1992, 03-11 Permit App: 91002073 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
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. 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= 91 0020 73
AF:,1::,1...:1:f::AT1:f)N DATE= 03/11/92
PAGE= 01
****•*•* THIS IS NOT rA) PERMIT **** :*
l'E::Nrl1...T:i:1:::1.`' W1:1 -.E.. BE ASSESSED FOR COMMENCING WORK K W3:THCi!.1'i' r=: 1 l RM1._1,
SITE STREET=
ADDRESS=
PERMIT USE=
AREA=
4 C:tF 0)i...0)G ::::
OWNER-
S T R E E T =
AI)DR!ES E-
5`>11 N RE:ES CT
SPOKANE WA 99216
RESIDENCE NAT•1.IFA1... (;A?
0041;
00000000
,
PLAT NAMEE=
1 /A=
DWELLINGS=
SWAN, GEORGE
tRGrE.
5510 N BANNEN RD
SPOKANE WA 99 ' f
CONTACT NAME= GEORGE SWAN
B(.11:1....0)1:NG SETBACKS: FRONT= 4()
*•* **** *•**•**•****3****•*•*•**•*•****.*
DEPARTMENT
BUILDING
:€1.1IL:t)1:NG
ENGINEER
F•IEA1.. THD :EST
REVIEW COMMENTS
'
E ARC:E"1...:,1:= 35643-2003
SWAN ACRES 3RD ADD
F WIDTH= H:.: 1 05 DEPTH= 150
i WATER DIET .1 = TF+f 1 Wf)(+I)
i•1
PHONE= 509 924 6359
s
PHONE NUMBER :::: 509 924 6359
LEFT= 12 RIGHT= 40 REAR= 51
I:1...AN RE:.v'I1E14 REQUIRED
SETBACK BA(:;K FR.E::4 IE:W REQUIRE' t>l �� . --
r"rl�'1"'I f36tCH/!`I_C.)0D I`'1._A1:N,�'I)F;r' 1 N"j .1 _. ......__...._}_._......
NEWO R: ADDITIONAL (atriTE::Fa _.
**********•***•.*:n.*x•*ai•**3*3F*•ii•r:p-*ii•*• BUILDING 1'ERm1.T •**k••*it*********• **z: -**•'ti•
CONTRACTOR=
ADDRESS=
GEORGE: SWAN
':::)'i e N ttriNNl N R'0)
SPOKANE WA 99216
NEW= i. F{'E inI10)E::1...:-
DWE::i..1... UNITE.: '1 f:if"f:;1.1F'., LD -
BLDG
._ -I::1_.C/C; 14 X D .... 54 64 SQ 1:' T ;::
REQ PARKING.. :CN(Y:::: OFlr''riJr):C1 Al"'
DESCRIPTION GROUP
GARAGE M....1
RESIDENCE R-3
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
IFs.t.'I"IrA#RfrE:
1752
TYPE E ft FT
VN
VN
PHONE= 509 924 6359
ADDITION=
t{l..Df; 1-1(:;T 1
:•'F'R1:NKLER= N
C:F.ITI(:::AL MAT= N
* * 'K:
CF•1ANN1l11=' OF i i; I-; _:
S.t.Or;1:EF::.
QUANTITY
00
r t . 50
.111 0 34
VALUATION
5082.00
{ 74j8t.,00
FEE AMOUNT
*3r:**•****3f•********* 3i•*******..M..r.3i•h: (i1:..C:l•1AN:l:C:AI... PERMIT
3i•3i•*3i•*-ii*•'n:****** ****3i..),.*.yi**.;,,
CONTRACTOR= UNKNOWN
STREET= UNKNOWNADDRESS=I1.1N1,'NfilijN IJA UNKNOWN
ITEM DESCRIPTION
t; A p } WATER HEATER
(:;AS 11T(:3 r.C;)i.1:CF'<; 1;)f), U.)0; (T1.1
G r•'7 S PIPING
RANGE
GAS 1...I_Ic...
