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1992, 05-11 Permit App: 92003273 ResidenceU SPOKANE COUNTY DFOA�ti11 ENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509)456-3675 1 certify that I have examined this perm it/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. I 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 ..,.. �, (�._ �,','!">l;�iri,,�:;',`'.; (''ri•'3�#... t.(..�•':ri ( :#.t.(i`'� �jF�{i'(.. c:}: ; ��•rl'c.,i". •• +'1 .... ... . •i?•'j? i+: •i+: -j!: :pl . �. I -d .E. •'' .i. ;`: j•.,l i'.i ..�. i::j E'' E: {•�: I''i r. 1 ... . ,., .,. :. ,•, .-, •. ,.... '�f' 'ti' It 1• #' s"':: i''1 f::'1 #... ? :i: i". ,`:• # :(E i.. #... t.{ } r.a # . : C:. i } }:: ( {-{ !'; f 1 i -i i''. #`: (? ; 1: i` 9 ", u,} ('.i # ;c #Ai .i...t. {..#'c"i l } '(' r a f' .... 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T , , . ! : rJ i #-, �'•1,.., I t.! i'...... i:'; (..(#. t + ;'• #::. f" .. i'(#:: +.: #'i; -'r i ,� .; i..; E"�E i... i (•.? ;., � ('•i E (i ,: {; .' {� : i,'j T �;'r` }�:i 'C' •�f I'1 } ? n #.. f':i {:{ F''1 • # ..i s'1..(i r i -r ;` . I�� E .. (' i.:. E... , is #. (1 # .0 f:1 1. : i.:,i. ;+i : t. 'j!' -A- •N: i+ :1,, .ji, .j,.. 'j(• ::pi 7L• •1?' 'Ai ;p; AH W. �'�' {..} i•3 (''1 E<:. 4 („) } . ( 'H: 7+i ;p; ii, t+G :�.:,}. iNi 'A' iw• 4!- -X, :pi '14, yi..N.:A.:1F 'jL• il• •Hi ll• 'jt' •j,: ipi :pl j,: "f !pi -K 'r: i'i r+4 .. M .. 1. .. 1. .... .... .. Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: S. 2 �5- C 7- CITY/STATE/ZIP: L,3A 950-3-7 SUBDIVISION: C.tCC�tylrJ Cis�v- S coo 1y-I]zc`y,-tni3 BLOCK: I LOT: Z ZONE: DISTRICT:. LOT AREA: 1AP0 F/A: WIDTH: �V DEPTH: /2q R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: UE�p1 OWNER: /if}� �2{c-t' Cp•t T CZ'a�7� PHONE: S OCA -S 35�- -7-771? MAILING ADDRESS: S. 31 CITY/STATE/ZIP: CONTACT: SETBACKS: - FRONT: 30 LEFT: !O PERMIT USE: q9 Pip - PHONE: 6`6 5 - �°,��- _ -7 %7 g RIGHT: q (/ 11 REAR: 40 BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: ,LkN-f) �G- 1 n6 2 /4t O CONTRACTOR: �4�" O - Wi.�S ? c�T�iJ PHONE: S� 9 ',26,57-71-7-79 MAILING ADDRESS: ARCHITECT/ENGINEER 3 ! a.f KeC-*,L, S P -J extsG _ Dcszz;� MAILING ADDRESS: 6, 31 WOW - 193-3 PHONE: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: I BUILDING DIMENSIONS: 'q Z. X `' I E " ( WIDTH X DEPTH) SQ . ' FT .: /360 REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: Please provide the following information for Energy Code compliance: Space heating type (check one) Forced air electric Electric baseboard or wall mount Propane _Forced air gas Heat pump Other: Flat ceilings R_5_ Doors U 67Z - Vaulted ceilings R 50 Windows U .49— 4'Above Above grade walls R Glazing area 0/o:_J-4�__ Below grade walls R Total floor area Floor R 3c> of heated space Slab on grade R to Furnace efficiency rating Please indicate on your plans: The location of the radon vent, and the location of the vent fan area. Square footage Main floor: 13 O O Second floor: Basement — Finished: Unfinished: l3 Oil Garage: Carport: Decks: Additional Areas: i MECHANICAL PERMIT APPLICATION FORM Information ion Worksheet j JOB STREET ADDRESS: •4- � 1 a6--�F_U3Fz CITY/STATE/ZIP: r R 9031 PARCEL NUMBER: OWNER T,\ �aN 5 i<u i io.J PHONE NUMBER: �g� �3 - 7 77S MAILING ADDRESS • 5 0 =�{L• A `' y S `'`- ' 1 Uta .Sp oNE. , LVA (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: B 4�T o A 0 l 1t3Z ""..,...PHONE NUMBER: MAILING ADDRESS: ' l k 5s' l (0 ' {�i 4N5y \ q 9 zoo ..