1990, 03-15 Permit App: 90000901 ResidenceSPOKANE 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, 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= R= yi'ii?00}y0i
DATE= 03/15/90
APPLICATION
1:(:::ATION
PAGE= 01
L.: t•�t # ..
n :.1.
-. i•q ."' "' ..... #. f:, ************-v,' j': •jf• N• 1!• }f..,t..jt. * IF :yF.:Pi *'Ai t}• P• :R• •Di
241_ 5 .. •,_ 't #.. ALA i'J I...i''.
ADDRESS= VERADALE WA 9,/o:3(
#''r'1R(.: E1. :n = 265 43-0202
.,j.... :1.ij02
.,i= .I.... UEE= REEIDENCE0+
FLAT NAME= UNKNOWN 9.$•
LOT— ii ZONE= RUD‘U—DIST4=
ESA= F TIDTH- 5' 1 DEPTH= ''t'#•H:::: 1. 0
1'L..A•.#..4:^: 000000
BLOCK= 1
AREA=
:, OF BLDGE=
f:ifixiiril:::1°=
fix# i'•'. t t S , 5 (' ..:.1.: + f t::. `.� :i. N i:.
1:; f :t .. BO j )t 14024
i' 2 4
SPOKANE WA 99214
.I. I 1••1
BUILDING G E (1:iAC FR(
PHONE= 509 772 0722
PHONE NUMBER= = 509
REAR= := .4.3
1'/b,?:::: %:i:j
922 ,,1 le8
........................................................ ,..E , , ,. 33 , .,.: ..:. ,. 0.
:k P: �R• •P: •a: •P: •Jfi •P::�::W::+,,. •},...P: •P::�: •P.• 9C 9k .P: •P: •P: P: •P: •H::��: •A: N: it n• }{ {•; #::. b' .I. #::' yti .I. I''i 1" t.i 1": f"} f ti ! .i. i. E 1`~j n; * Tr * it * f,..jl..j;..jt..yt. at..,t..}t• 1{• It 1E * * •j'i iui ;fi• •ji. iry. 74 .jt.
DEPARTMENT REVIEW .I::.lx+ i.:!.!I"fi I't I::.Iw I ,•
•
BUILDING
BUILDING
.I .N .Gla..,•,.:,,G
ff4 v E1.4 RE RED
'Vsa.�
I ': i yi .i EW I":1::. #ni+ 1 j' C:=.:" t j "xrJ . ... /.
... N t. , L.. Al , .......S S 1... _.R: -.tar'+ T i...... PROPERTY
APPROVAL COMMENTS
........................................ .
.y{.:;..,'X''X'y.:}.,;.:,:::;.*';..,::::l.:,;.X.•.;.:,y..y;. ..:::: a;..;..:.F.:: :. :1 i+. .....`f. ::'1::..._._. N..�Vi �I `//f/e.. .jl.:j.
1... a .... 1... 1. x 1. ,. 1. i. r. 1... a... ''*-X• •• x n :. i. ]� ). n.:t : • S., fi., ,. i... I? # fia -., 1 ,_. l .. l l 1. .t ..%%..... 1.
is
f:; :.:
CONTRACTOR=
ADDRESS=
W R E & 'il..:i.AT:',
+':' (::t B:, O ;i 14004
EPOKANE WA 99214P
NEW= X
.1
t:
EQ ET=
...........................................