+ : . .s ...
int :�• $+? li' 'Hi )l� 3t iR• "i• 3k •P: 'r+: lei •ri. �,i .N..n..p, .�;. y� .j4 .);..H..�. ,(.:�..)�: ia• �i>; t• L . a..1 i'i r;• .. i J i a
CONTRACTOR= l i • iI iW 1.
i 1 N 1< „1 r114 J
A1.'i?F41 UNKNOWN ft;l':''; Sri tAf
Q1..1ANT. l: T #` FEE AMOUNT
4 4,00
1 .1 {:) , i) .•)
i
i0,0
PERMIT
.i:.***R'* *4>: *** **'hitib •*`)i'*. i}.it**** ii•;i::..*dt; ;w•tip
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING — when forms and reintorcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations. Typically, side and rear yard setbacks are measured from property
Unoo, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County
can own as much as 20 feet of right-of-way between your property and the actual irnproved street/curb. The
responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane
County nor its authorized representatives assume any responsibiity for the verification or Iocation of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION -- prior to the installation of drywall.
S. PLUMBING — after rough -in, before covering, and final.
6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically
depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such
as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements,
parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
oonomte, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects,
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN C|RCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drivesState or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a food plain, County Engineer's Office
456-3600
• electrical wiring, State Departmenof Labor and lndustries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations — please caII us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit, please bring it to our attention immediately by filing a written requestfor correction within 10 working
days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /i'l 3S3 - Ro 3
STREET ADDRESS: 5:5// %-e5 e
CITY/STATE/ZIP: H p (/k q52,
SUBDIVISION: JGudri /- ews
BLOCK:
LOT: ZONE: DISTRICT:
LOT AREA:/.5)-ed p F/A: WIDTH:/a3-/ DEPTH:/370 I R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:? ,PJ j4
OWNER:
MAILING ADDRESS: ,5-75"/ 17r?n, -r1
PHONE: i'a- 9-2y
CITY/STATE/ZIP: S 4 o A 4'7' 1z/A
CONTACT: PHONE:
SETBACKS: - FRONT: //Q LEFT: /2/
RIGHT: yD REAR: 5,%
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 5Avaki # lr JQ0y'9C s -
CONTRACTOR: ("6 u31
PHONE: 5'd 9 - 9.z Y -
MAILING ADDRESS:%/, , j -j / E-%3-,,9hnT-44r ►c_ S�o / tf,- 1A/A. I'92
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: x REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES://
BUILDING DIMENSIONS: z y X SJ (WIDTH X DEPTH) SQ. FT.: / 7S3
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric
)( Forced air gas
Electric baseboard or wall mount Propane
Heat pump Other:
Flat ceilings R Doors U /2
Vaulted ceilings R Windows U ye
Above grade walls R / j Glazing area .2/O S' %:
Below grade walls R /2 Total floor area
Floor R of heated space /
Slab on grade R Furnace efficiency rating 9.6-,70
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor: /7_5-3
Second floor:
Basement - Finished:
Unfinished:
Garage: �Q
Carport:
Decks:
Additional Areas:
•
r'
•, r }' .W
C
T
rh - v /';"' B;3•19
t • s0 /12.)447 .�
•
•
hi
rc-
Sod £b
"
HOUSE
i•
4(6
3434 SDR35
pfluBl.E PlllMaf . 3 ui
us. 4" 4v�7894KT 1ST ND G1. N4 •
DR ASTM p44ED �t�DS
I R�EERENCE C
f ,
£bZZ8Sb6 tON 13.1
OdS Hi103H:QI sZ:TT T6, -9T-9110
s
; ' _. „2
. .,, \ 4 . se
e',71V _.JSPOKANE COUNTY HEALTH-OISTRICT
).-).NVIRONMENTAL HEALTH DIVISION
- l' WEST 1101 COLLEGE AVENUE
• v ,.si' . SPOKANE, WASHINGTON 99201-2095 (509)456-6040
,d4, --SITE TRESS OR LEGALASCRIPTION OF P OPERTY:
, . 4 -
,,,----4. . ii_.-)
E--- '
.
