1992, 04-08 Permit App: 92004090 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 B1110A-1!MIAY 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
9Z - r,/6
PROJECT (•Ji..U1T:{i:::!<<::: 92004090 ..:.... F!F'Pi...+ ATIN
hji::i'T'i:_-:.. 0(:._'0�{o`92! Rtti:v '' r'!
is-...
K***** iI"rr, IS i'W hi PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK to.i..{..iii';i''i` ;:;, PERMIT
SITE STREET= E ROBTE ET
ADDRESS= 1-0KANE WA ;'206
PERMIT USE= RESIDENCE
s „ f ,rL,.45331 y !f
ri (•t= 0050 PLAT NAME= "I .: T; .i. i... i .I I`'1 L•:. tai .• ADD
BLOCK= 7
LOT= ZONE
5 DIET4=
AREA= {:: ; �y:::: {- WIDTH= •j;; DEPTH= 125 Fti id:::: ,:.•;,:
OF l i T:t I . i_� I.., ,. • i 9f DWELLINGS= 1 WATER DIET MODEL
OWNER= c; is :MY INC
ADDRESS= SPOKANE WA `'• :'06
CONTACT NAME:::: FRANK COBB
PHONE= 509 92, 9406
PHONE NUMBER= 509 9406
i:it.i:rl...O.i:i•Ji.. .:;r.:.T:itA!:::i<'..;::: FRONT= 30 LEFT= ii R:(.x,{•.{T:::: 17 Rl-..r.:,t..,....
ji• •}i• •hi .L' i„i.E.,i.4•.i• i!• J>,' .,i 'H:..!• * 4l' 'Pi iR.*.)ti..j4.* 'Ni a• ?t• •Nt •Ni'1•r.k •h'r R i::: •: 1, E:. C-1 INFORMATION .ji•.,; .,i * * ii a•* r:.i•.i• *.C•.k •ii• ri•.c * •ai :». ;„:.:,,; :„, .»; .,r
DEPARTMENT REVIEW COMMENTS
BiJ:i:i...DT.i•Jc, PLAN REVIEW REQUIRED
ED
BUILDING SETBACK REVIEW rti::.(tlJTF`:ET;
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
ji..k h: r: ;„i bi :i..j,...ii• jr; 'ji' * i„i .i• hi :: x : n: ii• * ii *fir N? *.i .i i» .k BUILDING R F R i'`T :I: «T• ***********************A*** •
'r..;ONTRihtc:T(3
STREE
T (,di 1 I.. UNITE=
BLD— i::1X (i ....
,Fr'ii INC
.2212 E:.SPOKANE WA
!'i
4 2 4
RE:M(:i:C}E:i...::::
l.::i i:::: t.. U P :.
EQ FT=
DESCRIPTION GROUP
BASEMENT U R-3
GARAGE M-1
RESIDENCE R-3
2ND FLOOR R-7
I'T'EM DESCRIPTION
RESIDENTIAL 'V'Fti...lJr: I t.iii:,t
STATE SURCHARGE
COUNTY SURCHARC:-
:1r::; 40
PHONE= '5 (. j'.;i :;)'ifs 9406 q)+j ji:)
ADDITION= CHANGE. OF i!,':;j'::::
BLDG HGT= 24 STORIES=
SPRINKLER= 0
CRITICAL MAT= N
EQ FT
1303
10
QUANiTTy
VALUATION
14373,00
00
24570,00
:;
FEE AMOUNT
125
'!:ui .i• i„i -K *.ri •Pi.ri .k 4i�Ai..jii ip:. .tk •Pt 'li,• ji '1,f .,:.j,..j,..ji..jr..N. .j,..ji; •j(. yr; MECHANICAL. r”is".(".r"!.i.I dr; ji. * ii. * :):. y(. iri•'Y:.i. 7i. of 'li. .ji. .y;. .14'.r: 9! 7•r * :ni Yt iR ✓r irk '14
i'::istil.T.F t-i(..;..(.}..ii'1 i' r:' HEATING & $'i1.R ist:ii'•.T(,• INC
ETREFT,, E FRANCIS AVE
`DD i:::::. ,.. EPOKANE WA ':' 't/
ITEM DESCRIPTION
GAS WATER HEATER
r' ;:'' r i T (:; i:: r i i 1: E ` . 4 i j 0 `i 'BTU: PIPING
QUANTITY
pHoNF,, 7.509 )405
F1':F AMOUNT
10,00
0:i
7,00
': * as :. •.: , : '.: '. r r..:'.: •.: -, :. .. .... •.: '. . .' .. .` �•
,.. ,.: c : r. ,� ,� )r. ,.: r. ,r. �,• ,,. ,,. n. ,r. n. ,e •,, n .j;..j; �)r.i •iE.r: •ix ,. •u � i� ` i... !. + w e ; "i :. : .;. ....
