1990, 04-30 Permit App: 90001752 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAYAVENUE
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 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, ores a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT
NUMBER= =:, 90') 1'752 .
31 i**************
11
SITE STREET: 34.:,., £' I::,THEE RD
ADDRESS= SPOKANE
APPLICATION 31•
:
WA 99 206
PERMIT USE=: RESIDENCE
PL.A T t '' 17041 yf? PLAT NAME=
BLOCK= LOT=
AREA= P'/ A ::
(31` RIDGE= C: DWELLINGS=
OWNER=
STREET=
ADDRESS=
C EI IT Nf:;
P 0 BOX 137/7
SPOKANE:: WA 99213
CONTACT NAME=:: WE ' CROSBY
BUILDING SETBACKS: FRONT= 30 LEI -'f=
DATE::= 14/30/90 PAGE= 12)1
REVISED PERMIT INFO
31'31 if31') 3133-31+i,31313(317 31'.131 :31'3131113111*31'13}49('16 .M.
:r...:
I''F}Iil:'L..'. 33541-290533541-29055 �33541-29055
E•iI)):ELOME: 4TH AD))
i> ?TONE= SE R
F WIDTE.I,., fl
1
.p;.g..3.*.g.-.-.p:.-.3..-.iii ****ii-a'1.:ir;.—*-) ..-g-1-'*3'-x REVIEW
DEPARTMENT
BUILDING
REVIEW COMMENTS
PLAN Rk.'V:1:IE:id REQUIRED
31,'12 ;> r :,, :-:
DEPTH=
PHONE= 599
l''HONEE. NUMBER= 1;09 926
REAR. S7
INFORMATION
BUILDING SETBACK REVIEW REQUIRED
ENGINEER APPROACH/Fi..o(3t, PLAIN/DRAINAGE
31313131#3.3.3..313131)131311 3131'331* 11313= 1'4
AEPROVAL COMMENTS
r Oc Ey._......_..... -e -Qo ._
c3O O
L iaNT rcen- .....'7..Ts9-�(d....._.._
3()1....'311196'-333..11.1.1 31-*31'11313-X-1*33).x......3* tUIL..D1N6 PEEWIT .
%i L_( ,ri'113113'hi'a:v:3i..313.ii..p,.g..h.3i.3i..3.3i..3..33i..ii'ri'illi'3i4i('
CONTRACTOR,-
STREET=
ONTRACT(OF:STREE:T==
ADDRESS
DWE_i..i.. UNITE
IW X D _
PEO PARKING=
C H 1i INC;
P 0 BOX 13717
SPOKANE: WA 99213
'::'-#91dri3-31..1.di'4: '3133 ii"3' A'k313131
(;CIN T K(..,D rfi1 f' II D INC
ADDRESS= SPOKANE 14r)
REMODEL=
1'Irr lP. I..T)=
SP FT=
rHAND fCAP=
31 .p: .A..A..4:. 31
.. 3
Yl' il'P; a: R. k..k.3t.3i..�:.'y..3..113131313(.3i. 3(.3E 31..11 0.. _,
CONTRACTOR= C H D INC
STREET= E' it BOX 13'11
ADDRESS= SPOKANE WA 9921
PHONE= 509 926 5229
ADDITION=
BLDG WIN:
1209 SPRI'NKI...I''.. N
CRITICAL MAT
MI:(:-(AN:I:C:AI
LM11 I N ('%
f::4,f N G P or
5:_( 3121i±.l 1:.
3..3...
PERMIT 3311 Sri Pi 3i'#n'�D:'3ri?i�A'3i'3i�i+i 3t'�k'io- 3131 31'11 rer 'i
PHEINF= 509 926
PERMIT .11..4.'31 ii'3('3131'3131'31-1'3('3'3i'i("a'Auit h..h. rt'.a..li'a: 31'3633131
PROCESSED BY: WE:NDEL, GLORIA
PRINTED BY: WI=NDEL-, GLORIA
'i43v3313131dao:3a ti"313131i1313'9131:3'-X-13111'3'314*-31*--' 'T'I-Ii)NI( Yflll 31
PHONE= 31)()9 926 :;
***II* 313 31
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. 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
PROJECT Ni..i'rIT'f!_R==
Sri 3t •P:r> r. 3i'
3(.: 3* APPLICATION 3+
DATE= 0
APRLICA
EON
-)'3*);:3E3P3i3f3Eni#iR3P:r3e3F#air:#3
6 . PIN l - , PARCELS`_ ::i3`;=y1 ....;)965
fll)Di;I:: r';:; :j l; i..i ll t"t i.i i:r WA 9920A
PERMIT LIST.::=
PLATO::: fl_,,; PLAT NAME= i-1:1'T):i:l...i:ii•)I:--triI-i ADO
BLOCK= ,_ i... _ 1 =J.!1) I
:....::.=' ,. Iii
. .
(:ii' Eai...f.`:G;S'= OHL::L.L..:I:NGS=: 1
04JNER'=
TREi:L.T.
