1984, 06-12 Permit App: 00000999 ResidenceJ
BUILDING 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 Nur past) (first) (m) Deportment Use Only
Tupper Inc. Rms.
Comm
2 Project Address Meiling Address) Space 22p
(not a Road Name
N. 5002 Calvin Road (Job #518) 99216
.
3 City/Community
Spokane
State
WA
Subdivision/Plat Nene
Summerfield East Addn
4 Assessor Parcel No.
Portion of 35643-9072
Lot
3
Block
2
* * * DEPARTMENT USE ONLY * * *ll
5 Sic Code
Zone Act. If
Zone
Project No. l t /�,
!/(/
6 Dwetf
No. of Buildings
Sq. Ft./ Acre
Depth
Frontage
7 Set Bede -Front
(L)S-1
(R)S-2
Rear
r
Census Tract
Module No.
Initials
16 Arrhkect Finn Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
City
Spokan'
State
WA
Phone
(509) 928-1991
Contact Perron
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone If different than above
( )
8 Owner/Agent (0 different than 91 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (V/ N)
N
SEPA Exempt (Y/N)
N
Date
15 Type Work C Bldg
0 Fire
0 MH
0 Demo
C Newe
0 Add/Alter
0 Replace
0 Move
p4t-25-84
b 1 e garage
14 Daacribe 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
( )
Contact Person
Phone if different than above
( )
Additional Information
1202 mn floor
242 basement
484 double garage
Fast Track/Special Insp.
DEPARTMENT APPROVALS
Ei
•
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
1 nis Is nota Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
/
Release
Release
w/cond 1
Hold 2
❑
Environmental Health ❑ Commercial; ❑ ResidentialI
W. 1101 College 0 New Construction; 0 Bldg alteration /addition
Room 200 0 Additional structure;
i+
t
APPLICATION # '' g'. v 6'77
Conditions/ Comments*
•
Other:
El
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
•
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/Comments•
•
Plan Exam
D
Engineers: ❑ Commercial; k Residential; 0 Flood Plain; ICA
N. 811 Jefferson 0 drainage new 0 fence; WI Z-
Fire Prev.
pt access/approach;
❑ road improvements
Conditions/Comments.
1 Indicate above or attach conditions relative to final as built approval
2 Indkate above or attach reasons for held
•
Utilities:
N. 811 Jefferson
Conditions/Comments.
•
Other:
•
Plan Exam
Fire Prev.
Conditions/Comments.
1 Information ❑
Project Representative Telephone
Agencies Performing Special inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indkate above or attach reasons for held
SPOKANE COUNTY IEA1TH1DSTRICT
-70/
ADDRESS
r
/7
,3S
1000 00.1
.24
•
Lon ie*`
•
N. 5002 Calvin Road
1-
'
LEGAL DESCRIPTION
Lot 3
J
STYLE 3200
Block 2 Summerfield East Addn.
APPLICANT Tupper Inc. POWER W.W.P.
JOB # 518 WATER Trentwood
SCALE 1" = 20'