1992, 11-06 Permit App: 92009826 Garage, Porch, PatioSPOKAN'E-CONTY DEPARTMENT OF BUILDINGS
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. 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
b''E::i.!•..11: C I NUMBER= "'2009826
6
17; .p..lt, y+: •te :„: T i.'1 N O T A PERMIT .w. s,::rr: i. ?p
PENALTIES WILL BE ASSES' ' i :: is :; i:,` COMMENCING WORK W1:•(H11t .'r• F:, PERMIT
SITE ST
DD
::
i ,ii' � !.. OLIVE AVE
)' 1'' 3. 1+. A 7`'i E:. N.11-1 99216
1''` i::: i : I"5 .i. ! USE= , i:: ,.> ADDITIONS ?:r +.'! A t:r i::: FRONT PORCH,
.
PLATO= ';:ttt'i'..{..:'�•� PLAT NAME.,�;�.:•!"'..+i't. I ..INI 1 t' 'IB
BLOCK= t ,= t. LOT: 11 ZONE,. )" 1)L It
—
l... ". 1 I = 000.17640 ESA=
`rs1WIDTH= DEPTH= =i"
41F{1?Lr,:= n• DWELLINGS- t WATER .
COVERED PATIO
OWNER,. c;T.1...1...:i:t::Ai' , T'(.lrri
S:> N LAKESIDE DR
r•'
Of:INTACT NAME
ID
TOM t; I: 4...1... 1 r.;r"FN; RHONE
NUMBER FO9
BUILDING SETBA i': '., .M!'!riT i . E: I:: T .... EXIS S Ef::,1 ... _
?ri. ,k 4 : • p• ;u• :7i.' i# ;xi i++i ik •hi Qe..:r7::p: -,f• -J¢ $f .....:. * d;• :+it ,p..Pip'P, 1't 1':. v .i. L:: I/,I i. r,i i::' (:'I p j••7 A ..i.:!• 1,, j i•:1 i++r iC ip: •Pr 97r r} .p..!i• •ri' 9t• i+i• «i :+`: iii 'rtr 'JF i'r
DEPARTMENT RI::`u':i:5:::it:1 COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
:li..i..:.11..» i. :!•.:!.1 )t; N 1 . „� » Y :1 % 1 ) Y * ,1!: } ilk 9kHBUILDING
!1iD.Nv
i'' 1':. t"�. i a .., i '1+: "1. 9: •1: "!"N. :. N •!: tt :7: N' "R' 9>::+Y • !.
CONTRAG
NEW-
DWELL
REO PARKING -
DESCRIPTION
............................................
COV
GROUP
ITEM DESCRIPT TON
......................
LDENTIAL VALUATION
1 :I:':;;' i ENT I ri1... I..iE 11:!1"1AE';1:'!i::
BL.1 .i. 1... Vit) Z. 1`;c; 1' E 1"; P`i 1 !.
PHONE
_BLDG1'11...f.:::
I 3N i...1:Et:..
CRITICAL VAT-.
FEE E F`'tr'{1"i1.ti'°'!i AMOUNT PAID
T)
121,32 „00
r'd
VALUATION
....................................
FEF.:. AMOUNT
........................................
AmOUNT
................................................
..........................
: t., l., t`•. 'Y . !,,I I:` ?".? C::''s::. i... , GLORIA
F ' 1'y;1. r'''i "I t., 1'., i:, '`r` . W E r i.? I::. i.. , GLORIA
-ii. yi..ji:•]^: -»:• iri• ?rr )t" k 7h: i+i i». * ,q. ,,(. .* :fi.:17;• :ri• * }e" 1C" •1ri il•'A:' »r i++t 1t:• THANK '( i.•; 1,_I :P.• :: j:• h• * i+(' * in; Vii• ji K •li. i(• * id;• :iri •rr it ;r�. ji ji: 14 *
i1
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (first) (m)
1 !_ a C� til j
Department Use Only
CommFie.
2 Project Address (not Mailing Address) or Road Name Space Zip
/ /5' E. (LE </ , / le
3 City/Community
vf-Ck011-'E
State
L.c)1.l
Subdivision/Plat Name
C%r 6.•#k -SL f37---/kb'I...,b'a/,- igLL i de),C-
4 / /Assessor Parcel No.
'les/SJ —,� ///
Lot
Block
/
* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zone Act. #
Zone
Project No.
6 Dwell 0
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
I (L)S-1
(R)S-2
I Rear
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( )
Contractor Firm Name
/4--EL/kV C'c/L.S///C(C%/t,L. �- L L
Stt Address
/ e- 2{:x �1.6-
ZipG
(' /3
City /�
�J "G�%3✓LG
State
LcJf.
Phone
(Se:7) 9,21-:.5,36c
Contact Person
//
,c_H• u._ y FLELFA I/
License No.
�LELI ,Z'/�T
Phone If different than above
( ) - _ ,y-)r32E
8 Owner/Agent (if different thant#1 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y/N)
Other (Y/N) I
SEPA Exempt (Y/N)
Date
15 Type Work ❑ Bldg
❑ Fire
❑ MH
❑ Demo
❑ New
gi Add/Alter
D Replace
❑ Move
❑ Other
14 Describe Work ,�
C;AiiiE I -f L,DL-DCT i /—k!E>/t 7 I C k(! E-1 e, i. L- 4t. P / I+1-1 c)
10 Applicant Name
GIL_LIfiti , /c-rr?
Street Address
/2,c'ir - CL-lCE
11 Zip
(
City
,S Pc,a(A/L E,
State
l;-, •
Phone
(.) '
y i,;2B- 6:, 78d'
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is nota Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure;
❑ Residential
❑ Bldg alteration/addition
APPLICATION #
Conditions/Comments.
Planning/Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Conditions/Comments•
Engineers: ❑ Commercial; ❑ Residential;
N. 811 Jefferson ❑ drainage ❑ new access/approach;
❑ road improvements
Conditions/Comments.
❑ Flood Plain;
❑ fence;
Utilities:
N. 811 Jefferson
Conditions/Comments-
Other:
onditions/Comments•
Other:
Plan Exam
Fire Prev.
Conditions/Comments•
Project Representative
Agencies Performing Special Inspection:
1
Telephone
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
Release
Release
w/cond 1
Hold 2
Conditions/Comments.
Planning/Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Conditions/Comments•
Engineers: ❑ Commercial; ❑ Residential;
N. 811 Jefferson ❑ drainage ❑ new access/approach;
❑ road improvements
Conditions/Comments.
❑ Flood Plain;
❑ fence;
Utilities:
N. 811 Jefferson
Conditions/Comments-
Other:
onditions/Comments•
Other:
Plan Exam
Fire Prev.
Conditions/Comments•
Project Representative
Agencies Performing Special Inspection:
1
Telephone
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
25 FROM CENTER CF P,OAD
1 TO PRDPERTY LINA
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