1984, 09-20 Permit App: 00002393 ResidenceBUILDING 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 Okaner'e Name Oast) (first) (m)
Oeprtment Use only 2� q3
Tupper Inc.
tee'
comm
2 Project Address (not Melling Address) v Road Name Space Zlp
E. 14605 Olypmic Ave. (#562) 99216
3 dty/Corranunity
Spokane
State
WA
Subdivision/Plat Name
Summerfield East 1st Addn.
4 Aaeseeor Parcel No.
Portion of 35643-9072
Lot
Block
5
* * * DEPARTMENT USE ONLY * * *
5 Sic code
Zone Act. 1
Zone
Project No.
g Dwell
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
30'
(L)S-1
30'
(R)S-2
2C'
Rear
Census Tract
Module No.
Initiate
16 Architect Firm Name
Street Address
Zip
Oty
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
City
Spokane
State
WA
Phone
(509 ) 928-1991
Contac Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone If different than above
( )
8 Owner/Agent Of different than 11 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/N) I SEPA Exempt (Y/N)
N N
Date
4-25-84
15 Type Work C3X Bldg
0 Fire
❑ MH
0 Demo
OF New
0 Add/Alter
0 Replace
0 Move
b 1ph qa rage
14 Describe Work
Single Family Residence with double garage
10 Applicant Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
11 Zip
99216
City
Spokane
State
WA
Phone
(509 )928-1991
Lender
Street Address
Zip
City
State
Phone
( 1
Contact Penton
Phone if different than above
( )
Additional information
1202 Main floor
324 3rd level ,rcy i/l,L��LLC1)
78�ly
546 4th level
484 Garage
Application Type
(Standard unless
otherwise Indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is /191 a 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;
APPLICATION #
❑ Residential
❑ Bldg alteration/addition
8a —/,Z y
Release
Release
w/cond 1
Hold 2
4./...-
C Y
I PI
Conditions/Comments.
Planning/Zoning:
N. 721 Jefferson
Conditions/Comments.
❑ Commercial;
❑ Setbacks;
❑ Cert. of Exemption; 0 Frontage;
0 lot w/d; 0 lot size; 0 use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Engineers:
N.811 Jefferson
Conditions / Comments.
❑ Commercial;
❑ drainage
❑ road improvements
❑ Residential; 0 Flood Plaine
I
❑ new access/approach; 0 fence; /
Utilities:
N. 811 Jefferson
Conditions /Comments
Other:
Plan Exam
Fire Prev.
Conditions/Comments:
Project Representative
Agencies Performing Special Inspection:
1
2
3
Telephone
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for held
/5t
I 1L
Sa
i CCG Gel
C Ila r
Q
!jp '
r
WIG
L. E
• ,Pad
E
0�ymfr/ ,4v�
ADDRESS E. 14605 OLYMPIC AVE.
STYLE HOME _P0b - C
LEGAL DESCRIPTION L1 B5 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC.
JOB NO. 562
FHA CASE NO.
POWER W,W,p,
WATER TRENTWOOD
SCALE 1"=20'