1990, 10-08 Permit App: 90005213 ResidenceSPOKANE 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 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 REOUIREMENTS/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= 90005213 DATE= 10/08/90 PAGE= 01
5215 C5cL,-s..1 1) APPLICATION
*****•ri***********%**it•*******4** APPLICATION •**4•************************ l3f***•
SITE STREET= 11103 E FRONT LN PARCEL_;L== 16543-0327
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE. - NWEC
PL..AT0= MOFPUD PLAT NAME MO1=PLJD
BLOCK= LOT= 9 ZONE= UR -52 DIST0= E.
AREA= F/A= F WIDTH= 38 DEPTH= 69 R/W= 24
0 OF HI_DGE= P DWELLINGS= 1
OWNER= TUPPER INC PHONE= 509 928 1991
STREET= 12929 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= VICKI PHONE NUMBER= 509 928 1991
RIGHT= 4 REAR= 10
BUILDING SETBACKS: FRONT= 20 LEFT= 1
**.**.****************•**•*****•*** REVIEW INFORMATION *****•*•********#**•***•*•*****
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
BUILDING ENERGY PLAN REVIEW REQUIRED
*****ts**•*********************** BUILDING PERMTT ****************************
CONTRACTOR= TUPPER INC REALTORS PHONE= 509 928 1991
STREET= 12929 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES
BIM W X D =• 36 X 33 SQ FT= 1022 SPRINKLER= N
REQ PARKING-, 4HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE: M-1 VN 440 30130.00
RESIDENCE R--3 VN 1022 44968.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 408.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 65.28
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= TUPPER INC REALTORS
STREET= 1 2929 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 928 1991
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 2 12.00
SINKS 2 12.00
SHOWERS 1 6.00
BATH TUBS 1 6.00
KITCHEN SINKS i 6.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
ELECTRIC WATER HEATERS 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 477.78 .00 477.78
PLUMBING PERMIT 60.00 .00 60.00
537.78 .00 537.78
t'50.00
PROCESSED BY: FURRY, JEFF
PRINTED BY: FORRY, JEFF
******************************** THANK YOU **•**********•*************•********
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING'PERMTT 477,7F3 7477.7G .00 `14413
PLUMBING PEF;M SPOKANE COUNTYFDEPARTMENTsOF(BUILDINGS .00
W: 1303 BROADWAY AVENUE 79 .00
SPOKANE, WASHINGTON/9926b
PROCESSED BY: FORRY JEFF (509)456-3675
s.. .
Ind co rect1 andeexaminedSpthis ka a County too r cee tFwithhprocessin . contained on, 1itave read submitted my agentcompile OUIREMEN S/N 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, AlI provisions of laws ar)d ordmerses govemin8 thisctype of work,wdbbe. complied withAvIrther speed tack**
herein or not. I'u nderstand that the issuance of this permd/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= 90005213
DATE= 50/09/90
ENERGY COPY
PAGE= 02
*****************3i•**#*3i•***** ENERGY INFORMATION *#**#*****************
SITE STREET= 11103 E FRONT LN
ADDRESS== SPOKANE WA 99206
PERMIT USE= RESIDENCE - NWEC
PARCEL..:= 16543-0327
NEW= X REMODEL= ADDITION= CHANGE OF USE=
ENERGY CODE= NWEC UTILITY= MODERN
APPROACH= COMPONENT
COMPLEXITY=
***#363':** ****#
DESCRIPTION GROUP TYPE. SQ FT
GAF;Af.;F..-•-----
M -i VN 440
RESIDENCE R--3 VN 1022
********•*** ENERGY CODE PLAN REVIEW ******3e******************•*
RES/COM= R
***#
CEILING, FLAT:
CEILING, VAULTED:
WALL:
WALL, BELOW GRADE:
FLOOR OVER UNC, SPACE;
SLAB FLOOR PERIMETER:
R --49A
R-22
R-30
DOORS MAX. U. -VALUE:
GLAZING MAX U -VALUE:
GLAZING MAX AREA:
AIR LEAKAGE SYSTEM:
SPACE HEATING SYSTEM:
0.22
0,44
)i1
STBASEBOARD
COMMENTS:
NHRV:INTEGRATED SPOT & WHOLE.. HOUSE
SYSTEM SIZE (3 150% DESIGN LOAD = 6.5 KW
#*ai**•IE***#***#***#*#*#*#****##*4*****###***#****#**�t•**.#•##*#*#***#*####*****#*
HAVE BEEN ADVISED OF THE FINANCIAL INCENTIVES AVAILABLE FOR THE STRUCTURE
D 'Si +':....: • 1 THIS PERMIT, AND THAT THE ENERGY CONSTRUCTION MEASURES FOR
WHICH THE INCE .: I_ T+E .PAID ARE A Ito( UIREMEIdT 01- THIS r• 1 THAT
THE- STRUCTURE MUST RECE..• .. .. APPROVAL BY JUNE'" 'F_ ) RECEIVE AN
INCENTIVE: PAYMENT. I ALSO UNDER T - t; THF BONNEVILLE POWER_-AD'a•
MINISTRATION NOR SPOKANE COUNTY 1 'PANTIES AS TC) ACTUAL ELECTRICAL_
SAVINGS TO BE REALIZED 0' THER EXPRE.SSE. 1 IMPLIED WARRANTY CON--
CERNING THE MATERIAI ' _OYED IN THE CONSTRUCTIOTHE STRUCTURE.
