1989, 04-28 Permit App: 89001059 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancy shall not be construed to give:authority to violate or cancel the provisions of any state or local law regulating
construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT HATE
PROJECT NUMBER— 89001059 DATE= 04/28/89 P .01
APPLICATION
* * •?';- l:: * ar * * ?i f ii• •'n. )t= i! • -)t al: * * i! )i :lr •N * h' i} i> * * Yi k: xi :+>: APPLICATION ***•• .3,: ar ii * iE it 3t• * * * * * *.a,_ * .' :W .;,, .a.: * :1;.* *
SITE
ITESTEEE"- 5224
224 N DAVIS
fiVJr? 7 Pr ( _ E .4 _ 34644-1003
ADDRESS= SPOKANE t`NE WA 99216
PERMIT USE= RESIDENCE
Pi...r1T.,,..... 004150 PLAT Nr••trif::::::: ,.: rN.>I:iN EAST
BLOCK= LOT= 3 ZONE= SFR DIST4=
4 OF BLDGE= 4 DWELLINGS= i
OWNER::: C H D INC
STREET= P 0 BOX 13717
ADDRESS= ',c :::: >POKANE. kA 99213
PHONE= 509 926 522
9
CONTACT NAME= WES CROSBY PHONE NUMBER= E:R=:: 50 > 926 5229
BUILDINGSETBACKS: FRONT= 30 LEFT= T-:: 15 RIGHT= 30 REAR= AR:::: ;3'._;
*: h: J{ b: * •.L'• )t N 7+• * 3i• ...p:. K p....:.. •h:.: •* *- X .t( J!• Jt• h:. ..:. REVIEW INFORMATION ••3•33'....•x• •h:• -h: -r N• * * h: •b:.y...h: •1t• •h:• * *
DATE
:DEPARTMENT NAME REVIEW COMMENTS IN /OUT INITIALS
GLJ:[LD:ING & SAFETY FLAN REVIEW REQUIRED 890428 GMW
AYMOW 2)7
BUILDING ING & SAFETY
BUILDING & SAFETY
COUNTY ENGINEER
ENVIRONMENTAL HEALTH
a Pb(5 fil/BC/
/4 -Pi
SETBACK REVIEW REQUIRED
ENERGY PLAN REVIEW REQUIRED
NEW COUNTY ROAD APPROACH
890428 t'; f:l l
89( i28
f 6F4
890.428 C. MW
NEW OR ADDITIONAL WASTE WATER 890429
-....&0y
s
PARCEL NUMBER:
INFORMATION WORKSHEET
/6o-3
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
4/ 5 2_2_,
c� •2 /4.
I//50
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: /03 DEPTH:(8 R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:9944e-../
OWNER: ('(T 7 .1t r PHONE: ,5si►? - 9 i -
MAILING ADDRESS: JY / 3 -7/ 7
CITY/STATE/ZIP:_S��s�C �r Z-04- �i3
CONTACT: }� c ` U ; PHONE: S`r1 ; -
SETBACKS: - FRONT: 3) LEFT:�?i0 RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: a/Io Z1U/2..ir
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
PHONE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING HGT:
STORIES:
BUILDING DIMENSIONS: 514 % 3 K (WIDTH X DEPTH) SQ. FT.: /7:2,�
REQUIRED PARKING: # HANDICAP:
l 70 e 5-7(p
r706 (i 6
SEWER (Y/I :/V HYDRANT:
CONTRACTOR LIC#:
CONTRACTOR:
•
PLUMBING INFORMATION
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OI
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC: UTILITY:
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - # OF UNITS /
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM
NUMBER OF_
YES OR NO
1
ITEM DESCRIPTION NUMBER OF__
PROCESSING FEE YES OR NO
TOILETS
SINKS ,3
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS /
FLOOR DRAINS
1
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
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TEL H0:509-455-4716 11858 P01
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ID nits APPROVED PLAN, YOU T USI CALL THE 0FFIL"t
AT (509) 456.6040 -PRIOR TO iNSTALLAYION.
7441/`-'
ls SP�CIF CATi4NS
TYPE OF SEWAGE SYSTEIK="', l---\
LINEAL OR SQUARE
TRENCH WIDTH:�.
DEPTH FRO A ORlCThAL �,N..;,..:1 1,RFAGE TO BOT1aM
OF SEWAGE SYSTEM;_--_.- . ..-
OTHER:ie,cav!...1 p-_ 7'
SIGNATURE:
DATEi/ 4' /