1986, 03-31 Permit App: 00010736 Residence(THIS IS NOTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
1
Owner's Name LAST FIRST MI
Himalaya Homes, Inc
Project Address (Street Name & Number)
11102 E. Fairview
Zip
Applicant
Himalaya Homes, Inc.
Address
S. 104 Freya - Suite 203
City
Spokane
State
WA
Zip
99202
Phone
509 ) 535-6602
Business Phone
( )
Contractor/Agent
Zakir H. Parpia
Address
S. 104 Freya - Suite 203
City
Spokane
State
WA
Zip
99202
Phone
( 509 ) 535-6602
Contact
Zak Parpia
License Number (Required)
HIMALHI161DE22301
Business Phone
( ) same
Architect/Engineer
Address
City
State
Zip
Phone
Contact
Business Phone
( )
Lender
Address
City
State
Zip
Phone
)
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signatur
Date
Approved
Cond.
Approval
Hold
Environmental Health Application # 1 ��% �i -V-y
.S 94
W. 1101 College
Room 200
)44 IA
jj
Planning/Zoning
N. 721 Jefferson
Engineers
' "
_
N. 811 Jefferson
- � 6-9�. �/.tr.PJ
/1
`-77D Q ,/' �,4e t1..AfiO
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/
Utilities
N. 811 Jefferson
I
Plan Review/Fire Prevention
N. 811 Jefferson
5f L .,.,
Other (SEPA/Critical Materfalletc.)
Fast Track/Special Inspection information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signatur
Date
ENERGY APPLICATION
HOUSE TYPE; 952' Cal Sulit
ADDRESS: 11102 E. Fairview
BUILDER: Himalaya Homes, Inc.
HOMEOWNER: Himalaya Homes, Inc.
FLOOR AREA: 1st 952'
BASEMENT: 700'
WALL INSUL. R - 22 AREA
FLOOR INSUL. NONE AREA
SLAB INSUL. NONE AREA
CEILING INSUL. R - 49 AREA
VAULTED INSUL.
APR 2 3 1986
SLC
o c
2nd
WINDOWS (Group Same Size Windows On One Line)1
AREA
BRAND
MODEL
U -VALUE
HOW MANY?
SIZE
AREA (SQ. FT.)
(Number of Windows x Sq. Ft.)
Milgard
2100
Tri pl e Pane thrn, ,n„t
TOTAL WINDOW AREA
(A)
SEE OTHER SIDE..
01 0
11
'170
1 bOz /-Am
517,e e--
1 Oct p G-4-1.—
/
IPvc
pt22) ATS7N1 D-30 314
COTO
4 z� Li lir / AJ
FA- IR v,t) A -yr
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7-1
r -i vreel Ave:"