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1990, 07-11 Permit App: 89002908 AdditionsSPOKANE COUNTY DEPARTIVI NT OF BUILDING AND SAFETY W. 1303 BROADWAYAVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I certify that I have examined this permit/application, sate 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 Certif icates 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 OWNER OR AGENT DATE APPLICATION PROJECT 1^J} Ij"j' i,=..,,o'ii2ri'tJ:8 :A ;:r:.:!i..:�i.. a• :!i.!t:!i..!:.:..a}).*!: q!x:r:..L{.4i. * APPLICATION .•......P...:ici4k4*444r*****:j4* > I. 1 E STREET,: 60.:: N MICHIGANYT i'r;I ( .. , r ADDREYE= _ isl"Ei'JAi:::RE... WA 99016 0ti ... PERMIT ,..... MOBILE HOME ADDITIONS 000499 i:f1 i iI'.1<= 4 AREA= 00000000 ii OF F 1'{ i... ).?Ira' :r. (: i'L..AT NAME:::: C(_Ii.,':{'fi`J ADD LOT= ':' 7ONF= (1J1. I..1 f r'J ('.; OWNER-, LARSON, TOM !'i,:Y R r I. i :... V i MICHIGAN .�. ADDRESS= t..;. i• , I.. I... i J; : I::: ;:,, I... ;L,I r�:', y , {?! ,I r:, CONTACT NAME= 7:, I_.i : { M i•'•'1 is i<' 7 N TO GRFENAc4T:, A s R J (! 1<:...f..x...:. O1: -1:::•T'1..1-:, PHONE= 509 R54 PHONE NUMBER= 509 BUILDING ,:•I (r A .i`;; FRONT= { LEFT= ,,....:i RIGHT= 1 (:) REAR= in9N:a)ina tnnnni N?eni)ni * r c h4REVIEW IL ? R I"1 F•i i it} ;,,: 4i' i,: •),: •R• },; •i,; * •'r: * 4C {„i :,4 'ni :ni * •),: 41: '),: 4?• iu:• * ';,: 4c * DppARTMENT BUILDING Bu fi...I? :NG HEALTHDIET INCREAYE IN LOT COVERAGE ***********K******************* k _ iT .} _ PERMIT IT )PUndt•pjhjj** !:* )* 7j : * d:i M : REVIEW (':: i:a i••j M i:” j`JT ':• i i Br:;r(...I REVIEW REQUIRED APPROVAL COMMENTY .(. R i::: F:...(.... ADDREYY HEW= DWFI UNITY= LI ':,: 'I') .... :1:::1: PARKING= PO :t' ('a {, 5020 x:1::,(••11:: r4Nf:: WA 992075 PE MO YQ DESCRIPTION GROUP f;; E:.:. t:i (i :i: f ' ITEM f: M DE (::R I:..iI:i:1iv `:.L ..) :::f•° i .I.1•i L.. VALUATION {ATE '•.' 1 l R i.. H A f;.' i..; . PERMIT TYPE BUIL .I 1 PERMIT FEE AMOUNT ............................................ 247 ,50 .................................... 247,50 i:' 1. ('i (.:': I::• • ; " I:: t::) f •; `r` . JULIE ; : i i (:..{. s i..i PRINTED BY: JOHN i.. F;R; i"iN I `I li. ••i1Ji :c. /.r.(.)D.1...(..i.(..1,,_J:::: CHANGE •ll.: 11,1:,1::... BLDG H,y_f-:::. ST-RIEY= !:' F' F'< I N16.. F f;.::: VALUATIONCRITICAL MAT= 0 720 23760,00 QUANTITY 1..1..i.. r"Ir'il.i!}N..f. ( 4,56 r•y("ir_t._ N , PAID AMOUNT OWING NG ., .. ). .. 41111: P. .. .. .p.;.;i .�. ...... ji ji ".:'.: '.: t:'.:::: •::'..�i.: t:, ... 1 , I�. x 'n: • ,: +r at• n.. !� ! � 'n:• 'n• 'u• :� n. n. !�. n. !,. n. n. !� n... n ! f 247..50 00 247,50 'l: i,. j,..jr. .N. * p.. .* * R• * 4,; * is * * )i 4,i )i• ;u, :„ n; i;: **4.4..*** NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittees expense. At a minimum, the following inspections are required by County Code: 1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual im- proved street/ curb. The responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Block- ing for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION — prior to the installation of drywall. 5. PLUMBING — after rough -in, before covering, and final. 6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL — when complete and prior to occupancy and/or use. In addition to the above inspections, any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: • road cuts for utilities or drives. State or County Engineer's Office 456-3600 • on-site waste disposal system, Environmental Health District 456-6040 • construction in a flood plain, County Engineer's Office 456-3600 • electrical wiring, State Department of Labor and Industries 456-2792 • sewer connection, County or City Utilities Department 456-3604 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations — please call Us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building and Safety at the address found on the face of this permit. Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: {f o 69 va /f -/z tom% CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: %< ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: Jo„ Gc.2So -j MAILING ADDRESS: CITY/STATE/ZIP: PHONE: g % - 5-3q - CONTACT: 17 /c.'1 5�, (Z .`,v PHONE: (-.)7 - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: m4r ' /1„,,T,!/041- CONTRACTOR: t / /OG T CONTRACTOR: rneCtk 5 0 MAILING ADDRESS: f 9. e of 1,)c PHONE: 5 - r 7 - ARCHITECT/ENGINEER: PHONE: - MAILING ADDRESS: NEW: REMODEL: ADDITION: /K, CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: /0 3G // BUILDING DIMENSIONS: /j X L/ (WIDTH X DEPTH) SQ. FT.: C�f5d REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: Department of Labor & Industries Construction Compliance Section 805 Plum St. 2nd flr HC 650 PO Box 9689 Olympia WA 98504-9689 (206) 586-6085 Insignia . �.� r` NOTICE: Dealer/Contractor or HomeE e F i+'' • --423. YOU MUST CONTACT the nearest L&I Inspection office* to sch4ttle$ Inspection TIME & DAY for inspection. Offices listed below. r-3 ! ! 1 ; if koute to . Rputed by APPLICATION FOR REQUESTED INSPECTION DO NOT complete this block ol i Fees rec'd plans % 24,i, co -o Owner —4>Offices are ONLY open between 8:00 am and 5:00 pm Monday —OP- NOTE: The insignia fee is NON-E_F_UN_DABLE. Owner - Phone (between 8am to TO cam (le/) MS3 Uf a' Address . • City State ZIP €krf e u a c �, �.� UI//f. . .w Installer/Contractor Phone --I—City Address ,0 , ea 5a y 0 I Mobile Home '�(.�... Recreational Vehicle 3 Contractors registration number tti�s R� Date i M -F) # Check no i / 1 G` �... Insignia #` Dealer Phone Address City 1 /� 7p / / (� . (! K�i,tit e lit % - `` f State 6- .•.fro. L., ! a 8 �., E cD Please send completed application & check to the nearest Make check payable to: Dept. of Labor & ',, L&I location listed below. Plans w— Technical Inspection c € Alteration! . Wood Burning $70.0 $50.00 $75.00 Appliance $75.00 Description of work State ZIP Commercial Coach 1-1 Will Call Ready for inspection Mobile Home/Recreational Vehicle/Commercial Coach Manufacturer Fire Safety Insp.! $75.00 Industries '3 Re -Inspection $50.00 RECEIVtD ►. $ 9 IIib Attach hand drawn magRrnsto location Serial No. Location of Vehicle Re inspection required Date €Signature of applicant or authorized representative uual Inspection Completed ?m� �� %Inspeccto A fione ««:«x«.�-K.�««<.�««.:<««m:««<,. .� xo-�«<�,•,�.�.a Y ,««�Yx.;�.�1.�. } «<t�< ��`,u ABERDEEN 2700 Simpson Ave. Aberdeen WA 98520-0013 (206) 533-9300 BELLEVUE 300 120th Ave NE Bldg 4 # 124 Bellevue WA 98005 (206) 455-7048/7074 L*Dept. BREMERTON 4841 Auto Center Way *201 Bremerton WA 98312-3440 (206) 478-4558 EVERETT Evergreen Way Business Center 8625 Evergreen Way #250 Everett WA 98208-1801 (206) 356-2932 F622-012-000 APP FOR INSP. 12-89 of Labor & Industries. Mobile Home I fon Offices 41305 Tacoma Ave S #305 Tacoma WA 98402-1988 (206) 593-2855 EPHRATA 21 C Street SW Ephrata WA 98823-1895 (509) 754-4608 KELSO 711 Vine St. Kelso WA 98626-2621 (206) 577-2200 KENNEWICK 500 N. Morain *1110-A Kennewick WA 99336-2607 (509) 735-0100 KENT 19435 W Valley Hwy Bldg S #108 Kent WA 98032-2114 (206) 872-6343 MOUNT VERNON 1220 Memorial Hwy Mt Vernon WA 98273-1406 (206) 428-1350 OKANOGAN 1234 2nd Ave S Okanogan WA 98840-0632 (509) 422-2550 OLYMPIA 805 Plum St SE, 2nd fir Olympia WA 98504 (206) 586-6085 SPOKANE E 3901 Main St TAF C33 Spokane WA 99220-4033 (509) 456-2793 VANCOUVER 10401 NE 4th Plain Vancouver WA 98662 (206) 696-6295 WALLA WALLA 1815 Portland Ave Walla Walla WA 99362-2264 (509) 527-4437 WENATCHEE 123 Ohme Gardens Rd Wenatchee, WA 98801-9620 (509) 663-9713 YAKIMA 1716 S 16th Ave Yakima WA 98909-5713 (509) 575-2667 110