1991, 05-21 Permit App: 91002750 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application 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 DATE
r' (cz,4w
PROJECT NUMBER= 91002750 APPLICATION DATE:: 05/21/91
****** THIS :1S NOT A PERMIT **•***
PENALTIES WTI...I... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE STREET= 13907 E: CROWN AVE: PARCELM=- 34644—.120
ADDRESS-- SPOKANE WA 99216
PERMIT USE= RESIDENCE / FAG
PLATO=
BLOCK=
AREA--
OF I:f L.. If G S =
OWNER:-
STREET:::
ADDRESS=
004150 PLAT NAME=
3 LOT=
F/A=
0 DWELLINGS=
C H D INC..
POE{ 13717
SPOKANE WA 9921
SANSON EAST
3 ZONE= UR....3.5
F WIDTH= £:;5
1 WATER DIST
DIST4= h
DEPTH= 116 R/W::= 50
= TRENTWOOI)
PHONE= 509 926 5229
CONTACT NAME=:: WEE CROSBY PHONE: NUMBER== 509 926 5229
BUILDING SETBACKS: FRONT= 30 LEFT= 30 RIGHT= 10 RAR-- ..h6
1i•*Hu##•}i*: *•li>ti •**•)t••i{h: •***ii*h••ilii**** REVI:EW INFORMATION •;i* •*:*x**#*xitn•* •****•x•**ri
DEPARTMENT REVIEW COMMENTS
BUILDING
BUILDING
ENGINEER
HE::ALTI•dD:I:ST NEW OR ADDITIONAL.. WASTE WATER
APPROVAL COMMENTS
PLAN REVIEW REQUIRED .._.....%.... ..4. .. t(..._......_.....
SE"TIfACK. REVIEW REQUIRED
......1..LAP iC
APPROACH/FLOOD FL_AIN/ORAINAG9/JIB 4•0.30 97 -E-1144 'A-`
'' 4.�i- 3i• - •ii iG * ii• ii it• ?• * �i �t• �i:• 4e• : 7t * ii li• •k• Est Ai• h• • • 9t• * �i B t J T L.. D T N (:Y P (.-:: R t i .I.1 * * •;t a,• * a{• * * * r * * 3t * * 3t
CONTRACTOR=
STREET=
ADDRESS=
(:; H I) :t N C
P 0 BOX 13717
SPOKANE WA 99213
NEW= X
DWELL_ UNITS=
BLDG W X 0 -::
REQ PARKING=
1
.7 R
REMODEL=
OCCUP. LD=
X 40 SQ FT=
4 HAN01CAP::=
DESCRIPTION GROUP
BASEMENT U R--3
GARAGE M--1
RESIDENCE R-3
ITEM DESCRIPTION
RESIDENT:C.AL. VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
TYPE
VN
VN
VN
PHONE= 509 926
5229
II/, I
Imo'
,'9 -ter
ci
ADDITION= CHANGE CiF
BLDG HGT=: 1.2 STORIES=
1372 SPRINKLER= N
CRITICAL_ MAT= N
SQ. FT VALUATION
1 312 12348.00
484 3388.00
1372 60368.00
QUANTITY FEE AMOUNT
Y
T
.T.
536,00
4.50
85.76
•;<••n; •> ** pix •**ie•x•***ai•;1•x******** (., * MECHANICAL. PERMIT ri******ar•aRai•**#***at*,tai••au•ii **
CONTRACTOR= DISTAFF CONSTRUCTION
STREET=- 11212 i4 (.".•ttI...1:SPE:i... CT
ADDRESS= SPOKANE. WA 99218
ITEM DESCRIPTION QUANTITY
GAS WATER HEATER i
(;AS HTG EQttJ:E1 I00 00,09 BT(J 1
(:AS PIPING
G A S I... O G
�.a
ai*3iit••;e.n•*:,;....*•x•x•x•*••x****3•*****•u•3*** PLUMBING PERMIT
CONTRACTOR:-: ALPHA PLUMBING & HEATING
STREET= 5805 E: SHARP AVE
ADDRESS= SPOKANE WA 99212
PHONE= 5 09 483 1?13
FEE AMOUNT
----------
10.00
__..____...10.00
12.00
3.00
10.00
* P: 3* :* 3* 3k H 3* 3* i{• 3* '}h •}t $F N• 3* a$ •H h: 3t 9t K 3k 3l 3* •i{ ;t• 3* •N:
PHONE -.1509 535 0727
E
Spokane County 4is 9L ? Q4 -
DEPARTMENT
4 -
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: '5'G /p7423
STREET ADDRESS: 0 /3,307 c Rc c -v st/'
CITY/STATE/ZIP: p � , CJJ!I Q -Z /
SUBDIVISION: 5/4-0L./s 'y
BLOCK: LOT: -3 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: Pc --DEPTH:/ R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: ( Q ��,, _ PHONE: - -
MAILING ADDRESS: ,fir 0 2 1 J)c /' ? /7
CITY/STATE/ZIP: 1Y;2j c,."� 604 1 s t (2T
CONTACT:
PHONE: $2i - -„S"--2-
SETBACKS:
SETBACKS: - FRONT: 36 LEFT: 3>en RIGHT: /D REAR: 3G
PERMIT USE:
****************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
C 19D', v sy
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW:\/ REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: ( OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: c›,0 X /e) (WIDTH X DEPTH) SQ. FT.: /37Z94.Qi%l
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLUMBING PERMI1 APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
............................................................................
