1987, 03-26 Permit App: 87000758 ResidenceSPOKANE ANTY DEPARTMENT OF BUILDING ANItAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I haveexammed this permit and state that the information contained in it and submitted by moor my agent to compile said permit is true and
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction -
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 8700075R
DATE= 03/26/07 . PAGE:= 01
*********,t********************x** APPLICATION ******************************
SITE STREET= 292( S BLAKE AVE:: PARia::a..O== 3.`.5522--0202
ADDRESS= SPOKANE WA 99204
PERMIT USE= RESIDENCE W/GARAGE:
PLATO= 001478 PLAT NAME= LINCOLN PARK
BLOCK= 2 LOT== 516 ZONE= AGRI DISTt=
AREA= 00000000 F/A== F" WIDTH= 150 DEPTH= 1.50 R/W= 60
OF BLDG'S= i v DWELLINGS= • 1
OWNER= TORRES, RODOLFO PHONE= 509 624 6966
STREET= 3129 W 17TH AVE
ADDRESS= SPOKANE WA 99204
CONTACT NAME= BRUCE: MATHIS
BUILDING ,SETBACKS: FRONT= 30 LEFT= 22 RIGHT=
*>f**********.*..tt..R.:**.*.**.**********
PHONE NUMBER:::: 509 456--9032
REAR= 91
REVIEW INFORMATION****tt•********.*..x.*.*.*******k>t
DATE .
IN/OUT INITIALS
DEPARTMENT NAME REVIEW COMMENTS
BUILDING & SAFETY PLAN REVIEW REQUIRED 8370376 GMW
gee
11,TY ENGIREERrl NEW COU TROAD APPROACH E70.39 GMW
cinr B7- GAME X 'I-
ENVIRONMENTAL HEALTH NEW' OR ADDITIONAL WASTE WATER 87026
**********************344*** ** BUILDING PERMIT ***************************
CONTRACTOR:-: R C. B M CONSTRUCTION
STREET= x1OX 14262'
ADDRESS::: SPOKANE WA 99214
PHONE=
509 456 9032
NEW= X REMODEL= ADDITION= CHANGE USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= 1
BLDG W X 1) ._ 30 X - 39 SU FT= 1067
1i 11:'1)1 PARKING= ;I HANDICAP=. SEWER= N HYDRANT= N
4
PROCESSED BY WE:NDEL.., GLORIA
******************************** THANK YOU*******.**.*.**.*****.*.****.ft..***i**..*.*.***
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INFORMATION WORKSHEET
*
********************************************************************x****
* 87'7
* PARCEL NUMBER: *
* 57 Z?Zv ifGAke. Ave-
*
* CITY/STATE/ZIP: S ,,K a 1/14, *
*
* SUBDIVISION: LI UCOLaj 'A21< *
* BLOCK: 2 Darr :55,14-7 ZONE: AGMe, DISTRICT: *
* *
* LOT AREA: F/A: 1 WIDTH: 157 DEPTH: /5O R/W: IOO *
* *
* # OF BUILDINGS: 1 # OF DWELLINGS: *
* *
* OWNER: 7/,4,Q,4 p,ojeCC PHONE: $c9 -172`/- 1,9b4> *
* MAILING ADDRESS: .12...q El% /1 T 14- A� f *
* CITY/STATE//ZIP: S,fp,�4N.
ve 4 44-2.011* CONTACT: 'CL ), C ,F'W a PHONE: SVV -/o29- 6 966, *
x *
* SETBACKS - FRONT: 3Q LEFT:2 _ RIGHT: REAR: C!/
* *
* PERMIT USE: S 1 a 6-AL.(IF- *
* *
*************************************************************************
* STREET ADDRESS:
*
85522- 40202 -
*
202
BUILDING INFORMATION
CONTRACTOR LICENSE NO.: ge i ier77 (
CONTRACTOR: /0844 (2',j{T,,,,,,c/kf Zjk' PH'ONE:SU�-YS� -/`9cu'Z
MAILING ADDRESS: erd, ILC /926,7- •5P0/�4tc (')1l, ?%%Z%7
ARCHITECT/ENGINEER: 'TP ",,€, d L— PHONE:SC 1- ; 7- 200
MAILING ADDRESS: 41 57Atilve. cod. . ?9z0$'
NEW: V REMODEL: ADDITION: CHANGE OF USE:
*
* DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES:
*
• BUILDING DIMENSIONS: 2 U x 3 9 (WIDTH X DEPTH) SQ. FI. /002 -
*
002*
*REGUIRED PARKING: 4 HANDICAP: SEWER:(Y/N): HYDRANT: *
4444*t4t*s**t 44444444444442-44 *4*$ t*$4t***Yttt*fl *-. .tf4tfit444**-********+
PLUMBINC INFCRMATION
0 CONTR LIC#:
*
CONTRACTCR: PFCNE:____
NAILING ACCFESS: *
t
4044**4444444444*444***0*444*404**0*0****4************4444*****4**4****4444***
MECFANICAL INFCRMATIGN
CONTR LIC4: 4
*
CONTRACTOR: PFCNE:____—_-- --
*
MAiL1NC ACCFESS:
z
*
ELECTRIC:__ CAS:___ CIL:___ COAL:_ACGD:___ SCLAR:___ FEAT FURP:___ *
*
444444444**4444444444***t*t***t***********0**t*****4*4444441%444444**444404*0*
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/INSERT
GAS WATER HEATER
GAS FiG EOUIP<10C,000>BTU
GAS hTG EQUIP+100,000 BTU
GAS PIPING — # OF UNITS
HEATPUMP 1-100M P.TU
HEATPUMP 101-500M BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-1750M BTU
HEATPUMP +1,750M BTU
REFRIC 1-100M BTU
REFRIG 101-500M BTU
REFRIG 501-1.000M BTU
fcEFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER 0-3 HP
AIR CONOITICNER 3-15 hP
AIR CCNOITICNER 15-3C HP
AIR CCNCITICNER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTFES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM
NLMBER CF
YES 0R NG
_ I _�s-
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATh TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC LATER HEATERS
FLOOR DRAINS
FLOCK SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLER'
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUMBER OF
YES OR NG
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