I HAVE BE- 1VISED OF AND INTEND TO COMPLY WITH THE NORTH _ NERGY CODE
REPU NTS PERTAINING TO FORMAL_DEHYDE.. EMISSIONS STANDARDS FORTURAI.
'0NENTS AND HAVE RECEIVED A COPY OF EXHIBIT 9(A) WHICH DESCRIBES 'ESEREQUIREMENTS,
APPLICANT
DATE
AUTHORIZED OFFICER
***********#*****#************** THANK YOU #********************************
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER: 451630338
INFORMATION WORKSHEET
STREET ADDRESS: E 11103 Front Lane
CITY/STATE/ZIP: Spokane WA 99206
SUBDIVISION: Moffitt Court P.U,D,
BLOCK: LOT: 9 ZONE: R21 DISTRICT: E
LOT AREA: 2,622 F/A: 1 WIDTU:38 DEPTH: 6q R/W: 74
4 OF BUILDINGS: 1 ii OF DWELLINGS:
WATER DISTRICT: Modern
OWNER: TUPPER INC. PHONE: 509 — 928 — 1991
MAILING ADDREss: East 12929 Sprague, Spokane, WA 99216
CITY/STATE/ZIP:
Spokane, WA 99216
CONTACT: Ken Tupper
PHONE: 509 — 928 — 1991
SETBACKS: — FRONT: 20 LEFT: 1 RIGHT: 4 REAR: 10
PERMIT USE:
*********************************IIA*****************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: TIIPPFIR179DC
CONTRACTOR: TUPPER INC. PHONE: 509 — 928— 1991
MAILING ADDRESS: sante as above
ARCHITECT/ENGINEER: Design Alliance PRONE: S09 — 378 — 7096
MAILING ADDRESS:
NEW: X REMODEL: ADDITION: _ CHANGE OF USE:
DWELL UNITS: 1 OCCUPANT LOAD: BUILDING NGT: STORIES: 1
• BUILDING DIMENSIONS: 36 X 33 (WIDTH X DEPTH) SQ. FT.:_ 1n
REQUIRED PARKING: 2 d IHANDICAP: _ SPRINKLERED:_ CRITICAL MATERIAL:
MAIN FLOOR 1,022SQ.FT. BASEMENT none
SQ.FT. GARAGE 440 SQ.FT. DECKS !__ SQ.FT.
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: E 11103 Front
Lane
CITY/STATE/ZIP: Spokane, WA
PARCEL NUMBER:
45163 0338
OWNER: TUPPER INC. PHONE NUMBER: (509)928-1991
MAILING ADDRESS:
E. 12929 Sprague
(Street)
CONTRACTOR: GOLD SEAL MECHANICAL INC. LICENSE NUMBER:
PHONE NUMBER:
Spokane, WA 99216
(City/State) (Zip)
MAILING ADDRESS: E. 5524 Boone
(Street)
MECHANICAL
DESCRIPTION
GOLDOM290L4
(509)535-5944
. Spokane, WA 99212
(City/State)
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)
BTU
BTU .. .
REFRIG 1-100M BTU (NOT A/C, ORHEAT PUMP).,
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M,BTU
REFRIG +1,750M BTU
HEAT PUMP & AIR -CONDITIONER
HEAT -PUMP & AIR CONDITIONER
HEAT PUMP "& AIR"CONDITIONER
HEAT PUMP.& AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
0-3 TONS,
3-15'TONS,
15-30:TONS
30-50TONS.
