1986, 01-07 Permit App: 86009820 Duplex(THIS IS NOTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
51' "
JI'1AUtU AMtAJ AMt t -UH Utt'AH I MIN I AL Lib=
Project Number CI Q fl f1
B [/�
Owner's Name LAST FIRST MI
6Q/D F V
r/
Project Address (Street Name & Number) Zip
£, 8q09— 11 /II 4k-SFiG4 D Cr. SPoko ue, UI?. 990-0l0
Applicant
IP 0/16./1A1 YO,
Address
'S- 7/ 7 yilin;,A1s
City
),=,Qta/t,e
State
all -S-A
Zip
D
Phone
9af moo.
Business Phone)
e
( )
Contractor/Agent
WolfIr4AJd 00
Add
ess
<, 7/7 lg'Ve.s
City
,Cpok Ake.
State
LUa s- .
Zip
9gao (.0
Phone
I.-.0 ) 9a,f. as9a-
Contact
F. II SET PP
License Number (Required)
tooLFi_d_, 4
1 9P9
Business Phone
(o7EC/ I 9aX-6:29z
Architect/Engineer
Address
City
State
I Zip
Phone
1 )
Contact
Business Phone
( )
Lender
Add ess
City
State
Zip
Phone
(
Describe Work
P PJE-)( tA/
6F'-Y1p.GE
Res.
Comm.
Subdivision/Plat Name/Short Plat Number
5YL.v1A CuuRT fiz.p;r,o» /,Shier ).4,49r ,3-,7s/7
Assessor Parcel Number
07.5",,// —,930 7
Lot
1)aece / A
Block
Plat Number
e 3 --.,)917
Pertinent File Numbers
Zone
Comp. Plan
Census Tract
Number of Dwelling Units
a
Number of Buildings
Lot Sze (Sq. Ft./Acre)
Depth
Frontage
Front Se •ack
Left Setback
Right Setback I
Rear Setback
Additional Information
IDEPARTMENT USE
Square Footage
rnr = 060 XZ = (73
U8.54oXz= lo80
6Arl= 300-i. 2. =60O
l0CK - 1 CO`r.Z -3 0
Group
-I
Type
\I NJ
Building Technician
..1 kJN
Date
)=?-gip12.
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signaturr S
Date
Approved
Cond.
Approval
Hold
Environmental Health Permit Number la
.nLl,/�v
,/'—
S. -E^""p`�
j� $ 6
W. 1101 College
Id t
Room 200 / s
(11
l
l
CBS P,�,">:.1frf
Planning/Zoning
N. 721 Jefferson
Permit Number
s�,r/A �/
Engineers /-/l
N. 811 Jefferson /Y' od 7
Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N.811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signaturr S
Date
PARCEL NUMBER:
INFORMATION WORKSHEET
0 76-4,14 41 — 30
STREET ADDRESS: --/I IMA4SF/et.b
CITY/STATE/ZIP: SPsIdi4,,1E1 o P . 9907/
SUBDIVISION: Sower PLAT 89-a?
P,nRGE"
BLOCK: LOT: ZONE: DOPtE(DISTRICT:
OPPAG X •
LOT AREA:/SMpp F/A:ERQE4, WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: .' WATER DISTRICT:4J,PE2 CfM .1
OWNER: C. 14 S,E//O /P PHONE:
MAILING ADDRESS: d'- J1ti,1 _ a)G 't
CITY/STATE/ZIP: SP6J %1 M E / 1,4 pt
99,104
CONTACT: V//J(°E SE/OP PHONE: alt -921_-7,25Z,
-%flt
SETBACKS: - FRONT: SI' LEFT: 9' RIGHT: S/ REAR: 4p$ /
PERMIT USE: Dc) PLF'
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: f'ro / - 10,9 //j q ,),fl /o/Z3/9p
PHONE: sa, - - /40-0
CONTRACTOR: G%OGFLG/JD Cm
MAILING ADDRESS: £-94/. -/t/b/4,44 noire k /b -v
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: %(Y REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: „Z. OCCUPANT LOAD: BUILDING HGT: STORIES: , S.E,
BUILDING DIMENSIONS: a Y / X I" ' (WIDTH X DEPTH) SQ. FT.: A/APO
REQUIRED PARKING: it # HANDICAP: 0 SEWER (Y/N): N HYDRANT: y
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: S'..4101 J.l wh4,15F%E&M
CITY/STATE/ZIP: $Pc.4dE tots). 99a,2 PARCEL NUMBER: 07S`1W1- 230 %
OWNER: F 1/. 54.7-7-//e PHONE NUMBER: 9.18...7.2.61;
MAILING ADDRESS: /0/4 ^//J/%/Hda su,rO 0/0tj SAD RPM IE 99.2/ Z.
