1989, 06-07 Permit App: 89001634 Residencev
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.1303BROADWAYAVENWE
SPOKANE, WASHINGTON 99260
(50$)456-3675
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 provisionsuf/aw,
and ordinances governing this tf work willoenvm lied with whetherspecified 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 onAGENT nATs
PDJECT NUMBER= 89001634 DATE= 06/07/89 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 3001 % BOLIVAR RD PARCELt= 26543-0931PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE
PLATt= EVER2 PLAT NAME= EVERGREEN POINT 2ND ADD
BLOCK= 70 LOT= 2 ZONE= SFR DI%TO= F: -
AREA=
AREA= F/A= F WIDTH= 85 DEPTH= 125 R/W= 50
4 OF BLDG%= 4 DWELLINGS=
OWNER= W R % & ASSOCIATES INC
STREET= P O BOX 14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BILL SMITH
PHONE= 509 922 0782
PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT= 30 LEFT= 15 RIGHT= 17 REAR= 45
******************************
DEPARTMENT NAME
---------------
BUILDINf; & %AFETY
BUILDING & SAFETY
BUILDING & SAFETY
COUNTY ENGINEER
REVIEW INFORMATION
REVIEW COMMENTS
---------------
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
**************************
DATE
IN/OUT INITIALS
W
agLD
-----
890606
\N 89O6O6
NIA*6:
amp° r.ivNtr ^set
APPROACH/FLOOD PLAIN/DRAINAGE
217270q Wjrn 01,
T pit) to/21,0
Ciii-CZK CO 501
41- 3C1
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: Li 34,040—
STREET
04 — •i 7
STREET ADDRESS: 3 O Q /G////L
CITY/STATE/ZIP: 1 / 4_&-) /,Ol,(_ �1G� %
SUBDIVISION: Cs.L'f,C6A'/f<v /'o/XJT cit//'
BLOCK: /7 LOT: Z_-- ZONE: DISTRICT:
LOT AREA:
F/A: WIDTH: g J/ DEPTH: R/W:
OF BUILDINGS: / 4 OF DWELLINGS:
OWNER: //% /j C 9L l9Z4t c
MAILING ADDRESS: -/ 4'
WATER DISTRICT:
PHONE:
CITY/STATE/ZIP: • -�-s-f4/c,6 /r f /.// _ /y
CONTACT:
PHONE: —1'1� is 76'2_
SETBACKS: - FRONT: :-?0 LEFT: /1 RIGHT: //J REAR: ' 3
PERMIT USE:
***********************+tit***********,***************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: S ,S'
CONTRACTOR: S 9L- 4-3-d D G ///L
MAILING ADDRESS: O /4A / y0,9/
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE: - 111 - 0264
%/fix z
PHONE:
z'- 9-f 7y
dIMIP
NEW: i( REMODEL: 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:
CONTRACTOR LIC#:
CONTRACTOR:
PLUMBING INFORMATION
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL:
ENERGY CODE: WBEC: NWEC:
APPROACH: - PRESCRIPTIVE:
WOOD: SOLAR: HEAT PUMP
UTILITY:
POINT: COMPONENT:
SGC:
SYSTEMS:
***************************************************************************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING — # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU..
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM
NUMBER OF_
YES R NO
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES- WASHER.
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR BINKS-
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
NUMBER OF'
YES OR NO
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