
COUNTY 4I..I1•'•'.C:i•dr::,RC;i Y ! f :.:' r
i!!i •i�: ;!i 'Pi 'Pr •Pi in• :Pi :!i• -P: * .... 'R' i4' .• •ii. •P:.. 'i. •A: * -U:- .... * .... 'Hi * .. t" i F: C H (• "•'! N :1: C •t 1... .. ... .................... .
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CONTRACTOR= W F S _ i N N r . . . . t . . . i J : T r DESIGN J INC PHONE= 5 ! ; 993 -ccI
ADDRESS: :: SPOKANE WA 99220
:I :TEi9 DESCRIPTION QUANTITY N.T:1:•'f'Y F'F::E AMOUNT
DUCTWORK SYSTEM 1 10,00
************:k************* .! ?, - fi•:ii-:ii••{ 1. i i i t •i ii i u 7! i i i f 5 !
�: •i! i�' i... I »i N'i D� .[ (••1 t} 1 -` °: ? iy i, i i::�• is •i!::!: N: -i: i:.�; :: �i:::: � u ii• •ii ri• •ri �: is • ?r �: �::r • ?e :a :u•
CONTRACTOR= A1 lR a : i JE " y DESIGN :J : PHONE= 509 > n 0895
STREET= P 0 BOX . :
ADDRESS= ;1i <rJ : A" 99220
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS
BATH . i: ` y .1 2 . 00
KITCHEN JFN<
DISH WASHERS :i
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456 -3675
PARCEL NUMBER:
INFORMATION WORKSHEET
5ij -)(1-3
STREET ADDRESS:
� � ,,'
CITY/STATE/ZIP: � �.�# -�![. 1 A
-T zostc.-r "A" t!=• SHDR:r PLAT eBS -4m cC/
SUBDIVISION: '7p r TALLY H1n S01BritVIS1bk.)
BLOCK: LOT: ZONE:_5/X DISTRICT:
LOT AREA: 7gx146F /A: WIDTH: DEPTH: R /W:52)
# OF BUILDINGS: ) # OF DWELLINGS: WATER DISTRICT: tjer
OWNER: Jb�HA) /v! O /2Yj14 &
MAILING ADDRESS: P. O, &'/( . 'gb Z
PHONE:
CITY /STATE /ZIP: c .€7R , /(14, 9'92.70
CONTACT:
PHONE:
SETBACKS: - FRONT: 31) LEFT: 7 RIGHT:
PERMIT USE: ,�,)� L- 1 LV R6-S [J .--
REAR: 0�
********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 1106-7,-E E
CONTRACTOR : 'l RJ) P /j $ J'HONE : -VJ
MAILING ADDRESS: O , Fj p"( 05 Z
ARCHITECT /ENGINEER: /;-, Ze9 An-12A— PHONE: - 71/1- %) 1
MAILING ADDRESS:
NEW:
REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: ' OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:! X S,� (WIDTH X DEPTH) SQ. FT.: 9�
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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