1991, 01-16 Permit App: 91000149 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 I3ROADWAY AVENUE
-SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information 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 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/application 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 NUMBER= 91000149
"J-4.44
/.- / ; / /
(04.-
DATE= 0 16/91
* •4.3i. 3* )* 3* lu:.:ri * i* h: * 3i 3* 3!• H 3* ii 3t• * 3t• * 3i• 3i• 3i 3* 3* * i': 3i- APPLICATION a• * 3t• 3* 36 w >R• 3(• 3* .t if' 3t• yr •.n fi: * 3i• )f• * )i y. * * :* •)i• A. ?i•
SITE STREET:-
ADDRESS=
PERMIT USE=
PE...A•T•::=
AREA—
OF
OWNER=
ADDRESS=
14412 E:: MALLON AVE
SPOKANE WA 99216
RESIDENCE W ( AFitoGE:: — OWEf,
004368 PLAT NAME=
2 LOT=
00009932 F/A=
1 :„: DWELLINGS=
E.i... T TE HOMES
22 N DIVISION
JKANE E'.Ir'', 9920-f
PARCEL4= .4542_..400 2
RICHARD'S S 2ND ADDITION
E- WIDTH= 6 DEPTH= 1 29 R/W=
PHONE=50' 4 421)()
CONTACT NAME,: GENE ALLEN PHONE NUMBER= 50 n:; c")0
BUILDING SETBACKS: FRONT= 32 LEFT= 14 RIGHT= 10 REAR 4
***********************4f:**** y,_ I; f:: v T E:. W is N F• o F f i c i T :4. f j N * : * * * i s #: •r: •,n' * •,c M: * it )t' 'ir * * Jt• 3i N: k * • • •n.
DEPARTMENT
REVIEW COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
BUILDING ENERGY PLAN REVIEW REQUIRED
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
I-IE°::AL..TE•EDis;:.i NEW OR AT:)T)isTii:)NAI.. WF Uh EI,
N:**3*3{ n:3i,•**3*•3*34••»:•ri***x.*3*•ir34.3*it3r•?i•3r3*:u'3+: .i-;l.4TI_.PisN(. r'
CONTRACTOR=
,:> 1 f', r E:. T =
ELITE dHOMES
r:, 1 _ l':7 N DIVISION may, -T.
SPOKANE NE.: irar`'! 99207
t:
NEW,,, )•'.
DWfil UNITS=
BLD(:; W X D =
F:l::(>) PARKING=
DESCRIPTION
;BASEMENT.
BASEMENT U
GARAGE
RESIDENCE
.iOCCUR, LD=
REMODEL=
Ci F.T.:...
1l.ANr1CAi:,:µ
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
APPROVAL COMMENTS
k'.....1..-..7...�r.l.........................._._ _..
<............ /__.-.....cP5-f2/.
q1 -q•.
/-/7-7/ _4 -
I T T •i * 3* 3* r: 34.31 3r• .ii 'h:• 'ii' 3* 3i' :Yi :J• 3;: , 4
TYPE ;:t; E...T.
VN -360
VN0{ 8 a
,V(.,I 520
V 0 1 248
'k••it* .3E 3i'➢3'3i3'i)4.37'#.')F3C**3i• 3i•9t 3!•ii'3G rl�3l•'7l•41'y '•'1i' , iE r(I
PHONE= 509 9 .{iii`;' 4200
ADDITION=
BLDG fir.;•r• ...
:1.1INKl...Eis... • i•1
CRITICAL MAT= j,t
CHANGE OF OSP:::
STORIES=
VAE..UA..i':FON
7992,00
3696 "i4i
54912:00
QUANTITY ....:E AMOUNT
T°
'I ....
