1987, 10-27 Permit App: 87003651 ResidenceSPOKANE 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 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 DATE
OWNER OR AGENT
APPLICATION
PROJECT NUMBER:::: 87003651 DATE= 10/27/87 I-'f1tzL:.: 01
APPLICATION
C;AT]:C)N
3(# * H 3i * 3i: 3t •}(* K 3[ . lE 3( . }t 3E ri iF )E it k H .}r * a[ it ?i .• i. it )E r F, !=' L_ .r (:: A :I: (:1 N it• * 3' . M •}i . A * !( ii• •}k i * •}i it• ii iE * * * N •}f• •}i li ik * * •}i *
3822 PARCEL.. u:= 33541-3004
SITE STREET=STREET= S LORETTA DR
ADDRESS= SPOKANE WA 99206
PERMIT T USE RESIDENCE
PLATO= (.)(4158 EI...AT NAME:::: M:I:D]:L OME 4TH ADD
BLOCK= :3 LOT= 4 ZONE= SFR R D :E > 1' ;; :::: I::•
AREA= 0000001:00 1: -IA.. I::• WIDTH= 85 DEPTH= 135 R/W= . i)
„• OF B1...DtYS= 1 •n DWELLINGS= 1
OWNER=:: NORTHWEST HOMES
STREET= :1 T= 1 0 BOX 141295
ADDRESS= SPOKANE WA 99''.14
F'HC)NE=:: 509 926 0978
CONTACT NAI'1E:::: TED ARNOLD PHONE NUMBER:::: 509 926 0978
BUILDING SETBACKS : FRONT== :30 LEFT= 15 RIGHT= 10 REAR= 62
3E 3i •N 3i * •h ii * •* • * 3(• *: 3f 3(3t 3(3(3{ * 3{ )<• 3t 3i 3k •tt 3E 3i 3E 3(• 3k
DEPARTMENT NAME.:
BUILDING & SAFETY
REVIEW INFORMATION
•u* •3!•i{•3i3e*N3{3i3{*H3.3k .•.•}(••}k*•k•1i1tii•}c
DATE
IN/OUT INITIALS
871027 GMW
REVIEW COMMENTS
PLAN REVIEW REQUIRED
Soli -le:. X45 j-- 3E .... LerAgr I ,.
COUNTY ENGINEER NEW COUNTY ROAD APPROACH
COUNTY UTILITIES W/1N PRIORITY SEWER AREA
871 x)2.7 GMW
3{*N:3t**3F3{**3(••k3(•3k•*•H:*ii3&3k1i3c3@hi**(3k3t*• EIIII...DIING F'I:::R fI1'•».M..3i3t•..3t•:n3r.•3r••X•*3{•3ik3!*•i(•3k34•.*.k**ru3E
CONTRACTOR= NORTHWEST HOMES
STREET= BOX 141295
ADDRESS= SPOKANE WA 99214
PHONE:::: 509 926 0978
i}lEW:::: X F;EEO:DEEI...:::: ADDITION= CHANGE USE=
DWE::L..I... UNITS= 1 (:11 1. UI x LD= BLDG 11(:Y'T':::: STORIES= 1
BLDG W X D :::. X SQ FT= '1475
REQ PARKING= N•I•. AI'dI'l.L(.:t•3F -- SEWERt::: Y HYDRANT= N
*************************************************************************
* INFORMATION WORKSHEET
*
*************************************************************************
* *
* PARCEL NUMBER: 35'41/ - 24>c".9 *
*
* STREET ADDRESS: .3* Z da, s, L - e c / , TIS? *
* *
* CITY/STATE/ZIP:a '"'fit , . L�..1 1, i 4.