/�7, 33/6%6�., D/<
91: Pi :Pr :Ps :iE :ss..1f:.Pi JI J1 •P: •h:• :1r s.9.: jti +: •il•
RO /044/6/C /
•
ADI)
..T.,. oHANGE OF USE=
fl flt. 1"1l,x•:::: STORIES=
126:)
SEWER= HYDRANT=
***•**•jai;,i••*•}t•***:k***•j?•.p:***'F.••j,f{`-ff**:fi*N;•j@* t" ••f•.••Ii N'' `''I PERMIT •***:L}**i!•*: hr•tfr*•h:••Fr•P:1t• *•Pi** =r.<
ADDRESS= SPOKANE
• WA t.921 ;:
.. 1. !. 1. N. 1z..t .. 14 1. 3. 1. 1. ,.:. ji j+ ..:...........:..... d. 3t 1''#... (., I`1 !:i .i. f'•fi t:r
CONTRACTOR= 1.4 R
•
t ASSOCIATES
• 14004
,:` i"` 01<. A N E WA 99214
PERIT
PHONE= 509 22 0722
:•:X*********::!...*************
' }.,:• ..
509 922
22 ..;.
; h 4 k uj)iii : 7jrj;n> u h : : •j�::.:. .�,.: a:Hu;; THANK y:(***************,k**************,,*
JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: l4�-16-e-lez-e<_--
7 c -Y 7
OWNER: /4/, ( V
MAILING ADDRESS: e4,-), /Yoe'/
PARCEL NUMBER:
PHONE NUMBER:
(City/State) (Zip)
LICENSE NUMBER:// f/ff' YJ� fY16-
(Street)
4'fS2c /-e'6
CONTRACTOR : /,f //Z f _0
MAILING ADDRESS: f v )1;11-2,‹
(Street)
/K 9y
PHONE NUMBER:
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS tTNIT
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
14 m Prep &
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
West 1303 Broadway Avenue Spokane, WAS 99260 Safety
(509) 456-3675
JOB STREET ADDRESS:
•
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
J�VACS-7
CITY/STATE/ZIP: P CEL 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 =
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
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
4a/ /260
�
��C�11 fi County �/Y%/J i“ "Tr Iola--
Jp // rvh��V ham' l' I s71
DEPARTMENT OF BUILDING & SAFE -1[1
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-36x5
PARCEL NUMBER:
STREET ADDRESS: /
CITY/STATE/ZIP: L� / / 14,1_ 3 2
INFORMATION WORKSHEET
SUBDIVISION: c�G! sy! yr7 (r
BLOCK: / LOT: 1/ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: - — DEPTH:/3/ R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: i i A -T.-- PHONE: - ��Z - O? 'Z --
_MAILING ADDRESS:
I5.fc78'
CITY/STATE/ZIP: 99z_/-(1
CONTACT: G� C � � 177Y' PHONE: - 912- -0281_
SETBACKS:
0?B1-
SETBACKS: - FRONT: 2-/ LEFT: 5 RIGHT REAR: '/I
PERMIT USE:
*****************************+************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: Y X- J%/7s
CONTRACTOR: 17//e PHONE: - - 07gZ--
MAILING ADDRESS: /D 2V43 ,?A‘,,,,„2 `-at 7c?
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: SEWER (Y/N): HYDRANT: __
PATID
Pilo
Ctfiltl 6E..
Deity&
2 Y / �0 F4 Ly -DAwM Lii,v�
Lor /g &Loc . I
TtiL S/.1MAIT
AT
EVE/26tEW Rai&T
/' R/4/e-
3///9d
NOIHINb r Uul"u urt
24111 AVL NU .
PUBLIC ROAD DEDICATION
S 89'03'47" E
— —133.00'-
5' WIDE FUTURE
ACQUISITION AREA
637.81
COM M
—
AREA
Q__SCLBACK_
SECURITY
GATE
10'
138.30'
0.00'
= 33.69' 23
COMMON
138.00'
138.00'
O
O
tri
r')
138.00'
130.90'
/ 131.11'
14
138.00'
138.00'
130.90'
130.91'
5.90' C2
11.62' 138.00'
101.00'
r q 10100'
87.56' 87.99'
0
ui
15' BLDG. `°SETBACK
129.50' 47.00'
122.40'
S 82'03.46" F
122.41'
47.00'
z7 P1'
129.50'
CV
r')
O
O
Z
E