1990, 02-23 Permit App: 90000625 ResidenceSPOKANE 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 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 NUMBER= 90()0062:
DATE= (2/23/90 PAr;E::= Ai
APPLICATION
3iitai'****#:'i43eiei(3i****b:ai9iiiiii(#'ir'****# APPLICATION #**u**'###.u.(x>fsttrt•*#*+t•#A###*#**##rt•tt
SITE STREET= 3514 S PINES RD PARCEL..*=:: 3354i--2908
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE
F'LAT;:= 004158 PLAT NAME::=. MIDTLOME:: 4TH ADD
BLOCK= 2 LOT= 8 ZONE=:: SFR DTST4== F
AREA= r., A=: r WIDTH= 885 DEPTH= i 5A R/W= 60
Y OI_ NAGS= m DWELLINGS= 1
OWNER= C.H.D. INC
STREET= P 0 BOX 13717
ADDRESS= SPOKANE WA 99213
PHONE= 509 926 5229
CONTACT NAME= WES CROSBY PH(• NE: NUMBER= 509 926 5229
BUILDING SETBACKS: FRONT= 30 LEFT= 27 RIGHT=5 Q REAR= 92
.u..u..p.uuua *********ux*u'u**u**u*** REVIEW INFORMATION ;((uu*R.uif*t(uu**#*##'u'>fu#***
DEPARTMENT REVIEW COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUIL..DING SETBACK REVIEW REQUIRED
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
APPROVAL... COMMENTS
ya.:r s.7/... .._ 57'
****4(************************** BUILDING PERM:ET
CONTRACTOR= C H D INC
STREET= P O BOX 13717
Y
ADDRESS= SPOKANE WA 9921:'3
NEW= X
DWELL UNITS'=.
BLDG W X I)
REQ PARKING=
1
.* b: ii..p. 3..*.3..k .tt. u .* .p..3..A..#. * le 3. * * .* M. 3.
PHONE= 509 926 5229
REMODEL-:= ADDITION=
nr..CUP. 1.D== BLDG HGT=
X SW FT= 984
:M'HANT)I:CAP=:: SEWER= Y
CHANGE,: OF USE=
STORIES=
HYDRANT= N
,t' ,(* ri..u..u..>( p:.y;.u..*.* .u. u..u.... ae 3..u.u.u..u. 3* u..............M..I...u. M E:: C: H A N IC A I.. PERMIT **********************ii
CONTRACTOR= C H D INC
STREET= P 0 BOX 13717
ADDRESS= SPOKANE WA 99213
PHONE= 509 926 5229
i
'3'**Il'*.*:*'g1('...j(..)(..k..*:Q..h.*.....k..*')l'*)t'.3'*al'3*)l)(' PLUMBING r'r:F<M:I:T a(.3.*.X..*.f,..u..tt.*..1..*.X3**tf.)i**#.3..t,.h.h..3..3.33*3.a..n.
CONTRACTOR= C H D INC PHONE== 509 926 5229
STREET= P 0 BOX 13717
ADDRESS= .SPOKANE WA 99213
PROCESSED BY: WENDE:L., GLORIA
PRINTED BY: WENDEL, GLORIA
u u. u. u:,<.:d..u:a.uu..u..uu..u..d.:n: u k *.u..u..u..u..u. u..*.u..u..u..u..u..u. THANK Y OIJ K***)**** u. u. u.u. ifle u.*flit***
Spoka:ie County
DEPARTMENT OF BUILDING &-SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 et tK
c/81 11F.
1
INFORMATION WORKSHEET 4'/& Urfa
PARCEL NUMBER: 3 3 S `// - 2-9 0 EJ
1/4/6 GAR
STREET ADDRESS: S 3 5/'
CITY/STATE/ZIP: —
--y' 126/ 0,0„,c_
L/- A -,O/)
BLOCK: L LOT:_t__ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: C, �T ��nnLL
ADDRESS: P a(J 7/7
-MAILING
CITY/STATE/ZIP:
CONTACT: 29 -es L.1iee 1/
PHONE:
PHONE: - - S"2Z1
SETBACKS: - FRONT: 32 LEFT: 2-7 RIGHT .S REAR: 92_
PERMIT USE:
kk*************4***********k*kk***********k k*44******************k*
BUILDING INFORMATION
CONTRACTOR LI//CENSE NUMBER:
CONTRACTOR: C- PHONE: - 512-6 -
MAILING ADDRESS: /re,- j3 -1c /3 7/7
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. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
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
r
1
1
1
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:
MECiANICAL" PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Zip)
(Street)
(City/State)
(Zip)
MECHANICAL
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS TUNIT
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
)
2
= 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
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