1991, 09-26 Permit App: 91006276 Roof CoverSPOKANE COUNTtY-DEPARTMENT OF BUILDINGS
'`" '``" 11F7. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 4006276 w1PPt_:CCAT:CON DATEaa 09/26/91 (:'AC;E= 01
**ec*** THIS IS NOT A PERMIT **** *
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STFREETa. 18521 E DALTON AVE PAFRCE!_.*= 06554--1016
ADDRESSaa SPOKANE WA 9906
PERMIT USE::-== MOBILE HONE PROOF COVER
PLATO- t70i 646 PLAT NAME= DONWOOD EAST
BLOCK= 9 LOT= 16 ZONE= = t.lF•R--7 D I ST O= G
0 OF . w DWELLINGS•= .i WATER DIST an CONSOLIDATED Ih:RG 0
OWNER= SHERWOOD JOHN H
STREET= 18521 E 6ALTON AVE:
ADDRESS= SPOKANE WA 99216
PHONE= 509 926 1182
CONTACT NAMEar ,.JOHN SHEFRWOOD PHONE NUMBER= 509 926 IQ:'
BUILDING SETBACKS: FRONT= EXIS LEFT- EXIS RIGHT= EXIS FREAFRaa EXTS
YF N k Y� k ik SE •}F �i 3i ai lE iF it 9i 3@ �h if ii R ii ik it i #k
REVIEW
DEPARTMENT NT PREVIEW COMMENTS APPROVAL COMMENTS
-.. — -....-...-..... -.. _ _. --------------------- .:. »..------ r.._ ........_ _ .... ». _.. _ .�....
= �. ._.
BUILDING PLAN REVIEW REQUIRED - _...._- _ ....�....-------------
BUILDING
_.._....--_..._._----IfUILt)ING SETBACK REVIEW REQUIRED -••--/ ..-_..-. _ -- ......-_-...._.--_.. _..W..__._-- _...
HiEALTHDIST INCREASE IN LOT COVERAGE_.�%�C......���.w.....��.._.._.� (1..�!'��...w......._.
TI � a6 s
kk�i}Fri9i �(3H�iik)e)t tt�i#itiiai}eHx3E�@se�t�E )i }i
BUILDING PERMIT
CONTRACTOR- OWNER
NEW= X F'REMODELaa
DWELL UNITS= 4 OC{,UP. LD=-
REQ PARKING= WOIC.f•1I='--
DESCRIPTION GROUP TYPE"
ROOF Mt:�OVE::F'R FR -..3 VN
PHONE -.-
ADDITION=
`HONE=-
ADDITION-- CHANCE:: OF USE as
BLDG H•IGT=w Q STORTESan
1200 SPRINKLER-- N
CFRITICAL.. MAT `• N
SP FT VALUATION
1200. 8400 00
ITEM DESCRIPTION�3QUANTITY FEE AMOUNT
....._.._......-....._..-._-_-....__....._.-_......-.._.._....-...--...._ »..........--......_ ......
IRESIDEN�T'IAL_VALUATION Y i08.00
STATE SURCHARGE to f 4.50
COUNTY S U RCHAF4� GE Y 17.28
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 129.78 ,00 .1<... 78
.-. _.. -.. _...-.-_ -...._ _....--.. _...... _ .._.,:.--------- ------
-71,
.. ..
129.78 .00 A29.78
PROCESSED BY: ..JULIE:. SHATTO
F'PTNTPn AV • "I TE" SHATTCI
THANK YOU
Spokana ,County
DEPARTMENT & BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:.
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
LOT:
ZONE:
DISTRICT:
LOT AREA: S
F/A:
WIDTH:
DEPTH: 1 R/W:
# OF BUILDINGS: # OF -DWELLINGS: WATER DISTRICT:! �c1
OWNER:' La, �A — s-� i PHONE:
MAILING ADDRESS: ��02
CITY/STATE/ZIP:
v .
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT:- RIGHT: REAR:
PERMIT USE:
U
BUILDING, INFORMATION
7
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
PHONE: -
PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL .UNITS: OCCUPANT.LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING.: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
1 btA&C
with stakes. Points of ingress and egress must be approved by the Coun y Engineer.uy wuniy nuau ueparlment ana work must be performed in accordance
ty
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State Highway, clearance must
be obtained from the County Engineer and/or State Highway Departfhent"
ACCESSORY BUILDINGS. Accessory building (garagC`s, sheds; efc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
through civil action. County Officials can not bring action to.enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE ,Sp6k hyg ., X2/(2_
Name of Owner .JOH/U suag DOD Address E. JAS2I D ALTD1J AtV-F-- Phone (n JS 856
Architect Address_ Phone
Engineer Address_ Phone
Contractor GL£AQ- .s1�AP/ S F� $ D(}_ Address. /J.55� MARIC�T Phone 9 —b"57%r
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 06 —10/a
LrJT /6 . .4a ck 9 . LbN IVLtn2 VAST AD_f2MON
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zone Fire Zone_
xl S�
Size of Lot 63i �� 3�` X 79' I X Jl2� Sewage Syst m SEIMC Const. f9AAAE
( t Fr., Conc., Br., etc.�
Stories -L Dimensions 3(' 36 Total S II,,5�_'�
q- Ft. _[.[.]�� Valuations%
Rooms- Bath Basement V Foundation Const.COUCIR.Er7>�c. Chimney Fireplace
(Full, part, none) Kind) (Kind)
Heat.
Heat. System i��i- Type of"Roofing E,r Ext. Finish S-Tfl— Int. Wall Finish n%/d
Use of Bldg. PP_[Uk'iV_- No. of Units Bedrooms_
ROADWAY R/W WIDT.H- 5b r r-L,4NFC1"C-, 4;n'
PLOT PLAN
Draw sketch with dimensions showing:.(1) property lines; (2) -street or road locations; (3) location of existing and'
proposed buildings; (4),distance-to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply. lines.
-NORTH State License No.
-7c l
RD
_ � z
F_;<Lsrr,vl�; p 1`
FFurY�. � i
SOUTH
certify\informnrEionlsubNitted is corr
as s
I -
Ind. Ins. Acct. No.
30 PAY 0hcr_
ESIDENTI - COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed f
f
;tures located ori this property except
r or Agenv Date
A LAND USE 6
ST UCTURE MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A P IT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE.
DO NOT WRITE BELOW THIS LINE -,i
Your street address Will be _�, f Z' — �L'rpN � ?be zone is �1=Sfp rff�AWl 81LF.
Sewage Permit Number_ Issued _ Building Permit Receipt J�S issued
Remarks _Mil. f3 L_LE� }IIM.EPQ til B L_ W I LAV
Foy, 523 Bldi. Coda