1989, 11-07 Permit App: 89004567 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 455-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 fATE
PROJECT rL•BEp= 09004567 DAf:m11/07/09 PAGE= 0i
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•........... 1.....: • ..
9i; 7?..,t• 9t 9!• 9!: 9k fii ji• Jk )4 !h t{• j!• 9t• fir •ji,• jt. 3!• .ji• ft• ;ii. �f.:u: jt, .)...iC• Pi ik lk •1!• �?::�{ f`•� I:: L' L.. �. t.: J.)! ...! #''•� ***************************:k* .iF.
,I (ISTREET= rr:_ - BOLIVAR
!#.nF""j ;t.CL.t_26543-093'i ^ t
ADDRESS= V f::. R A r•; i... i-. WA 99037
PERMIT USE= RESIDENCE
Pi...r:'i'T•;;::::: EVER") F'L..r:i_f. NAME= EVERGREEN POINT 2ND ADD
BLOCK= 70
' , L.. (J' C = .i ZONE= a: ''; r :.:::: I::
AREA= 1 f :::: I::' WIDTH= 0 5 DEPTH- 125 F: / I,J:::: 50
x: OF Bl._J:)(:YS= 4 DWELLINGS= •;:::: 1
OWNER- W i'' & ASSOCIATES INC
STREET= P 0 BOX -14084
ADDRESS= RE::,`;'= 'F'fi1<:A#.NE:: 1.4A 9921=.
PHONE= 509 922 o7a2
CONTACT NrM1:BILL SMITH #JfirNUMBER= 5c922
OW
))
BUILDING SETBACKS: FRONT= 30 LEFT= ( RIGHT= ... REAR= 66
*************K****************
DEPARTMENT NAME
C+(.J1L.DING & SAFETY
BUILDING .3. SAFETY
I:::TY
BUILDING & SAFETY
COUNTY ENGINEER
REVIEW :r fFF(:Jl "f: ,_i..I.ON
REVIEW COMMENTS
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
ENERGY PLAN REVIEW REQUIRED
0:f0 ,f ".0-.:...►�1 12J1N A)..
jai * * .U:• .jf. 3 . . •hi •jk •* •.• •hr #t• .. •h:.. * it• •jk ... * •hr
DATE
TN/OUT ..i''4: IA1...;S
APPROACH/FLOOD PLAIN/DRAINAGE
891107 iY ii,:i
89110.?' GML.J
891107 GMW
21111
891107
-735• �2
GMA
as,
111110
Spokane -County icAFe ecAic
DEPARTMENT OF BUILDING & SAFETY
A Division' of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: eVf ,�/� O /
STREET ADDRESS: %�, 7
CITY/STATE/ZIP: ///p�/L Gr Gl y (-(A' 3 7
SUBDIVISION: ejk/16/L F £_ /t./ %I/X/7- 4-'�
BLOCK: '7 LOT: / ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: j,(/ - /1 S PHONE:
MAILING ADDRESS: �d-- /67 x %VO E y
CITY/STATE/ZIP:
9Pa/K
CONTACT: „X:) ��.�,IPHONE: - -
SETBACKS: - FRONT: ) LEFT: 7 ( RIGHT: 6 r REAR:6 6
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 22 _ S /7 S P'i —
CONTRACTOR I Y ' s se /7-5,141 G -''/ PHONE: -72c -
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
U �. x /Yc 9 y* ffz
PHONE:
NEW: >( REMODEL:IL_ ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD:
BUILDING DIMENSIONS:
REQUIRED PARKING:
BUILDING HGT: STORIES:
X (WIDTH 'X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:, ----;2,9'0,1-7 Se) 1 71 --
CITY/STATE/ZIP: /4/(a) 44A_/
X9'37
OWNER: /tel//- J V 41e4r z /WC --
MAILING
MAILING ADDRESS : f ) ,N /&1(
(Street)
PARCEL NUMBER: = `� "" e'7Lz
PHONE NUMBER: R22 ,2gZ----
(City/State) (Zip)
CONTRACTOR: al d-eC ,At LICENSE NUMBER: /-lr/'1 f /J 6:
MAILING ADDRESSex /V'& (
(Street)
PHONE NUMBER:
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UTNIT
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: MINIMU RMIT 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 PERMIT APPLICATION 'FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE 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
x $6.00 =
x 6.00 =
x 6.00 =
1 x 6.00 =
x 6.00 =
x 6.00 =
x 6.00
/ x 6.00 =
x 6.00 =
1 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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