A 4 LEGA0OWNER OF PROPERTY! AO RES,,./1
• /L-J-C--t-AJ
LJr-/ --66C(1/4A__-, ) '5573
,1 14(4,0 9
PROPOSED USE OF PROPERTY:
APPLICATION AND PERMIT,FOR ON SITE SEWAGE SYSTEM
, •
, • , :
• 4 VT r7"'-74'11)
; •- • 1.'" '"' ••., •
PROPERTY WITHIN:
PHONE:
N-Nr1 • /4-(:,•34';'1
SINGLE-FAMILYNESIDENCE - NUMBER OF BEDROOMS 5
TYPE OF STRUCTURE: [] MOBILE HOME )(RANCHER [] SPLIT ENTRY [] MULTI-LEVEL
[] MULTI -FAMILY COMPLEX: NO. UNITS NO. BEDROOMS/UNIT
11 COMMERCIAL/INDUSTRIAL (DESCRIBE): #EMPLOYEES/DAY: #SEATS/CHAIRS FOR
IS THIS PROPERTY LOCATED WITHIN A COMMUNITY PUBLIC SEWER SERVICE AREA? [1 YES X NO
IF -YES; NAME OF DISTRICT/SYSTEM: IS ULID AGREEMENT
SEWAGE SYSTEMCOMPONENTS:
REPLACEMENT/FAILURE: []YES )414o
REASON:
[] SATURATION/SOG
[1 OTHER
L
,-2/ 4 L; )
/ . . - -
APPLICATION NO.
CENSUS TRACT / ; -/'(;:,c/
DATE OF APPLICATION 4/.;25/4/1
,)]PSSA (UZJINSIDE ASA)
] GSSA (OUT/INSIDE ASA)
[] WWMA (OUTSIDE PSSA,ASA,GSSA)
[] OUTSIDE ALL OF ABOVE
[] INSIDE ASA ONLY
CLUP: 17-11.71
PROPOSED SYSTEM BY APPLICANT:,
4fSEPTIC TANK(S) NO.• SIZE /MO
/ 0THER.PRETREATMENT FACILITY
(SP(CCFY) • '
DRAINFIELD . ,.. I
),,,fEACHBED
0 BUILDING SEWER ,,'
E] OTHER FACILITY
(SPECIFY) --- — '
WHAT IS THE SOURCE OF WATER FOR THIS
PROPLKIf:
WILL THIS RESULT
CLIENTS/CUSTOMERS:
REQUIRE0?- YES fl NO
ALTERA ION: (]YES
(ibR LOCATE"- CONFLICT
[] CHANGE OF -US(
[] ADD-ON
IN AN INCREASED SEWAGE FLOW? []YES [PIO
PUBLIC/SHARED WATER
PRIVATE: (1 WELL
SYSTEM; NAME:
[1
SPRING
11
7-4) cum 2Rie,
LAKE fl OTHER:
Do 5
PROPOSED PLOT PLAN IS TO ACCOMPANY THIS APPLICATION, ALONG WI1H ANY OTHER PERTINENT INFORMATION, SUCH AS LEGAL
DESCRIPTION OF PROPERTY.
THIS APPLICATION AND,AERMIT,,, APPROVAL IS CONTINGENT UPON MEETING REQUIREMENTS SET FORTH IN THE SPOKANE COUNTY HEALTH
DISTRICT RULES 44ND-cREGULATIONS FOR ON-SITE SEWAGE SYSTEMS. APPROVAL IS BASED ON THE ACCURACY OF THE INFORMATION
SUPPLIED BY THE APPLICANT. IF YOU ARE DISSATISFIED WITH THE DECISION OF,THE HEALTH DISTRICT, YOU MAY APPEAL TO THE
HEALTH OFFICER WITHIN TEN (10) DAYS OF DENIAL OF THIS APPLICATION (SEE APPEAL PROCEDURE). .
CONTA8 PERSON:
(9E0Pa E- Scl)Ak) ••
q3.2r4)-
SIGNATURE OF OWN OR UTHO 5=SENTATIVE:
•
PHONE:,
PERMITATE:
MAIL PX,IT24,1,14C/1„RprPRAAlibTg.:&)
4Ogl,'d-1 99(lib POST ON
10 ID
,INSPECTION CALL-IN DATES f
FEE PAYMENTS:
AMT. PAID
DATE
REd7
P ID BY
APPLICATION
/0
,s
4,
3,-7/
iriV
el;.=
TEST HOLE INSP.
4/50/97
/])
PERMIT
1-e<-
/4
..t. -e
PARTIAL INSP.
REINSPECIION
e7---,
V-3-,
FINAL INSP.
REINSPECTION
,-
•
RENEWAL
'
•
SCHEDULE
OF
APPROVALS
- •
GAL/DAY
4
F ,RATE
MEM FACILITY: INIMUN
f'"
YSTEM-SPECIFICAT ON -8 !STRICT*,
SEPIt ;/)/9 GALS. NO.
j GREAS GALS. ,NO.