(Street)
CONTRACTOR:
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
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
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
VENTILATING FANS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'
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
PTN. OF HOOD)
2.
2-
z
= AMOUNT
10.00
25.00
10.00
12.00
15.00
1.00
12.00
20.00
25.00
35.00
60.00
12.0C
20.00
25.00
35.00
60.00
10.00
10.00
50.00
10.00
10.00
10.00
10.00
10.00
x 50.00
x100.00
x 50.00 =
x100.00 =
X 12.00 =
x 15.00 =
se
w
-14 n^
4e^
NOTE: MINIMUM P RM T FEE IS $35.00
SIGNATURE
SUBTOTAL
$ 68
00
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= t /J
Spokane County Department of Buildingand Safety
West 1303 Broadway Avenue Spokane, Wf1 260 (509) 456-3675
PLUMBING PERMIT APPLICATION FORM
Information worksheet
JOB STREET ADDRESS: .f44169—i/ fl_.a4 R.ls0
CITY/STATE/ZIP: $A1,04 6 WA 99,1/z. PARCEL NUMBER:76-41 --�f07
2,2 - ctio - 4404/C
PHONE NUMBER: 9fl.-7.2,CC - rfonjE
OWNER: L/, SE/MP
.MAILING ADDRESS: -90/4 t,JDign/n jorre 'loo SPeN4Al6' ,57A/2-
(Street)
9R/Z(Street)
CONTRACTOR:
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 =
,2. x 6.00 =
x 6.00 =
2. 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 =
.1y e^
0-5
/Z —
�1 0^
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE A.'
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
pe
+ $ 25.00
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
6a61c /JOE DaWL.GK
4trE,IfJRTs .".4n..
0
AN/
Na
•
oN
t.
\ 01/4 $`
PaacEC •
W I
SNoeT PLAT 83- i h97
.: E 6409- I I Mut. 5 51:71a171 en
4G
r r
Isla
rroiect •
Debctip!ion
•
! _ ; aFA _ TH F.PO O. ' TEL N0: 96232500
F. , TSG,..,,RGH-1 TESTING ABV 4TORY
LITAILIIHID 1..1
PITTSBURGH. PA.
Al A NUTUAI.. PROTECTION T4 eLIENT., 1141 PUBL10 AND OURl1LVEl, ALL RKMORTR
ARK •VPMITTEO IS THE CONFIDENTIAL PROPERTY OF CLIENT., AND AUTHORIZATION
FOR PUBLICATION OF atatrMENT11, CONCLUl ONS OR 1YTRACTR FROM OR RFOAROINM1
pun RIPORTI I1 RE.ERVEO r ue 40 OUR WRITTEN APPROVAL
REPORT OF IN-PLACE SOIL DENSITY TESTS
#681 P01
FORM NO. .. Rev.
Dicier No. SPK -1649
Report No ;14
Client's NO.
Lab #2049
.Cnacae Clean Sand Fill
Mox. Dry Density 11.9. 0 lbs./cu. ft. Optimum Moisture
ly
12.0 % Method of Test Nor ear t)ensomgtPr
OM1 OF
T[ET
TEST
R0.
TEST LOCATION
a
ELEV.
FT,
LIFT
WO.
FIELD h1oIlTURC
s
IN-Pt.El. CuE - Pt SI -Y
a
KOm PA[TIOM
■»[�i)�
1
1 •
Q
w T
,i _
! � _
_;,,I,
,: ._I. _.>
!,. t.2...L
-,.;_j
;� 31
1
" " 2 ' F G
20 yds.._NVoff' BP �
d 3.,11
13 7 ,7
131.2
132.1
1-(
12',.,,;
2
38 yds. NW of 118.1
2'aFQ
'BFC,
' BFS
2'BF
a'BF
? BFC
.,
11.1
7,11.127._t_
13.8
8.5
11.5_132
l0.5
50 yli5, NW DT "BP" .2
4
6c) yds NW of "BP"
88 NM of "RP"
6
yds ____
105 NW of "11E"
i
ys1S _
1 1 7 NW nf "3P"
100
.,—
yds
•
t
—
A11 tes s erformed ilizing a Nuclegr Pensonetet
wit},
12" extension.
Technician: Keith Brown
-,
i$ in group
BFQ.;, -Below finish grade (stimated from contractprs rsmarls i .
f nnt.rar.t.F '! F:;ler corporation.
