1989, 05-02 Permit App: 89001100 ResidenceSPOKANE 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 DATE
PROJECT 89001100
05/02/89 PAGE= 01
APPLICATION
)r * sr 1r r 3r * 1i it ,r ii }F N ;r }i * 3+: ii 7> )Far hi * it ii ii h iE ]E )? i( ?r 'i F !' ' L.... {... j••1 ! . 1 _ { t 9k )S P !; ik n: * h Jt )3 P + * $t ?k 1t N Jl li If k ?t * }t #)F }F 1F
SITE STREET= 3838 L_ORL:. (T A DR I••'ARC: E:.l...:;;:=:: 33541-3007
ADDRESS= SPOKANE WA 9920
PERMIT USE== RESIDENCE
PI...ATn+:= 00.4158 PLAT NAME= rI1:I)TL..(:)ME:: 4TH ADD
BLOCK= :_; LOT= 7 ZONE= SFR D:I:ST:„:= F
AREA= I::/A:::: F. WIDTH= Ft/ DEPTH= 135 R/W= 0
OF BLDG 4:::: 1 :,H`'' DWELLINGS= 1
OWNER= RciN GERARD CONSTRUCTION
STREET= 2206 N PINES RD
ADDRESS= SPOKANE:: WA 99216
PHONE=509 924 5696
NUMBER= r:-
,.,�..F�:�`iE�:GERARDF: PHONE >t}9 924.)4 5696
CONTACT NAME= I:; Ci t�i e:•
BUILDING SETBACKS: FRONT= 30 LEFT= 17 R:I:(xI.1T:::: 10 Imo:EAF:::: ',
3(***),:. * •}r v : * * •x• x * u x u• x• * * u .. u •u •r:• * ...tt..x. REVIEW INFORMATION ar * b:• x b• •x• a+; •tt• a:• * •r: ri * a,: •u x * * * •x• •b: a: •R * •u•
DATE
IN/OUT INITIALS
--------
DEPARTMENT NFME::
BUILDING .. SAFETY
REVIEW C(OMMEN•T•
PLAN REVIEW REQUIRED
BUILDING & SAFETY SETBACK RE::VIF.EIBJ REQUIRED
COUNTY ENGINEER
NEW COUNTY ROAD APPROACI••!
890502
890502 {YiFW
*aF•r• u•tt*•ur••.X..,,•) •u•tt••x•*•x•*n••x•**b:****k• BUILDING FE::Rm.T. T• **•*•tt•x•x**•• *u* •u**•>`:*****•u***•x
CONTRACTOR= = GERARD CONSTRUCTION INC
STREET= 2206 N PINES RI)
ADDRESS= SPOKANE WA 79:206
NEW=:: X REMODEL=
DWE1..i.. UNITS= 1 (:)(:'(::I..;F':. I._I)::::
BLDG w )X D __ SQ F.. T =
REQ PARKING= :II:F'Ij'tNt'}:I: i.:::r'tF'::::
PHONE= 509 926 5A96
AI)DTT•1:ON-- CHANGE OF USE=
BLDG HGT= STORIES=
1 258
SEWER= WI: R= Y HYDRANT= :ANT::= N
INFORMATION WORKSHEET
PARCEL NUMBER: i 3,3S2/Lb Q L) 7
STREET ADDRESS:
3F- 5 Lc�r Mct
CITY/STATE/ZIP: 57061.Int, q.2/ 6
SUBDIVISION: / 7,GC1lorie
J:rk{
BLOCK: 3 LOT: 7 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: o/ DEPTH: /3 R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:,,
OWNER: W041 cerct r" ct ('USS PHONE: - ' - s6 "I6
MAILING ADDRESS: 41 .2_2 0 6 Pwe s
CITY/STATE/ZIP: _S;914GGyes
CONTACT: 004., 6:e ret -ret
G'✓ec... 0(1c216
PHONE:
-7.,241 -56'16
SETBACKS: - FRONT: 3c2 LEFT: /7 RIGHT: 10/ REAR: 55
PERMIT USE:
*#ttk*******tk************tktk*******************tktk******************#r*dk*tktk**9 **1
BUILDING INFORMAT � ji1 j J
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: lS-6-ct-re , C0//ST T 4/e -
PHONE : Ca/ - .5-dc/6
MAILING ADDRESS: / .2. 0 D P/A/4F
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: X REMODEL: ADDITION: CHANGE OF USE:
PHONE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: 1 HANDICAP: SEWER (Y/N): HYDRANT:
1258 o 0-4
&OD CUF8
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL:
CCAL: WOOD: SOLAR: HEAT PUMP
UTILITY: SGC:
ENERGY CODE: WSEC: NWEC:
APPROACH: PRESCRIPTIVE:
POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
NUMBER OF_
YES OR NO
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU 1
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
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
3
Lor 7 6I x3
oevfer led/
1 or'e%-Ffa, Oriwti