[j SAND FILTER BED:fFLOW RATE . 1.2 GALS =
(I OTHER:
)THER E.H. PXXXIAPPROVAL AND DATE:
[j PUMP 'CHAMBER SIZE: GALS. NO:-'
•
)OUBLE PLUMBING REQUESTED -
(1. 208 REQUIREMENTS ROOD
REQUIRED f1 RECOMMENDED
fl N/A f1 SEE PLOT PLAN
INSTALLER: (PHONE NUMBER) (INSTALLER SI A UE
DATE:ultc/9/14-4„A
fl N/A fl SEE PLOT PA
ULID TO APPL. DAT
ULID RCV'D DATE:
DISPOSAL,F4PILITY7i7.,
[1 aRAINFIEtp..:SI*E!:'FLOW RATE4: [SOIL LDARIN5RAIE 4.4 7
GALS:',01?'.riC'41.0; " TRENCH WIDTH] -7 LINEAL FT.
[] LEACHDED:''FLOW RATE : SOIL IOADING'RAT
GALS.IFT2 6' SQ. FT.
[] ALTERNATIVE: MOUND [] PRESSURE DIST. BED 4, ,
[1 OTHER (SPECIf Y): ' *
SEE ALTERNATIVE SYSTEM SPECS. ATTACHED
7
APP ATIONAPP,594t..IKANATUREAND DAT:
/
BUILDING CODE RELEASE DATE: ' INITIALS:
PERMLI IS$UED DATE: , „EXP,IRc4;...)
FINAL INSPECTION SIGNATURE AND DATE:
REMARKS ANO APPROVAC CONDITiONS:
l• /1"r( , • s ) cif .2 )- /-
) L, k•-•7 2 , /1,‘,
P t 7'
; `/( - 6
SPOKANE COUNTY HEALTH DISTRICT
Interoffice Memorandum
DATE: August 12, 1991
TO: Files
FROM: Dennis Kroll, Director
SUBJECT: Swan Acres Third Plat
George Swan (developer/property owner of the eight remaining lots in the Swan
Acres Third Addition plat) consulted with John Buchanan, a local geologist on
the flood hazard risk identified by FEMA. It was Mr. Buchanan's opinion an
extreme runoff flood event would not significantly affect Swan Acres. Mr.
Swan's development lies southwest of the Porker Road drainage.
FEMA representatives who have seen the area developed a map that places Swan
Acres Third inside a flood hazard Zone A. Although this designation does not
prohibit home construction, there are building restrictions prohibiting
construction of any basements, and the flood entry level is to be two feet
above the highest existing ground elevation as determined from the highest
ground where the actual house will be located.
In re-examining the area on August 9, 1991, particularly 5511 N. Rees Court
(Lot 3, Block 2, Swan Acres Third), it was evident that the area proposed for
the drainage installation is relatively flat. By placing the drainfield into
the existing soil no more than seven inches and adding two feet of cover fill
over the drainfield, the FEMA requirements could also be met for the
drainfield installation.
Since the flood hazard lies within an alluvial -type flood condition or surface
runoff, there would not be a concern for a high groundwater condition entering
the drainfield: therefore, it appears that the District's regulations for
sewage systems can be complied with.
c: George Swan
Gto.rge Britton, County Assessor
L partment of Buildings
County Engineers - Brenda Sims
John Anicetti, Pam Fleeter, LW Staff
LW On -Site Application 91-0430 -- 5511 N. Rees Court
0037
SPOKANE COUNTY BEPARTMENT OF BUILDINGS
W. 130aBROADWAY 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. 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
ic) L o2_47 - - /
PROJECT NUMBER= 91002073
APFJ
DATE= 04/75:
7` :
.i}*)Ni THIS
irs A PERMIT 3xA.}x;*
PENALTIES n1i(BE a : :.�� ^ ,�- .omCOMMENCING +f%cj T1a jrPERMIT
SITE TF•tE::Ei'= _ 51 '1l EtE::E:::; (�:`/.T
w
E WA
PERMIT USE=
AREA=
OF BLDG;,:
OWNER=
RESIDENCE . NATURAL AL, I"=A
004125
0000000O
1 14
PLAT NAME=
DWELLINGS=
SWAN, GEORGE
5sie tJ TitisNrJi:• N R.()
SPOKANE WA 992i6
RCELO= 35643- 2"103
WAN ACRES :,r.r ADT)
I" W I.l")'T'H:::: 1�)t #:''?'i -{C::
iWATER DIST T r:: F, j..! i• L.I i 111 T-)
CONTACT ( /NAME= yt:r F:. t.l ii`. i.•r E:. , 1.4t (^t N ['
BUILDING SETBACKS: BA(, K . Fi (1i*i r :: 40 LEFT= i2
PHONE= 509 9?4
zto-N-q-/
•F,i..Pta;'jF: tJt,ll-;FtF:'F;:.. %ti's, :_r;;;';
RIGHT=
REAR=
i*h e •ri;• i• i• M*Nr ti»M rit Ai)i*ii , hN*: aR# .4IF4INFORMATION : .. PM R. k ;,.jh:* * yt:,?. h fi: j9b,(.
