1987, 10-08 Permit App: 87003388 Addition, Remodel- SPOKANE 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= 87003388
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,.,......E STREET= + , , 5 PIERCE
[ PAR...l...i .:t..... 28542-2309
ADDRESS= SPOKANE WA 99206
PERMIT UEE= ADDITION A '(ID REMODEL L Ri::.:`.i..IaEP.CE
001393 PLAT I•'.iAI"Ii::.:::: Ki.sKOi.I(.1 I O1Nt ,.;.I. E
f...i::)'T'= ZONE= AGSUB
DWELLINGS=000112350 F/A= F WIDTH= 130
OWNER= BONGA, DAVID
"'TREE_::.. 1915 PIERCE FID
;;9:
ADDRESS= SPOKANE ixl f�� r :::' t! 6
CONTACT I 'ii` ::..... I;I..I'' • ,:. F't.; I .'
BUILDING :.flr;Cs: FRONT=
DISTO=
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95
JI±....
PHONE= 509 92;y 5249
PHONE NUMBER= 509 534 1269
RIGHT= REAR= 28
:!!: 'P: ?i: •!r dL"i6: 9{' * :a: '%C -i[• * 'J{ Jt' 7±: iL}Li±: 'P' 't!: it 'iL 'IL' 'R: !::!!: 'iC 'iL' '!L' 'J!: REVIEW ..y ••ri••O{.,,MA±.Li.fN iii• i!±i ii±i •i±i •!+i 1!i P: •it. .}±r :Ur •14• •ft• •)±i •I{• •)t• •7C• i!?• •)11t' •i(• •)!i •f!• •1±i 7!' 3!• i!l•
DATE
IN/OUT INITIALS
DLPARTMENT NAME
BUILDING fi„ SAFETY
REVIEW COMMENTS
PLAN REVIEW REQUIRED
ii:[RF::i
.x [:.: ?VIRONMF::NTA[_ HEALTH NEW OR ADDITIONAL WASTE WATER
871008 l F.: F
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..I...}t ii• is!r •Ji- -11- iui i'(' L: i±i.:i' :}t• i!{..1!r Jt' P' -1*' * 1f. j;..il. *. M -it• iii• !f- .n.• ix: i!i• * * BUILDING EtiM[T ********4*:****************:*
CONTRACTOR= SPOKANE STAIR
STREET= 101::' PERRY RID
ADDRESS= SPOKANE WA 99223
NEW= X REMODEL=
);1!:Ii:::i...i... HNITS= O(:;(::I..IF':. LID::::
BLDG W X 0 :::: 10 X 20 SQ FT=
REQ PARKING= :H,HAt'ai:).Fi.;AP::::
PROCESSED BY: FOF{RY, JEFF
PRINTED li l y : F•s.')RRY, •••ti«:Fi..
PHONE= 509 535 1269
ADDITION= CHANGE (.l,`'I:::::::
BLDG HG) :::: 12 STORIES=
205
SEWER= N HYDRANT= N
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* PARCEL NUMBER:
*
* STREET ADDRESS:
INFORMATION WORKSHEET
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* CITY/STATE/ZIP: �� e)/6We__
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*
* SUBDIVISION: \-C1 « C- ' 7 C
*
* BLOCK: L'(. LOT: ZONE:4 ,4.6. DISTRICT:
*
* LOT AREA: F/A: WIDTH: DEPTH: R/W:
*
* # OF BUILDINGS: # OF DWELLINGS:
*
PHONE:
*
* MAILING ADDRESS: ' A ntic
*
* CITY/STATE/ZIP: Pe, '-#V\�.�'L 61C2 �G
*
* CONTACT: �vf JAG it PHONE:
*
* SETBACKS - FRONT: LEFT: RIGHT: REAR:
* PERMIT USE: An 0 17 t v /N-) ‘N‘ ,t)
*
*
*
*************************************************************************
* BUILDING INFORMATION *
* *
* CONTRACTOR LICENSE NO.: 67/7(2/6` /7(2/645._ 1 N 3 *
* jj
* CONTRACTOR: C/10/6tc £ C4(;" a PHONE: - -
*
* MAILING ADDRESS: '/7,7 K ,,47/, *
* *
* ARCHITECT/ENGINEER: / c'c Vr,r, �,� r PHONE: - -
* *
* MAILING ADDRESS: S/eio, r��, C/w& /14 . i9;�2
* *
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:,C2_ STORIES: *
* *
* BUILDING DIMENSIONS: IC) X Z®" (WIDTH X DEPTH) SQ. FT. *
* *
*REGUIRED PARKING: 1 HANDICAP: SEWER:(Y/N): HYDRANT: *
*************************************************************************
* * * * * * * * * * * * * * * * * * * * * * * * * * * * T * 4 * *I' * * * * * * * * * * * 4 4 4 * * * * 4 Y * * * * * 4 * * T * * * * * * *i **-** Y * * * *
NGBILE FCNE INFCRNATICN
* CONTR LICK: *
* *
* CONTRACTOR: PNCNE:
* *
* MAILING ACCRESS: *
* *
* PREVICLS ADDRESS: *
* *
* LOCATION: PARCEL NLNEER:
* *
* STREET:
*
• CITY/STATE/ZIP:_
* 4
* MAKE' NCDEL:
* SEPIALh: HIDTF:LENG1F:____
