1991, 07-10 Permit: 91003727 ResidenceSPCIK`ANE 4OUNTY DEPARTMENT OF BUILDINGS
`, • W. 1303 BROADWAY AVENUE • - -
SPOKANE, WASHINGTON 99260
I• 1 (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 perm it/application is true'
and correct, and authorize Spokane County to proceed with, processing 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/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authorityto violate or cancel the provisions f airy-g(ate or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF
OWNER OR AGENT
PROJECT..NUMBER:::: 91003727
3i':P}ii'iE iE)43E)E.3E 3E 3E- 3E')C R•3i'3t 3t 3E")t"!l' 3E"lE'3t#3E3P*
APPLICATION 7_1/47 _ 7;1,
DATE
•
ISSUED PERMIT DATE= 07/40/91 PAGE=.01
PERMIT 3 .1NFORMATION. *******'**********,*********,i
-SITE STREET= 2109-S PINES --RD - ' PARCEL
O= 27=42--7745
. ADDRESS= SPOKANE WA' 99206—
_ PER:i•j7:7 USE= RES.:1DE.: NCE_ / NATURAL .GAS , -,
—PLATO= ; _= 001 nt::2 _ PLAT NAME:::: LiILI._CRES r' ' (]RES' 1 ST' -ADD -
• IBL 0Ci<=: .. . 'vti . ...:- -.. ... L..0T= NONE --(JR 3.5 11IS'TO= F
.AREA= 00000000 F/A::= r WIDTH= r 0(; 01-1"'111 1'
3:!F .DL.DGS= 1
.,.41:. -DWELLINGS= 1 WATER DIST EPO CO.WATER. :D.:EST•
-. .OWNER=: GERARD,-4: '.!: —
.STriE::ET= POB; 3 ?8 - - -
.-ADDRESS= . ELECTRIC r:ITY WA 99123
CONTACT, 'NAME= A.- J. GERARD , - N !I•jflf:I ::: 509_927. 24 88 -
RHONE . rvl
FriO'rdTs=. '9 RIGHT= T:= 1 (i's REAP=' :a:'',
B1.!:EL..Df!•NG SETBACKS: 10 LEFT= r
...... .
.m.p.,e.><. R.3i..ii..ii. ri. it. 3i..k..k..h.:d. ih ,e.n..n..p..x' dt' dr 34 3i. qi. 3i..}i..h.* li' BUILDING E'r: ri rf I�-(� --.p..A..tt' 3e'ie it 3F ri..tt.;F # it..h..y, .x..3i 3'; 3i 3i� 3i� 3i� 3i x� 34 3F.k..tt.
CONTRACTOR= A....1 GERARD BUILDERS - -
' STREET= ROB :-'7U RI)
ADDRESS= "ELECTRIC CITY WA 9912
• -NI W=[..X --._-• -- REMODEL= . • .-ADD»TION=; CHANGE: OF L!;
.DWEL.1._. UNIT,C'== 1' .-,. OCCUR .;-:- 1...1-3:::: - -- B!...D(.,-'ri(;T=. I i 6 - STOIRI.E:S:=
BLDG W :d I3: _: 53 SP FT= t4"r,Ei SPRINKLER= N
PARKING=- i1ANIi:LCAF'::- ...CRITICAL. MAT= iJ
_ . r
DESCRIPTION-. 'GROUP' TYPE ' SQ -FT VALUATIOiN.
—BASEMENT F R--$ -- - - VN
BASEMENT (.! _R-3 .. VN
GARAGE, L•1--1 VN
- RESIDENCE— . R--:3 -- -INN
-- ITEM DESCRIPTION _-
RES'IDENTIAI... VAI..HATTON
STATE SURCHARGE
—COUNTY SURCHARGE —
.i*3i?3E.p}.343#3##.*3i3443E3i3i—ii3i3¢Si 3i3OiA.,3i-*3F# MECHANICAL
CONTRACTOR::: UNKNOWN
- STREET= "UNKNOWN
I' ADDRESS= UNKNOWN WA UNMOWN
{-/HONE= 509 92 f' 2188 1
PHilNE = 1509 922,2188
432 -
1 046 -
,30
1478 -.
