1992, 11-18 Permit App: 92010149 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W: 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
(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
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 92010149 APP'L.ICA TION DATE::: 11/18/92 I'Af;E :: 01
•x**x•* THIS IS NOT A PERMIT ••x•**
PENALTIES WIL.t.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2718 .'i: EARLY DAWN LN PARCEL :::: 4526 3 020 fF'TN
ADDRESS= VE:RADAL.E WA 99037
PERMIT USE= RES.IDENCE.. -•• NATURAL.. GA.
PLAT4= 005174 PLAT NAME::: PARKSID1= AT EVERGREEN P1
BLOCK:::: LOT.g 9 ZONE: UR -3.5 DIST:a =: E
AREA= F /A= F WIDTH= 48 DEPTH- 108 F /W= 30
. OF BI..i•)GS :q: DWELLINGS= 1 WATER DIST = VERA
OWNER= BYE, :JOHN W
r.TREF� T::,: 2718 EARLY LAWN LN
ADDRESS= ,..4 F'ADAL..E: WA 9903
CONTACT NAME::::: RICK NYE::
BUILDING G SE:TNACK;t: FRONT= NT=: 26 LEFT= r
PHONE=-:
PHONE NUMBER= 509 535 7545
RIGHT= 5 FEAR :: 21
*w:**************************** RE".',;IE:W i:iiiF OF:MAT•.1:uN 3 *•;i•3c*•h.x...**:•*x•***H•••ti•*•x •• N:;:• :
DEPARTMENT REVIEW COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED.
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE ..
APPROVAL. COMMENTS
* x * * •x• * * :d• * * *r.• ri # * * =»: * n :a• >k * •ri• * )c * * * i'R• * ii• Ct tJ T L.. E:l is N .T PERMIT
************************y:***
I::.oN TRACT OR:w BYE D)1. vE::R I.F .I{" D
ADDRESS: SPC:KA4WA 992: 3
NEW:::: ,,
DWEL_.L.. UNITS=
BLDG W X 1) :-•:
REQ PARKING
DESCRIPTION
BASEMENT U
DECK
GARAGE
RESIDENCE
PHONE= 509 ... }3 7545
REMODEL= ADDITION= CHANGE OF USE::::
OCCUP. 1. Ti- BLDG HITT::: STORIES=
;t; SO FT= 5104 SPRINKLER= N
'HANDICAP= CRITICAL MAT= N
GROUP TYPE
R-3 V N
R-3 V N
M-1 VN
R...3 VN
ITEM DESCRIPTION
RESIDENTIAL.. VALUATION
STATE: SURCHARGE
RESIDENTIAL SURCHARGE
RADON MONITOR
SALES TAX
•)i•.p#•){#***••N.•***3:
csuilding /4L11
Planning
Reviewer
Engineers ,iya4A-thed
Health
Utilities
Other
•
ADDRESS: S 27/15
ZONE
ROAD WIDTH: 3O,
FRONT: __ FLANKING:
CC'4MENTS:
lL� Peon
REVIEWED BY:
s6
fit
Spokane' County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
145268. 0202 /0///q
PARCEL NUMBER:
STREET ADDRESS: "`�� �Z-7(g CAR.Lq TDAUu UV
CITY/STATE/ZIP: Cpoea 0E 7o) -v
SUBDIVISION:
BLOCK:
LOT AREA:
LOT:
F/A:
1 q,c
ZONE: ;z,5-- DISTRICT:
WIDTH: DEPTH:
1 OF BUILDINGS: 1 1 OF DWELLINGS:
OWNER:
MAILING ADDRESS: 476/Z1
CITY/STATgLi
ZIP: /o, .,
/ _ Q
CONTACT: ick �� PHONE: D % - / 0�4' - )ci
r t /
SETBACKS: - FRONT: LEFT: -RIGHT: REAR: ��
R/W:
WATER DISTRICT:
PHONE:
a3
PERMIT USE:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENS NUMBER: �7) fit- t- Q ?' J
CONTRACTOR:
d Q04 //7t)
MAILING ADDRESS: 7/44101
PHONE: - 5-35- -
ARCHITECT/ENGINEER: _ PHONE:
MAILING ADDRESS:
NEW: /\ REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: 1 OCCUPANT LOAD: BUILDING HGT: STORIES: /
BUILDING DIMENSIONS: 4,0 (e, X '-f ! 0 (WIDTH X DEPTH) SQ. FT.:_11.2__
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE:
SPACE HEATING TYPE (Check One)
FORCED AIR RT1ECTRIC ELECTRIC BASEBOARD OR WALL MOUNT
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS '11 31 DOORS U
VAULTED CEILINGS R cins WINDOWS U -5
ABOVE GRADE WALLS R /7 GLAZING AREA 3113 % f LA,
BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R 44*
SLAB ON GRADE R /04 FURNACE EFFICIENCY RATING
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
*******************************************************************************
SQUARE FOOTAGE:
MAIN FLOOR Kip
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
****#*************************************************************************
LENDER/ BOND HOLDER:
ADDRESS
CONTACT PHONE
PLUMBING PERMIT APPLICATION FORM
• Information rksheet
JOB STREET ADDRESS: �7( C 64-bd �
CITY/STATE/ZIP: l/ `t !'7'0,06, PARCEL NUMBER:
PHONE HONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
•
KITCHEN SINKS
GARBAGE DISPOSAL
UTILITY SINKS
FLOOR DRAINS
:::::
CI�i%Y71'%1 L]`C.f Ai 1l:�=iii:�<:�:�:�:�?.i�r:'�:3:�:<ai,
BAR -SINKS
LAWN SPRINKLER — FOR EACH BACKFLOW DEVICE
WATER SOFTENER
.....................
.....................
DRINKING FOUNTAIN
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
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 =
x6.00 =
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
i.
1
/
j
I
(
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
•
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: LICENSE NUMBER:
(Zip)
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
........................................................................................................................
GAS WATER HEATER
47!e�7z:!#F>'?V�k►v:•t7:<:`;`
GAS EQUIPMENT +100,000 BTU DUCTWORK)
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
:�:�rw:i�xrv�rf:.tia•�ra•::x�:< cu'rti�:ar.i',i.G4::i'H:ii:i:i'r�G:iwiw::x ::�t::::itH%::'ri�;:.':i;
HEAT PUMP & AIR CONDITIONER 3-15 TONS
•
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
................
TYPE I HOOD (PER 12' OR -12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
:i:; ;�V'!•:Y..GT#GL;J.•
GL:w7Gr.
UNLISTED GAS APPLIANCE <400,000 BTU
USED APPLIANCE <400,00.0 BTU
...................................................
u$ED PLIAt CE 4:O:O O• O>B t
......:.............::..:...:....:...............::.
AIR HANDLER <10,000 CFM
DL
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
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 =
r
1
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675