1988, 03-30 Permit App: 88000483 MHINFORMATION WORKSHEET
PARCEL NUMBER: 0 7s-6 / ` ( / 55707 / o Oho
STREET ADDRESS: l vl Zqo2 5 /2! L' % S 1)2 / (%e
CITY/STATE/ZIP: ONziss s(O� cl all cis l..t) /14-
/ S .
SUBDIVISION: l l/ Er'11l e(,t� 1)1 b 8/LE �t�7'Y�.-Q .
BLOCK: 4/ LOT: / ZONE: (h'\(' DISTRICT:
LOT AREA: F/A: WIDTH: 6(b ( DEPTH: t2 R/W:
# OF BUILDINGS: I # OF DWELLINGS: / WATER DISTRICT: / 90
OWNER : td/ ///, -/ 1 �A l21(s PHONE : 9 - F.* 9'O
MAILING ADDRESS:
CITY/STATE/ZIP:
bi-e5 cka4 d s ( c cDA �roa
CONTACT: 6w N E 2
PHONE:
SETBACKS: - S LEFT: 331 RIGHT: REAR:AW
PERMIT USE: ( -2 (-4cD) REA7c_pd_evvIc--(Arr
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
CONTRACTOR LIC#:
CONTRACTOR:
PLUNtIN i iNFORMATION
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL:
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC:
UTILITY:
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
NUMBER OF
YES OR NO
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
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
NUMBER OF
YES OR NO
STATE HIUHWAth. wnere gyne si u'"lac
aad egress.
Cerformed°insaccordanceswithtstakes.oPointsmof ingrtssot pandormgd egressnmuststaked
approved byCounty
theRoad
CountyrEngineer.t and work must be
pe
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
L /- %! Address 3u�0 72 %��--&e'`(.' Phone '7- `y6 U s, --
Architect
'
Aame of Owner c� 0 /I h L r,An d% (? <
Address C+'1- p v--� ��?/f Phone
Architect Phone
Address
Engineer Phone
Contractor Address / _ 0 v O
Le aI Description of Property (Give omplete description from deed, tax receipt. etc )
DESCRIPTION OF WORK: New Addition
Size of Lot /a/ K 7'%
Stories Dimensions <
Rooms 4 Baths Basement
// (Fu ll ll part, none Q
Heat. System i -'!i ! / Type of Roofing ,�. e ! p Ext. Finish
Use of Bldg.
A --
Remodel
Moving Bldg. Zone
Sewage System S 7
L Fire Zone >
Const
(Fr..
onc., Br., etc.)
Total Sq Ft J.4' -`-' L/ Valuation
Foundation Const Co ,1(T i-1 %'� Chimney Fireplace
" (Kind) / (Number
Int. Wall Finish
No. of Units _Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
/
A
I herebyce
as shown. �l�/1rtify information
SOUTH
itted is correct and there are no other structures/located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
V1 Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ip
X7/76
to
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
;he zone is'
5-97,) Receipt 3 6 2 -2 -issued
1::25 ID:HEALTH SPO
TEL NO:509-456-4716 #229 P01
MAR -30-'69 12:01 ID;ELD3 AND SAFETY -SPO
PROJECT NOMPE*- vt00040;
4,i4.k.40Au4o,ot4,
SITRsTRr
ADDRESc
PqRrST
POCK.*
ARCOI
4 or DLOGS,z
TEL NO; 5O5J-46-47075 1464? P21
0:14i4/6H Q'l
APPMATTON
*4ttoA(i(A-!,:.p9() •( (Aw4,K,x.)(4),:k
1,A4,F,A,4 Or;54-001
)4,,(ouploKgidoggmR4N AppoKn'LloN
292, N I1 VT Dk
OTIg OKHARD WA Y90V7
DBUBLI, MUY,4,1„f HOHF - kLPLALIM(Or
002265 PkAT 10Y111E
1' LDT,.;1 kONF,zP kMH'
00006000 r/Ag F WIDTH1!!!
1 lOWLIA.TNGS1!.
PAR11:, WIAJAM1.
SfRCET1:. 7rin N tVISTA DR
ADDR17:SS,, OTIS ORCHARL WA cric.
11W
T.)18TOPIP
M:01k- k/Wu
'926 9460
coNTACT tiArir,,1 OWNER E PN
PUILDAG SETTIAT FRONT- 35 Lirsi. RIGHT= 3, I ; KARu 36
krvIEw TNrnpmAIwN o.olkitosov,goAolv,Jokwii4tic
DAT
TN/OUI 1WIALS
NFII or ADIaTTONA[ WASW. WAR CitI4
L
*141,i410:XV:YY01-4(4U444,*!gA4K00"6-14:44(4*
OLPARTMENT NAME
ENVIRONMUNTAL IH
MDOIL HUM. IlVi1114.4‘.*P!%Th*00*4
CONTROWTORI, OWNCk PHONF
Yk/MAKL,,
SLPTALIm
OUPCi
1.43,10E -W 24 LU:ULTkL., 4(.) 11V,JeHT 10
PROMTSED
LY L WaNDEL, GLOKIA
PRINIT;D WCNIAT, tLORTA
TW1NK YO0