1984, 06-12 Permit App: 00000995 ResidenceBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND CUM PLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Nrns 611110 (first) (m) Department Ws Only
Tupper Inc. Res.Icorm
I
2 Project Address (not Mailing Address) ? Road Name Space Zip
N. 4816 Calvin Road (Job # 525) 99216
3 sty/Community
Spokane
State
WA
Subdivision/Plat Name
Summerfield East Addn l '2.:.'=,14;.---,
4 Assessor Parcel 140.
Portion of 35643-9072
Lot
10
Block
2
* ** DEPARTMENT USE ONLY * * *
5 Sic Code
Zone Act. 4
Zone
Project No. "t CI
4
6 Dwell ft
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Beds -Front
(L)S-1
(R)S-2
Rear
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Address
Zip
sty
State
Phone
( )
Contac Person
Phone if different than above
( )
,
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
sty
Spokane
State
WA
Phone
(C09 ) 9/8-1991 ....
Contact Fenton
Ken Tupper or Debbie Kracher
Lioenan Wo.
TUPPEIR179DC
9'hx a it i+l °errant th_n ebeve
( )
8 Owner/Agent (if different than M1 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan
Check (Y/N)
Y
Other (YIN)
N
I SEPA Exempt (YIN)
N
Date
4-25-84t
15 Type Work I
0
Bldg
Fire
0 MH
0 Demo
OF New
0 Add/Atter
0 Replace
0 Move
b Iph qa rage
14 Describe Work
Single Family Residence
with double garage
10 Applicant Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
11 Zip
99216
City
Spokane
State
WA
Phone
(509 )928-1991
Lender
Street Address
Zip
City
State
Phone
( 1
Contact Person
Phone If different than above
( )
Additional information
1202 mn floor 321
242 basement
484 double garage
Fast Track/Special Insp.
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
Environmental Health
W. 1101 College
Room 200
. r'
•
DEPARTMENT APPROVALS
This is g a Permit
(indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
❑ Commercial;
❑ New Construction;
O Additional Sect rQ�
❑ Residential
❑ Bldg alteration/addition
APPLICATION N 7d/
Release
j
Release
w/cond 1 ; Hold 2
Conditions/ Comments*
Planning/Zoning: ❑ Commercial; 0 Cert. of Exemption; 0 Frontage;
N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
0 CU, variance, zone change; shoreline; 0 fence;
O Other
Conditions /Com ments-
Engineers: 0 Commercial; IN\ Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage , newaccess/approach; 0 fence;
0 road improvements
:onditions/Comments.
Z
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for held
•
Utilities:
N. 811 Jefferson
Conditions / Comments-
•
Other:
Plan Exam
Fire Prev.
Conditions/Comments.
Information L1
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for held
SPOKANE COUNTY HOAR Rr PIST Cy
tcdd,2 c�Ae�/ _ _
4/77/7
ADDRESS
r\
"l
— — i1 -
,?V
1-0. ..1
• _ _ a
N. 5002 Calvin Road
LEGAL DESCRIPTION
APPLICANT
JOB #
SCALE
'r.
STYLE 3200
Lot 3 Block 2 Summerfield East Addn.
Tupper Inc.
518
1" = 20'
POWER
WATER
W.W.P.
Trentwood