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1990, 05-15 Permit App: 90002073 Residence13 SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY W. 1303 BROADWAY 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 l 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 12'I OJECT NUMBER= 90002073 DATE= 05 /15/90 19 /9t0 E AGE= Ai ISSUED) PERMIT "*M************************** APPLICATION ;(..li..iE:q..y(.ii..h.+p.u..k..)girt.ii..yp.yEu(..yp.y(..)v)4****ir ***9i iF.g..yi.:t(. SITE STREET= 17501 Ei: MONTGOMERY DR PARCEL..R'= 07552--0405 ADDRESS= GREENACRES WA 99016 PERMIT USE= PLATO== BLOCK AREA= ti.: OF BLDc.;5::= OWNER= STREET= ADDRESS= RESIDENCE 004437 PLAT NAME: SP -969 LOT= A ZONE= AGRI DISH= FSA:= F WIDTH= DEPTH= : DWELLINGS= 1 ftLUM, JELMER E 105 << NE:YL..AND RD 4 LIBERTY L_AKF. WA 99019 CONTACTNAME-:: JERRY f'PL..LIM L BUILDING SETBACKS: FRONT .31..11.)4341*34****34***31*131**1*34**1*3434313':* DEPARTMENT BUILDING BUILDING BUILDING Q EN(:;s.NEEE? C HEALTHDIST PLANNING PLANNING CD PLANNING REVIEW COMMENTS PHONE= 5199 255 6322 R'W== PHONE: NUMBER=:: 509 924 23+y1 LEFT= 2170+ RIGHT= 20 REAR::=— REVIEW INFORMATION *******:***.33**********34 PLAN REVIEW REQUIRED SETBACK REVIEW REQUIRED ENERGY PI. -AN REVIEW REQUIRED APPROACH/FLOOD PLAIN/DRAINAGE NEW OR ADDITIONAL WASTE WATER INADEQUATE FRONT YARD SETBACK INADEQUATE REAR YARD SETBACK REGULATED SHORELINE: ****************************X** CONTRACTOR= OWNER APPROVAL_ COMMENTS 4/La. s -/h 66 6 *OGr Icc; 5,2 5- %0r: 'A...? 8S bit .-( 5--._._Cf`r �� et EIIt:LI...T;:I:NG 3t.. NEW= X REMODEL= DWIEL.L. UNITS== 1 OCCUR. LD= BLDG W X D == X SQ FT= 2430 RE_2. PARKING= :":HANDICAP= ***4343( 34'34****13134*3434*34*34* y(. PHONE ADDITION= BLDG HGT= SPRINKLER= N CRITICAL MAT-= N CHANGE OF USE= STORIES= 4****x..14.*. MECHANICAL PERMIT RMIT 31343434*34*3434.3.**1*•*• CONTRACTOR=: OWNER PHONE== a4**4*1**3434.*.y4.*.343i3i .*.*3434*.*.*1;e.**.;4.*.*.a4 PLUMBING PERMIT 3434 a4;@.p..*33434443(**34.*133..1(. CONTRACTOR= OWNER PHONE= 343434343434343111 .**..x..*..x..*.* iE +:.y(..)(..*. PROCESSED BY: WENTiEL.., GLORIA PRINTED BY: WENDEI_, GLORIA ********:*****.***'4***3333*•*****4(**•*• THANK you **34*34349434*3434*..*..*..**ft .*..********343(33:33:** NOTICE • It is the responsibility of the permittee, not Spokane County, to see to itithat the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failureto 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/permittee's 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 Ilnes. 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 cove.ring, 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. . v 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: u road cuts for utilities or drives, State or County Engineer's Office 456-3600 o on-site waste disposal system, Environmental Health District 456-6040 • construction in a flood plain, County Engineer's Office 456-3600 a electrical wiring, State Department of Labor and Industries 456-2792 O 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. 0 Spokane County 37D DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET 0-7552-- D//b. STREET ADDRESS: )15o1 X71(MIT Go IN>?'/ JR CITY/STATE/ZIP: CiVc-w-T/ ,e Rs WAS NtNTan/ /, SUBDIVISION: s e- g% S-" 5/ `'4 37 BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 'Batt/ v EL )ICC C PHONE: So j - 2S$ - G3 2 2 ) MAILING ADDRESS: $ /OS A/eYL.O'-//o ,OPT 2g a / / CITY/STATE/ZIP: 2 / S li'/ L / 1C L� 14/4.S// /A/c To iv / CONTACT: C2M al E, 5Lr/r/ PHONE: svy -zsj - 432 2 N 5z4' Z3o SETBACKS: - FRONT: Z LEFT: ' RIGHT: 2 O REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION I CONTRACTOR: 0 lA/A/aDt PHONE: Soy - 255 - /r 5 2 MAILING ADDRESS: 5 %OS A/SW/4W Aar 7' ARCHITECT/ENGINEER: N49 Env o,wr /ir-,/cn/ D/LAFri Art MAILING ADDRESS: PHONE:, NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: JOB STREET ADDRESS: PLUMBING PERMIT APPLICATION FORM Information Worksheet CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: CONTRACTOR: (Street) 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 = 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 Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 