* i *
* SUBDIVISION: *
* *
* BLOCK: LOT: T ZONE: .5,I`; JE' DISTRICT: f *
* *
* LOT AREA: F/A: WIDTH: g5. DEPTH: /SS R/W:Ig"' *
* *
* # OF BUILDINGS: / # OF DWELLINGS: *
-55.4 978. *
*
* OWNER: N •� 7`% �...� � % �Gl�I C. s PHONE: O
* *
* MAILING ADDRESS: r 4' /41/ *
* *
* CITY/STATE/ZIP: ./wa a +�_ / c` J �a 'S ./4`/ *
* / *
* CONTACT: /4-4.1 1,7 PHONE: -
* *
* SETBACKS - FRONT: "30 ' LEFT: / RIGHT: / ) . REAR: `2„ *
* t *
* PERMIT USE:
* *
*************************************************************************
* BUILDING INFORMATION
*
* CONTRACTOR LICENSE NO.: W0.0701 e 4/31:Z
*
* CONTRACTOR: PHONE:
*
* MAILING ADDRESS:
*
* 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: # HANDICAP: SEWER:(Y/N): HYDRANT:
*
*
*************************************************************************
i
• CCNTR LIC4:
*
* CONTRACTOR: PNCNE: - -
NGRItE t -CNE INFCRNATICN
* MAILING ACCRESS:
T
* PREVICLS ADDRESS:
s
• LOCATIGN: PARCEL NLNeER:
STREET:
CITY/STATE/ZIP:_
MAKE: NCDEL:�--
a
SEPIALk: LENGTF:__-_
* T.
****4-.:**tt4* t*44*****************************************t**#***************t**-
* RELCCATICN INFCRPATICN *
• CONTR LIC#:
4
4
*
*
4
4
4
4
• CONTRACTOR:
*
* MAILING AJCREcS:
* PREVIOUS ACGRESS:
F F C N E:-- ---- ----- '�
*
*
*
LCCATIrN: %PARCEL NUN8ER:
STREET: *
CITY/STATE/ZIP:_
****tel****4*** Y t***********************************************************
SIGN INFCRNATICN *
CONTR LICK:
* *
• CONTRACTOR:
MAILING ADDRESS:
FFCNE ____—
SCUAR E FOOTAGE:_______
POLE _
***********44*s***********************+**************************************
DEMCLITICN INFCRNATICN
k * .
k CONTRACTOR: FIChE: — — *
k :*
*
• CONTR LICH:
• MAILING ADDRESS: _
*
BUILDING SCUARE FOCTACE:
-#
NUMBER CF BUILDINGS:
******************************************************************************
* PLu1e1NC INEukt4AIION
• CONTR LIC4:
* CON TRACTCR : PI CNE : —
* NAILING ACCFESS:
*
#**#**#*X#**XX#X*X#X*****t*t* **X***************.*********44.****#**t**r-**X******
* MEC1-AN ICAL INFCRMATICN
* CONTR LIC.4:
*
* CONTRACTGR: PI -CNE: — — *
*
* MAILING ACCFESS:
* ELECTRIC:_LAS:___ CIL:___ CCAL:_WCGD:SCLAR:___ FELT FUNP:___
X16****#**XX##**XXX#***X***********************t****X*XXXiX*XXX**i**#X#*X***
k***************k***********************************************************c*ins,
MECHANICAL FEES PLUMBING FEES,
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/ INSERT
GAS WATER HEATER
GAS HTG EQUIP<10C,000>BTU
GAS hTG EQUIP+100,000 BTU
GAS PIPING fi OF UNITS
hEATPUNP 1-100M ETU
HEA TPUMP
HE ATPUMP
HEATPUMP
HEATPJMP
REFRIG
REFRIG
REFRIG
101-500m BTU
501-1,000M BTU
1,001-1750M BTU
+1,750M BTU
1-100M BTU
101-500M. BTU
501-1,000M BTU
REFRIG 1,001-1,750M 8TU
REI R IG . +1, 750M BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 hP
AIR CCNDI TICNER 15-3C HP
AIR CCNC.IT ICNER 30-50 HP
AIR CONOI TI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOT( -ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFH
AIR HANDLER 10000+ CFM
NLM8ER CF
YES OR NG
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATh TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES HASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLE;
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUMBER OF
YES OR NC
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v L_LJ. /-! /u 72) /2_ L P X.
Z _ /L)c),P_ T 1/H Z
7 /5_ /9.Z�
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5
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