'..'it<! l�.t•,;_. !,,,..:: r .i..... ,., ,... ! tt.,i .[j.; ir� t•`r i�i'ii, ;" ii
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: 1 n 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.
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS:
CITY/STATE/ZIP: - t�
SUBDIVISION: /722 t.) f -c -
BLOCK: 3 LOT: v ZONE:
DISTRICT:
LOT AREA: F/A: WIDTH: � DEPTH: /$$ R/W:
# OF BUILDINGS: // # OF DWELLINGS:// WATER DISTRICT: /620(Z C_
OWNER: ( % 11'17 1N
MAILING ADDRESS: E. /9c7/ 2- 1)'i X C/L..
PHONE: 7 - q - v'9
CITY/STATE/ZIP:
CONTACT:/'1 ti/` �if3
PHONE:
SETBACKS: - FRONT: 3a LEFT: //' RIGHT: / % / REAR: � 3
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 17- E M- 1/
CONTRACTOR:
Q IU
PHONE:
MAILING ADDRESS:
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: SPRINKLERED: CRITICAL MATERIAL:_
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric
Forced air gas
Flat ceilings R
Vaulted ceilings R
Above grade walls R
Below grade walls R
Floor R
Slab on grade R
Electric baseboard or wall mount Propane
Heat pump Other:
Doors U
Windows U -�15
Glazing area 3'13,
Total floor area
of heated space S-44
Furnace efficiency rating 06 -I-
%0: /v,527-
Please
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor: / 3 3 O
Second floor:
Basement - Finished:
Unfinished: / 3° 3
Garage: 7 00
Carport:
Decks:
Additional Areas:
1`7E"XW Pb / o G L? :4.)
,�/^ /Oh( //, raN5 :
LENDER/BOND HOLDER: N d ,'-'
ADDRESS:
CONTACT:
PHONE:
k
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:
(Zip)
(Street) (City/State)
MECHANICAL WOR
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
w..}. }}:.:t: {.}.v:}.:•:.ay.2•.'•f.+•::.::::"r :• t {•:.: .:. awa, ...';;1..;::••r.•:'ts2•'•4}%
GAS WATER HEATER
x .Y }}.,.
GAS EQUIPMENT +100,000 BTU DUCTWORK)
dEk
BOILER/REFRIG 1-100M BTU •
DIE:10413". 7.10.7
•
BOILER/REFRIG 501-1,000M BTU
BOILER/REFRIG +1,750M BTU
HEAT PUMP & AIR CONDITIONER 3-15 TONS
HEAT PUMP & AIR CONDITIONER 30-50 TONS
part,,.
x'h: •'o.:...v::.{G:.::., .{,•t.•.,.,.w::::.w:..,•:5}/`A:•:v.•
VENTILATING FANS
TYPE I HOOD (PER 12' OR 12''PTN. OF HOOD).
:Mgr
S
v:•
:
V f•
CLOTHES DRYER
w.§ ate.,::`:i?..:•
GAS LOG
UNLISTED GAS APPLIANCE <400,000 BTU
•
USED APPLIANCE <400,000 BTU
yy/I�•'•��'' • i•
�!I..:T:•i�•k1•{:.Cf}�v{;}.r{{{�4. ,{+k•;
AIR HANDLER <10,000 CFM
NOTE: MINIMUM PERMIT FEE IS $35.00
-- (Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x10.00 =
x 12.00 =
x15.00 =
x1.00 =
x12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x60.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
x 10.00 =
x10.00
x 50.00 =
x10.00 =
x10.00 =
x 10.00 =
x10.00=
x10.00'="
x50.00 =
x100.00 =
x 50.00 =
x100.00 =
x 12.00 =
x15.00 =
1
I
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 FORM
inforrhati n 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)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
"•'??: .}: r:•::}}:,:,.•::Y.}" 'C:}Y,•X•?: ' 'F,S' }};C rrY'.`.;;?::a::;}x::: 'k•
'•j`J{{f.,��F:?,µ�1�;(:��' ..?•»SRh6?•ik::�?jr}L::q:�:i%':4j#.2::yY�•'.jn'<'` ii:tr.,}?:cS:;�"��'C::fi'ti;:i. i';.`t:<•+�tOCr?:v}.:';v. .;f C}••k0.;.}r(j::.•f}.•:�v
Lxt•.
