1991, 06-18 Permit App: 91003423 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 n and submitted by me or my agent to compile said permit/pplication is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIRE ENTS/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 hether specified
herein or not l understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall n 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 . ny state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 94003423 APPLICATION DATE= 06/18/9i PAGE= 01
*•***** THIS IS NOT A PERMIT 3i•*3i•***
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERIIT
SITE ,STREET= 11616 E GRACE AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE W/GARAGE
PLATT= 001641 PLAT NAME=
BLOCK= i2 LOT=
AREA= 00000000 F/A=
OF BLDGS= i ; DWELLINGS=
OWNER= WILSON, DICK
STREET= 2834 N MADELIA ST
ADDRESS= SPOKANE WA 99207
CbNTACT NAME= DICK WILSON
BUILDING SETBACKS: FRONT= 30 LEFT= 17 RIGHT= 17 REAR= 58
******.*.*..*****If******•*********•* REVIEW INFORMATION *********4.3•**•***.
D 'ARTMENT REVIEW COMMENTS
PARCEL.4,:::: 09544-1221
MIRABEAU RANCH ADD
3 ZONE= UR -3.5 DIST4=
F WIDTH= 90 DEPTH= 120 R/W= 50
i WATER DIST =
PHONE= 509 448
133-
PHONE
33-
PHONE NUMBER= 509
BUILDING
BUILDING
ENGINEER
HEALTHDIST
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRE_.D
APPROACH/FLOOD PLAIN/DRAINAGE
NEW OR ADDITIONAL WASTE WATER
48 7335
***ii*****
APPROVAL COMMEN' S
****#ae•*****ua(•u•*•**************** BUILDING PERM *..****•*at**>t******3e
CONTRACTOR= JJ LAND COMPANY INC
STREET= 2834 N MADELIA ST
ADDRESS= SPOKANE WA 99207
NEW= X REMODEL=
DWELL UNITS= 1 OCCUP. LD=
BLDG W X D = 56 X 32 SQ FT=
REQ PARKING= OHANDICAR=
**•***1i4*4**3(•******•*4***4*3***4i44
1124
PHONE= 509 448 7335
ADDITION=
BLDG HGT=
SPRINKLER= N
CRITICAL MAT= N
7/
CHANGE OF USE=
ST RIES=
MECHANICAL PERMIT ********•********
CONTRACTOR= WAYNE SMITH HEATING
STREET= 102 E NORA AVE
ADDRESS= SPOKANE WA 99207
********3c***************3E** PLUMBING
CONTRACTOR= S & 0 PLUMBING
STREET= 169 S STEVENS ST
ADDRESS= SPOKANE WA 99204
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
************•********************
THANK
PERMIT
PHONE= 509 328 4431
*********•***********i
PHONE= 509 459 574
YOU **********************
/?,
******•
*********
*********
Spokane, County
DEPARTMENT OF'BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: , / / 2 2 /
STREET ADDRESS: /L
CITY/STATE/ZIP: SQOFQ % e ("119,
SUBDIVISION: 42 1g a e ,c/ X /i'/G ch
�= G c e 'U
7920x-Yeaf'
BLOCK: /A LOT: 3 ZONE:
LOT AREA:
F/A:
DISTRICT:
WIDTH: 9e - DEPTH:
/26
R/W:
# OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT:
OWNER: ,Q,c ,/soffit
PHONE: Sof- Yrk - 7 3 3 3 -
MAILING
MAILING ADDRESS: 2 g- 3 y /v. %%7Gd4'/a
CITY/STATE/ZIP: SeOF-Cjli! a C,"//9 - 7, 0-2 7
CONTACT: ,dre_.,e; 61,1/Sa
PHONE: - .Sd 9 - °/'l - 7 3 3 S
SETBACKS: - FRONT: 3d LEFT: /7 RIGHT: /% l REAR: ref
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: T r/.'9 2J Cr /3' rA/3
CONTRACTOR:
T, T, ,C/94/0 &d.
MAILING ADDRESS:
PHONE: Co f - - 733S
:g-3 y 41, nac/c
ARCHITECT/ENGINEER:
V
PHONE: ,5d/r'- f/8"3 - (6c0
MAILING ADDRESS: /7%, F»6 c$ /U/ steel
et
a,Ev., c 4 #. 99408
NEW: N REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: J
Girt a'Ara 4C- �}du : t.
BUILDING DIMENSIONS: .s (6z X 3 2— (WIDTH X DEPTH) SQ" FT.: //
Set rat) e yfrp'
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Zip)
(Street)
(City/State)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
SINKS -
--.. ,...
SHOWERS
-BATH TUBS .
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC. WATER HEATERS
FLOOR DRAINS
FLOOR SINKS= it
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE. EJECTOR
WATER SOFTENER
URINAL .'':-,
DRINKING FOUNTAIN
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
D.-
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x6.00 =
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 =
a
r
I
/
/
/
/
/
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet •
JOB STREET ADDRESS: -
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Zip)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT
GAS WATER HEATER
GAS EQUIPMENT <100,000;BTU (INCLUDES
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA (DUTLET) ::_ -
BOILER/REFRIG 1-100M BTU
'BOILER/REFRIG 101-SOOM BTU
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M BTU
BOILER/REFRIG +1,750M BTU
'HEAT PUMP;&,'AIR: CONDITIONER (:13-TONS-.--
HEAT
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)
1•10.0131:.:,
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED,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 "
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x12.00 =
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 =
x25.00=
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 =
/
(
/
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
•
JUL-22—'91 13:24
f1_
ID:HE4LtH'SV0
4.
TEL NO:94582243
•
I,/1f* roc /j
-1 CI 41 J i
c c:
•
M
S7rQCT'
SPE
TYPE OF SIWAGF SYSTE1;1
LIIJEAL
I'fl" Oflill'......
T' ":1 H. .36f,
DEPTH�, 6.,' Ir1M
OF sF A[,r Sl'511;,.i.� .ac```i _
'OTHER:_'
SIGNA1ORE,
If YOU CANNO11NSTAIITHIISIfSYSTFMIAC:COPPING
TO 'nos APPROVID P AN, }
nl (5"`'1 a,GGu;,O 1i;luR Al 1140N.
OAfE62*
.e >2i5'3