QUANTITY
4752.00
94 i '1... it 0
• .4412,00
650322.00
FE -:E AMOJJNT
567.50,
4.'50 •
90.80
:-
PERMIT.****
PHONE=
ITEM DESCRIPTION _ ' - — (QUANTITY . . FIE:-' AMOUNT...'
GAS WATER HEATER- ,. 1
CTAS HTG G!U:EF'('i (30, 000,HTU i
GAS PIPING -l. - 3
AIR CC.INIi]:TIONER.0--3 TONS 1
(:,AS,L..DG, ...ye..:'.•;..c; t, -4D , , i
ri b3343i3i'3t.3i.3i..3i.3iii•3i..h..li.3i..a..h..** PLUMBING. PERMIT 3i'
CONTRACTOR= (JNKNOWN.:`'c • F -
STREET= UNKNOWN.
,r .
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
TOILETS .
S.I.NKS
SHOWERS '
BATH TUBS
KITCHEN SINKS
• DISH-WASHE-RS-
CI_CITI'IE:.S WASHER{
.UTILITY SINKS
..10.00
12.00
3.00
12.00
10,00
3i..ri.di..3**3i.3}3i..3r3k3i'n3i3i' 3('**3i***3r'k*
PHONE=
.:,QUANTITY ' FEE: AMOUNT
• _ .X - - 18 :. 050 -
i8.00
6:.0i0
6.00
6,00
6.00
6.00
Project
Address:
Dept.
Dept. of Bldgs
Engineer's
SPECIAL CONDITION CHECKLIST
Date. Condition:
Project #.
Use:.
Special Insp. Final Report..
Hydrant ( )
Lock Box
RID/CRP
Easements
Road.Plans/Improvements
Bonds
Planning Bonds
Utilities
Other
'nit: Appr:
(in) (out)
Double Plt3mbing
ULID•
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY'
Date received for C/O processing:
Temporary C/O issued Certificate of Occupancy issued:
Office file review by:
Date: ------ __---_-__------------ --- —
Filed insp finaled by: ___ _.__.__:. ___._.._________ Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans:
Pians returned.
No response from owner/contractor - plans destroyed'
Plans pulled for final processing: _T__.__;
Date'
Received by.._—_._._
SPOKANE COUNTY 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction. -
SIGNATURE OF
APPLICATION
OWNER OR AGENT - DATE
... t
- PIOJECT NUMBER= -91003727
#YeleieiiiFie#3f •****1Eir********ie 3i**
PAYMENT .DATE
- 07/10/9i
TOTAL. DUE=.-
'PERMIT
UE=-PERMIT TYPE' -FEE
ie iE
r
ISSUED PERMIT - -DATE= 07/10/91 - PAGE= -02
PAYMENT SUMMARY _********** * e***************
RECEIPT; PAYMENT AMOUNT
458.6 "'I- i . 781.80
00 TOTAL.. P ID= "78i .80
MOUNT AMOUNT PAIR AMOUNT OWING
.00 .
BUILDING PERMIT: . 662.80 _ 662.80
MECHANICAL. PRMT
?L..UMBING PERMIT
. PROCESSED BY : - JOHN CARSON
.PRINTED BY: JULIE SHATTO
***.k..h..***.tt.***..u..*.h.*.M..*********.p.
72.00 72.00 .00
781.80 781-480 - - .00. l
*** THANK YOU-*****************
*.**...*.0**..h..h.**af•
Project
Address:
Dept.
Dept. of Bldgs
Engineer's
SPECIAL CONDITION CHECKLIST
Date. Condition:
Project #.
Use:.
Special Insp. Final Report..
Hydrant ( )
Lock Box
RID/CRP
Easements
Road.Plans/Improvements
Bonds
Planning Bonds
Utilities
Other
'nit: Appr:
(in) (out)
Double Plt3mbing
ULID•
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY'
Date received for C/O processing:
Temporary C/O issued Certificate of Occupancy issued:
Office file review by:
Date: ------ __---_-__------------ --- —
Filed insp finaled by: ___ _.__.__:. ___._.._________ Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans:
Pians returned.
No response from owner/contractor - plans destroyed'
Plans pulled for final processing: _T__.__;
Date'
Received by.._—_._._