(Street). (City/State). (Zip) - MECHANICAL WORKSHEET/FEE.SCHEDULE _ NUMBER X EACH DESCRIPTION I OF. -UNITS UNIT = AMOUNT DUCTWORK SYSTEM _ _ _ _ _ - - - - _ _ - WOODSTOVE/INSERT - - -7- - - - - - - • GAS WATER HEATER _ _ _ _ _ _ _ -' y •. HEATING .EQUIPMEN: <100, 000 _. BTU _;':-_. �- HEATING • EQUIPMENT•T . +100, 000 •:BTU;:- .. �- _ 77 GAS:PIPING ..(EA;OUTLET) _'t i:.y: '•`•i `th- _ : REFRIG 1-100M -,BTU.. (NOT _;A/C.. OR HEAT ;,P,UMP) ::,• .REFRIG 101-500M.-_ : s'*;gin. i' ....,, 'p-::-;'•.:(' :REFRIG...501.-1' - ,>4 _==�j ff�<'t �«Y' REFRIGI* 001-;-l'!5 ' 0M:" BTU - - '_ ;'" `'x_' _ REFRIG +1,750M BTU .. - :... '-....-.':-;.:_,; _ . -. HEAT:;•PUMP . & .AIR; CONDITIONER 0-3 ; TONS, HEAT, PUMP, &. AIRi"CONDITIONER :3-15 .TONS �-' : - r HEAT ' PUMP . & _AIR CONDITIONER; 15-3 0...: TONS HEAT.PUMP.&..•AIR CONDITIONER,•30750,;TONS..._ HEAT._PUMP. &�AIR7-CONDITIONER-+50 TONS:;:_ VENTILATING FANS _ "EVAPORATIVE COOLERS_ _ -_ -_� _ -_ _l f -`f TYPE .*I HOOD • (PER. 12'. OR .12 ! PTN OF HOOD) TYPE'•II':HOOD. ��.-,..t.. f, ..= ;f. CLOTHES DRYER_ - 4 r - •' _ •.. RANGE - _ i.—r,�.r,.err.�•�:..•:.::r�T�.r-.;=:;;,..: GAS LOG- pax: -�-: , 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 - --- - - _ - - x$10.00 x_ 25.00..= x 10.00 . = Ys X Z2.00'. - x 15.00 x .1.00 X .12.Op ;:= x 20 00 . x :25:00:5.= x -35:00 = x ,60:00 x'_`12, OC {= 20 = 00 x 35'..00;,- x 60.00.:= X lo.OQ;_ X.10.00— x 50.00.= x_!10_00,;W_ x .10.00 X'10..00;= x=10.00' X -.10.00 :_ X'50:00..= x100:00: _ x 50.0 = x100.0 00 = x 12.00 = x 15.00 = ,. ` r �. ? ' . ' l o . do '�t=-� rh•: I.: ©O: •` _ �'=`, " °� : ,; •' .i;�i: =;,�r+'x�.� r a; �• ': ': `- :, :; ... - " ' -;�::�_. �'j sr�:._ > ... : ,. • - SUBTOTAL S 3 2 va •i -PLUS: PROCESSING FEE+ $ "25.00 EQUALS: TOTAL PERMIT NOTE: MI T EE�IS35.00 FEE DUE = S �7•UG SIGNATURE _ , .; .t �,..;;, %.• Spokane County Department ofuildi g an Sae 456-3675 West 1303 Broadwav Avenue Spokane, ) FLUMBING PERMIT APPLICATION FURM Inforiaation Worksheet JOB STREET ADDRESS: a (2 15- A)E1A) eZ-- C�r' CITY/STATE/ZIP: Aad, t0ot. 99037 PARCEL NUMBER: / l OWNER: ,v Z c c o �J PHONE NUMBER: 1. S��i 1 �3 S-- 7 ? 7 S � � �'� C� S�� MAILING ADDRESS: 5. 9►;,�I (Street) ( ity/State) (Zip) CONTRACTOR: L LICENSE NUMBER: .G L� Srh ?1E .290 PHONE NUMBER: MAILING ADDRESS: (Street)' ;.•:.: arA.,�;�. (City/State). (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION-: NUMBER OF I X EACH FIXTURES IFIXTURE _ "AMOUNT TOILETS slrrxs -. SHOWERS i, r BATH TUBS - f t . ,-r • KITCHEN DISH WASHERS GARBAGE DISPOSAL CLOTHES WAS I (x,.$6: 00 x 6. oo. 6. 6 60 x 6 0 0` ( f• v 0 I. 00-� x `.M6: 00` I x;6.00_-( I x 6 00 = I I L.' r (x I . t I I I ix I.... (� UTILITY.SINKS - ELECTRIC WATER HEATERS FLOOR DRAINS IK�'" 6.00 =i Ix ":6.00 •=i' I X.6 : (' I FLOOR SINKS :I BAR SINKS - Ix 6.00 =I Ix ~6:00 =I I ROOF DRAINS '' .`' i x 6.00 LAWN SPRINKLER SEWAGE EJECTOR? WATER SOFTENER - £;.I 6.00 = I 00 I X '6'. 00. = I ... ... . -.. URINAL .. . , I x. ' 6.00 = i I DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE S $35.00 SIGNATURE _:Yaa SUBTOTAL PLUS: PROCESSING FEET+ $ 25.00 EQUALS: TOTAL PERMITI �•oD I FEE DUE I= $ I Spokane County Department of Building and Safety West 1303 Broadway Avenue Spoke ''e, WA 99260 (509) 456-3675 Z m 4' ca lDyo,o G CU,QB O,QoP S -rA 9 f �S S P Z SCALE I" - 7-O URS 70. 3z ' F'i TYPE D- W. W/ ripe -3 �p SrA 8 f G 7 <.7- 24 I ,3: / S4 oPE MAX . 