1990, 01-29 Permit App: 90000358 ResidenceSPOKANE COUNTY DEPARTMENT GAF BUILDING AND SAFETY
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
FR0_..)F C'T' yl_IP'iBER::: 90000350
DATE= 01/29/9P, I:iA11-.C= Oi
AP121, Ti'Al 1 ON
Bio#
)&ieiv,i-) ii )e .)iii. ii.) if A1-'1=1_1CAT:I: uN 44 i+:Yi.ui . it* #di ii ie )i X." X. ii hi*
s'i:1'FC aTRi:i:F::"i'=: 3420 ;S PINES RT)
ADORE ZT:::: SF:'CH<:ANE: WA ;?92C5
FI:::R"f"ii:-( OYE= RESIDENCE 6I/GARAGE
PARCEL_:11 = ;-5541—
PLATO=
5541-
PLATO::: 404i5B PL.: -IT NAME=: iiTDTLOME: 4TH ADD
BLOCK= 2 LOT= 1 ZONE= SFR
AREA= 00000000 iftt= is WIDTH= La°S DEPTH=
4 Lll: DLDC;S':= 4 DWELLINGS=
OWNER:::: (MERMAN, ROE1ER.T.
STREET= PO Pox 14634
f1DDf:'I: , S':: SPOKANE lLI(t 9921 4
(:CON'T'ACT NAME=: ROBERT Sf::FU.ER'iIAN
F'.Ui:LDINi.:; SE1T?tACKS: FRONT= :30 LEFT=
150
ITiLJ
PHONE= 509 928 02.1:1
PI-IONE' NUMBER= `S09 92O 0218
IT:::. 24 REAR= 7
u,,,<nn nAn,r(rStntL))i i:),i itttkh,i)i)r RE:VTEIJ TNF:ORMA'T:I:f:)N
DEPARTMENT NAME REVIEW COMMENTS
BUILDING SAFETY PLAN REVIEW REQUIRED)
Bt.)TI_.:Oi:NG & ;SAFETY
(::Ot.)N1Y L..iNG:i.NEER
COUNTY I.i`i'TL..J' 1':I.Ii
SETBACK
RF:'.'i.Ew REQUIRED
`S
h t=) it # vQ »: 1: 3 i di :vi ii :ni ii ii. di
DATE
IN/OUT i:N7 T1:6L::
900127 .1C.
1-27%reb
90012,
1(t
APPROACH/FLOOD PLAIN/DRAINAGE 900122 IA-
ya Fyif 03/ - 77e ree 7.a ....
t, /IN r:'RTf1I:; F. "( SEWER ,::1r...
VC -
90017'' ,)4S
S d. ad
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
.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 l understand that the issuance of this permit/application end 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, ores a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PR ECT NUMBER= 90000358
)t ii.i+: ii ii.ir.itir.iEisn)iiiiri
DATE= Ch /29/
APPLICAlION
PERMIT
h )i�7i�D`)i�#di' KI„TIDING... ie *ie iB 1k#7e ii'di'if r.
CONTRACTOR= OWNE1 PHONE=
BLDG W X 1)
REG? PARKING=
FYVA t:ai:' - 02
.7i. 1t iF "m :i ii. is iE i ii
i.:EMtaT)i: l..'• ;= 5t):1:7:I:iaN:.:: CRAKE OF USE=
OCCUP. i..!)::_ BL.or HGT-:: , ..., r <=
.T- ilul<,C.
SC>? FT= 1095
II FIANli 1 t Ai' SEWER= 1' :WRANT= N
iirie9iniiHrriii. ibi7feii'F ta-tditAlPERMIT ihiei9EihYt#fi>#oFdsr
Fd
CONTRACTOR= OWNER PHONE=
')r'Tn ii:P:ii')l)'.)l. it ii'9i'dr'Li ii'1Fh`.7f)i'ii It )ri iE ii: 9 i83(.:Ig.ji.:u. PLUMBING PERMIT !6'1t j41%irr i4 dt rlt :i: il'it'iir li'1t' )41•.i:.}R :Ir
CONTRACTOR= i)UNEE; I iInNE::
PROCESSED BY: JLIL..:I:E. SHAfT'(:1
PRINTED BY : JULIE 5:MATTO
ii' * ) ii..y: u..ii.:li..)i.9ri .ii.:>t.:ni {o} ii"i4 lr h: }a ii• §i..H..kr;,: ir: .h..k HANK ''"f LI I I P)'1t iP'ii' H'Ir; )t' )t' N''k' "J: }i. ji .Jl. ii; dl. }i. )j..)ri')ri'Y' L:"N: it"HR' il''Li P,
0'lt- 1075
ga,sr2- c f 1/45 Spukane-Cuunfy
L( 5s�`��DEPARTMENT OF UILD& ING SAFE'
g
B
G,�West 1303 Broadway Avenue Spokane, WA 99260 (509) 456@,';•67S
0 T
-Z-C`-' 6 U INFORMATION [�WORKSHEET
�J 7�
PARCEL NUMBER: -S S / / 6
STREET ADDRESS: 7 S/2; S''. /0,li/ -r
CITY/STATE/ZIP: .:5:0ce /in, c [ zt . �/z
SUBDIVISION: frZ/ U/ Lotr/_=- 4/ i¢sri
BLOCK: Z- LOT: ' ZONE: DISTRICT:
LOT AREA:jZrjS /A: WIDTH: P5 DEPTH: / Sd R/W:.4 U
# OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT:
OWNER: /co6wb-7& CC4,'Nt-1--_-€ rtPHONE: - 9 r- 0 2_ 1 r
.MAILING ADDRESS: /RO . ,4'g jC / yecy /
CITY/STATE/ZIP: 5-6 %Q 1.--,---5. 92- / 4/
CONTACT: /�/?-o-- �� PHONE: - -
'' (
SETBACKS: - FRONT: 70 LEFT: /7 RIGHT 2 " REAR: 1 O
PERMIT USE:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL ADDITION CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
X (WIDTH X DEPTH) SQ.
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT4
JOB STREET ADDRESS:
PLUMBING PERMIT, APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
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
D-
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 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
MECHANICAL P.ERMIT.APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(Zip)
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (EA OUTLET)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
0-3 TONS
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE
GAS LOG
MISCELLANEOUS (NOT COVERED ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
= 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 12.0C =
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 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
Y.
0
FOe F
0
i
S/dF"u.,q/4' ¢, cruse;
24'