1991, 06-27 Permit App: 91003727 ResidenceSPOKANE,COUNTY DEPA9TMENT 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 :nit 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 l 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
PROJECT NUMBER= 91003727 APPLICATION DATE= 06/27/91
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE STREET= 2SO9KE PWN9D
6ADDRESS=
PARCEL= 27542-2245
PERMIT USE= RESIDENCE / NATURAL GAS
PLATO= 001222 PLAT NAME= HILL..CREST ACRES IST ADD
BLOCK= 3 LOT= 2 ZONE= UR 3.5 DIST = F
AREA= 00000000 F/A= F WIDTu- 4Atl 11FPTH= 125 R/W= 60
w OF BLDGS= 1 4 DWELLINGS= 1 WATER DIN I = SPcwooe- ce.wry biSrtg
OWNER=
STREET=
ADDRESS
GERARD) A. J. +.-= 509 927 2188
POB 3:8
ELECTRIC CITY WA 99123
CONTACT NAME= A. J. GERARD PHONE NUMBER= 509 927 2188
BUILDING SETBACKS: FRONT= 33 LEFT= 29 RIGHT= 18 REAR= 52
****************************** REVIEW INFORMATION **************************
DEPARTMENT
BUILDING
BUILDING
(ENGINEER
REVIEW COMMENTS APPROVAL COMMENTS
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
APPROACH/FLOOD PLAIN/DRAINAGE
Fed C.
2 HEALTHDI.ST NEW OR ADDITIONAL WASTE WATER oilIsa-t—C.
******************************* BUILDING PERMIT *********************
CONTRACTOR=
STREET=
ADDRESS=
A. J. GERARD BUILDERS
POB 328 RD
ELECTRIC CITY WA 99123
NEW= X REMODEL=
DWELL UNITS= 1 OCCUP. LD=
BLDG W X I) ::- 26 X 53 SQ FT=
REQ PARKING= 4HANDICAP
DESCRIPTION
BASEMENT F
BASEMENT C1
GARAGE
RESIDENCE_
GRCII.IP
R-3
M-1
R-3
ITEM DESCRIPTION
PHONE= 509 927 2188
ADDITION= CHANGE OF USF.=
BLDG HGT= 16 STORIES=
1478 SPRINKLER= N
CRITICAL MAT= N
TYPE SQ FT
VN 432
VN 1046
VN 630
VN 1478
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
VALUATION
4752.00
9414.00
4410.00
65032.00
QUANTITY FEE AMOUNT
Y
Y
567.50
4.50
90.80
x********* *******s************* MECHANICAL PERMIT **•**********************P*
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
GAS WATER HEATER
GAS HTG EQUIP<100,000>BTU
GAS PIPING
AIR CONDITIONER 0-3 TONS
GAS LOG
QUANTITY
1
3
1
*****•**********•***•*********** PLUMBING PERMIT
CONTRACTOR::: UNKNOWN
STREET::: UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PHONE=:
FEE AMOUNT
10.00
12..00
3.00
12.00
10.00
****************************.*.*.
PHONE=
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are
established by County zoning regulations. Typically, side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The
responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION— when forms and reinforcement are in place and prior to placement of concrete. (Blocking fora
manufactured home is required to be inspected prior to the installation of skirting )
3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION — prior to the installation of drywall.
5. PLUMBING — after rough -in, before covering, and final.
6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically
depicted on the approved site plan) required by ordinance or as a condition of approval of this permit Items such
as the installation of fire hydrants, fire department access, on-site drainage ("208 swaies"), road improvements,
parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives, State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations — please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Strest) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State)
(Zip)
DESCRIPTION
TOILETS
.SINKS=- -
SHOWERS
BATH TUBS
KITCHEN SINKS
- DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER'.=-
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS:.
LAWN SPRINKLER
.SEWAGE EJECTOR.
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
43
x 6.00 =
x 6.00 =-
x
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
EQUALS: TOTAL PERMIT
FEE DUE
S
+S
=S
25.00
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
MECHANICAL PERMIT APPLICATION'FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: LICENSE NUMBER:
(Zip)
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/1NSERT
GAS WATER HEATER
GAS, EQUIPMENT -<100,000 BT.U:(INCLUDES -
GAS EQUIPMENT+100,000 BTU DUCTWORK)
GAS PIPING (EA OUTLET) "
BOILER/REFRIG 1-100M BTU
BOILER%REFRIG 101-500M BTU'
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG 1,0001-1,750M.BTU -
BOILER/REFRIG +1,750M BTU
HEAT.'PUMP.& AIR CONDITIONER 0-3 TONS
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEATPUMP &AIR CONDITIONER 15-30 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
HEAT PUMP & AIR CONDITIONER +50 TONS
VENTILATING FANS
EVAPORATIVE COOLERS •
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPEIIHOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED.APPLIANCE>400,000 BTU: :
AIR HANDLER <10,000 -CFM
AIR HANDLER >10,900 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x 15.00 =
/
/
/
/
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
_ $
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: €1.1.1-72. ..2?-Yr7?JV - p7 o7t/S--
S 7-/o [ I' I YJ' � l /�/7 42
/ 4&t) /-mak- _F? ett
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION: 4ges) ijr#iri / ,Q Y1jy,y
BLOCK: 3 LOT: ._ ZONE: DISTRICT:
LOT AREA:/9.j 4F/A: WIDTH: /00 DEPTH: n-3- R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: 4tJ`i Gprfrjr4a PHONE: Sny - 5''27 -
MAILING ADDRESS:
CITY/STATE/ZIP: S ,44rgo, &-At
CONTACT:
PHONE:
SETBACKS: - FRONT: 33 LEFT: Z-9 � RIGHT: et" REAR: S,Z
PERMIT USE: / "Sio4WCE/ "4/92- 7;;/l5•
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: iprjr6.74FRge /2_/62(
CONTRACTOR: 4Z7 Cr/t2 PHONE: SOS - 6 33 - /`Get
MAILING ADDRESS: gjoy3,lf .q4, P7 / -'+ ?9i02-3
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: X REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:,STORIES:
BUILDING DIMENSIONS: 2.4 X S3/ (WIDTI{ X DEPTH) SQ. FT.: /4{7.r
6,9,,"sty r siOno G Se
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
/3.S#A - d /D V6 es -e- - /' 9"3 A
3
4
5
6
9
13
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