1992, 08-25 Permit App: 92006829 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 B ADWAY AVENUE
SPOKANE,ASHINGTON 99260
(509)656-3675
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. Iunderstand 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
i•'' Pt` °...! ..l c:: l:' ..I• NUMBER= 9.: °'r r.:+ t".i 4:i ....
l:y ,r.:' E....E i..: F'i
# E"E :C ,: � NOT ;..; FERMI- E•�° i•-! :i. _I. j,:..j.; .j,,
11AL `, 1 F::,:' WILL. BE..: r,;:,`'E: !•c;, i. #t i.,z..#,, WORK WITHOUT
.i....
� .. f 1 � : i t J !'; .t. t � i_r u1 3 1 I i i i_ 1 'f i� r PERMIT
ET E ?106 E NEWER CI
VERADALT WA 990:
IT UEE,-
E E:::Ei:7i1:::Nt:;I:.' -.. .t',TE.JFlAi_. Gr'r,
005092 Pl.. A
1.•'J 1,J I::.1... E....1. l'% s
PAl.# !:'E .at... 45264,12
Ai 3 {' l_i;'xi,i i';I:`i:.:`:".
ZONE., UR-
F
}:,;
WATER DIET VERA
OWNER,- R',= E..ANDf;'E 'I 1..1 CCN, T'(=.;1.;t:': T t.iN
' :EE: 'i ..y ,
' I::' Y.i::i N F:. WA
ODER NAME,. ,. ,,,!r'iEF•E:E:i`J#::fTf_{r,r rjt1
i{.',1... EAV :i N f J1 BANK
AVE
C
PHONE, --,r:-; t:::
5 7
PHONE NUMBER,.
i:ji'-•E f� :..:�-- j t
...i [ f"1. j i'`JA'i#::.'�'• 1..f^'ii'`t.l:�RE::: i E"i f..-�.�j''< �1.4.`F I_It.....T1j..ii...�
.;pRHONE ll " tl ."Y :
7770
BUILDING. ,
('_ t
FRONT,. i t,% LEFT,,, (::r .i t:z 1.,. (:r 1"i'T' 18 REAR.,4.
x,, .},,.* * r ..j}, t,i.:,,; .i,, * .jr,..j,..,L. * :ti. is * P:• i,4• * * i* 4 •jr..... •j(• .) 11:REVIEW i ` L ! , .
44******************—**Hi
I'' (:i 1'': T i'i F' Ni I
REVIEW COMMENTF,'
BUILDING PLAN Ey,t:::'•,r.iE::,W REQUIRED
BUILDING EETBACK REVIEW E•;= •:: ; , # T { <... # :
ENGINEER
E•=;R.(t;c.:E : E 1_00 D E'E..11:11.i`,i,'Cj',;;`:.14r.J•#.;: a'i$'..G.. :... .:�fl. '— —%7
RING ! I a. 1' 1 E:: !F
i+k C :?f ?,,; Nt :: P. •N: 'N: ir:• '• ir+i ..Sri {ai 8r; ii- .. •)r:• jr. •.n• •.. .. •ji; ;..:::nr :»; :n; ii•. :} :.,.: .. . ; ... 1:: ,... .. ,•
!,. E,, .t. i,., � .L i''J i. r
:'TRE:.E::.I::::
Ai:'1:rE.E;:.:. ..
NEW—
DWELL.
EW
BLDG D EpiREQ PARKING
WA r..
TION .1[Z!(..:
ei- 1 ';.i r)
EO FT.,
E..E;::,I,E11 #::;(:Els°....
* ir{ :!+r * 10i.jj..iy..}i. tni H..r(. .jt,. J,, * .. .jr, .jt. iR....P:.H .
PH0NE,,,, 509 535 7778
BLDG HGT.,
3414 ..'1'F' dKi.E1 .
l'iA T
,,T,.1F;:1 E:
A t}l• !i 9i; 7i i„r * ii:..:. X- .*2 i!: '1: i+>r A. ;n; * :. . 71• .... iR ri' inc : r; i+!..j,...}i.:e: . .. :
! # } �: 1., E• E F�f 1'`� �(. #._• (•ti i_. !'• E:: !" I"t j i ;r¢ •Pi �ii $ri •Ni 7¢ ini ;i*; 31:.* #i i++: A* 'J' Tri !ni * iqi 'Pi iri ;n*2 i+i. ii. a. A
CONTRACTOR., BARTON HEATING
E. 41;, r>_
INC
#.`
.N:;,r03
PHONE,. ..t..tr-. r,.j,.., r: .922
tar.}i;'+
•, ur i+'i '1{• 97 'R' ;e• ji•.f1. .?,; it: •. •jt; W.. .: :,..}+.: .:.: •.. •.::::: t:'..'.:: I...... t' :..;'': �;;� _....
