1984, 06-12 Permit App: 00000880 ResidenceBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE 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 Nasse past) (first) (m)
Tupper Inc.
Department Use Only
Res. (Comm
2 Project Address (not Mailing Address) v Road Name Spm Zip
N. 4920 Calvin Road (Job #519) 99216
3 City/Corrnrunity
Spokane
State
WA
Subdivision/Plat Name
Summerfield East Addn
4 Armor Parcel No_
Portion of 35643-9072
Lot
4
Block
2
* * * DEPARTMENT USEONLY * * *
5 Sic Code
Zone Act. if
Zone
Project No. q2
6 Dwell N
No. of Buildings
-Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
(L)$-1
(R)S-2
Rear
Conus Tract
Module No.
Initials
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( 1
Contractor Firm Nasse
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
Qty
Spokane
State
WA
Phone
(509 ) 928-1991
contact Person
Ken Tupper or Debbie Kracher
LicenNo.
License No.
Phone al different tha,, abcwe
( )
8 Owner/Agent (if afferent Nen 81 above)
Business Address
9 Zip -
Oty
State
Phone
( )
12 Review Required
N
Plan
heck (YIN)
Y
Other (Y/N)
N
SEPA Exempt (YIN)
N
Oats
4-25-84
15 Type Work C
0
Bldg
Fire
0 MH
0 Demo
C New
0 Add/Alter
0 Replace
0 Move
I e qa ra ge
14 Describe Work
Single Family Residence
with double garage
10 Applicant Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
11 Zip
99216
Clty
Spokane
State
WA
Phone
(509 )928-1991
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( 1
Additional Information
1202 mn floor
608 basement
484 garage
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is= a Permit
(Indicated approvals required in either 'release" or 'release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
Conditions/Comments.
❑ Commercial;
❑ New Construction;
❑ Additional structufe;
6C‘7F
❑ Residential
❑ Bldg alteration/addition
APPLICATION #
Release
Release
w/cond 1
Hold 2
47.1
kw'
.....44.
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
N. 721 Jefferson 0 Setbacks; 0 lot w/d; ❑ lot size; 0 use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/Comments.
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence;
O road improvements
Conditions/Comments
67//
Utilities:
N. 811 Jefferson
Conditions /Comments.
Other:
Information
Plan Exam
Fire Prev.
Conditions/Comments.
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
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N. 4920 Calvin Road
LEGAL DESCRIPTION
APPLICANT
JOB
SCALE
STYLE
%Z3
2200-C1
Lot 4 Block 2 Summerfield East Addn.
Tupper Inc.
519
1" = 20'
POWER
WATER
W.W.P.
T ren twood