1984, 08-24 Permit App: 00001936 Footings, FoundationBUILDING 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 Hams Mei) (first) (m)
(ea
Tupper Inc.
DaOartment Use Only
Rte. './ 'Comm
2 Prgect Address (not Mailing Address) a Road Name Space Zip
) 3 G Y77,'//!: gi- /V' /V/ %/ 99216
3 Ctty/ Ity
Spokane
State
WA
Subdivision/Plat Name
Summerfield East 1st Addla. 124V0 /4
4 Armor Parcel No.
Portion of 3564519074
Lot
6
Block
6
* * * DEPARTMENT USE ONLY
5 Sic Gods
tone Act. It
Zones
Project No. 159
6 Devil 4I
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
(L)S-1
(R)S-2
Rear
Census Tract
Module No.
Iniece�
(yJ� Cl ])�
16 Architect Firm Name
d
Street Address
Zip
Oty
State
Phone
( )
Contac Person
Phone If different than above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
sty
Spokane
State
WA
Phone
(509 ) 928-1991
Contact Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone If different than above
( )
8 Owner/Agent (0 different than 41 above)
Business Address
9 Zip
sty
Stab
Phone
( )
12 Review Required
N
Plan Check (YIN)
Y
Other (YIN)
N
SEPA Exempt (YIN)
N
Date
15 Type Work Bldg
0 Fire
0 MH
0 Derno
l New
0 Add/Alter
0 Replace
0 Move
p4-25-84
b 1 e ger rage
14 Describe Work
rootings & foundation only
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
sty
State
Phone
( )
Contact Person
Phone 0 different than above
( )
Additional information
ri)�a7 i4rg % �,-,
#U. g Petit: 44.4 rt, 7
484 b 6/4 rz
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is Data Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
Conditions/Comments-
0
onditions/Comments-
Planning/Zoning:
N. 721 Jefferson
❑ Commercial; 0 Residential
❑ New Construction; 0 Bldg alteration/addition
❑ Additional structure;
APPLI , TION if o /0/_r
Release
Release
w/cond 1
Hold 2
❑ Commercial;
❑ Setbacks;
❑ CU, variance,
0 Cert. of Exemption;
0 lot w/d; 0 lot size;
zone change; shoreline;
❑ Frontage;
0 use/zone;
0 fence;
Engineers:
N. 811 Jefferson
Conditions/Comments•
❑ Commercial;
❑ drainage
❑ Residential;
❑ new access/approach;
❑ Flood Plain; I
❑ fence;
❑ rpacjJm ments , oe.er...t..)
Utilities:
N. 811 Jefferson
C onditions/Comments
Other:
Plan Exam
Fire Prev.
Conditions/Comments-
Project
onditions/Comments
Project Representative
Agencies Performing Special inspection:
1
Telephone
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
P'
ADDRESS STYLE HOME 3 L 0
LEGAL DESCRIPTION Lb 13 6 Summer -1\1'61d 6A57115- f`?;.
APPLICANT IMIPP R INC,
JOB. N0. S /_6'.
FHA CASE NO.
POWER
WATER
SCALE
w, w, 2,
1"=20'
8-
ADDRESS
LEGAL DESCRIPTION L 6 6 Scan mer-P;e/d [ s i5 fig --57!
APPLICANT 1 L PP SNC. POWER W, wl P,
JOB. NO. S r7,..5. WATER j 1^e l\I'L (i) of,6
SCALE 1"=20'
1/2- at/MPic AYEAlu£'
STYLE HOME 3
FHA CASE NO.
ot---/oe
INDEMNIFICATION AGREEMENT
WHEREAS, the Summerfield East First Addition Plan,
sponsored by Ken Tupper has not yet been approved and the
provisions of RCW Chapter 58.19 have not yet been complied
with in regard to the plat; and
WHEREAS, Ken Tupper has requested building permits
be issued for concrete work on Lots 1 through 8, Block 5 and
Lots 1 through 7, Block 6 of Summerfield East First Addition
in order to commerce construction and thereby ensure HUD
funding will be available; and
WHEREAS, Jim Manson, Director of the Spokane County
Building and Safety Department has determined that pursuant
to RCW 58.17.210 the public interest will not be adversely
affected by issuance of the building permits under certain
terms and conditions;
NOW, THEREFORE, BE IT AGREED that the Spokane
County Building and Safety Department will issue building
permits for Lots 1 through 8, Block 5 and Lots 1 through 7,
Block 6, of Summerfield East First Addition, for concrete
work only, in accordance with Spokane County Code Section
3.04.100 on the condition that:
(1) The permits are approved by all County depart-
ments reviewing them; and
(2) No work beyond that allowed by the permit
shall be undertaken; and
(3) Ken Tupper agrees that he, his successors and
assigns at all times shall indemnify and save harmless the
County, its successors and assigns, against any and all
claims, suits, actions, debts, damages, costs, charges, and
expenses including court costs and attorneys' fees, and
against all liability, losses and damages of any nature
whatsoever, that the County shall or may at any time sustain
or be put to by reason of the issuing of building permits
set forth above prior to the Summerfield East First Addition
Plat being approved; and
(4) Ken Tupper shall waive all claims against
Spokane County and not bring any action, legal or equitable,
against Spokane County arising out of the issuance of
building permits set forth above or in the event the
Summerfield East First Addition plat is not approved for any
reason whatsoever.
(5) Ken Tupper agrees that at the option of
Spokane County Ken Tupper shall defend at his own expense
any claims brought against Spokane County with respect to
the subject of this agreement, whether such claims or
actions are rightfully or wrongfully brought or filed.
Ken Tupper states that he has carefully read this
agreement, knows and accepts the terms and conditions placed
on the building permits herein and that he has signed this
agreement as his own free act and deed.
BU DING AND SAFETY DEPARTMENT
STATE OF WASHINGTON )
ss
COUNTY OF SPOKANE )
Jdmes Manson, Director
Ken Tupper, pp , O e
On this day personally appeared before me Ken
Tupper to me known to be the individual described in and
who executed the within and foregoing instrument, and
acknowledged that he signed the same as his free and
voluntary act and deed, for the uses and purposes therein
mentioned.
GIVEN under my hand and official seal this 12Xday
of xvth- , 1984.
Notary Public in'Ja d for the State
--of_Washington, residing at Spokane
-2-