1992, 04-27 Permit App: 92002852 AdditionSPOKANE 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 mit 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 Taws 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=: 9200/2852 APPLICATION DATE- 04/27/92 PAGE= 01
a'
x3i3i*** THIS IS NOT A F'ERMTT #3::3r###
PENALTIES WIL..1... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE ='TREET=: 1614 S EVERGREEN RD PARCEL.:":=:: 27,=11..-17(.{13
ADDRESS= VERADALE 14A 99037
PERMIT LJSE:=: MAIN FLOOR AND BASEMENT ADDITION
PLATO= 002739 PLAT NAME= VALLEY VIEW HEIGHTS'
BLOCK= i LOT= II ZONE= UR --3,5 D.ISTR:== F
AREA== F/A= F WIDTH== 147 DEPTH= 175 R/ W::= 60
OF ELDGS= 1 t DWELLINGS= i WATER DIST = SYRI:NGA HEIGHTS MHFI
OWNER= PAUL_I.IN, TOM
STREET= 16i4 S EVERGREEN RD
ADDRESS= VERADALE WA 9903
CONTACT NAME= TOM PAIJI..I...:[N PHONE NUMBER= 509 4"28 6331
BUILDING SETBACKS: FRONT:::: EX1S LEFT= 2i RIGHT= NA REAR= EMS
PHONE== 509 928 6331
•n.#.tt•**3t:*3ex***3e3*3e**3i) ***3e*3e*x.#..11•#*w REVIEW INFORMATION )**3* iak######M##-##ei*m:3i##*i4#*3*
DEPARTMENT REVIEW COMMENTS
BUILDING PLAN REVIEW REQUIRED
n HEi:rd.. T HDIST INCREASE IN LOT COVERAGE
**#*##**#*3i#3%#3i•#*##.3e #*3r#*3i•**#3i'* BUILDING i`1..LtiM.i t-
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APPROVAL.. COMMENTS
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CONTRACTOR= OWNER PHONE:=
NEW=
DWELL.. UNITS=
BLDG W X D =
REQ PARKING=
REMODEL= ADDITION= X CHANGE OF USE==
OCCUP. 1..1.;::= BLDG HGT= STORIES=
24 X 32 S'C,! FT= 1536 SPRINKLER= N
aHANDICAP<= CRITICAL MAT=: N
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CONTRACTOR= x 3xr
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STREET=
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PROCESSED BY: FORR:Y, JEFF
PRINTED BY: FORRY, JEFF
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
LOT AREA:
# OF BUILDINGS:
INFORMATION WORKSHEET
6S/3
S 1 to) tj E o cropte2,xn
Derc,.cka.`2, Goo. 961037
(hm ()CL jf e.t Vu Ht7 !tet 72 / U
I ab --1.i id
LOT:114 ZONE: DISTRICT: 1
F/A: WIDTH: a?) J DEPTH: 17L R/W:
OWNER:
# OF DWELLINGS: / WATER DISTRICT: ()era
Toon Pau111�
MAILING
PHONE: Sv 9 - 9 - 6 33
ADDRESS: S / l7 I C-o-ee lftel,‘
Li -30. 99037 t
PHONE: Sa I - qa - 6 3 3 /
CITY/STATE/ZIP: U erCicio e
CONTACT: /6 in Pa -U-1 l L
SETBACKS: - FRONT: 44 3 LEFT: aRIGHT: l� \ REAR: ./O 2
PERMIT USE: %O J?u dri a 11 Adel — ce--.
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: N/A
of
CONTRACTOR: N /A PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: �/
NEW: REMODEL: ADDITION: /� CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: I
BUILDING DIMENSIONS: LI S ,� a (WIDTH % DEPTH) SQ. FT.: / 6 8
REQUIRED PARKING: # HANDICAP:_ SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance:
Space heating type (check one) �(
Forced air electric \ Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R -38 Doors U
Vaulted ceilings R N/A Windows U ..35-
Above
35Above grade walls R - 19 Glazing area 0 %:
Below grade walls R --� Total floor area
Floor R rV/A of heated space 7%, Q
T
Slab on grade RA /A Furnace efficiency rating
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor: 7 62
Second floor:
Basement - Finished: v�
Unfinished: 7
Garage: rU/A
Carport: fV /14
Decks: f�H
Additional Areas:
LENDER/BOND HOLDER:
ADDRESS:
CONTACT:
PHONE:
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ALL OF LOT 11 & N21' OF LOT 12 BLOCK 1 VERA VALLEY VU HEIGHTS PT TR 190