1995, 09-26 Permit App: 95007741 ResidencePROJECT NUMBER= 95007741 APPLICATION
DAT = 09/26/95 PAGE= 01
****** THIS IS LOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4604 N LUCILLE RD PARCEL#= 45021.1809
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE W/GARAGE — GAS
PLAT#= 003404 PLAT NAME= TRENTWOOD ORCHARDS REPLAT
BLOCK= LOT= ZONE= UR -3.5 DIST#= H
AREA= 00000000 F/A= F WIDTH= 165 DEPTH= 64 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = TRENTWOOD
OWNER= INGEBO, MYRON
STREET= 3308 E 11TH AVE A301
ADDRESS= SPOKANE WA 99202
CONTACT NAME= MYRON INGEBO
PHONE= 509 534 8245
PHONE NUMBER= 509 534 8245
BUILDING SETBACKS: FRONT= 18 LEFT= 25 RIGHT= NA REAR= 20
****************************** REVIEW INFORMATION **,t**************************
DEPARTMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
REVIEW REQUIREMENT
•
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BUILDING
COMMENTS:
SETBACK REVIEW REQUIRED
K
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
COMMENTS:
-z14,714,
2-16c�
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING LAND USE ACTION REQ'D/INVOLVED
COMMENTS:
73
-17/7
�� Mfr
5. 2;�di/ l 'I C:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 26 X 46 SQ FT= 2soto SPRINKLER= N
PROJECT NUMBER= 95007741 APPLICATION si DATE= 09/26/95
REQ PARKING=
#HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1150 12650.00
GARAGE U-1 VN 576 6912:00
RESIDENCE R-3 VN 1150 66700.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 581.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 110.39
PAGE= 02
•****************************** MECHANICAL PERMIT +++**********
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 2 20.00
HOOD —TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
TOILETS/BIDETS
TUBS
SINKS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
PERMIT TYPE
QUANTITY FEE AMOUNT
2 12.00
1 6.00
3 18.00
1 6.00
1 6.00
3 18.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 695.89 .00 695.89
MECHANICAL PRMT 74.00 .00 74.00
PLUMBING PERMIT 66.00 .00 66.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
835.89 .00
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number/
5.15: Co'„,ak kiicadte- 4- Awe) Y - y.�oo?/-/PO 9
Legal description as it appears on the property deed
S /p, oA= BL/1 is Lhh c r= sao Fr 5' exe 4)36 0.Pr
NA tale sA 0d-6a6rc
OWNER or OCCUPANT Phone
/3'f `/Mor / /4)1'4,66 .5-41:— 2295- L✓/C'
Mailing address City, state Zip
3 3 a7 o i/7i 4--30 I s ps,ciits4- w,,./ /9,2e 2 -
Who should we contact regarding this project? Phone
in Yeafi
What work is being done under this permit?
Lone - - - - -
Inspector distnct; -
•
Property size - - -
Hight of -way width
•
Water distnct .
-
-
Building ' '
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished base ent area
basement
Mailing address
2nd floor area
Finished area
Architect/Engineer
Garage area -
5`�'.
Size of decks, etc.
What is the heat source?
What is the cost of your project
Manufactured Home
Sign .
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
FireSafety '.
Previous address
-
Fire Sprinkler Tent
_
Paint booth _ Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
0
!Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s) Size / gallons
Public/semi-pnvate
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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,DDRESS.
ZONE _
' 1OAD WIDTH. 5o
FRONT
:OMMENTS
VIEWED
k),
1
ACRBNide
1
110
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_J
4
1
4 410
14
LZ CJLLL ,2D
TYPE of SEWAGE SYSTEM: b n :11t4I D
LINEAL OR SQUARE FOOTAGE ISO
TRENCH WIDTH: 3,1'
DEPTH FROM ORIGINAL GROUND SURFACE TO BOTTOM
OF SEWAGE SYSTEM: iii r
OTHER: "ter 411 R.ef f/ re -A A C.Irf
SIGNATUREDATE.2�
INSTALL DOUBLE PLUMBING
USE 4' PVC PIPE ASTM D3034 SDA 35
OR ASTM F789 AT 2% SLOPE
REFERENCE CAPPED ENDS AND CLEANOUT
7117/Ai 4,24-14-0
W YOU CANNOT INSTALL TIhIS SYS1TM ACCORDING
TO THIS APPROVED PLAN, YOU MUST CALL THE OFFICE
PRIOR TO INSTALLATION.