1993, 03-15 Permit App: 93001481 Addition PROJECT NUMBER= 93001481 APPLICATION DATE= 03/15/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17909 E RIVERWAY RD PARCEL#= 55071. 0123
ADDRESS= GREENACRES WA 99016
PERMIT USE= BEDROOM AND BATHROOM ADDITION
PLAT#= 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC
BLOCK= LOT= ZONE= GA DIST#= G
AREA= F/A= F WIDTH= 200 DEPTH= 250 R/W=
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= FREDERICK, ALBERT B PHONE= 509 926 5198
STREET= 17909 E RIVERWAY RD
ADDRESS= GREENACRES WA 99016
CONTACT NAME= PATTCO CONSTRUCTION PHONE NUMBER= 509 927 0110
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 100+ REAR= 85
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
i
(�
BUILDING PLAN REVIEW REQUIRED ` f � LC.(.J 4 II�1 rte.
COMMENTS: 3 - is
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE 'J Arzrc--LL 6/is %3
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= 572 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 572 23452 . 00
w. F�
PROJECT NUMBER= 93001481 APPLICATION DATE= 03/15/93 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 243. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 43.74
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 1 6. 00
SINKS 2 12 . 00
SHOWERS 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 291.24 . 00 291. 24
PLUMBING PERMIT 24 .00 . 00 24 . 00
315 .24 .00 315 .24
PROCESSED BY: BARRY HUSFLOEN
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
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Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: l 1 1(T C1 R l i- r k)(L
CITY STA C^lc
/ TE/-ZIP: �'! ,�'��� CC �2 S ��l � 0 1 (�
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
if OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
l �
OWNER: G t'7 .l r.Pc'i c r i r PHONE: - -
MAILING ADDRESS: k 7 l� �Cl ; v. ' r
CITY/STATE/ZIP: � C '
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
************************************************************************* ****
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: k- cc) -7igh, •
511.(7
CONTRACTOR: ? d c 1 -C-0_-1- - 0 11 C:�.=�� �� � (� r1 ���'(. _--� �r, ,-�. PHONE:
MAILING ADDRESS: 6- N;-)m,a_.4-{ (2/v1.2 (-1 4-P Q-1,-)C c r c S
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: if HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
i rr
PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE:
SPACE HEATING TYPE (Check One)
FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R DOORS U
VAULTED CEILINGS R WINDOWS U
ABOVE GRADE WALLS R GLAZING AREA
BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R
SLAB ON GRADE R FURNACE EFFICIENCY RATING
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
*******************************************************************************
SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
******************************************************************************
LENDER/BOND HOLDER:
ADDRESS
CONTACT PHONE
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