1987, 10-20 Permit App: 87003535 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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= 87003535
A II'ETCA(00A/87
F'AGE:- 01
3•** *** **** *****x*******3 ***** APPLICATION **x•****** *************** ***)
SITE: STREET=: 912 S PIERCE RI) PARCEL..:a= 21543••••2305
ADDRESS= SPOKANE WA 99206
PERMI... USE= RESIDENCE ADD OVER GARAGE ••- BATHROOM & BATH
PLATd':=:= 001998 PLAT NAME= PIERCE ADD
BLOCK= 1 LOT= 5 ZONE= AGSLIB
AREA= 00011520 F/A- F WIDTH= 96
4 OF BLDGS= 1 ;: DWELLINGS=
OWNER= CI.1ARBONNEALJ, EDWARD J
STREET= 912 S FIERCE RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME=:: EDWARD J CHARBONNEALJ
DIST;:
DEPTI-I:= 120 R/W::= 40
PHONE= 509 922 7419
PHONE NUMI:tE::R-- 509 922 7419
BUILDING SETBACKS: FRONT= LEFT== 8 RIGHT:::: REAR==:
* ****x**************x*a***%3t*** REVIEW INFORMATION **** ••x•tt*****•x ***** *****
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
BUILDING & SAFETY
ENVIRONMENTAL HEALTH
COUNTY PLANNING
PLAN REVIEW REQUIRED
WASTE WA—EP
Igjy
LAND USE ACTION REG,!' D/INVOLVED
01 566 .5JTe ?LAN
871020 GMW
871020 GMW
871020 (*MW
•ux*•tt*u***•C******* *ac%**** **** BUILDING PERMIT ** *****.)' e****p*** **ar******•
CONTRACTOR= OWNER
NEW==
DWELL. UNITS=
:BL.DC; W X D =
R E Q PARKING=
REMODEL=
1 OCCUP . I...D::::
2 EL X 24 SQ F T. =::
=HANDICAP===
DESCRIPTION GROUP TYPE
RES ADD R-3 VN
PHONE==
ADDITION= X
% n
BLDG F•I t; T=••
524$
SQ FT
576
SI:WI:R==:: Y
CHANGE USE=
STORIES==
HYDRANT:::: N
VALUATION
1 55 :)2 ., t•)o
******************************************************************************
* INFORMATION WORKSHEET
*
******************************************************************************
*
* PARCEL NUMBER: 2-1 54 3 25c5 *
* *
• STREET REET ADDRESS : S /v2 ) (� ' C if/ *
* *
* CITY/STATE/ZIP: .S%O.eeiel /2 e ' 604- 9,:.24 iG' *
*
* SUBDIVISION: P �>2C E Apo *
* BLOCK: 1 LOT: 4 ZONE: ,4s DIS'1RICT: j
* *
* LOT AREA: F/A: WIDTH: 4 , DEPTH:/2.O R/W: 110
* *
* # OF BUILDINGS: J # OF DWELLINGS: / WATER DISTRICT: /700e14
* z
* OWNER: ,��t'LU4-s�G�' (7,(K,.9-/'Q,dOA)/U/l.�'e-( PHONE: 54 - Jam' ,2- % 4/J�
*
* MAILING ADDRESS: 59p a /2/ ,C,_ «"
* *
* CITY/STATE/ZIP: 5140/49/4/0/0 ' t.J,4- 49, D & *
*
*
* CONTACT: PHONE: - -
* *
* SETBACKS: - FRONT: LEFT: RIGHT: REAR: *
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: it -(E,
PHONE:
k MAILING ADDRESS:
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k ARCHITECT/ENGINEER:
PHONE:
*
*
k MAILING ADDRESS: *
k *
k NEW: REMODEL: ADDITION:( CHANGE OF USE: *
k *
k DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: % STORIES: / *
k / *
k BUILDING DIMENSIONS: 24 X 21f- (WIDTH X DEPTH) SQ. FT.: .s'1$ *
k *
k REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
*
k*****************************************************************************
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* MAILING ACCRESS:_ -
* PREVICLS ADDRESS:
* *
• LOCATION: PARCEL NLNEER:
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STREET:
• CITY/STATE/ZIP:_
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* PREVIOUS . CGRESS:
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• LCCAT IFN:___ PARCEL NUtt8ER:_
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*
********4**0444(*4444********************************4:***********************
* SIGN INFCRMATICN
* CONTR LICA:
* 4
* CONTRACTOR: Ff-CNE:____— — 4
* *
* HAILING ADDRESS: *
*
* SCUARE FOOTAGE: POLE t -EIGHT:_____
* *
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* OEMCLITICN INFCFMATICI *
* CONTR LIC#: i' *
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* CONTRACTOR: ; FNCNE: — - 4
* 4
* MAILING ADDRESS: *
* *
* BU ILC ING SCIIARE FOCTACE:
* *
* NUMBER CF BUILDINGS: *
* . 4
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MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/INSERT
GAS WATER HEATER
GAS HU., EQUIP<IOC.000>BTU
GAS FtTG EQUIP4-100.000 BTU
GAS PIPING — 1l OF UNITS
hiEATPUNP 1-10nt eTU
HEATPUMP 101-500M BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-1750N BTU
HEATPUMP +1050M BTU
REFRIG 1-10014 BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REI -RIG +1,750M BTU
AIR CONDITIONER 0-3 NP
AIR CCNGITICNER 3-15 hP
AIR CONDITIONER 15-3C HP
AIR CCNC.IT ICNER 30-50 HP
AIR CONOITI•GNER 450 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTI-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10GOG CFH
AIR HANDLER 10000+ CFM
nUKBER CF
YES OR NG
PLUHBIt.G FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS.
BATE TUBS
KITCHEN SINKS
OISH WASHERS
GARBAGE OISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC MATER HEATERS
FLOOR DRAINS
FLOCR SINKS
BAR -SINKS
ROOF CRAINS
LAWN SPRINKLE"
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUtBER 0f
YES OR
�.y
KAPPEN,SQNSTRUCTION, INC.
Spokane, Washington 99216
PLOT PLAN
{
Requested
Lot Cost
T
Price c.? 5, 950eo
00
ELEVATIONS:
Crown of Street q�
Finish Floor t
14
2
Lor 3
rI
.oT'1
4)
0
1
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irr
A 4-
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NT
c
NOV 1 9 1975
EN HEALTH
i4. APPROVAL ONLY
SRO. CO. HEALTH EISTs.,
FOS: CA .L_ \<AV? E
13c.1 t alvu 'PERMIT ow4u-i-
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S'Po K At -1 E , WA 51"1
'Zco- 1322 99zo‹....
Scale: 1" = zo'
Basic: 10011-(Q Sg. Ft. {d0('
FHA Case #
#
25'4
Mortg ge Co.
Ornrne��v
Power
Pumbr.�
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Water 'Co.
1 Excavator ,
r
Lc -gal ko+ 3
Address:
d< I 1 I i' Aa,&I 1 1aly
C rte% '11___
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SPECIAL INSTRUCTIONS:
, Stra+ Its (, c ! �. �;oy-t-