1984, 09-21 Permit App: 00002500 Residence252
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name// (last) (first) (m) Department Use Only
(,J ,1/SO Pi. 0.-c,�C. L� `/ cFes.
I
Comm
2 Project rens (not Mailing Addr Road Name Space Zip
E. //rii6, 1(e, /road Ave <<24b
3 City/Community
C CA A 7- ‘i
State
(,J f'+ _
Subdivision/ Plat Name
,., c s T a era 0 1 (0 o .
fine 6_,)c5"
4 Assessor rcel o.
41/5 %4 - /I23
Lot
2 3
Block
i
* * * DEPARTMENT USE ONLY
5 Sic Code
Zone Act. #
Zone r- /
Project No. 2.500
6 Dwell #
/
No. of Buildings
/
Sq. Ft./Acre
Depth
/Z7
Frontage
7 Set Back -Front
36
(L S-1
/5
(R)S-2
' 5
Rear
1/
Census Tract
I Module No.
Initial
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
kr S /.6"d CV, _Z—4)C,
Street Address
3,/O J AL". !r 7z
Zip
� i10 -3—
City
S/0u4 /r .Q
1 State
C,.Jft ,
Phone
( Sal) S-- 3 8-- Y 9 y 3
Contact Person
6:o7G. 63oVso„
License No.
r.szRAJ c.zievP4
Phone If different than above
( )
/ 8 Owner/Agent (if different than #1 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y/N)
Other (Y/N)
SEPA Exempt (Y/N)
Date
15 Type Work P -Bldg
0 Fire
❑ MH
0 Demo
New
0 Add/Alter
E Replace
0 Move
❑ Other
14 Describe Work
,'E5 idene - rQ�e- 411aehed
10 Applicant Name /
Street Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional I n f o rmat io
MF= 65Z v 2 1312_
13 = 82�5 PEp 2 1994 Z Fav
S
DECK ; 7 �v
E
a
c
O
0
0.
0,
c
Y O co
H E
) o
0 c
LL
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is nota Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
Conditions/Comments•
❑ Commercial;
❑ New Construction;
❑ Additional structure; //
APPLICATION # 17"V"-- /_z
❑ Residential
❑ Bldg alteration/addition
.y
Release
w/cond 1
Hold 2
(Release
i
r
Planning/Zoning:
N. 721 Jefferson
❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
O Other
Conditions/Comments.
Engineers:
N. 811 Jefferson
Conditions/Comments.
❑ Commercial;
❑ drainage
O road improvements
O Residential;
O new access/approach;
O Flood Plain;
❑ fence; c
Utilities:
N. 811 Jefferson
Conditions/ Comments•
Other:
Plan Exam
Fire Prev.
Conditions/Comments•
Project Representative
Agencies Performing Special Inspection:
1
Telephone
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
October 5, 1984
Spokane County
department of building & safety
Jack L. Wilson
c/o J. J. Land Company, Inc.
4105 E. 9th
Spokane, WA 99202
Re: No Valid Building Permit
Dear Mr. Wilson:
JAMES L. MANSON, DIRECTOR
Our district inspector reports that a residence is being constructed
on your property located at E. 11916 Railroad Avenue, parcel number
04544-1123, without a valid building permit. In accordance with
Section 301 of the Uniform Building Code as adopted by Spokane
County, such work requires that you first obtain the appropriate
permit.
Section 304(d) of the Uniform Building Code requires that a double
fee be charged whenever any work for which a permit is required has
commenced prior to obtaining such permit . As such, a doubl e fee wi l l
be assessed on your permit as per the aforementioned regulation.
Should you have any questions, please contact this office between 8
a.m. and 4 p.m., weekdays.
Sincerely,
DEPARTMENT OF BUILDING AND SAFETY
Jeff Forry
Building Technician
JF/dl
NORTH 811 JEFFERSON
•
SPOKANE, WASHINGTON 99260.0050
•
TELEPHONE (509) 456-3675
4IVERGREEN
TRUSS, INC.
ENGINEER
JOB NAME
JOB NO.
PAGE OF
E. 11511 Indiana CALCULATED BY DATE
Spokane, Washington 99206
PHONE: (509) 926-2886
SCALE
to^
ckN
/IY:L
'w t I - c
T
ti
•
IR
n
773.
1
VERGREEN
TRUSS, INC.
E. 11511 Indiana
Spokane, Washington 99206
PHONE: (509) 926-2886
ENGINEER
JOB NAME i, E) t eu,(3-. tTh
JOB NO LE PAGE OF
CALCULATED BY
.7e
— 3c
f;v I.
p ----
r
Sr`r.
7'ZeiNO
rl
Isnot;'
ga•
a
•
w N
I