PITTSBURGH TESTING LABORATORY
Craig Brenden,
t)i$TAICT 1AANAO0j
MAY -15-'90 10:16 ID:HEALTH SPO
140
135
130
125
0
G
U
U 120
W
0
0
2
o 115
a
a110
105
100
U
n
TEL NO:96232500 #681 P03
PITT SBURGt ESTING LABORATORY
MOISTURE - DENSITY
RELATIONSHIP TEST
Client's No: Order No: _SPK -6649
Date. 3-30/$5 Report No: #1
Reported To: Wel fl and Construction
Project: Forest Meadow Partnership
Sample Identification: Clean gray -brown
coarse sand, lab #057
Test Method: ASTM D 698 (Standard Proctor)
Pittsburgh Testing Laboratory
8y:
Craig Brenden, '.E.
Spokane District Manager
CURVES OF 101. SATURATION
FOR SPECIFIC GRAVITY
EQUAL TO'
2.90
IIINIMMIll
111110EllaMil
KIIIIIMitlimi
1111111101110111 1
MIMI
MINI NM MIN
UM
2.70
2.60
10 15 20 25
MOISTURE CONTENT - PER CENT OF DRY WEIGHT
TEST RESULTS
30
MAXIMUM DRY DENSITY 119.0 Lbs. Cu. Ft.
i2.0
OPTIMUM MOISTURE
FOr rr
MAY -15-'90 10:1E) lD: HEAT_
140
135
130
125
I
II Int
A
K
A���r�
12 0 �,�
Q.
115
rammitlimm
HIM
a 110 uS/ionm
riummu
TEL NO:96232500 #681 PO4
PITTSBU hRG STING LABORATORY
MOISTURE - DENSITY
RELATIONSHIP TEST
Client's No: Order No' SPK -6649
Date. 3/30/85_ Report No' #2
Reported To-a�na Construction
Project Forest Meacrows, Second Addition
Sample Identification: Medium -fine sand with
small amount of silt binders lab #055
Test Method, ASTM D-698
Pittsburgh Tasting Laboratory
By:
105
100
95
1.
Craig Brenden, P.E.
Spokane District Manager
CURVES OF 100% SATURATION
FOR SPECIFIC GRAVITY
EQUAL TO:
2.80
90
0
5 10 15 20 25
MOISTURE CONTENT - PER CENT OF DRY WEIGHT
TEST RESULTS
30
2.70
2,50
MAXIMUM DRY DENSITY ___a17 5 Lbs, Cu. Ft.
OPTIMUM MOISTURE 13.0 %
Form ro. 1436
MAY -15—'9O 10:15 ID:HEALTH SPO TEL NO:96232500
P. TSE RGH TESTING .ABUATQRY
•
�� ♦ {fTA{L7{N[O 1{11
PITTSBURGH, PA.
Al A MUY1. L PROT[GTION TO CLICNT{, TN[ PUBLIC ANO OVR{[LV[{. ALL R{PORTt
ARE •U•M.T'in Al ?Kr OONF[DENTIAL PROPERYY OP CLI[NTB, ANO ALTNORIEAYION
FOR PUEIJOAT.CN OF STATEME.01. COW! _118101.4111 OR ■%TRACT• FROM OR R{OARDINO
-WA Rr•ORT[ II RLl S4vED PENVINO OUR WRITTEN APPROVAL.
#6P1 PO2
FORM NO. 4V R6V.
order No SPK -6649
Report No #5
Ciient's No.
Lab #2050
REPORT OF 1N -PLACE SOIL DENSITY TESTS
CI ert_ Wo)fland Construction _
Forest Meadows, Second Addition Lots #14,51,16,17,18,19
3o.1 Description Medium fine sand with silt
Max. Dry Density 117 • 5 lbs./co, ft. Optimvm Moisture 13 • 0
% Method of Test Nuclear densometer
ELEV. U/T
OAT! Of
TE/T
TE.T
M0.%
TEST LOCATION
M0.
'MD
M01.TURe
R
IN-PLACE DENSITY
IL{�.'CV. ►T.1
COM►ACTION
i
ORT
120.7
,/1/8
1
65' W. of tree, 10' S. of N. line
6.8
129.1
100+
2
125' W. of tree, center of strip
6.2
123.5
116.2
99
3
245' W. of tree, 10' S. of N. line
6.7
126.3
118.3
100+
4
335' W, of tree, 10' N. of S. line
10.4
121.5
111.7
95
5
395' W. of tree, centerline
6.3
122.4
115.0
98
6
Wes*. end of house line
9.5
126.8 1i5.,
98.`)
I
_
r
I
Technician: Wayne Struck
T
'rimnrks
PITTSBURGH TESTING LABORATORY