1989, 08-04 Permi tApp: 89002622 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 flATE
PROJECT NUMBER= 89002622 DATE= 08/04/89 PA::
APPLICATION
: : i.: ! ::. ,il:.5?. �i- * } , ::;::!}.:xt::l :n: * :v: i : !e: * ,]: hs:.•vi.: i:::i,.;:i ii..t:: i
:.:.:-- ?.:.:.:.:...:.. . ... . .. .. ... . :. .!. 2. : •. rs :. ,: ?•.:: r•. ?..: •.: •. r-. ,y !:i i i f .:: j!_. _�a .t..j;: X. ,;•: ,: ai. n:.i :: ::(.:ej.::i.:e;::i::i.:E::.;.
SITE STREET= 3841 E LORETTA DR
ADDRESS=
DD1EY = " P : " C i { 99206
PERMIT. UEE- RESIDENCE
4 OF
PLATt= 004158 PLAT NAME=
LOT=
F/A= ai
.it. DWELLINGS=
3841 E LORETTA
SPOKANE WA 99206
NAME= FRANK' COBB.
FRONT 49
PARCEL4= 33541-2909
MID'ILOME 4TH ADD
9 ZONE= SFR DIST4=
:y
WIDTH- 87 DEPTH= 150
PHONE NUMBER= 509 924 .z4U
REVIEWINFi:"T£L. .. .. r. .. r: !: :l .:d iE,. i. :xf. (.:�1..�1. .;i.:;i.:;!'.:;;:.;.::j.`. . .. ..
nATR
i is i S • I i i 'r i !
890804
.... 't,' Int k‘ 00000 D t isss A,E 6r?#40-
fVZ-Ci kg\ft 14tAYF aiwiew1 E 6.1)7.041
IDAAD 01/63Q
CCK rJ 'A*
14, 321
•
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works C: ,zy. c /// /
INFORMATION WORKSHEET _fir
PARCEL NUMBER: - I �, /
STREET ADDRESS:
CITY/STATE/ZIP: 743 C) /,() A 9 %-
SUBDIVISION: /I/
BLOCK: LOT: ZONE:/� DISTRICT: 3 (`
LOT AREA: F/A: WIDTH: DEPTH: /30 R/W:
1 OF BUILDINGS: I 1 OF DWELLINGS: ( WATER DISTRICT: �c/C'-C-
OWNER: /%/./ /,L �j/ ,)i1 e 5 f •91 /ai./Z PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP: //11�
CONTACT: j�.o .v /� c11 A 3
PHONE:
SETBACKS: - FRONT. LEFT: �2 RIGHT: 5 2 REAR: /15
PERMIT USE:
****************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: GaC
BUILDING INFORMATION
GwE r—L
MAILING ADDRESS: C,
/.Z
PHONE: — c76?q — c(9 --c
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.: (c(cr)
REQUIRED PARKING: $ HANDICAP: SEWER (Y/N): HYDRANT:
JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
1&22-
CITY/STATE/ZIP:
1022
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU_
UNLISTED GAS APPLIANCE >400,000 BTU_
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
1
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
MAILING ADDRESS:
(City/State) (Zip) -
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
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
x $6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE _ $
West 1303kBroadway Avenue
rtSp kane, WA�n99260 Safety 09) 456-3675
0
/SZ
)v
S,
W