1988, 06-27 Permit App: 88001752 MH•
SPOKANE COUNTY DEPARTMENT OF, BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read 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 'work will be complied with whether spemfied herein or not I understand that the issuance of this'permd 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 t APPLICATION
OWNER OR AGENT - DATE
PROJECT NUMBER= 8E3001?52 . DATE 05f'7/38 PAGE=' 01
'APPLICATION
ie7Frt.x-*r.**)e.){ie..j.#:j****#=k**)e k-#.u.***ie1F.*. )e APPLICATION #:k*##if..**IF**.#**.**IF**)F***-)e* )F**)e*
SITE:: STREET=: 1322 N GRADY RD PARCE::L4 17552--0609
ADDRESS= GREENACRES, WA .99016
PERMIT USE= SINGLE WIDE= MOBILE: HOME AND ADDITION TO MOBILE. HOi'IE:
F:L..ATn= 003502 PLAT NAME:::: MISSION ViSTA
BL..C)CK::= 2 . L_C)T=': 9 ZONE= RMH D]:S'T:II:=
AREA= 00000000 F/A= F WIDTH= 110 DEPTH== 11.0 R
1; OF BLDGS=:: 1 0 DIWE::L..._INGS= 1
OWNER= SINTER, CARL
STREET= i322 N GRADY RD
ADDRESS= SPOKANE WA 99016"
PHONE:::::: 509 922 0988
CONTACT NAME= CARL., PHONE NUMBER= 509 922 0988
BU:I:L..D:E.N(:: SETBACKS: FRONT::::. ;? I_.EF"i:::: 48 RIGHT= 51 REAR= 19
****A****************** X** * REVIEW INFORMATION
DEPARTMENT NAME. REVIEW COMMENTS
BUILDING & SAFETY PLAN REVIEW REQUIRED
COUNTY ENGINEER
I NVIRONMEN-CAL.. HEALTH
ENERGY E''L..AiN REVIEW REQUIRED
0.17c-
peffetuV
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DATE
IN/OUT INITIALS
NEW COUNTY ROAD APPROACH
C*74142/"Tedite2,644kf/e
880627' DM'
6:2W:88
880627.
C 26.88
1)MS
NEW OR AI.rI7IT7:f:)td'll.. WAS' r: WATER
•
SPOKANE COUNTY DEPARTMENT OF. BUILDING AND SAFETY
—
NORTH 811 JEFFERSON •
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE proviswns 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 and any subsequent inspection
approvals or Certificates of Occupancy shall not be constru give authority to violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance the provisions of any state o loc I laws regulating constructor
SIGNATURE OF
OWNER OR AGENT
l� . 4/4A`ttr--
APPLICATION
DATE
-ae ex -
PROJECT NUMBER= 88001752 . DATE= 06/28/03£1 PAGE= 03
ISSUED PERMIT
k*Xd(—k..k :-e*9c)E di..*)@de)e k*)i k:k k.k.)i..*
I::.NI:_R?;Y INFORMATION
* )**iE k*dt•**F*k8E k***9E:k X)(—)E9e** e*
SITE STREET= E322 N GRADY • RD P ARCE:I_.ti: 17552-0609
ADDRE::,SS:::: GREENACRES WA 99016
PERMIT USE:::: SINGLE W:EDE
MOBH WITH COVERING; AND ROOM ADL TION
X (::RANGE= OF USE=: • - RE,S/Co =
NEW= FREMOI)IEI...:::: .. ADDITION=
I:i'NI::RC;'r CODE= NWI:::C
APPROACH= -F'I:liSEPT.EVI:::
• COMPLEXITY=
UTILITY= WWF
I)I:::SCFt:I:PT:EON GROUP
RES ADI) R-3'
**ge.k..X..X*k...».)..1t..)(.:f(.:f(. •p?.)(*)E)(* k*k) e
CEILING, FLAT:
CEILING, VAULTED:
, WALL:
WAIL... , BELOW GRADE:
FLOOR OVER UN(:;. SPACE
SLAB FLOOR PERIMETER:
COMMENTS:
TYPE::
VN
ENERGY CODE: PLAN' RE:•vI:EW
R--38
N/A
R -24A
N/A
R--30
N/A
,S1,.? F1
480
DOORS MAX:. U- VALUE
• , GLAZING MAX (.J --VALUE
GLAZING MAX AREA
AIF: LEAKAGE SYSTEM
SPACE HEATING SYSTEM
I't
iX i9i}Ek )ek)(
0.19
0.40
15%
'STD,
BASE:I{OARI)
****
********************i * *• *•W4((•kb: * k*. X..X..k.)*****..k'k .k*.k IE *int***
I EIAVE BEEN ADVISED OF THE FINANCIAL_ INCENTIVES .AVAILIBL_E FOR THE STRUCTURE
DE::,SCR]:BLD ON THIS PERMIT, AND THAT THE: ENERGY CONSTRUCTION MEASURES FOR
WHICH THE: INCENTIVES WILL BE PAID ARE A REQUIREMENT OF THIS PERMIT, AND THAT
THE STRUCTURE:: MUST RECE::IVE: FINAL APPROVAL BY MARCH 31, i989 TO RECEIVE THE
INCENTIVE PAYMENT. I ALSO UNDERSTAND THAT NEITHER THE BONNEVILLE POWER AD-
MINISTRATION NOR SPOKANE COUNTY MAKE ANY WARRANTIES AS' TO ACTUAL E:L_L:CCrRICAL.
