1988, 05-18 Permit App: 88001225 ResidenceMUM
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 specified herein or not. I understand that the issuance of this permit nd any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to giv thority to violate or cancel the provisions of any state or local lawtk"egulating construction, or as a
warranty of conformance with the provisions of any state or loc iilating construction.
SIGNATURE OF APPLICATION
OWNER O T..,,.. /! ._ , DATE ;> �!f j C. 1
i' E'.:.' . k i... i j NUMBER= 88001225 DATE= 05/18/88 PAGE= .: i
i!. is it i•. ,! ii. rs. ,!. i!.:i.:l. 1!. ,: F.:::.: •. i::, :-.:!. 1t si n. 1!.:., !!, n, ;!!; •jt; ;t!; .!• ;ii• ..+ is . C ;: .. . I..i i•;i .j!..jc ,!_. .}t. .}E..}j. ;!i• _}i- •)i•:1i; ;!!; •j!; ;! •j• •j:; ;i .};..!f..!j..!!. ,!;, !;..j. :y. :,!, .j...j!.:!
SITE ,
,:: i !.; i::' i.. 1 .... 3801 ::• E... i..l t i E::...r..t- i..E .... , *•j � `•. t.:.........E,....• 33541-3003
ADDRESS= SPOKANE I'• 9930,.
PERMIT USE= RESIDENCE
.: 004158 PLAT NAME= :o
I ! ,•r1 i.. 4TH
ADD
BLOCK= 5 LOT= 10 ZONE= SFR DISTO= F
AREA -00000000 i'}!:'j! " 'E' '•!••- :•!l::, DEPTH= !i :-1
WIDTH=
•n• OF B I. 11;-•i :::.... 1 •tl' 1 ! ixl i:: 1.....l. 1'+'. i.:i ,.:.:: 1
OWNER= NORTHWEST HOMES
ADDRESS= Pi'.99214 J2,1
PHONE=
"_,i. . 9 92 r 0978
CONTACT N€r..TED ARNOLD
O o ,Oi:NUMBER= .;,: ::r1:t
BUILDING SETBACKS: FRONT= ...... LEFT= 23 RIGHT= •; .. REAR= 50
j
5s; is •ii,..}!, *.f,: 7!: P: 'i!: * .1,:.p:*.1,:.j!: 'j1; * :if- j!; •JI; •j!; -ii• ;tl:.,l..:il * :!: '1L -'i!:
DEPARTMENT i
AME
........................_ .......BUILDING & SAFETY
........................
COUN1T ENGINEER
REVIEW INFORMATION
REVIEW COMMENTS
............................................................
PLAN REVIEW REQUIRED
:!: it: :!i- :I!; ?!,• ;!!; ;il; i• ;!f :Si...}!:.j!:.i!:* * i,: * :!!: :t1. .li. * .y: i!: i!:
DATE
IN/OUT INITIALS
:: t:i i.i E...ia i.. -
.W COUNTY 3.itAPPROACH 880518 :M!
JR..-p I•., .... /4..F...
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...... .... :i ,......... 1. i.....:... J i ,, i I. :. { .'.r E" ?:. I't. I"I .E. s ************:*4**************
CONTRACTOR= NORTHWEST HOMES
STREET= BOX 141295
ADDRESS= SPOKANE WA 99214
NEW= ..
DWELL UNITS=
REQ PARKING=
PHONE= 509 926 0978
REMODEL— ADDITION= CHANGE OF USE=
?
t.! 1..: t.: t.! 3' :. LD—
... }; .... BLDG E""E i.:. ! .... STORIES= ,
SO FT= 1800
4
I.. :; ;., (.; ; .,. i... ?.. ,.-, SEWER=
:,r...!!, ;il,• jE * ;IE: 'it' :1�:.},, .};.: j. j..5(.. i.: i.:,j::;i. * :;j.: j..}r..}i.:ij.: [.:!i• �l1:: r.:,'..ir. :::t €: ••' I. i i •• i-. € .i. i• i:: '•
:'. 1.....:. j. !. ,.:•... !....... 1.:... F. rl. •�' , ' ?•-. ! : , .... ;!. :...!1::!;. ;s; d�::i!;.�::il: .}j.:!. _ss; .}r. ;li� •;!; s. .;;. :ls.:!.:: :!i- :!i• 1:' •!:
CONTRACTOR= !'?L.; •t`�,•Htx;l::.,.;• I'fl...!•''`i{::.::;
STREET= BOX 141295
ADDRESS=SPOKANE
WA 99214
PHONE= ?26 0978
INFORMATION WORKSHEET
PARCEL NUMBER : . 7-5- // / - L / 0
STREET ADDRESS:
S ZS l Z -1,---77-->q L)E'
CITY/STATE/ZIP: �w��a tiffs
SUBDIVISION: /�/ ;/,
BLOCK: LOT: /O
LOT AREA:
4,0
ZONE: F R DISTRICT:
F/A: WIDTH: /0 5 DEPTH: /Z2 R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:0
OWNER:1\in,e w s 4 -/Go -,c
MAILING ADDRESS : RO , 73,( /q /2 `)
CITY/STATE/ZIP:
CONTACT: '? �
PHONE: Z(,, - 09,7 it
Srokt4, 4J•
if"
2/ (J
PHONE:
- 5z - «
SETBACKS: - FRONT: LEFT: -3 RIGHT: /S REAR: S p
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
DZ -
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
PHONE:
ADDITION:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS: X
REQUIRED PARKING:
CHANGE OF USE:
BUILDING HGT:
STORIES:
(WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT:
/ Poa kip- -7-re ? 4k
L/46 F!3 doe �-
ure
Revised 1/88
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL:
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC:
UTILITY:
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU f
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
AIR HANDLER 10000 CFM
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
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
NUMBER OF
YES OR NO
f
L.
ft,
: <
, •1
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