DEPARTMENT
•
BUILDING
itui:t..D:I:`(i::
ENGINEER
REVIEW lEIW ((:lMME:N1 . t:)r i_,Ri::l` iii.. COMMENTS
i-'#...o=)N REVIEW REQUIRED
li D
/BACK :EiIIFLE:
Fc(L,.1(nn PPiDF
.N"
Gr7i ala
F'1E:r^rL...Ti-ID:I: •T• NEW OR iDDI1•'I:tlNAi... WASTE WATER
* .ii #•) u:. *) •4 ii• c * 3 ..»..y.*.ri. , i(. ri. y,.:,;..)4..},_ .:.....}1..}f. •r. •1i•
CONTRACTOR= GEORGE ,"W "1N
551a N BANNEN RD
ADDRESS= SPOKANE WA 99216
NEW:::: ::
DWELL UNITS= 1
BLDG 14 X(i = 51
REQ PARKING=
DESCRIPTION
GARAGE
RESIDENCE
eb
T:t1J.ILI11rJC. PERMIT
REMODEL=
OCCUR. LD=
64 ;1(:? FT=
ITEM DESCRIPTION
TYPE
VN
VN
PHONE= 509 924 6359
BLDG PGT=
1752 r.F•''''I:Nr•'#...I':r1::::
CRITICAL MAT= (..J
(: FT
CHANGE
STORI
i 752
QUANITT
VALUATION
FEE AMOUNT
RESIDENTIAL VALUATION
STATE a U ? FR: (:; F•l A R E:,• E:: r• t
COUNTY SURCHARGE z 90,
•)+i 7h 3,..i:. * :k...'i ai; .),, H 3f . . 4, ')C .. 9k .x .x * ...N..... )1: •)i' * MECHANICAL PERMIT )._ * H.. ,..N. •R• * 3 . d?: ?c n: 'k• •}r a' -)* 3i :'•i ?,: )i Y
CONTRACTOR= UNKNOWN j:'j••it10.j#;;,
TR'EE...(... UNk;IJ(IWN
ADDRESS= UNKNOWN 1..11 UNKNOWN
")i.'I1.,irJ
ITEM DESCRIPTION
•
r, ` WATER H I::: to T (:: i:,•
i.r F } �. PIPING
f', a.. (;
RANGE
GAS LOG
)i•: .: ..... ...��.,. ... .. . p .. ,.., . .
,•, •z n. h i )+'• •� �• �N� :�" r: r: •x' : k n• :v •�: •n: r•. x :* 7k r , ..., I i' i ':' . .
CONTRACTOR= UNKNOWN
oNKNOWN
DT)R l.(11{(';!!14N .ii', Y_i(il. NCtxiN
QUANTITY ("c'.t: Al"i(:i1i0.
----------
10J
Ji., PERM
f 14.)
'-1i)
9k i"+' itr •j(X• •p: :n: y: )i• :e: iy ;{ fS :i,.•i' i,. it ,,. ;;. ,r R• �+p i+ :4..i� a:.},,
FHiII'.1E:::,:
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are
established by County zoning regulations. Typically, side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The
responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION — prior to the installation of drywall.
5. PLUMBING — after rough -in, before covering, and final.
6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically
depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such
as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements,
parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives, State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations — please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
•.4.W.Iy
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 176 35-3, 2 F'd 3
STREET ADDRESS: /i/. Sr// /&rs
CITY/STATE/ZIP: Sco/ r' , L 41. Q'9„Z/L
SUBDIVISION: u,01 ,res 3
BLOCK: :L .LOT: .3 .ZONE:
LOT AREA: A/ Oa . F/A:
.36 4 C._3 A2Pe23.
