1984, 06-06 Permit App: 00000573 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'sNsms pact) (first) (m) Only
IDspwlnient
Tupper Inc. Rm. (Comm •
2 Project Address pat Mailing Address) v Road Name Space Zip
N. 5102 CALVIN ROAD (JOB #514) 99216
3 City/Community
Spokane
State
WA
Subdivision/ Plat Name
Summerfield East Addn
4 Assessor Parcel No.
Portion of 35643-9072
Lot
1
Block
4
* * * DEPARTMENT USE ONLY * * *
5 Sic Coda
Zona Act. M
ZoneQ
Project No. c t/7
6 Dwell f
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Bads -Front
(L)S-1
(R)S-2
Rear
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different thin above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zlp I CityState
99216 . Spokane
WA
Phone
(509 ) ^28-1991
Contaci Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone if different teen above
( )
8 Owner/Agent pf different than ff1 above)
Business Address
9 Zip
Clty
State
Phone
( )
12 Review Required
N
Plan Check (YIN)
Y
Other (Y/N) I SEPA Exempt (YIN)
N N
Date
4-25-84
15 Type Work C3x Bldg
0 Fire
❑ MH
❑ Demo
Of New
0 Add/Alter
❑ Replace
0 Move
ether
bie garage
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
( )
Contact Person
Phone If different than above
( )
Additional Information
act` # m r 0 3t4c.
Q44 'hie
4$4 faPo-
i oo 0 D
Fast Track/Special Ins
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is 4 a Permit
(Indicated approvals required in either 'release" or "release with conditions'
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
E New Construction;
❑ Additional structure;
❑ Residential
❑ Bldg alteration/addition
APPLICATION #
Release
Release
w/cond 1
Hold 2
(os. 4
__,...3(\t,‘L
Conditions/ Comments*
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;
O CU, variance, zone change; shoreline; 0 fence;
Conditions/Comments.
O Other
Engineers: 0 Commercial; 0 Residential;
N.811 Jefferson 0 drainage 0 new access/approach;
O road improvements
Condi tions / Com monts•
❑ Flood Plain;
❑ fence;
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
Firs Prev.
Conditions/Comments.
Information ❑!
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
I .30
1k.
Rujci ceryj-
r--
Sn'tt
v'e-‘67
Peplacenlent.
6arati e.
—
1\
24'
'
- 4
reie • :kaed.e.• • -
97
•
C/91-V/Al A7A1.)
ADDRESS N. 5102 Calvin Road STYLE 2200-6
LEGAL DESCRIPTION Lot 1 Block 4 Summerfield East Addn.
APPLICANT Tupper Inc. POWER W.W.P.
JOB # 514 WATER Trentwood
SCALE 1" = 20'