* a A J A l J I♦ J y y L y y y y / L y y L y L y y y y y y y a L L y _y
* * * * * * 4 Y X Y ♦ 1 4 4 4 4 * 1 1 4 t * 4 4 * * * * * * * 4 * * * * * * * 4 * * * * * 4 T * * * * * * * * * * * * * * * * * * * * * * * * * * t * * *
* RELCCATICN INFCRNATICN
* CONTR LICff:
* CONTRACTOR:
*
* MAILING ADCRESS:
*
* PREVIOUS ACDRESS: *
*
* LCCATICN: PARCEL NUNEER:
FFCNE:____---------
*
* S1REET: *
* 4
4
*
*+ J y yy / y y a yy yyyyyy yy yj. y y y y y L �{y yy
y* * * * * * * * * * * 4 4 4 4 * * 4 ♦ 4 * * * * * * * * * * * * * * * * * * * * * * * * T * * * * * * * * T * * * Y * * * * * * * * * * * * * * * * * T * *
* CONTR LIC#:
* CONTRACTOR: $
*
* MAILING ADDRESS: *
* *
*
SQUARE FOOTAGE: POLE FEIGNT:_______ *
* *
*
CITY/STATE/ZIP:
Y
SIGN INFCPNATICN
________ FFCNE:____- -
*
******************************************************************************
* DEtMCLI T ICN INFCRNATICN
* CONTR LIC#: *
* *
* CONTRACTOR: FNCNE: - - *
* MAILING ADDRESS: *
* *
* BUILCING SGGARE FOCTACE:
* NUNBER CF BUILCINGS:
*c .
**s******* ********************************.************************************
##444444#***,*444##44****444444*#**#******************#******444*4*************
*
* CONTR LICA:
*
* CONTRACTCR: PF -CNE:____-__ -
PLUMBING INFCRMATION
*
*
#
*
* *
44*#**4444#44444*#44*****4#**************4***************4*************4******
* MAILING ACCFESS:
*
* CONTR LIC4:
* *
* CONTRACTOR: FFCNE:
* MAILING ACCRESS:
* #
* ELECTRIC:__ GAS:___ CIL:___ CCAL:_kCGD:___ SCLAR:___ FEAT FUND:___ #
* *
4**4*4****44444#4x44 ********************************444x##*x4444#****#;#*44**
MELF-ANICAL INFCRMATICN
4
************ ****************************** ** **************** **************** **,
HECHANICAI FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
i0CCSTCVE/IPSERT
GAS WATER HEATER
GAS HTG EQUIP<10C,000>BTU
uAS hTG EQUIP+100,000 BTU
GAS PIPING - 11 OF UNITS
hEATPUMP 1-10011 ETU
HEATPUMP
HEATPUMP
HEATPUMP
HEATPUMP
REFRIG
REFRIG
REFRIG
101-500M BTU
501-1,000M BTU
1,001-1750K BTU
+1,750M BTU
1-100M BTU
101-500M BTU
501-1,000M BTU
kEFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER 0-3 HP
AIR CONE IT ICNER 3-15 hP
AIR CCNDITICNER 15-3C HP
AIR CCNC.ITICNER 30-50 HP
AIR CONOITIGNER +50 HP
VENTILATING FANS
EVAPORATIVE CCOLERS
HOODS
CLOTt-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM
NLMBER CF
YES OR NG
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC kATER HEATERS
FLOOR DRAINS
FLOCK SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLE;
SEWAGE EJ•ECTCR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUMBER OF
YES OR NG
SPOKANE COUNTY HEALTH DISTRICT
ENVIRONMENTAL HEALTH DIVISION
APPL . #
/�,
Y
FINAL INSPECTION FOR SEWAGE SYSTEM AT -/ 1 / ;— f'-' _C_g_---)
(numeri;.al address or lot and block in'plat or section, township, and range and road)
lease i11 out in heavy dark line (felt-tip pen or equal) with a straight edge. Plan
to i elude outline of structure (if available) as its position occurs on the grop-
e ty. identify by measurement actual location of septic tank, drainfield lines,
ywell, or other on-site sewage facilities, property lines closest to drainfield,
-site well (when applicable), driveway, and road frontage. Septic tank access
st be referenced to a known fixed surface structure.
IXfSf q a OR) VrELly
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INSPECTION MADE BY
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(INSPER'S NAME)
//7‘-'Q O
(DATE)