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
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ADDREYE= _ isl"Ei'JAi:::RE... WA 99016
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PERMIT ,..... MOBILE HOME ADDITIONS
000499
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AREA= 00000000
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OWNER-, LARSON, TOM
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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:,
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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
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DppARTMENT
BUILDING
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HEALTHDIET INCREAYE IN LOT COVERAGE
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REVIEW (':: i:a i••j M i:” j`JT ':•
i i Br:;r(...I REVIEW REQUIRED
APPROVAL COMMENTY
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DESCRIPTION GROUP
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{ATE '•.' 1 l R i.. H A f;.' i..; .
PERMIT TYPE
BUIL
.I 1 PERMIT
FEE AMOUNT
............................................
247 ,50
....................................
247,50
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PRINTED BY: JOHN i.. F;R; i"iN
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VALUATIONCRITICAL MAT= 0
720 23760,00
QUANTITY
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4,56
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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