1988, 08-24 Permit App: 88002513 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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 specified herein or not. I understand that the issuance of this permit 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 f1ATE
P;t!lt1 NUMBER= 880t25`3DATE= J; ::l8/2r '8}PAGE= 01
APPLICATION
.i•.i•.i• •j+i ;n; ;n; •;i• •j( •p. -Yi Ji .0 * * •j+i.i• •P * * .+i •f+f * * * * * * •+i.i• * •x .+i * "t I ' I::' i...:E C f't 1 .L o J * * * •ji• * •ji• •ii- * :!t- * * * * * 3 . i!!; 7!i ... •jt• •j!• (i+: •ji• 'jt• •j.... •j!; .}!;
SITE S ; E l _ 507 tLONG ? PARCELt=18553-1005
GREENACRES WA 99016
PERMIT t i. EE:::::: RESIDENCE ADDITION ON .... DINING 4:I:i' (; =; ::1i:: 1
I 1rv.001064 PLAT NAME= .r...:J idE;ADD
BLOCK= i LOT= ..: ZONE= SFR ... .
AREA= i^. )'::)+u++,i0ii0icy I::"/i.:}::- i:- WIDTH= 99 DEPTH= I"'I:::: i :::.,:::1 1-:';: t, ....
.,,• OF I:.' 11. i; +:; ,.> .._ 1 •!!- DWEIIINGE= t
OWNER= I•'IA:ENE;S , JOHN
STREET= 607 N LONG RD
ADDRESS= GREENAORES WA 99016
CONTACT AC:•T NAME:::: WAYNE I::. t•ERR
PHONE= 509 928 2WKR
PHONE 1 NUMBER= ,_:..j.y 299
4969
BUILDING `'i::. I i:,(`yi.:;i":;:> : FRONT= :::: `S -+:.j I...EI::...t.:::: 42 RIc;l"ITi.... NA RI:::fyl':::: 50
'ji::=i- * * i+:- . . . .. U:..j(..j.. h: i:• 'j...... . .... jt .. * j{ 'ji..X •j(.
DEPARTMENT NAME
---------------
BUILDING •+ SAFETY
REVIEW INFORMATION
REVIEW t.;t.;MMI::.N i i
............................................................
PLAN REVIEW I•R'E_t; i.. J:[l: I::..t.-+
ENERGY PLAN REVIEW REQUIRED
ENVIRONMENTAL H!(L-INCREASE i`I"Tlr1;:: s L
.+i.i- •h:.ji..j+i l+i.i• * * •ji•.i•.(.i• •Pi .+i •Pi .ji..ji. i..pi .i• * * -ti-+i -Pi.+:
DATE
IN/OUT .I:N:1:..1..:ErlL..::'
880824 C MW
Y -1.1-3z M. R .
88082:1 Gi"iW
tg f'l.
c(7`V8(30824
.)1: 'i!: :k ' F.- . +.' * * •)i: 'j+: -jt 'F: 'P: ii• li •! * 9+:.i..,t..„.:s,..jl..j,, .•,.j * .j(. * },...n..ji 'h' BuILDING ' .. .,, m ;F(..,(..j;..j(.:!,:.i,, .Fj..i(• -N.•.i..j,..jj..„..}j..,,:.j(..y(..„..j,, .},:.j,...j(•.i• :k :+:.R' '!!: 'ii
CONTRACTOR= (3R WHITE WATER i:::C)N; t CO
[ ....
Box 346—A RT 2
ADDRESS= MEDICAL ... t:.
"} K I::. WA i i is:j :... .i..
509 299 4969
NEW= REMODEL— Ai i. .r.t.!±..... `,•'' CHANGE OF USE=
DWELL i,!! .:.!.! :.: I t:' t.: t.: t.l P :. i... D = BLDG i i .:t i .... ii STORIES= .,
..!...,:'; PARKING= ::i-•I±••±ND.l• ± ±P .... SEWER= N HYDRANT= i'•.
I, J !...:.:• +., F •:.!. i i .F. L t €:, GROUP TYPE r.: Q FT VALUATION
i:.: 5400,00
;.,? .. �., ' ! it R-3 i 1'i,± :: , , 5 F.a
INFORMATION WORKSHEET
PARCEL NUMBER: l85J3 - ft765 25 i
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER : Jo//A/ ////I n'ivi
MAILING ADDRESS: A, 6,,o7 „&204//,',
CITY/STATE/ZIP: V P3k/1/VC , WASH
PHONE: 29SR
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
******************************************************************************
CONTRACTOR LICENSE NUMBER:
BUILDING INFORMATION
H TE WG l 70 QW
CONTRACTOR: WNhit W re Crws ✓c%,roAl (v PHONE: 50(7- ?c' - -4767
MAILING ADDRESS: 10403 C;_eAN.ZTr .1) ,4AKC- kIASN.
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: /I STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
(WIDTH X DEPTH) SQ. FT.: /V30
# HANDICAP: SEWER (Y/N): HYDRANT:
CONTRACTOR
CONTRACTOR:
PLUMpING,INFORMATION
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
DUCTWORK SYSTEM TOILETS
WOODSTOVE/INSERT SINKS
GAS WATER HEATER SHOWERS
GAS HTG EQUIP(100,000)BTU BATH TUBS
GAS HTG EQUIP +100,000 KITCHEN SINKS
GAS PIPING - % OF UNITS DISHWASHERS
HEATPUMP 1-100 BTU GARBAGE DISPOSAL
HEATPUMP 101-500 BTU CLOTHES WASHER
HEATPUMP 501-1000 BTU UTILITY SINKS
HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS
HEATPUMP +1751 BTU FLOOR DRAINS
REFRIG 1-100 BTU FLOOR SINKS
REFRIG 101-500 BTU BAR SINKS
REFRIG 501-100 BTU ROOF DRAINS
REFRIG 101-1750 BTU LAWN SPRINKLER
REFRIG +1750 BTU SEWAGE EJECTOR
AIR CONDITIONER 0-3 HP WATER SOFTENER
AIR CONDITIONER 3-15 HP URINAL
AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN
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
AIR HANDLER 10000 CFM
•— ------ — AUG -24—'88 14:42 ID:BLDG AND SAFETY—SPO TEL NO:509-456-4703 #104 P01 --------
--- AUG -24—'88 15:39 ID;HELTH SPO TEL NO:509-456-4:115 4EaLms•w....
AUG—R4-16 14:24 ID:BLDG AND SAFETY—SPO TEL NO: 9-455-47
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