1990, 02-07 Permit App: 90000467 Residence•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
• W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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= 90000467
,r.* x3i•3i.3i•**3t•;r•********3i*3'•**fi..„.***** APPLICATION
SITE STREET= 2 5A5 tBOLIVAR CT=AFCEIn ,26543-0931
ADDRESS= VERADAL.E WA 99037
PERMIT USE= RESIDENCE
PLATO= rVE::R3 F`I...AT NAME= EVERGREEN POINT 3RD ADD
BLOCK= u_ LOT= 1 :ONE-: SFR D:FST4:: F
AREA= F'/'r'1-: F” WIDTH- 90 DEPTH= 130 h/W-: 50
4 OF F i...DGS:- A
v DWELLINGS= i
OWNER-: WR: "i & ASSOC
STREET= POD 14004
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BILL SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT-: 30 LEFT::: 40 R.I.GHT::: 21 REAR:::: 54
•) * * •i4.34.3t •) ri• * 3<: n: •h? •a• •h:• * •h:• 34. * * * 3i• * )t• * * • *.• 14. 3k k: 'a: REVIEW TNFORMATICiN *)4.34.3k 34• •h:• 1r 14• • • 3!:• 3i• 34. 3i: *34.31 •h:• * * * P: •P: N. M *
DEP'AR'TMENT REVIEW COMMENTS APPROVAL COMMENTS
BUILDING PLAN. REVIEW REQUIRED .......2.:1t204111.0.___ .___._.a._ . ....__ �
BUILDING SETBACK REVIEW REQUIRED �O
...-- . .le - . `f'
PP ICAtION `=r'`:)
PAGE= 01
3¢ 3i• 3t 3F * X * 3i• * * * * 3i• * R P; •)t• 3i• *• 3t• • •P• 3i * 3i• 3E ...» •N• 3i• 34.3E •*•
PHONE= 509 922 0782
I:tl.l:[L_I?TNGENERGY F'#...AN REVIEW REQUIRED
-- 2 4 4a
.ENGINER APPROACH/FLOOD PLA IN/DRAINAGE`S `= -
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**34.31*3i*34.3E3t•**34.* 3tr_3rm: •34.3k**34••x3{•34.34.34.3i• BUILDING Fa **r*3�*•*•****** •*3 *****.:4**
CONTRACTOR= W R & A 'SOCI:ATES
STREET= P 0 BOX 14084
ADDRESS= SPOKANE::: WA 99214
PHONE= 509 922 0702
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL. UNITS= 1 OCCIJF'.i...Di- BLDG HGT:- ~?•i STORTF:: -: '•y
BLDG W X Ii -: 63 X 4H sqFT= 1220
REQ PARKING= :,",:HANDICAP- SEWER= Y H'YI)RANM, N
) •r:) * 3: (>': * 3k * 34.34.3( 34.34.3(• 3i 34• * *34.34.3'• * 34• • • 3k h• 34 :w• MECHANICAL PERMIT * 34.34• P: 34• : 34.3z; b::e:.h• 34.3•:• j * A: P: 34.3: * 3e. N: •n• 31
CONTRACTOR= W F: S & ASSOCIATES
STREET= P 0 BOX 44084
ADDRESS= SPOKANE WA 99244
PHONE:- '509 922 0 ;-82
* * 3;• x• 3k •A• 3i• 34• * 3i• *34.34• •m:• •tt• •) )(• 3i) x k .. ;i * * * •k * 3r,. PLUMBING F`ER:MT'r 3k #.• * 3,:• x 3E •tt• 3131.......34. * * : h: •r: * •x •>t• •m:• 3r...........34 .
CONTRACTOR= W R S & ASSOCIATES
STREET= P 0 BOX 14084
ft1DDRESS- SPOKANE WA 9924 4
PROCESSED BY: STEVE HOI...YK.
PRINTED BY: STEVE HOE...YK
PHONE= 509 922 0782
3k3i**********•x3¢3E3(3@34.34.3k. 3i3<: :3e#3i•34.3434.3E*34• THANK YOU ***•*••k****34•***•*•*34•**3.*•n:hm:*34•:X••H•*•n:*•X•**
Spokano.Caunty
DEPARTMENT OF BUILDING & SAFETT/)),ca)
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 6r"j<-
INFORMATION WORKSHEET
114 14.)
d9 1LIrJ71
PARCEL NUMBER:
STREET ADDRESS: .F -A //Sy 6/,
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
-----
LOT AREA: F/A: WIDTH: 97J DEPTH:/R9 R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: 7//./ X S" e/ if-SJ-vc: 7/i,c_ PHONE: - 9.22- - 2 , 2_____
.MAILING ADDRESS:
CITY/STATE/ZIP: '440 -7 -c -e-- /-,/ f.,2/3/
/
CONTACT: -5-L-e ,--.--e',--.'F PHONE: 9Z.--- - a"787
SETBACKS: - FRONT: 32 LEFT: /d RIGHT ,..!--,/ REAR: 5/
PERMIT USE:
*******************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: Ac9,s--,17,s-
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE:
PHONE:
NEW: X REMODEL
ADDITION
CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
MECHANICAL'PERMIfii APPLICATION FORM
,Information Worksheet
JOB STREET ADDRESS: S 2 J
CITY/STATE/ZIP:
OWNER: /I cy (�
MAILING ADDRESS:
CONTRACTOR:
MAILING ADDRESS:
(Street)
i clop f
PARCEL NUMBER:
PHONE NUMBER: l 7
V (City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDU
NUMBER
OF UNITS
DESCRIPTION
E
X EACH
UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN, OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU_
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
$ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
$
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
PLUMBING PLRMIT APPLICATION FORM
Information Worksheet
1.j
CITY/STATE/ZIP: f/'-
OWNER: a/S
/SGC PARCEL NUMBER:
P./C34� -z PHONE NUMBER:
MAILING ADDRESS: 6Gk4;-74 / Vc9t/ v .ice li,L17
(Street) duty/State) (Zip)
CONTRACTOR: G gY�i Zr2 �,��.r1 9L FLICENSE
PHONE
MAILING ADDRESS:
NUMBER:
NUMBER:
(Street)
(City/State)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
7t
x $6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 -
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
1
EQUALS: TOTAL PERMIT'
FEE DUE 1= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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