SHOWERS
.BATH TUBS
KITCHEN SINKS
DISH:<WASHERS<>
GARBAGE DISPOSAL
ESWASH
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
.ROOF..DRAINS
LAWN SPRINKLER
SEWAGEEJECTOR:>
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
z
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 .=
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
2
/
/
/
/
-�_
/
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
MECHANICAL PERMIT APPLIrATION FORM
Information Worksheet'
JOB STREET ADDRESS:
CrTY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
M,:.'LING ADDRESS:
(Street) (City/State)
00 TRACTOR: LICESE NUMBER:
PHONE N:..;!,iBER:
JNG ADDRESS:
(Zip)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVEJINSERT
GAS WATER HEATER
GAS . ujipMg.N.I.,:40.0.;.000.:';wrg:!(it4p(pp
GAS EQUIPMENT +100,000 BTU DUCTWORK)
GAS PPING (EA OUTLET)
BOILER/REFRIG 1-100M BTU
BOILERJREFRIG 101-500M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M BTU
BOILER/REFRIG +1,750M BTU
'HEKTPUMP---&--AtR.CONDITIONER,03 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP is,..-ki9-coNprripNEF3:1530TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONSVENTILATING FANS
EVAPORATIV............COOLERS
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE 11 HOOD
"--
CLOTHES DRYER
RANGE.
G• AS LOG
MISCELLANEOUS -(NOT -COVERED ELSEWHERE -
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS-APPLIANCE.>400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x10.00 =
x 25.00 =
x10.00 =
x 12.00 =
x 15.00 =
x i.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x60.00 =
x10.00 =
x10.00 =
x 50.00 =
x10.00 =
x10.00 =
x10.00 =
x 10.00 =
x10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
/
7
.._..3
/
SUBTOTAL
PLUS: PROCESSING FEE
25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: L. /8Sa/ Cow4� AUS. , GFhex-h1.44. ?74/6CITY/STATE/ZIP: dlhcorn Q a heJ W A. 9 9 0/G PARCEL NUMBER: /i7 -6-4.y - ,, 7//
Pea
OWNER: N3u,r1-on
MAILING ADDRESS:
CONTRACTOR: Aire
PHONE NUMBER:
4)71 i - •
(Street) (City/State) (Zip)
Valley Heating & Cooling LICENSE NUMBER: AIREVHI1410H
PHONE NUMBER:
MAILING ADDRESS: N. 521 Ella Rd.
(Street)
Spokane, WA.
99212
MECHANICAL WORK
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
. GAS WATER HEATER
GAS EQUIPMENT +100,000 BTU DUCTWORK)
.:.:.......:.:.:......................
IPI UT
BOILER/REFRIG 1-100M BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
HEAT`PUMP <AIR
HEAT PUMP & AIR CONDITIONER 3-15 TONS
.g T PUMP AI:R;CQ:NPITIONER.1:5.-30;TON
HEAT PUMP & AIR CONDITIONER 30-50 TONS
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
GAS LOG
UrN''`jLISTED GAS APPLIANCE <400,000 BTU
•
USED APPUANCE <400,000 BTU
y:.: ::. •r-. +gwrf{.<::y• o.::.f rye.•-
r �.y�� r; Y'::. :`. •u.{inti. -•.••
�:\,�•. �'.'.f.� .9.:A..:• �,t,kY• , t.,h.A,::•..,.::,•:.`•� ilaj�`:::£-Sf� •M1?{i'.�cbi•:heV+C�
AIR HANDLER <10,000 CFM
NOTE MINIMUM PERMIT FEE IS $35.00
SIGNATURE Ai ZetAktv
(City/State)
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
/a °_
x 15.00 =
x1.00=
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x25.00 =
x35.00 =
x60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
r
. ,
x100.00 =
x50.00 =
x100.00 =
x12.00 =
x15.00 =
SUBTOTAL
$ / 3 !-t.
PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
=$ 3 $:o'
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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APPROVED AS NOTED
Spokan County Road Engineer
nab,
"11111ror- 0,9 / 99i
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400
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