MECHANICAL .PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: PARCEL NUMBER: PHONE NUMBER: MAILING ADDRESS: CONTRACTOR: LICENSE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) _ (Street) (City/State) (Zip) PHONE NUMBER: MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF UNITS X EACH 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. F• 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 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 EVAPORATIVE COOLERS TYPE I HOOD (PER 12' TYPE II HOOD. OR 12' 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 <10,000 CFM AIR HANDLER >10,000 CFM r f = 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 9 260 (509) 456-3675 Spokane County Department of Building & Safety JAMES L MANSON, DIRECTOR ON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM For Single Family Residences TO Spokane County Environmental Health Division FROM: Spokane County Department of Building and Safety DATE: 1 Z - -i — , 198 (7 RE : On Site Sewage Disposal System REF : Describe Proposal: Property Owner • Road Name Parcel Number • Street Address Legal Description: SIGNED: r I � posed Owner or Authorized Representative %1 C "-C1- GOP ( t7Z i/ � ) (; I-7 g O A fj FLAT "A" Cee-614A01.e-`5 klicDiSRtcr [_cT '',6° t?,1-r ? r f'`l- •D�`� Date: /2 --f -v% / :k. An initial review of the above -referenced property has been conducted by the Spokane County Planning Department and the following items are noted. An in-depth review of the property will again be made at the time a building permit is applied for. Requirements reviewed for property as of the date set forth hereinabove. Yes/No/N.A Dedicatory Language within Plat Subject Property is Legally Divided Certificate of Exemption Required Use Authorized Under Zoning Ordinance Setbacks Met in Zoning Ordinance k)/4 Shorelines Permit Required Variance Required for Following Purposes: Other: Planning Department: Date: On -Site Sewage System Review Form Page 2 of 2 2. An initial review of the subject property has been conducted by the Spokane County Engineer's Office and the following items are noted. An in-depth final review of the property will again be made at the time the building permit is applied for. SPECIAL REQUIREMENTS: Maintained County Road Frontage Approach Permit Required Flood Zone Variance Requirements Other: Engineer's Office: 3. The Spokane County' Department of Building and Safety has advised the property owner/representative th at such time a structure or building is to be placed/construction the ,ij operty, a building permit will be required. Building and Safety Department: 0ate:/2//�/ NOTE:, The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health District for the installation of an on-site sewage disposal system is not to be considered as a vesting of a right by the owner/rep- resentative to obtain a building permit for the property. At the time that a building permit is applied for, the subject property must comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a permit for the septic tank/drain field on-site sewage disposal system by the Spokane County Health District, pursuant to this form. Accordingly, although as of the date of this document the subject property may meet certain federal, state or local laws, ordinances or regulations, in the event such items change between the date of this document and the application for a building permit, the ow- ner/representative will be responsible for meeting such regulations on the date of the application for the building permit. Roe-, SETGo tBACK 0 co 2."1 20n�. NORTH` ! c- GS- c - GS - i —•400 \600 GAclo SEPTIC TANK s ET 'eA c k 3 I_ — '..., L._ ALT: L E I'. c i-ILE' D j i - , 411 300, 0 %z R 01 -\ i I I i I -1 1 11 11 11 -1 1\ -1 1 I I M ONITr oV E R`( DRIVE 0 26• DRIV SWAY 1 't, An' ER. e -r YL. I 11 1 I *I I ' 1 GI 4, Ac WATERLINE —I I1—H PLAT "/ GREE NACRES IRRIGATION D1STR1CT RECOR\SEG E:3001!\ "E" PAGE 21 OF pLk\TS LOT"k -SHORT PLAT 39-5t 0 5-.25-88 MR 4 MRS, TELMER E. BLUM RES\DC C E GF `NACRES ;WASHINGTON _ SCALE V.= 20Ff DRAWN BY Zas REVISED SITEP'L-J DATE 5 -\5 -ca APPROVED BY DRAWING NUMBER