30� .8U1LDlNG SETBifcK ,. _ p � � VEL PD/1l0 E.C. 3 9 00 SrA' IS' W/.OTfl lSrA 9 SB io' w/orf/. A *-Ml oV. Bo Troll A.fEsf /, /ZS zo I I SWALE MiN. SLOPE i • �SE� Bs�cK) 90.oo' J. � 1D-73 LOT 1 BLOCK 2 AUTUMN CREST SECOND ADD I VA4 x )E.s S<oPE 3:1 MAK: AfA1Nr,¢1N-- wlrfl/N i:LlA5EAf,5Nr � � VEG POND Bo T"Toiv{ EL . 3 9• a a I e.:5, l ------ � �'vd.�o s✓s�Fi�� F `- oc'il i,✓r1 c l F -o �,✓o S�.sF��c E PERMANENT DRAINAGE SWALE SECTION "B" - "B" I:IZi �'t)CAHI'L I-1 "I'TtIl, (_)1 1-01 SPOKANE COUNTY ENGINEERS '�;] \OR -11 JEFFERSON SPOKANE, WA 99260-0170 St BJ ECT Gentlemen: LOT BLOCK AUTUM CRI ST 2nd ADDITION PLAT m P 1570A. (Development) We hereby authorize our irrevocable Letter of Credit in your favor, and authorize VOL] to draw on the (bank), a draft up to one thousand (Dollars) ($1,000.00), for the account of (developer). The draft, drawn under this Letter of Credit, covers the assurance of completion of installation of storm drainage, drainage swales, sod and other work as is incidental and related thereto in accordance with the drawings and specifications as submitted to and approved by the Spokane County Engineer's Office on (date), and is to be accompanied by the following documents: written request by Spokane County Engineer's Office to (bank), at the above address indicating non -completion of all or any of the above improvements and that amount of money required to complete such improvements. We hereby agree with the drawer, endorser and bona fide holder of this draft, negotiated under and in compliance with the terms of this credit, that said draft shall be duly honored upon presentation at the (bank), at anv time before completion of the above-described improvements or performance, in which event written notice shall be given by Spokane County to the hank. Drafts, drawn under this Letter of Credit, shall bear on their LICe the words Drawn under Credit No. Bank Name: fav: kTj It-jetter.crc Datcd (hank) I:tLit 1101I/Cd til,�ih)r) ASSIGNMENT For security purposes only, hereby assigns to SPOKANE COUNTY, a political ,ubdivision of the State of Washington, the following: Savings Certificate Number in the face amount of 51.000.00 and held in and by Bank of ranch This assignment is made as security for the full and faithful performance by of certain drainage facilities and sod for LOT BLOCK , AUTUM CREST 2nd ADDITION (Plat) Plat # P 1570A in accordance with the drawings: and specifications as submitted to and approved by the Spokane County Engineers office on (date) 199 Any interest benefits accruing under said savings certificate shall remain the property of Said savings certificate to be released to or any other party only with the prior written consent and agreement of Spokane County. PROVIDED, FURTHER, the undersigned does hereby authorize to Pay over to Spokane County all or a sufficient portion of the monies in the savings certificate referenced hereinabove upon written documentation being received from the Spokane County Engineer indicating that the purposes for which the savings certificate was assigned have not been fully and faithfully performed as required and a statement of that amount of money which the County Engineer as required and a statement of that amount of money which the County Engineer deems necessary to complete such obligation. Upon receipt of such written documentation, hereby authorizes to release to Spokane County that amount of money requested up Iu the maximum amount In 1110 savings CCfllflcalC. DATED this day of 199 DATED this day of 