ADDRESS=
CONTACT
(: H D INC
0 BOX 13717
SPOKANE_ WA 79213
NAME=' Wir.:>ROI:Fe
BUILDING,•.c:.Y I::'_}l,lf.z:: FRONT= :+t:, l...l:F:.}.._:
N.a9Ad4n@@re mre o- k kh ipvE1i
PEFAR i lL::i.t'E RE'VT.•E,L,i r OmMFi:NTX
PHONE= 509 926 5229
FHOi4F: NlhtE'E R== ';c,9
RLFGHT= ii REAR= n2
....
j:r i:i i�i hl t"� f ! (i li .p..y..q; �)@.)i..p:.)@ :,{.;E .N. pi i@.ii..h.:�: a': 'N. )t..U:
PACE: - ( 1
5229--
BUILDING
229-
L;IJ:i:L..i):i.NG PLAN r;i:::'++ :I E:, h! REQUIRED
BUILDING S'ETE'.AICV FtE:'v::::IJ r :pIIT RFrT
T)
ENGINEERENGINEERr;F'!'I:ffr_rt:'L.I;'I-L_taOTi PLAIN/DRAINAGEF:
�rl'I'�a3C;E
.
y; ji. vrQ h) .j(. )i, yi.:Pi'll )ri')l ,l 3r: )"'IC' 3E $ri'}M1 �y'' -0i..)i. h: 'u"hi'ii' 15 :P. )t R'Y} ir} BUILDING L11. l.. �} .! r t i:.r F> h: F r'I .I. T
APPROVAL
KEy
i;i:ii'If'EHT
g7.2rz_-.Y.9
I, 1. l'111•'py 1. I L!h ...' (.' !_! N
' S "i' F? i aii: T= P t i Box 13717
RE SPOKANE: t'POKANF WA 9921:.3
NEW
DWELL UNITE=
1
fitl.Dc; !h! :( .{i ...
REP. PARKING=
dri 3 ,, 3 3i" h .)( K****)* k* ***• p: v: ii' u' 3r')i' ie
t 1*),: ;i..hi .g..k $' 3i' tri * 9(..E...)i* )ii )r.
PHONE= 509 926 522r,
9i• :n: d; ,i X 3* da ii'
REMODEL= ADDITION= ,N;k:' fa'
('(:CIIP. L.D= BLDG Fii;T== Fl«i 1:F
ASO FT-:.}""^.; t'; SPRINKLER- N
4HANDICAP- CRITICAL NAT- N
'*x* ME:.C:iiANLCw!.. PERMIT 3l'3;'3'ew:.'3i'3t*.p..3l'$'3/'dl ilPi3i)': 'X R )' e3* i:` X
CONTRACTOR= 0 H D INC
STREET= P 0 BOY 13,:17
AitDRIii::'.5:::' ;:POI; ANE WA 97213
r Hf11dl:::.: 509 926 5229
3 di*3**ilii tri.k..ii...9Fu.u..ii'.kn.h))F M—h3':• u• • ..'':- $ii f'I._UN E1 T NGr [:E. RM11 *iii 3i g'tt Iia.. ii.
CONTRACTOR:= C H 0 INC
STREET- P O ;il O x 13717
ADDRESS- SIOKANI-. WA 99213
I ROCE::a SIED BY: LIF"N:DEL.., GLORIA
PRINTED fT: WE'NDc:I..., GLORIA
33*.)'..)i..k. 3i.:..:p..) .. * Sri 3'''
aa aaaa
PHONE= 509 9'.. 5229
THANK ..
')****X****** you 1 ,i' n' 9i'* A7 ii..,k.ri.:)r 9i"it *X- M' df :n` ir: .)i..)a .y: qf.
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
i&Q/ 1/F ' `7b�6t 4
7 -27 -co Ur&
PARCEL NUMBER:
INFORMATION WORKSHEET
:51/1/ - 2Qos
STREET ADDRESS:
5 nue, ISD
CITY/STATE/ZIP: �vc (f,A/ 0
SUBDIVISION: 44/
BLOCK: O LOT: CS ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: 85' DEPTH: /50 R/W: /L0
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: (2 /'I, i✓ i Acc PHONE:
MAILING ADDRESS: 7' e), /3:7777
CITY/STATE/ZIP: ,to /6,0--1A-e. LOA/ 99 Z/ 5
CONTACT: Ai Ps CPO 137' PHONE:
SETBACKS: - FRONT: 3'v LEFT: '% RIGHT: /7 REAR:
PERMIT USE:
k***k*******k**k**k***k**kkkkkk*k*kkkk*******k*****k******#*r*k***#**t###t#*
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
C/9
DIP/ ill /qtr,
MAILING ADDRESS: , Q, ,jj"(/37/7
PHONE: - 9/io - 2- 2-.?
ARCHITECT/ENGINEER: S-7÷7-,�1, ` PHONE:
MAILING ADDRESS:
NEW: REMODEL: -- ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
JOB STREET ADDRESS:
PLUMBING PERMIT APPLIdATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: - -PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State) (Zip)
CONTRACTOR: LICENSE NUMBER: •
PHONE , NUMBER
MAILING ADDRESS:
(Street) .•- t�`' :,.;:,.,. -(City/State); . (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
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
NUMBER OF
:FIXTURES
a
r
X EACH
FIXTURE
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 =
=;AMOUNT
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 (5 9) 456-3675
JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet •
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
MAILING ADDRESS:
PHONE NUMBER:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(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
HEATING EQUIPMENT +100,000
GAS .PIPING (EA OUTLET)
BTU
BTU
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 Sc.
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'
TYPE II HOOD
CLOTHES,DRYER
RANGE
PTN. OF HOOD)
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 12.00 =
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 =
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