N A. N i Ar. Jr. t! J! J4 r. H. Y. j+. "• ("' I E `i �-. , ! . i + i:. 1"� 1'1 E. E :il ;lt; :pi ii• i!:.j(. ji.:}+: j!: iG rp, .j>• :M...tt. )t' jtr i'!. jt. ,H, .ji. qr. ,;r, .,,:
CONTRACTO
i"•. .I. 1.1
#"= C.. #..:1-1A I''< .: _AL i... .i. t -•J #..,
B f . ;rat:.£`%)'l::.1... , (E 1FIA
T,{`(: UFO 1..''E::.E..., E.1'1 .1.is
PHO,E 50C 5944
1C "+i )...jri * ..:„..x i i- iR::,r..!y.:,¢ .yt '?k i�::::�*j .i1..�:.ii- :1 f. ji..jt.:Jr: 41. jr. iq..j4..pr :ri.:q, C• ' - . .
.: + ; .i f..S r'1 I'-. f #, # i_1 :,er i+3r �Ni 1+::,r. },i !. ttr * A: * q:.+rr hr :'{• :ir u• roi •j4• j! P: i'.:ui pM * j:: P: rr.
i/7•17
bub
Provide the
CITY OF SPOKANE
SINGLE FAMILY RESIDENCE
BUILDING PERMIT APPLICATION
following items to accompany this
2 full sets of plans
3 site plans
1 legal address slip from Public Works
application:
A. Site
Information
�. .2 t O 10 C. i t% t..azv.\ C^� �- zip:
CJA
1.
Address:
B. Owner/Builder Information
1. Owner/Builder:
2. Company:
19 037
3. Address: s5- 3%.2-4 ' Z'A`t't
4. City: S�o1LA��/-
5. Phone ( S� ) .C3 S -
State:
1-77s
Wf1 Zip: e5‘2.�3
6. Contractors License #: L.Ari b P C-uI ?2 --PA
C. Lender
1.
2.
3.
(Check One) Specialty General
Information
Name: (N Ors. A 7.t2 (....-ON 111
vt`(`C ki: L.. 5;\.,0s:,,,_..., - 8, N
Address: (t). S'►Sv lZS�'•_S C_I $$eo' 4 -)E, t/dL . 99A/0
Phone ( b --0.1 ) 3---3 — 4 01 1-7
D. Bonding Agency
1. Name:
2. Address:
3. Phone:
E. Building Information
1.
2.
3.
4.
5.
6.
7.
8.
9.
Style of House (split level, rancher, etc.)
Main Floor Area
Second Floor Area
Basement Finished Area
Basement Unfinished Area
Total Conditioned Floor Area (TCFA)
(Add 1, 2, 3, and 4 together)
Garage Area
Covered Deck Area
Uncovered Deck Area
x'10-1
1-70'7
!-10
1 co
over...
F. Site Information
1. Lot Area
2. Is house located on or within
40 feet of a slope?
If yes, what is the percentage of the slope?
G. Energy Code Information
1. Space Heat Type:
2. Make/Model:
3. Size: S,C)00
64s
16344 sF
Yes No
EprAi i 4SeA-k)642_- 076-
?.00 Efficiency:
4. Backup Space Type (if applicable):
5. Water Heat Type: C� s
6. WSEC Compliance Method (choose one):
a.
b.
c.
System Analysis (provide heat loss calculations)
Component Performance (provide heat loss calculations)
Prescriptive Path (provide the heat loss calculations,
or comply with (4) below)
(1)
(2)
(3)
(4)
Total area of glazing:
Percentage of glazing over TCFA:
Path chosen will be Path which requires:
Wall Insulation R- /
Vaulted Ceilings R -
Ceilings R -
Doors U -
Slab R-
30 Glazing U-3
; Floor R-
. 0'7 Z.
Energy input in BTUH cannot exceed:
For gas TCFA x 39 =
For baseboard TCFA x 21 -
For electric f.a. TCFA x 32 =
BTUH
BTUH
BTUH
(If above values are exceeded, heat loss
calculations will be submitted)
H. Ventilation Code
1. House ventilation (choose one):
Whole house fan, fresh air inlet ports
Integrated forced air system
Heat recovery system (provide engineered design)
2. Radon mitigation (choose one):
Prescriptive method
Active system (provide design
I. Alternate Materials & Construction Methods
drawings)
1. Are any nonconventional construction materials or methods
foam core roof/wall panels, foam form foundation walls, etc.
to be used on this project? Yes
2. If you answered yes above, please explain:
(e.g.,
going
No
NOTE: More information is available on the energy and ventilation codes.