.DISTRICT:
•
•
.WIDTH: /O 5- .DEPTH: / Sd .R/W: Z .
# OF BUILDINGS: .# OF DWELLINGS: .WATER DISTRICT :1-.,•ilu ev D O
OWNER: A0)-7, y Su/� •6, .PHONE: . - 9,Z ' . -L 3,57 .
MAILING ADDRESS: _4. SS/ g..BahA /171.
CITY/STATE/ZIP: ?o,e,
/G�e' a,5; ? 9.4/,L
CONTACT: .PHONE: .
SETBACKS: - FRONT: 5t0 .LEFT: /d .RIGHT Yt .REAR: .5/ .
PERMIT USE: 145/(4-Atee
*******************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: cud)" *a/r/pp 99Ds-
CONTRACTOR : %Orq f S�vaa . PHONE: . - .- 13S 9 -
MAILING ADDRESS: /4! fs/ fj Z6,4,0r„ Ala
ARCHITECT/ENGINEER: .PHONE:
MAILING ADDRESS:
NEW: )C .REMODEL .ADDITION .CHANGE OF USE:
•
DWELL UNITS: / .00CUPANT LOAD:/ ..BUILDING HGT: .STORIES: / .
BUILDING DIMENSIONS: Sy .x G y .(WIDTH X DEPTH) SQ. FT.:176-Z
REQUIRED PARKING: .# HANDICAP: .SEWER (Y/N): .HYDRANT:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
PP)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
......................
GAS WATER HEATER
9rvn,v� MS!n,W{:: h}•r..:.s...x:•::::::4wy M
GAS EQUIPMENT+100,000'BTU DUCTWORK)
GAS PIPING'(EAtOUTLIrT�
BOILER/REFRIG 1-100M BTU
0 AIA.. a;;c '> 0IY >,.....c<Ti• -, rt :.
BOILER/REFRIG 501-1.000M BTU
BOILER/REFRIG +1.750M BTU
HEAT PUMP & AIR CONDITIONER
HEAT PUMP & AIR CONDITIONER
.EAiF'(1-MP(( •jj `!}}[['��.QQNDIT(2 1-ER:
::::r.lnW:xv::+ti�i15�WY:r.4......:...............:..v.:.:......
VENTILATING FANS
TYPE 1 HOOD (PER 12' OR 12' PTN. OF HOOD)
CLOTHES DRYER
�ry( `rim `.:::;`•`,`:
•
321'5 'TONS
5 0 TONS
30-50 TONS
SQtTONS:<�<
GAS LOG
liagriffEWMPW
UNUSTED GAS APPLIANCE <400.000 BTU
ym:,v::::v: :-.w�y:iv:;n i.,N",�•v •h'%:y}ii:
USED APPLIANCE <400,000 BTU
1*,�'ia�Y;.�.H�,r����Efn�
NOTE: MINIMUM PERMIT FEE IS $35.00
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x25.00 =
x10.00=
x12.00 =
x 15.00 =
x1.00 =
x 12.00 =
x20.00 =
x 25.00 = .
x 35.00 =
x 60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x60.00 =
x 10:00 =
x 10.00 =
x 50.00 =
x 10.00 =
i10.00 =
x 10.00 =
x 10.00 =
x10.00 =
x 50.00 =
x100.00 =
x50.00 =
x100.00 =
x 1200 =
x 15.00 =
/
/
•
.
•
1
/
•
•
.
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PLUMBING PERMIT APPLICATION ION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
SHOWERS
KITCHEN SINKS
+�V.?:
isv:4%WMuiiiiiti%•i:4iriri6iG>i}i}i}:
GARBAGE DISPOSAL
•
UTILITY SINKS
ELECTRIC.WATER HEATER
FLOOR DRAINS
BAR SINKS ::::::..................................
LAWN SPRINKLER
SEWAGE::EJECTOR><>>>
WATER SOFTENER
DRINKING FOUNTAIN
NOTE:. MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x6.00=
x6.00=
x 6.00 =
x6.00 =
x 6.00 =
x6.00 ="-:.:
x6.00=
x 6.00 =
x6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x6.00 =
x 6.00 =
A
/
/
1
J.
p"
/
-
/
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $ •
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
�. i
1000 Gal.
ranK
GARAGE
8
: ,
,
,
,
iwr
i.
j
4
�1NE
DRY
�. i
1000 Gal.
ranK
GARAGE