1990, 04-09 Permit App: 90001341 Residence1
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permrt/apphcabon, 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 NUMBER= 90001 341 -/343
************%*********$******* APPLICATION
SITE STREET=
ADDRESS=
PERMIT USE=
PLATO=
BLOCK=
AREA=
4 OF BLDG'S=
OWNER=
STREET=
ADDRESS=
3600 S PINES RD
SPOKANE WA 99206
RESIDENCE
004369 PLAT NAME=
2 LOT=
F/A=
4 DWELLINGS=
SCHIERMAN ROBERT D
P 0 BOX 14634
SPOKANE WA 99214
DATE:.. 04/09/90 PAGE= 01
APPLICATION
*********************************
PARCEL 33541-9004
MIDILOME 5TH ADD
10 ZONE= SFR DISTR= F
F WIDTH= 100
1
DEPTH= 150 R/W:=
PHONE= 509 928 0218
CONTACT NAME= BOB SCHIERMAN PHONE NUMBER= 509 928
BUILDING SETBACKS: FRONT= 30 LEFT= 11 RIGHT= 24 REAR= 70
60
0218•
****************************** REVIEW INFORMATION **************************
DEPARTMENT
BUILDING
BUILDING
ENGINEER
UTILITIES
REVIEW COMMENTS
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
APPROACH/FLOOD PLAIN/DRAINAGE
CONNECTION AGREEMENT REQUIRED
APPROVAL_ COMMENTS
4)-
(2qtazIJ3
ATO
*********•********************** BUILDING PERMIT ****************************
CONTRACTOR= ROBERT SCHIERMAN
STREET= BOX 14634
ADDRESS= SPOKANE WA 99214
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
1
REMODEL=
OCCUP. I...D=
X SQ FT=
HANDICAP=
PHONE== 509 928 0218
ADDITION= CHANGE OF'LISE=
BLDG HGT= STORIES= 1
1259
SEWER= Y HYDRANT= N
***•**************************** MECHANICAL PERMIT *****************•*.*.*..*..****•
**
CONTRACTOR= ROBERT SCHIERMAN
STREET= BOX 14634
ADDRESS= SPOKANE WA 99214
PHONE= 509 928 0218
*************************** PLUMBING PERMIT ******************************
CONTRACTOR= ROBERT SCHIERMAN
STREET= BOX 14634
ADDRESS= SPOKANE WA 99214
PHONE== 509 928 0218
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************
Spokane County
DEPARTMENT OF BUILDING
West 1303 Broadway Avenue Spokane, WA 99260
PARCEL NUMBER:
INFORMATION WORKSHEET
/259 uir 528adlt
tSo F6
57(0 uF8
& SAFETY
(509) 456-3675
STREET ADDRESS: "�- 560C
/J/ /Vc---S°
CITY/STATE/ZIP: „1„.20
TQ h 4-S6/
49 a 0C.
SUBDIVISION: N/ / D/<o r -7L- S 4 o%/.
BLOCK: 2, LOT: /0 ZONE: DISTRICT:
LOT AREA: /50-0-0. F/A: WIDTH: /4-0 DEPTH:ACC,
CC,
# OF BUILDINGS: # OF DWELLINGS:
OWNER: /Po C�
R/W:
WATER DISTRICT: /4j4Dr'!
Sc 4. Pvv “. PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
PO, /30 ,c / 9'g ] y401.
-9ze-ate,t
CONTACT:
SETBACKS: - FRONT: -342
PHONE:
LEFT: //. RIGHT: 2 y REAR: .1/47
PERMIT USE: 9//7G'46.- �Nr,'tz/ehr•ro
*************************************************.t*********art*************a*
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: //c o /fr72 SCy / -,477°
CONTRACTOR:
,,eo Pv,7`'
_ PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
PHONE:
ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
BUILDING HGT:
STORIES:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED:
CRITICAL MATERIAL:
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
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:
CITY/STATE/ZIP:
OWNER:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(Zip)
(City/State)
(Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS tUNIT
DESCRIPTION
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
1
s
= 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