11,V�IIiIN '1c�N f :ss C'(,unty of Spokanr ) BANK OF President Secretary 199 DEVELOPER On this day personally appeared before tile to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged thea _____ s',"`d the same as _ free and voluntary act and deed, for the uses and purposes therein mentioned. C lV1•N I INIWk, MY I IAND AND OI-TICIA1, SFAI, this �^ clay of Notary Public in and for the State of Washington, residing at Spokane 199 E. 8620 14thSpokane, lotWor11iana. 99206 Phone 509 926-6217 Fax 509 928-8689 Legend far Radon mitigation system —perforated pipe beneath slab (� solid 4'ABS stack vent pipe RADON SYSTE11 SPECIFICATIONS ATT. RADON MITIGATION SYSTEM This radon mitigation system is designed only for the specific job - site address designated. The system is not guaranteed unless installed by Cavalier Corporation Sub Slab System Yes SO FT Cravlspace System SQ FT Jurisdiction County Project Number �S 4 i Warre I�.....a,� •hJl�1�J��•` Environmental Protection Agency •RCA,,'A0044 �4�-r R�4•o s lrsr � °� _67- 2-t -4 Z Jobsite S 2125 Never Autq[�n Crest off Sullivan Rd Builder Landreth Homes Address S 3124 Regal, Ste 100 99223 Phone 535-7778 rV -Candier (ff ng i' radon services E. 8626 kith s Spokane, WA 99206 Phone 00) 926-6217 FAX (509) 928-8689 RADON SYSTEM SPROVICATIONS, SPOKANE COUNTY: 1. Perforated pipe shall be installed within the native soil or fill (sand, gravel or soil) at a minimum depth of 1" below the intewAW slab. 2. The pipe shall h& a minimum diameter of 4", meet AASHTO M252, have perforations no wider than 1/16" and have a minimum of 2.3 square inches of total perforations per linear foot of prtpe. 3. There shall be a minimum of 10 linear feet of perforated pipe per hundred square feet of slab floor space. 4. The pipe shall be laid in a continuous loop, connected at both ends to the solid stack vent pipe. 5. Any slab area, which is larger than 10 square feet, which is isolated from other slab areas by footings or other barriers, shall have a perforated pipe installed to the above specifies:{ions. (The pipe can be a single length rather than a oennected loop if the area is too smell or narrow to accomodate a connected loop.) 6. A stack vent of ABS; schedule 40, minimum size 4", shall be connected to the sub -slab piping and proceed upwards to an exit loca4lon on the roof, and extending 14" above the roof. The pipe shall be labeled "radon vent" every 16" or less for its full length. The pipe's Attic, location shall allow a minimum of 4' of head room. When- ever possible this exit location shall be on the backside of the roof. 7. Any elbows in tie stack vent piping shall havc)a centerline radiwis minimum of 1.5 by pipe width. B. An inline centr$tuBal fan, minimum 114 cfm @ 3/8" W.C., UL listed, mannlllrletured specifically for radon mitigation, maximum sone letnl 2.8, shall be installed in the exhaust line, in the attic. 9. Couplings to camnect the vent piping to the fan shall be elastomeric PVC, Fernco series 1056 or equal. 10. The fan shall be hard -wired and the breaker labeled "radon fan". 11. All penetration& and joints in the concrete floor slab below grade shall be sealed with caulk or grout. 12. A notice shall be permanently attached to the electrical panel advising the owner or occupant about the radon system and that he/she shall test the home for radon annually. The Notice shall include Cavalier's name and, phone number. 13. All craftsmansblp shall be of high quality.