1988, 12-05 Permit App: 88000345 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, 1 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 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 f1ATE
Vii! ..... ... .... s. `.. t ... .. .... ..... ...
ComPotJENT
500 sO
Pi4k
(),_)i4vN
•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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
PROJECT NUMBER= 1 -.'i • v ..: DATE= 02/29/RR PAGE....
01
APPLICATION
...................................... ............... ......... j
9!' 'IF :1}: :i: 'j?"j!: 'ji: 'jl: ii: :S�' )!::!}: 'ji: 4C :!C 9t''ja :If• ;1( •}F :u: :1!"j': 4:• •38 :!t •jC }!' •j}: •jl: SF• •j}. •)�. t•�1 �'' I"' i... �. i.: !..i I .l. L.! � •: :Il• 7;• •;C •A: 9i: 9{• :ji- i:,i i!r j}i :n• :l( Yi• }!i •)C tui iii• ;n} ivi ill' 3 iti• �ji: a�� ;ir at,• 9,- 9:..:}}.. • }•
14328 SITE �:• f �'l I::. �::. t .... L I•'•l .!.:•�. } I i4 [,,: ; .'' i••)1', ..: :. I... �e: -14543-3406
ADDRESS=
D• ,;•+S„,, ,-:}..,...,::I• WA
, 99,.
16
PERMIT USE= RESIDENCE
I” L f••t i •!r .... 004178 PLAT ! ..! i!"i........ i i E ' !. Nr • , ADD
BLOCK=
:-
,lii...%.t`i.:i:,:::: 'i LOT= 6 ZONE= !::ci.T,:iUB DIST4=
AREA= 00000000 I... ; t..,.... ,.. WIDTH= 107 DEPTH= 9445
•!r OF B L...i1 L:r .:? :::: ! .,,. DWELLINGS= 9
OWNER= LAKEVIEW , .
STREET= P 0 BOX 266
ADDRESS= NEWMAN LAKE WA 99025
PHONb— 509 226 0555
CONTACT Ni +Mi:::::: JEFF i',:! l.., !•' E I::' i•• (,! I': r :, NUMBER= 509 3 i
BUILDING SETBACKS: FRONT= 35 LEFT= 37 RIGHT= 30 REAR= 31
.} . , i.:u:: {.. i.. {.*. 1, fi :,i.. i; de; .}!; •5i.. }.. i..}i.: i.:}e :;i.:t,:.!}. ,!; .jt.:jl.: i..f,.. i.:; •. }t. REVIEW .!.i e! ' i !''1. i••i • N
DEPARTMENT NAME.
............................................................
BUILDING & SAFETY
BUILDING & SAFETY
COUNTY 1' i::.I' ?.rII';3:..1::.R
ENVIRONMENTAL HEALTH
REVIEW COMMENTS
PLAN R•!.E:.'+.:[1::.W REQUIRED
•)k * •)E P:*.!!: •)1: _;i..p; .jl..j}�..;;..1�. .}(. .}f. .};..};..);..}l. .}F..7:; .b;• •}l• .;t; •}�• ;:;:
IN/OUTDAT
INITIALS
2.,.9 ,-MW
ENERGY i':... !•'I!e REVIEW REQUIRED 880229 1M..
I W C.....--k5t...20A.....W 2' ,. i01/011/
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
4/ 3 3i/06
/`/
SUBDIVISION: --,727.-e
i
9>037
BLOCK: A/ LOT: L ZONE: 45 DISTRICT:
LOT AREA:
F/A: WIDTH: ,/ DEPTH: //") R/W: /OS-
OF
0S-
OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: 6/ P K�,�q.
OWNER: r 1 /2 / .®v
MAILING ADDRESS:
CITY/S °ATE/ZIP:
o' .7/
PHONE: - ?, - S2-2 T
CONTACT: a i
•
PHONE:
SETBACKS: - FRONT: (T LEFT: i' RIGHT: REAR: ;
PERMIT USE:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: (7-] 1)/ /v c
CONTRACTOR: ( i > / amu'
MAILING ADDRESS:
PHONE: - c, -
e ( /?-7/7 3; A-- 9 r
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: 4 HANDICAP: SEWER (Y/N): HYDRANT:
/ 14t4 0E- GA -2
/tete L/16
Revised 1/88
ri,unn1PIv 11`1r VtCl`iH11111V
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ET.ECTRI C : GAS: OIL:
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC:
UTILITY:
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSER
GAS WATER HEA
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM
(JJ -t°
NUMBER OF
�R NO
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WA'1ER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
NUMBER OF
YES OR NO
N> }c 0-A/
Gk2t "
��. Pa n? 7-4
C /Pic-- 7aG-rs22
0-/1713 a /Y/ xanl
NOMtrui!-�� eit a