'Y454 ?•.'K•?•'i.•}'n::v\\\
SHOWERS
•
KITCHEN SINKS
3.$ /+ nom•
GARBAGE DISPOSAL
F?iY" h3 J
UTILITY SINKS
a z3ty:<�:x:a #farm'`
FLOOR DRAINS
BAR SINKS
,f�;:;#:sic:.t;:,:L • •::+�� ;� :j ��: � ;{:dor•;
LAWN SPRINKLER — FOR EACH BACKFLOW DEVICE
WATER SOFTENER
DRINKING FOUNTAIN
,.,�'�;?`4: is .� 5 •�.\
'a a �•a?w ' SXx4;.*bw
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x6.00 =
■
x 6.00 =
x6.00=
x6.00_
/
x6.00 ="
/
x6.00 =
x6.00 =
x6.00=
x 6.00 =
x 6.00 =
x6.00 =
x6.00=
x 6.00 ='
x6.00
x6.00=
x6.00 =
x6.00-=
X 6.00 =
x 6.00 =
SUBTOTAL
$ s
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
= _
o`lli0
sloal
7-
P7'
171-0 p n)i-F_
Znc K LI ,,1E
r2AGE
Coti(.
,2.1ov-
nc.1( LI A.
0
Pi2 o ?. L i nv E
i
S� 3g�d (Co
L C� , �� 3 ",t -D, „.\.E._ �T�- �,>p,
G�z
Et-\--\/ \tic. C,OAT- 4-9-z
��u�lirr far�or��i�n
E. 8620 491h Spokane, lla. 99206
Phone 509 926-6217 Fax 509 928-8689
Legend For Radon mitigation system
— ._perforated pipe beneath slab
Q solid 4'ABS stack vent pipe
RADON SYSTEM SPECIFICATIONS ATT .
RADON MIIIGATION SYSTEM
This radon mitigation system is
designed only for the specific job -
site address designated. The system
is not guaranteed unless installed
by Cavalier Corporation
Sub Slab System YES
SO FT
Cravlspace System
SO FT
Jurisdiction
Project Number
COUNTY
Jobsite
'7-
k ......o..•.,
4•(6-7Z
•
3820
3820 S . ROBIE
Builder
Address
Phone
GREMY
1 221 2 E . SIOUX CIRCLE 99206
924-9406
1- an.(ir,.
Warren
'-
Yz_ :;
Ridder, - a
Environmental Protection Agency RCr'L,�.`•.
12- -
.J
milm
basement
garage
MOW
N.
emwm"mmmilimillt
radon van
erzbalier C i ineering
E. 8620 44th s
radon services
Spokane, WA 99206
Phone (50$) 0118-6217 FAX (509) 928-8689
RADON SYSTEM SPECIFICATIONS, SPOKANE COUNTY:
1. Perforated pipe shall be installed within the native soil
or fill (sand, gravel or soil) at a minimum depth of 1"
below the intended *lab.
2. The pipe shall be a sinimum diameter of 4". meet AASHTO
M252, have perforations no wider than 1/16" and have a
minimum of 2.5 square inches of total perforations per
linear foot of pipe.
3. There shall be a minimum of 10 linear feet of perforated
pipe per hundred stere feet of slab floor space.
4. The pipe shall be laid in a continuous loop, connected at
both ends to the solid stack vent pipe.
5. Any slab area, which is larger than 10 square feet, which
is isolated from other slab areas by footings or other
barriers, shall have a perforated pipe installed to the
above specifications. (The pipe can be a single length
rather than a connected loop if the area is too small or
narrow to accomodate a connected loop.)
6. A stack vent of ABSi schedule 40, minimum size 4", shall
be connected to the sub -slab piping and proceed upwards
to an exit location on the roof, and extending 14" above
the roof. The pipe shall be labeled "radon vent" every
16" or less for its full length. The pipe's attic
location shall allow a minimum of 4' of head room. When-
ever possible this exit location shall be on the backside
of the roof.
7. Any elbows in the stack vent piping shall have a
centerline radius Rimimum of 1.5 by pipe width.
8. An inline centrifugal fan, minimum 114 cfm @ 3/8" W.C.,
UL listed, manufactured specifically for radon mitigation,
maximum sone level 2.8, shall be installed in the exhaust
line, in the attic.
9. Couplings to connect the vent piping to the fan shall be
elastomeric PVC, Fernco series 1056 or equal.
10. The fan shall be hard -wired and the breaker labeled "radon
fan".
11. All penetrations and joints in the concrete floor slab
below grade shall be sealed with caulk or grout.
12. A notice shall be permanently attached to the electrical
panel advising the owner or occupant about the radon
system and that he/she shall test the home for radon
annually. The notice shall include Cavalier's name and.
phone number.
13. All craftsmanship shall be of high quality.