3 t . . i..: �=1 i. .. PERMIT tir .�t.:r:i •i3i• •tc 3i• 3•: };.:�..y;. 3,..n..x• yt 'n: yc ,i• ii k ,:: •ii•
----------
4,50
91,44
CONTRACTOR= BARTON HEATING •. A/C INC
STREET=rE: MANSFIELD AVE =3
ADDRESS= i4-':::, .: POKANE:: WA 9920
ITEM DESCRIPTION
GA;* WATER HEATER
PIPING
QUANTITY
y?..},; 3.: 'ii 3: 3t 3, •);: if 3i• xi' it 3'i vi: 3 ir..�i. k..y?.* ;i• * 3: PLUMBTNG PERMIT
CONTRACTOR= PLUMBING
STREET= 1.2j18 N MAPLE
SPrIKANE WA 992
f:';..4(.1N(::':::: 509 922 5000
FEE ALiI:)HN i
10,60
.;i. 4 3* * 3,; 3;..);. y( >fl 3. *:. ' 34.3;; * :t* 3i• 'i )* 3i• .n.• 3e 3* 3* Mi to :tr ::r..r::).
PHONE- 569 32A 4231
Spokane aCount / - 1'717
� Y
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET c,4---/-",44 s 0/ i° A `3
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
/5'4),./w74 //O q2
SUBDIVISION:
BLOCK
LOT AREA: 99 9
5/S/�i�✓G�Gw
: p LOT: ZONE: LL/ ' DISTRICT:
d P/A: ! WIDTH: %7 6 DEPTH:/ 3 y° R/W:
# OF BUILDINGS: 1 # OF DWELLINGS: / WATER DISTRICT: (1 &/W /,(. /X:R /owe
OWNER: f-
oQ 8/1 PHONE:cbc - `t�S - -/-/c)‘)
MAILING ADDRESS: N, j �/ �- )- h(t)/,S e
CITY/STATE/ZIP:
ci ils f, 55
CONTACT: (2, 2- ,4 " PHONE: 6-0 - Y8l - a-
/
SETBACKS: - FRONT: 1
.� a7 ,LEFT. /e RIGHT. /7) REAR:
z/y
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /f aa,1
-34
CONTRACTOR: 0 v A/ /f.2 d 1/Sitz
fly i`/ a- p(
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW:
DWELL UNITS:
--//T:Wz)/
PHONE:
- 6 v
PHONE:
REMODEL: ADDITION: CHANGE OF USE:
OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING:
# HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
03
/-1(v
6
0
CL
0 —0
'10 0
'eP514.1
0
0
-J
47,
s;1
:2487 517‘':-
•100o CiAL,
r.
1;Z.8
;z1
J101 I
•r
1
"1 I
SITE PLAN
•••••••11,
•
/2.
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
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)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION'
NUMBER OF
FIXTURES
X EACH
FIXTURE
=AMOUNT
TOILETS
SINKS r; 4
(� Y
SATS TUBS'
KITCHEN SINKS-
DISH-
SINKSDISH- WASHERS
`GARBAGEDISPOSAL
'CLOTHES ;WASHER
UTILITY SINKS
ELECTRIC_` WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER. SOFTENER
URINAL
DRINKING FOUNTAIN
3
p
x $6.00 =
x 6.00 =
x 6.00 =
N: ... 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 1= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
MECHANICAL PERMIT4AP.PLICATION'FORM
Information Worlheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(Zip)
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOOE/INSERT
GAS WATER HEATER _ _
HEATING; -EQUIPMENT <100,000 BTU _
HEATING..EQUIPMENT"+100,000 BTU _
. GAS.:.PIPINGAEA :OUTLET)
REFRIG21-100M BTU" (NOT A/C„`OR HEAT PUMP)
REFRIG 101-500MBTU
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
EVAPORATIVE
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 _
COOLERS
TYPE I HOOD (PER 12' OR 12'
TYPE II HOOD
PTN. OF 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 <16,000 CFM
AIR HANDLER >10,000 CFM
(Zip)
= AMOUNT
x$10.00 =
x 25.00 =
x 10.00 =
x:12.00'
x 15.00 =
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 9260 (5091 456-3675
„;03 03 IDI HEALTH 9F
TEL N0i94582243
TYR V. WINE
UNCAL OR sQUA1RE A
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