1990, 03-13 Permit App: 90000866 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/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
PROJECT NUMBER= 90000866 DATE= 03/13/90 PAGE= 01
APPLICATION
h'•h:••)F•h:*#***##){*****#h:•i!• •#iE•*iia3'i{•X3* APPLICATION *** iE##***ii)i•*#*##ii *•k•****)iliri#**Kh:
SITE:: STREET= 2619 E DIEHMAN MICA RD
ADDRESS= .SPOKANE WA 99206
PERMIT USE= RESIDENCE W/GARAGE
PARCPI „== 29944--0517
PLATO= 000382 PLAT NAME"- CHESTER HILLS ADD,.
BLOCK= LOT= 7 7ONE__
AREA=: 00011300 F/A:-: F. WIDTH= 4 'vett
ry' OF BLDGE= • DWELLINGS= 1
OWNER= PURVIS, WILLIAM ,.I
STREET= 2102 N DICK FSD
ADDRESS= SPOKANE WA 99212
PHONE- 509 974 2087
R./ L = 75
CONTACT NAME:= WILLIAM PURVIS PHONE NUMBER= 509 924 2. 87
BUILDING SETBACKS: FRONT= 50 LEFT= 15 RIGHT= 4i REAR= 173
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DEPARTMENT REVIEW COMMENTS C -/F'r '.'Vnl._ �?(1MM1= TS
0
PPi tP.Q-DEpT - ,".. 4.-
4.24.,6
BUILDING PLAN REVIEW REQUIRED
BUILDING SETBACK. REVIEW REQUIRED
ENGINEER APPROACH/FLOOD F'1... -'l. N ' r Iii
3 c�c-Tr rrES *********§.r�16 �1 G 7 r
* •h:• * •hf• * * )i: 9{ * * .R..X, .u... 1F E '• /1 •it• •k I:t (..I: I... f 3 .I. t�
CONTRACTOR= OWNER
NEW= X
DWELL UNITS=
BLDG W X I) =
REQ PARKING=
4 4
To J NA 01
61
;8--'i
REMODEL= ADDITION=
OC:CIJF' ,. I...D= rtLDG HGT=
X 32 SOS FT= 1 296
I••IANDI:CAP== SEWER= Y
-*- *h*•u- *•x•f{•**• ***********•k••R•*•x••x. MECf•IAM:I:CAI.. F'I:::I: mIT
CONTRACTOR= OWi.
CHANCE OF USE=
CSF
16 STORIES=
HYDRANT= Y
i • -***-xx**•u•at--x•** -**** --a*-> *** * PI...UMI:tINC; PERMIT -x-..a:*.... .N -**u -x-*** ***n**# --x-*p:- *
CONTRACTOR= OWNER PHONE=
PROCESSED BY: JULIE SHATTO
F'R:I:%,ITE:D BY: JULIE SI-1ATTO
:v..k. * ..x * * •} * R * M * •x. * * *..h, .k..pl.. X * k:• k• : * r.• •h:• * * * _THANK Y O (.} .tt •x• },:..h. . .. * * ,k..y{..7,;..k..y. p;..)t..u..k..p...#..lt..h• ••• • • • . * .yy * .• * . *
4)'/O(e ,
4 F40 13 a- Spokane County
`2 /5 G DEPARTMENT OF BUILDING & SAFETY
ProWest 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATIONCWORKSHEET
PARCEL NUMBER: 2-q 4(4 -0SIF5 \ ZqS ' 4 OST -7
STREET ADDRESS: S 7-700 ➢;5:,w n� ' "`��
CITY/STATE/ZIP:o“12.__ UJ , Ciao �O
SUBDIVISION: CI,esC-mac- #AIS A
BLOCK: IC. LOT: -I ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: /00 DEPTH:255 R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: W »lay..\. -J, ru(V,S �7 PHONE: 501 - qay - 2Or"!
MAILING ADDRESS: I `• Z�C� �` •Gk "�G
CITY/STATE/ZIP: SeoKa,-e- Vic . r %a I2
CONTACT: W t k ctw`. ?)iV 1 S PHONE: /' - ( -mss 7
SETBACKS: - FRONT: 50' LEFT: J ( RIGHT 211 I REAR: 173`
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
(VrV 5 COLA -4,
MAILING ADDRESS:
PHONE: -^i 2 `f - 208 7
N. 2102 P;c.kRit, 5e vutll�a. qq i2.
ARCHITECT/ENGINEER: C \'/trine, DeS`cl "` PHONE: ZJ(o - 5SS9 - 2-95y
MAILING ADDRESS:�10`d03 i<e * ka �e. hp. &1c 20o key'\ LiG, 'o31
NEW:\ . REMODEL ADDITION CHANGE OF USE:
4 j
DWELL UNITS: 1 OCCUPANT LOAD: BUILDING HGT: I� STORIES:_!
BUILDING DIMENSIONS: 411-1 K 2;2- (WIDTH X DEPTH) SQ. FT.: V2-4(0
REQUIRED PARKING: # HANDICAP: 0 SEWER (Y/N): Y HYDRANT: Y
JOB STREET ADDRESS:
MECHANICAL, PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(Zip)
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000
HEATING EQUIPMENT +100,000
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
BTU
BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
EVAPORATIVE
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
COOLERS
TYPE I HOOD (PER 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
OR 12'
PTN. OF HOOD)
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED 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
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
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 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
X 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
West 1303 Broadway A enue� Spokane, WAS 99260 Safety (09) 456-3675
JOB STREET ADDRESS:
PLUMBING PERMIT'APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
3
r7-
1
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 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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