SAVINGS TO BE REALIZED, OR ANY OTHER EXPRESSED OR IMPLIED WARRANTY CON-
CERNING THE MATERIALS EMPLOYED IN THE CONSTRUCTION OF THE STRUCTURE:.
I
HAVE BEEN ADVISED OF AND INTEND TO COMPLY WITH THE NORTHWEST ENERGY CODE
REQUIREMENTS PERTAINING TO FORMALDE::HYDE EMISSIONS STANDARDS FOR STRUCTURAL..
COMPONENTS, AND HAVE RECEIVED A COPY OF EXHIBIT 9{A) UII]:(,H, DESCRIBES BI:_S THIii:SE:::'
RIE:(*uI.REMEN'T<i . *
.APPLICANT
AUTHORIZED OFFICER
ae.k)(*) ) (.:.f**W.*.k .*****X)s)t da§E)Idf..) i dt k'.k THANK
OLJ. **ttas
i
DATE
.)E )E.)(..y..X..1E do .lE )f .)f :rg k if. k.)(..k..)E .....IE .�..:
5,
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•
INFORMATION WORKSHEET
PARCEL NUMBER: / -7 SCa - O /o O `7
(r,c** W e . r £--4e-
y `)
Guy` .
%' STREET ADDRESS: /' /3Q, i. &,Q/9al y
;CITY/STATE/ZIP: (4-RP(pn AejeS 60AJ7,
9o/C�
4 SUBDIVISION:
BLOCK: a LOT: 7 ZONE: DISTRICT:
LOT AREA:
F/A: WIDTH: I/O DEPTH:// Q R/W:
#1 OF BUILDINGS: a # OF DWELLINGS: WATER DISTRICT: 00250/7 4+en
50 5'
"OWNER: Ad ( Ll P4-11-Pf PHONE: ` ,a - 9 - 8, cJ 8�
/MAILING ADDRESS: n./3„)„),6j49Jr Cggepn,gcgeS WA5A. 550/<O
CITY/STATE/ZIP: 6RQPn/Kees
�-y CONTACT: CA(! (
ithstz- /5'/J/(o
-9- 01 FY'
SETBACKS: - FRONT:/5 ,2 LEFT: e/ 3 RIGHT: 37 REAR: / (/
,PERMIT USE: /9,60177-111/7 l " /nDR, 7-P /o/ne
xxxxxxxxxxxxxxxxxxxxxxxxxxzxxxxxxxxxxxxx**rnxxxxxxxxxxzxxxxxxxxxxxxxxtxzxxxxx
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
0(04 e,
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: 1 HANDICAP: SEWER (Y/N): HYDRANT:
PLUMING INFORM TION
CONTRACTOR LICI:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
CONTRACTOR LIC#:
CONTRACTOR:
MECHANICAL INFORMATION
MAILING ADDRESS:
ELECTRIC: GAS: OIL:
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC:
APPROACH: PRESCRIPTIVE:
UTILITY: SGC:
POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
NUMBER OF
YES OR NO
PLUMBING FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
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