1989, 11-27 Permit App: 89004906 Residence'SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 9$260
(S09)4s6-3675
1 certify that I have exam in ad this permit and state that the inform at ion contained in it and submitted by me or my agent to compile said permit is true and correct. I n
ouonmn / have mm
ouunuu"oetanumo/wopscnomnsou/nsmswra/monusnnv/o/nnsmc/uuemoo,o/nvnouo,00mnom»/vwnouumo.m/provisionso//u°o
and v,o/�unoovgoverning this type " work will be comnoo*nh h�x* specified hommn,nmunderstand
/n,povnonupnmvo/no,co�muu�v of Occupancy not ovconstrued iogive authority mviolate n,cancel the provisions many state o,local /m,mou/atmo
construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF *PpuCAnmw
OWNER onAGENT DATE
PROJECT NUMBER= 89OAPO491J6
DATF= ii/27/R9 PAcF= Oi
APPLICATTON
********************************* APPLICATION ******************************
%ITE ... TREET= i3O2 % KAHUNA DR PARCFL�= ?3�34—i30�
ADDRE%%= %PGKANE WA 992i2
PERMIT U%E= RE%IDFNCF ARAGE
PLAT�=
003899
PLAT
NAME=
KAHUNA HTLL�
2ND ADD
BLOCK=
i
LOT=
i ZONF= IS'
FR
AREA=
OO�0O000
F/�=
F WT'1*)TH=
89
DFPTH= i36 R/W= �8
� OF BLD��=
� DWELLINc%=
i
OWNER=
TAYLOR'
DENNIJ
& KAT�ERINE
PH�NE=
�O9 448 �295
%TREET=
46O3 %
%UMAC DR
ADDRE%%=
%POKANE
WA 99223
CONTACT NAME=
DENNI%
TAYLOR
PHONE
NUM�FR= �O9 .14!:-, �3�0
BUILDIN� %ETBACK%�
FRONT=
3O
LEFT=
6 RT�HT=]�^
REAR= 49
********************* REVIEW IP.)FORMATION ********************** JX`
***
DATE
DEPARTMENT NAME REVIEW COMMENT% IN/OUT INITIAL%
--------------- --------------- ------ .... —.... .... .... .... .... ....
BUILDIN� & %AFETY PL UIRED
--- _...
__....
....
....
....
....
...
....
....
....
....
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....
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........ _ _
BUILDIN� & %AFETY %ETBACK REVIEW REQUIRED 89ii27 J�J
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l�.... .... �.... .... .... .... .... '.... .... .... .... .... l�.... .... K�... .... ����
COUNTY E'N-GT INEER F I A�
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******************************* BUT LDINf RMIT ****************************
CONTRACTOR= EXTERIOR% UNLIMITED
%TREET= 46O3 % JUMAC DR
ADDRE%%= %POKANE WA 99223
NEW= X REMODEL=
DWELL UNIT%= i OCCUP. LD=
BLDW X D = 79
REQ PARKIN�= �HANDICAP=
PHONE= 509 448 �39�
ADDITION=
BLD� H�T=
2iO9
%EWER= N
CHANf E OF U%E=
%T0RIE%=
HYDRANT= N
g
c� ado Spokam e. U
ram
DEPARTMENT VF� DUI �1 -SAS'
F.
T �
40� � .p
jViiest
1343 _Broadway Averiue 'Spokane, 6
(509)496 `367
R i
INFORMATION WORKSH$ET
a
E {
PARCEL NUMBER:
STREET ADDRESS:
-30L 1 _ �J�i�-luL
CITY/STATE/ZIP:
SUBDIVISION: ,�(C�/�v,✓� /�i �1 '� ��r'
BLOCK:__ LOT:_'ZONE: .DISTRICT:
LOT AREA: F/A: WIDTH:—DEPTH: R/W: AT
# OF BUILDINGS: # OF DWELLINGjS : WATER DISTRICT :
OWNER:�.9y�y,c PHONE:
MAILING ADDRESS: oz U.m/JG •CJel u _
CITY/STATE/ZIP: �,pu�✓�..f� CJS g9��� t
l �
CONTACT: Av-.jPHONE:
SETBACKS: — FRONT : LEFT:. RIGHT(;C� - . REAR,:
PERMIT USE: PEI
- — j
BIIILDING INFORMATION
CONTRACTOR LICENSE NUMBER: �x : tr
CONTRACTOR.XT�,r,y?Jy ��/4014- i� � iox
MAILING ADDRESS: � �y� o.?
ARCHITECT/ENGINEER: /Yi�T sj»� .e.f Jt� l :; P.HONE:
MAILING ADDRESS: -
NEW: >< REMODEL: ADDITION: "CHAITGE O'F USE:
DWELL UNITS: OCCUPANT LOAD: "' l .-BUIL'D'ING HGT: 0 1 ]STORIES--
BUILDING
STORIES:BIIILDING DIMENSIONS: X S2 (WIDTH .X DEPTH) SQ. FT.:
VVA"TVVn M%0VTWn. 4 t!r*m7f%xn. 'CI WVlD '.IV /Ml /
'1 ! / RYMAWT:
PER. .MITAPPLICATION FORM
MECHANICAL PE
Information Worksheet
JOB STREET ADDRESS: /�01- A-11,1/7 moi✓// Ae/u £
�9
CITY/STATE/ZIP:o`.g-�f �� PARCEL NUMBER:
OWNER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State) (Zip)
CONTRACTOR: � f.�,0-j (%,J/, /7-%,1 LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS: i?c ��� ✓ F �/��/�/%�✓f/�1 %��Z�
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION I OF UNITS ITNIT = AMOUNT
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 _ _ _ _ _ _ _ _ _ _ _
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _
HEAT PUMP & AIR CONDITIONER 3-15 TONS _
HEAT PUMP & AIR CONDITIONER 15-30 TONS _
HEAT PUMP & AIR CONDITIONER 30-50 TONS _
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
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 _ _ - _ _ _ _ _
SUBTOTAL I $
PLUS: PROCESSING FEEI+ $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $
SIGNATURE
Spokane County Department of Buildin and Safety
West 1303 Broadwav Avenue Spokane, WA 9260 (509) 456-3675
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 =
i
/
g-
/
/
SUBTOTAL I $
PLUS: PROCESSING FEEI+ $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $
SIGNATURE
Spokane County Department of Buildin and Safety
West 1303 Broadwav Avenue Spokane, WA 9260 (509) 456-3675
PLUMBING PERWt 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
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
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(NUMBER OF I X EACH
FIXTURES IFIXTURE
j3 jx
$6.00 =j
y Ix
6.00 =I
/ Ix
6.00 =I
3 Ix
6.00 =I
/ Ix
6.00 =1
1 / Ix
6.00 =I
/ Ix
6.00 =I
Ix
6.00 =I
Ix
6.00 =I
1 Ix
6.00 =I
/ Ix
6.00 =I
Ix
6.00 =I
Ix
6.00 =I
1 Ix
6.00 =I
Ix
6.00 =I
Ix
6.00 =I
1 Ix
6.00 =I
Ix
6.00 =I
Ix
1 I
6.00 =I
I
AMOUNT
1
I
1
I
i
I
(SUBTOTAL I $ 1
L �
(PLUS: PROCESSING FEET+ $ 25.00 1
1 1 1
(EQUALS: TOTAL PERMITI I
I FEE DUE 1= $ I
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (5 9) 456-3675
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CU'TENCE E. SItApSON E''" 1►:C.
N. 909 ARGONNE KAD
SPO!'ANE. WASH. 99206
PHONE 926.1322