HomeMy WebLinkAbout1985, 05-15 Permit App: 00005430 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)
37
1 Owner's Name (last) (first) (m)
Tupper Inc.
DspartmentJ.lse Only
Comm
2 Project Address (not Mailing Address) or Road Name Space - Zip
N. 5009 Burns Rd. 99216
3 City/Community
Spokane
State
WA
Subdivision/Plat Name
SUMME: ) s : aiik
4 Assessor Parcel No.
Portion of 35643-9076
Lot
12
Block
6 * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zona Act. 9
Zone --S � � Project No. � (M
en
6 Dwell
/
No. of Buildings
r
Sq. Ft./Acre 1 Depth
Frontage
7 Set Bade -Front
(L)S-1
(R)6-2
Rear
yrs Tract
Module No.
Initials„, , , T
C(�W
16 Architect Firm Name
I Street Address
Zip
City
Stale
Phone
( )
Contact Person
Phone 0 different than above
( )
Contractor Firm Name
Tupper Inc.
Street Address
Ea 1- 12.979 Sprague Av&_
Zip
99216
City
Spo ane
State
Phone
(51"Q1 92R-14,91
Contact Person
Ken or Debbie
License No.
Phone 0 different than above
( - )
TUPPF I R 1 7cinr_
8 Owner/Agent (if different than 41 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
r Other (YIN) I SEPA Exempt (Y/ N)
N N
Dale 5-1/61-6V5
��
15 Type Work l Bldg
0 Fire
0 MI I
0 Demo
IS New
0 Add/Alter
❑ Replace
0 Move
er
D5U81 e garage
14 Describe Work .
Single-family residence with double garage
10 Applicant Name
Street Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
( )
Contact Perms
Phone 0 different than above
( )
Additional Information
1236 Main Floor Finished
324 3rd Level .bfinished
546 4th Level Unfinished
484 Garage
*
Application Type
(Standard unless
otherwise indicated) _
Fast Track
Early Start
DEPARTMENT APPROVALS
This is natt 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-
Planning/Zoning:
onditions/Comments-
❑ Commercial;
❑ New Construction;
❑ Additional strycture;
APPLICATION #
❑ Residential
O Bldg alteration/addition
Releasq
pMr�
Release
w/cord 1
Hold 2
i
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-
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence;
O road improvements
Conditions /Com ments-
F,f — aGPi
Utilities:
N. 811 Jefferson
Conditions/Comments-
Other:
onditions/Comments-
Other:
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 hold
/
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ADDRESS - IL 5009 BURNS RD. STYLE HOME
LEGAL -DESCRIPTION L12 B6 SUMMERF I ELD EAST FIRST ADDN.
APPLICANT TUPPER INC. POWER W.W.P.
-JOB NO. 537 WATER TRENTWOOD
-FHA -CASE NO. SCALE 1"=20'