1990, 04-25 Permit App: 90001679 Residencert •- y
SPOKANE 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90,001 6'r9 DATE= 04/25/90 PAGE= 01
APPLICATION
APPLICATION
***********3***************** 3* 3r -
SITE S'TREET:::: 241.4 S EARLY DAWN LN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE
F'L A'r = TEVEF'UD PI..AT NAME=
BLOCK=- 1 LOT=
AREA== F A=::
/4 OF BI...I')C;sr.: 4 DWELLINGS=
:::
.•.• •M .• 3* 3*.• 3* 3*.• •i*.• 3* 3* 3* 3* 3* 3i•.• 3i•.• 3* 3* 3*• 3* 3* 3*• 3* 3*• 3* 3* 3* •Ji•
F'ACx'C'F'I...O =': 26543-0202
SUMMIT AT EVERGREEN POINT
4 -LONE::= PhD D:i',ST4:::
F WIDTH== 55 DEPTH= 125
t
OWNER= W r+ g ASSOCIATES INC
STREET= F' CJ BOX 14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BIL.1... SMITH
EtJII...D:r.Nc; E:TBACK:3: FRONT= 30 I...EF.r= 5
3i 3*• 3.3.3i• * )i• 3i ii• 3 3+':. •ii• 3.3• •ii• 3: ri 3 3*: •.)i• ii• 3* •N, 3 * 3i• 3.3*
DEPARTMENT REVIEW tE::W COMMENTS -
I::
P/lei•- ;;0
PHONE= 1509 922 ti•7n2
PHONE NUMBER= 509 922 0782
•
RIGHT= 5 REAR= 4 0
REVIEW INFORMATION •i* 3* b:• 3i * •3 3* 3* 3*.• 3* 3* 3* •i*•.• •i* 3* * 3* i* * •it.• 3* i* i*•
APPROVAL COMMENTS
BUILDING
• BUILDING
BUILDING
I:::Nc;INEE::R
UTILITIES
PLAN REVIEW RE:(x.uIREI)
SETBACK ACK r?EVIEW REQUIRED
ENERGY PLAN REVIEW lREQUIREDAPPROACH/FLOODPI...AI:N/DRAIN GE
CONNECTION AGREEMENT REQUIRED
.• 3i• 3*• 3i• 3* 3*.• 3*.• 3* 3* 3* 3* 3* 3i• 3*.• 3 .• x •i* 3* * * * 3*. 3* * * R t.J I: t.. D I N (; PERMIT * 3*•.• 3t• 3,:• .• 3* 3* 3*• .• 3:.• 3* * 3* 3* 3* 3i• 3* 3* 3* . ..• 3i• •i*•.
CONTRACTOR=
TOR==
STREET==
ADDRESS=
NEW=
DWELL... UNITS=
BLDG W X D =
REG? PARKING=
W R S & ASSOCIATES
P 0 BOX 14013.4
SPOKANE WA 99214
X REMODEL=
1 OCC.:tJP L.
X SQ FT.: 1200
4HAND1CAF'==
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PHONE= 5709 922 0782
ADDITION==
BLDG H(;T =
SPRINKLER= N
CRITTCAL. MAT= i4
CHANGE OF t lS'E: =
STORIES=
MECHANICAL... PERMIT
3* 3*.• 3* 3*.• 3* 3*.• 3* •i* 3*• 3i• 3i• 3i• 36 3* 3:• •h:. 3i• •ii• 3* 3• •u: 3i•
CONTRACTOR:::: W R S & ASSOCIATES PHONE= 509 922 0782
(F;E::E"T:.. F' 0 BOX 14084
84
ADDRESS= SPOKANE WA 99214
m :,• •n• .• •t*•.• 3*• * 3* .• u 3*• :M. ni 3* * 3*.• 3k 3* * 3*• * .• 3*• •i* 3* •i* 3*• PLUMBING PE:RMI:T
CONTRACTOR= W p S & A:::SO(;TATE S' PHONE: 509 ..7�=
STREET= P (J BOX 14084
, ,.f..
ADDRESS= SPOKANE WA 99214
PROCESSED BY: WENDEL., GLORIA
PRINTED BY: WE:NDEL., GLORIA
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Spokane CoUnty 6OfidGf
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
(26- ikrN
2. L//c( 'I4rrz /2r4.2 J,/x/E
SUBDIVISION:
BLOCK: / LOT::
ZONE. DISTRICT.
LOT AREA: F/A: WIDTH: ST DEPTH: /,f- R/W:
# OF BUILDINGS: /
# OF DWELLINGS: / WATER DISTRICT:
OWNER: UL/ / (S �' _ _ r PHONE: -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
.;2-► /Ya8c7
SETBACKS: - FRONT: LEFT: 5 RIGHT: 3 REAR: �f4
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
c -c7,1" 6—
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:
STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
JOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (EA OUTLET)
BTU
BTU
LOG
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
HEAP -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:
CITY/STATE/ZIP:
OWNER:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
745g /6
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER':
PHONE NUMBER:
(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 =
7 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