+50 TONS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
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
•
no,
no
nu,.
no
.no
no .,
no,
no
yes"
na
ves'
yes
no
nn
nn
no
n
no
no
no
(Zip)
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x",12.00
x.-15.00 =
=
x"12.00=
x,20-00 =
x25.00 =
x-35.00 =
x 60.00 =
x.'12: 0C.. =
x:20:00
x:25.00
X("35:00—
x.,60.00
("35:00=x60.00 =
x 10.00,=
x 10.00 =
x50.00 =
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 PERIMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
E 11103 Front Lane
CITY/STATE/ZIP: Spokane, WA
OIJt1ER:
TUPPER INC.
MAILING ADDRESS: E. 12929 Sprague
PARCEL NUMBER: 45163 0338
PHONE NUMBER:
(Street)
CONTRACTOR: GOLD SEAL MECHANICAL INC. LICENSE NUMBER:
(509)928-1991
Spokane, WA 9921E
(City/State)
PHONE NUMBER:
MAILING ADDRESS: E. 5524 Boone
(Street)
GOLDOM290L4
(509)535-5944
Spokane, WA 99212
.,(City/State)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE'
AMOUNT
TOILETS
SINK'S
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS -
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SItNKS
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 =
NOTE: MINIMUM PERMIT FEE I5,$35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ 25.00
EQUALS: TOTAL PERMI'1
FEE DUE
_
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
---FF2-05-19? 11:20 1E1:HEALTH SPO
e - 5a! 3
TEL 1,•lO:94582243
59olkane County
Health District:
West 1101 College Avenue Spokane, WashIngton 99201-2095
January 31, 1992
Darlene Richmond
Spokane, WA 99206
Dear Darlene Richmond:
#636 P01
it
You have elected to receive this radon detector and to pursue monitoring of
your home which was built under the requirements of the Northwest Energy
Code. The radon detectors and the evaluation of such detector are provided by
the Bonneville Power Administration at Bonneville's expense and at no cost to
you on a "one detector per dwelling unit" basis. The pursuit of radon
reduction measures or additional detailed monitoring is your responsibility
and is at your expense.
The following procedures shall be used in the installation and handling of
your radon detector:
1. The radon detector shall be placed in the dwelling in accordance with
the following guidelines:
(a) Remove the detector from the aluminum packet. (The detector
package may be hung with the detector tag as long as it does not
shield the detector itself. Leave the blue tape intact, Retain
the circle tape to cover the monitor opening at the end of the
monitoring period.)
(b) The detector shall be placed in a centralized living space, such as
Living room, dining room, kitchen, den, family room, or hallway,
etc.
(c) The monitoring location shell be on the first floor of the dwelling
completely above grade level.
(d) The detector shall be hung on the wall, placed on an open shelf, or
suspended from the ceiling 4 feet to 7 feet above the floor, away
from windows and doors, and away from possible drafts from heating
or cooling vents.
2. At the time the radon detector is placed in the dwelling, the date
should be written on the tag where indicated, denoted as Section 1.
Administration 456-3630 Pm911411 Health 456-3613 Environmental Health 456-6040 AIDS Program 458-2580 -
Clinlc 456-3640 V5ol Statistics 456-3670 laboratory 456-3667 AIDSNET Region 1 459.6415
An Equal Opportunity Employer
FEB -08—'92 11:20 ID:HERLTH SPO NO:94582243 14636 F02
Page 2
Redon,Detector
Similarly, the date of removal shall be written in Section 4 of the
tag. DO fill out the monitor tag blanks pertaining to starting and
ending dates. DO NOT fill out the remainder of the tag. This area is
for agency use only.
3. The radon detector shall remain in place for at least three months
during the period September through March, but should not remain in
place longer than 12 months.
4. When the monitoring period is completed, the radon detectors shall be
placed back in the aluminum packet that they carne in. The top of the
foil packet shall be folded over and taped or held shut by similar
means. If the foil packet has been lost, then wrap the detector in
heavy aluminum foil to help reduce additional alpha particle
contamination during shipment. Mall or deliver the radon detector with
the tag to the Spokane County Health District.
5. At least once a month, the Health District will submit all detectors
received from consumers to a processing agency. Results will be
returned to the Health District, ar.d you will be notified by a "radon
results notification letter".
For more information, please call 456-6040.
Sincerely,
ENT\XI 3,ENTAL HEALTH DIVISION
Dactyl E. 'W• , A.S.
Assistant/D rector
005501b1'
c: George Webster, Spokane Property Development, City Hall
Marty Robinson, Energy Code Coordinator, SC Building h Safety