1989, 08-28 Permit App: 89003032 Residence�
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SPOKANE ����UNTYK�EPARTMk4NT��F BUUL��N���&N��SAFETY ' ','
, ��1308BROADWAY NUE '
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� ! ` (509)456-3675 '
I certitythat I have examined this permit a�d state that the information contained in it and submitted by me or my agent to compile said permitmtru and correct. m
addition, I haveread 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 workwill be complied with whether specified hereinornot. 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
state
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SIGNATURE OF APPLICATION
OWNER OnAGENT ATE
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� PROJECT NUMBER= 89803032 ` ��' ` ' DATE� O8/28/89 PAr,E= Oi
^APPLICATION
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***************************-X*APPLICATION ****************** ix* ***********
%ITE %TREET= 52i4 NDAVI% RD . PARCEI 34644-1i14
ADDRE%%= %POKANE WA 992�6
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PERMIT U%E= RE^JDENCE
'-PLAT:1 O4i5O PLAT NAME= %AN%ON EA%T
�BLOCK= �� ` LOT� i4 ZONE= "S'.FR
AREA= ' F/A= FWIDTH= iO9
J. V.% i
' OWNERC H D INC
%TREET= P O BOX�i37i7 `
ADDRE%%= %POKANE WA 99213
CONTACT NAME= WE% CRO%By
BUILDIN� %ETBACK%� FRONT=3O LEFT= 8
DEPTH= 1i6 R/W= 5O
PHONE= 5O9 926 5229
pHONE NUMBER= 509 926 5229
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R^aHT= 25 REAR= 31
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****************************** REVIEW INFORMATION ***************�*** ******
' | ` DATE '
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' DEPARTMENT NAME REVIEW COMMENT% IN/OUT JNITIAL%
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--------------- --------------- ------ --------
%AFETY � 1-1 1..*. REVIEW.RE U E 8 �MW
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BUILDIN� & %ri
�cETY %ETBACK REVIEW REQUIRED 8 �M
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COUNTY ENGINEER APPROACH/FLOOD PLAIN/DRAINAX M '
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�ONMENTAL HEALTH NEW OR ADDITIONAL WA%T ERAl
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DEPAR'NIENT OF�IBtILDIN:Cy& SAFE ;
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A Division :of Public Worksl +r� it
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°1 A ';'INFORMATION WORKSHEET
PARCEL
NUMB it: 'J":
•., ��:. •. ' ;:'. I _��7 T Ir +t.f'tIS f y ,'7 �a�xl,fi ' bt,,`I
STREET ADDRESS:
CITY STATE ZIP•'
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4,1 '
SUBDIVISION:.�
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BLOCK: I.OT: _ I + ZONE : j DISTRICT:II
- ,. dt •fr• ..i .t.'tE .Il r 'kr l,. ;` I :b$ I. ri{r!F' -IS,
LOT AREA: J F/A:'` WIDTH: /b9 DEPTH: f/:- R/W: .S.d
OF BUILDINGSt.: : # OF ;DWELLINGS:_' WATER DISTRICT:'
OWNER: G D /` c s�HONE • - _da
Z
MAILING ADDRESS: ' 7 /7
CITY/STATE/ZIP: if : � t GtJ�y ��r /.3
CONTACT: ..r _ PHONE :
SETBACKS:. - FRONT: LEFT: RIGHT:. S- REAR. 3
PERMIT USE •
BUILDING..INFORMATION-
CONTRACTOR LICENSE NUMBER:
�/7 .
CONTRACTOR: ,`.;�•� -'PHONE:.
MAILING ADDRESS: j;
L .
ARCHITECT/ENGINEER::..0-t' 1 PHONE -
MAILING ADDRESS:
NEW:. REMODEL: ADDITION: CHANGE OF'USE:
DWELL'IINITS: OCCUPANT. LOAD:, BUILDING HGT: STORIES:
BUILDING DIMENSIONS: %- (WIDTH `% DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N):'. '..HYDRANT:
LING DRESS:
(Street} (City%State) .,
CONTRACTOR: y=r LICENSE NUMBER: •
BHONE NUMBER.
MAILING ADDRESS:
(Street)
(Zip)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (5 OR MORE. EACH:) -
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU -
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU_
REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 0-3 TONS _
HEAT PUMP & AIR CONDITIONER 3-15 TONS _
HEAT PUMP & AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
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
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
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 =
/vz
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
ILING ADDRESS:
(Street) (City/State
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER: ::
M,4ILING ADDRESS:
(ZiP),:.:
(Street)
(City/State)
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
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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