Please ask for it at the counter.
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet •••
JOB STREET ADDRESS: S. v,1o(o /3E LADS •C -i.
CITY/STATE/ZIP: JE -A LE ( LAIN ' q SO37 PARCEL NUMBER:
OWNER: t A -".) b ze.zf6vN.5L. iTo.J PHONE NUMBER: Com' .6.-.3-- 771$
"� }}
MAILING ADDRESS:
3 0 t 1`i D---NL , J44.= --re; f 00 . e p�+=.�F . L•V-k 9 5 ,L 3
(Street) (City/State) (Zip)
CONTRACTOR: A, 2To13S 145 -A- a l_.. LICENSE NUMBER: 8 4,---1- o 4 A 11 O BZ
PHONE .NUMBER /: `S O .9.22'- Som
MAILING ADDRESS: t SI.(0, e• ` O)4 s y i, ` . . • - S1Dir)"E., WA - g9zo/o
_ . . _ .. '.;...:(Street) ,, (City/State) .. (Zip) -
.MECHANICAL WORKSHEET/FEE. SCHEDULE
DESCRIPTION
NUMBER X EACH
OF UNITS UNIT
AMOUNT
x$10.00 = ib. or.)
.. .. x 25.00.=
(.r x 10.00 .= o. od
. w• r ..:; -:.<: x'12.00' - .• r2.-06.
�. •✓„>:_ -- x
• . x
x 12.09...77
• 20.00:;=
x
x 25.00 •• .. .
x 35:04^. _
x .60:00 =
t'
x':12:00=
x.20:00
x 25 0401,-
x 60.00,,-
x 10.00, ;=
x.10:'00; .
x 50.00.;
X;10:00::.7=,:
r'::'i:;r.•;. x.10.00 «_ ....
._r.:4�..:. �• r x '16::00";= ,. ..
X'101'064 -
•
•
X' '-10.00 :- :...,.;.. _ .
x'50:00 =
x100.00. =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
NOTE: MIN
SIGNATURE
IS $35.00
SUBTOTAL
$ 32-. oo
PLUS: PROCESSING FEE
+ $. 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $5'x.00•
•
Spokane County Department f Building
Safe Q9j 456-3675 •
West 1303 Broadway Avenue Spokane,
s.n
PLUMBinti PIttiMIP Arrtitotaium
Information Worksheet'
JOB STREET ADDRESS: 5, Plo(e
CITY/STATE/ZIP: Of---4Rikk.44-ir,632t. 9907 PARCEL NUMBER:
OWNER: 1 -A -N PHONE NUMBER: (-5;09.)
MAILING ADDRESS: 5 5ne. too sc, \e.4,‘„,...*:, Gt)i•\ • 2-Z-3
(Street) (bity/State) (Zip)
CONTRACTOR: 6oLt i-c1--(4-rc-A LICENSE NUMBER: G .290
\PHONE NUMBER: (--c,c1) 59+-/
MAILING ADDRESS:.?4 . S84,1;.)€..
. (City/State) (Zip)
c
PLUMBING WORKSHEET/FEE SCHEDULE.-
DESCRIPTION-:
NUMBER OF
FIXTURES
X EACH
FIXTURE
'AMOUNT
TOILETS
SINES
SHOWERS.:„.
BATH TUBS
"KITCHEN:,;SINKS
DISH WASHERS
GARBAGE DISPOSAL::.
CLOTHES
UTILITY SINKS
ELECTRIC: WATER HEATERS::';
FLOOR DRAINS
FLOOR SINES
BAR SINKS
ROOF DRAINS . .
LAWN SPRINDLER
SEWAGE EJECTORT,
WATER SOFTENER:URINAL
DRINKING 'FOUNTAIN
x, $6.00 =
6? 00 =
600 =
1.=
6:0C=
x'r6.00'=
=
x
6.00 =
x -6.00 =
x:, 6.00 =
x 6.00 =
x 6.00 =
x ' 6.00 =
x -6.00 =
x.-600 =
x . 6.00 =
x 6.00 =
: 66
tg o o
C.C.) •
. co*
NOTE: MINIMUM I>FE I $35.00
SIGNATURE
SUBTOTAL
$ o o
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spola e, WA 99260 (509) 456-3675
(19,21
o `i i1
'5
v
L
IcA t -APA J CrzSr-
3.
TS. tot. 1\) - CT.
/z9.33