1991, 08-06 Permit: 91004782 RemodelSPOKANE 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 tf'einformation 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 REQUIREMENTS/NOTICE
provisions included herein and agree to comply with sam��e�yyyy 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 permijpplication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancee previsions of any st 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= 91004782
ISSUED ED PERMIT
3i * 3i 3c 3i * 36 ri• 3i• 3i 3i ir• 3t 3f• l' 3t• 3{• 3i * * 3E 3* 3h 3i• 3{• if• 'k 3i• PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
;:
Pi TO=
BLOCK=
AiiE:f3:
0F. BL..I)GS•-•
(.)WNi:"R:=:
STI.E:E:T==
3709 S L..ORETTA DR
SPOKANE W!3 99206
FINISH OFF BASEMENT
004158 PLAT NAME=
5 LOT=
00000000 F/A=
i4 DWELLINGS=
UNGE:.Fti, ROD
3709 E LORETTA DR
SPOKANE Wil 99206
INFORMATION
s7/6,/9/
DATE= 08/06/'91 PAGE= t'}i
3**3f•3#•3t•3t•3F3e•>h*•5f•*** 3E3*3* 3Eit 3*3*3. 3h3k3e3E* 3E
PAR:C;E:.i... x =: 33541-3212
L_E::VEI... OF RESIDENCE
i"iID1i...OMi. 4TH ADD
i2 ZONE= UR 3.5 DIST4=
F• WIDTH= 106 6 Di=:i='TH== 128 F./W= 60
i WATER DIST :_: MODEL..
PHONE.:::: 509 926 0463
CONTACT NAME= ROD UNC;E::R
BUILDING SETBACKS: FRONT= NA LEFT= NA
3i 3k R h• 3i ri H •x• 3i 3i Yi 3i 3c• 3k ?r 3i• •tt 3e •tt• •k: 3i h •R ii 36 3e •li 3k ii 3* 3* BUILDING
CONTRACTOR=
rRA(::1OR=
NEW=
DWELL UN.T.TS::::
EtL..DG W X () _:.
REQ PAR.K.I.NC;::::
OWNER
X
DESCRIPTION
REMODEL
REMODEL=
OC:(:IJF' . I...D::::
X SQ FT=.
OHANr) 1. CfIF•':=:
GROUP
R-3
:i:TEE DESCRIPTION
RESIDENTIAL VALUATION
STATE:: SURCHARGE::
COUNTY SURCHARGE
3i ii 3(• 3i 3t 3E 3k •u 3i 3i 3k 3i 3r r} •N.' ik 3d 3 3¢ 3E 3t• 3t •ii 3t• 3i 3i 3{ 3i a
CONTRACTOR== OWNER
1:TE::M DESCRIPTION
TOILETS
SINKS
SHOWERS
BAR SINKS
3i 3G * 3i 3i• 3¢ * •b: 3i •ii 3@ 'A: * a •ii 3e 3 . •ri .. •k ii . •hi •* 3i 3k * * 3r •N: *
PAYMENT DATE
08/06/91
08/06/91
TOTAL DUE=
PIERM1... TYPE
TYPE
VN
F::I..IONE: NUMBER= 509 926 046
RIGHT= Nil REAR= NA
F'EFtiMIT •ii.•A*a3e3i3*3*3•3i3*3E3':3k3i3c3i'3c3i•. }i:a3t•3!:3i.J 3h
PHONE=
ADDITION=
BI._DC; HGT:=:
SPRINKLER= NKI...E:F w: N
CRITICAL.. MAT:::: N
CHANGE OF USE=
STORIES=
SQ FT VAI._I.JAT1:ON
QUANTITY
PLUMBING PERMIT
•
BUILDING PERMIT
PLUMBING 1 1IK°11:i:T
2500.00
F E E. AMOUNT
54.00
4._••,:
8.64
3k 34 ii 3i 3e 3E 3* # •it• 3t• •h * :R it 3i :3* 3{ 3i 3i 3i• 3i * 3i 3i •a• 3* 3t• •k i•: *
QUANTITY
i
PAYMENT SUMMARY
REc;E:IPTO
53.,1
.00
FEE AMOUNT
67.14
>4.00
91.14
PROCESSED D BY . .JOHN LARSON
PRINTED 1:;Y: JOHN i...ARii'fli
PHONE
FEE AMOUNT
----------
6.00
6.00
6.00
6.00
3{3c3i3t*3k3c3k3{3kk3'3.•a:3l ii3i•3r3i•A•W34 ri'.p:3t•k:3iid•
PAYMENT AMOUNT.
6i':i4
24.00
TOTAL. PA:ED::= 91.14
AMOUNT PAID AMOUNT OWING
67.-14 t .00
'4.00 :.00
91. i 4 .00
r: ?!• 9L• Y!' '}•: 3{' * * P: 3l 'b: •)1. * * 3{ 3k •P.' 'A: * 'P.• 3c 3e 9!' .}{' 'A: * 'A: 'A' 3{• 9l' 34. 3i THANK .. J .. J 3l ii 3r 'x 3l• 3(• 3i• P.' 3i :A: P: 3i 3k 3t• 3i 3k 3!' * '!ti 3k 3i •N M ih '1F 'F: 9C 3': 3{' * * 3k •A:
Project
Address•
SPECIAL CONDITION CHECKLIST
Dept:
Dept. of Bldgs.
Engineer's
Planning •
Date'
Utilities.
Other_ .
Condition:
Project # Use.
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bond@
Bonds
Double Plumbing
ULID
Init: Appr:
(in) I (out)
THtSSPACE 'FOR COIMMERCIALPLANSTRACKING, CERTIFICATE OFOCCUPANCY ONLY """*"""'""""'*•"'°"""""
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued Certificate of Occupancy issued:
Office file review by
Filed insp finaled by:
Date:
Date:
Ninety days after C/O issuance:
Owner/contractor called regarding' -the return of plans` •
Plans returned
No response from owner/contractor .. plans destroyed
Received by:
Date*