1985, 07-17 Permit App: 00006357 Residence C 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) I I p� t Only
Tupper Inc. lbs. V/ Comm
2 Project Address(not Mailing Address)or Road Name Space Zip
S. 3904 Skipworth Ct.
3 City/Community State Subdivision/Plat Name
Spokane Wash. Chester Heights Addn.
4 Assessor Parcel No. r. Lot Block
33642 r a,_O f 4 i * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.M Zone Project No.
63,51
6 Dwell k No.of Buildings Sq.Ft./Acre Depth Frontage
7 Set Bads-Front (L)S-1 (R)S-2 !Rear
Census Tract Module No. Initials
* 16 Architect Firm Name Street Address *
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Contractor Firm Name Street Address
Tupper Inc. E. 12929 Sprague Ave.
Zip City I State Phone
99216 Spokane Wa. (509 ) 928-1991
Contact Person License No. Phone If different than above
Ken or Debbie TUPPEIR179DC ( )
8 Owner/Agent(if different than#1 above) Business Address
r 9 Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(Y/N) I SEPA Exempt(Y/N) Date
N Y N N
15 Type Work A Bldg El MH )Fl New ❑ Replace Other
❑ Fire ❑ Demo ❑ Add/Alter ❑ Move double garage
14 Describe Work
Single family residence with double garage
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 Information
979 Main Floor
932 Unfinished Basement
80 Uncovered deck
480 Garage
DEPARTMENT APPROVALS
This is nota Permit
Application Type
(Standard unless (Indicated approvals required in either"release"or"release with conditions"
otherwise indicated) space prior to permit issuance.)
Fast Track
Early Start Release
Release w/cond 1 Hold 2
O Environmental Health ❑ Commercial; ❑ Residential *A-41
W.1101 College ❑ New Construction; ❑ Bldg alteration/addition f7
Room 200 ❑ Additional structure;�) QQ
APPLICATION# 0 6�-
Conditions/Comments: pi'_ /LC&'J?y
Planning/Zoning: 0 Commercial; ❑ Cert.of Exemption; ❑ Frontage;
N.721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone;
❑ CU,variance,zone change;shoreline; ❑ fence;
❑ Other
Conditions/Comments:
rsS
Engineers: ❑ Commercial; ❑ Residential; ❑ Flood 1:11Plain
N.811 Jefferson ❑ drainage new access/approach; ❑ fence;
❑ road improvements ,/
Conditions/Comments: 7 Z,A
0 Utilities:
N.811 Jefferson
Conditions/Comments:
Other:
0 Plan Exam
Fire Prey.
Conditions/Comments:
c
c❑
(.)° Project Representative Telephone
Agencies Performing Special Inspection:
O 1.
() ._
E 2
a) o
"E-
u_
3.
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
4 = • ig ..ic ..
,..,
_ ........ .....• 7 I
i q 7. - -, .
1 ,lot .,,r i- ---
.....„1 (' it) 10%
..',"' I>0- 1.,
1
V---)
4-\
Al -- .
, ---
,...... le, ...-- ,
----- „------; lc c•.4:1---1 " .:-.. ,.....S„------
"--1------- ' -e"`
..-- .,
1, ..„----- ...--- ---t-\
_ -- ..---
it ---
----- ik .
,e-
1 ....- • r' - . ,
'co( ,otrt
• e• ,,•,' I N(
,
. s.,
•1
I
A d
. ,r
1_,5.
'
, E \
, -
.. .
i 00- ..---- • ,
tt,
I .
1 ft,
li ter •
o; r\ • . ro \iv(
.... .
' /5,/ ' t •
1
,
\ J. :
e • , i
4 .
,...,----•' . c..w2.,13
/\ 1 \ I •A‘
4.45"
V/7 •SK/PuiCkril cfloci -r-
frIzit
I 1
Re......1.1
SZE'
ADDRESS S. 3809 Skipworth Court STYLE 1002
LEGAL DESCRIPTION Lot 4 Block 1 Chester Heights Addition
APPLICANT Tupper Inc. POWER Inland Power & Light
JOB # 803 WATER Model Irrig.
SCALE 1" = 20' approx.
A" - -' , ,, - - -, -, ''`"%,.. -','.: ''''` '"''' ‘ ` .' ' '''''
1 - '''' ' .,--``,,, - `'``•-;,,-`-., '-'.-,- , -.',