1990, 08-23 Permit App: 90004149 Residence SPOKANE COUNTY DEPARTM'NT OF BUILDING AND SAFETY
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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90004149 x A ('E _:: t, 2/'2?y,i9{, I:'•?(::i"::::
APPLICATION
:ii,•3i•3i•#3i•3*h•3i,•*3i•};•3t*3i'3i'3*3*3i•3i•3i•:4.3*3t•1*3*3*p•3*3i•3* APPLICATION hit3t'i* Fl•*3*3t3t'1i•3*3*3*3+:3*.W*3k3**3t3*3*3*3t3*3*.'tk3t'*4**
SITE STREET= 1310 N ;l=::I:F•'WCIF'"CH CT - P AF;C.`•F I...4=: 16542-2108
ADDRESS= SPOKANE WrA 99206
PERMIT USE:.:::: RESIDENCE W/GARAGE:
PLA 1•4= 004159 9 Pi._AT NAME= ROBINSON ADD
BLOCK= • i IDT= F ZONE:.::: AGSUB ',T .'-CPM E:
AREA= 0000t,(,(,0 F /A= E" WIDTH= 96 1)E"I:''iF•I:::: 121 . R/W= 50
m: OF 1::l....oc;S=: i ••"• DWELLINGS= i
OWNER-: CI...AYB!'.1t'<N, JACK M PHON i=:= 509 445 Ii ,61
STREET= Si' AC•R ROUTE 2BOX 20
ADDRESS= CUSICK WA 99149
CONTACT - NAME= JACK CLAYBURN PHONE NUMBER= 509 .445 1618
BUILDING SETBACKS : FRONT= 30 LEFT= 20 RIGHT= .10 REAR== 55
3i••ii 3**.3*3*- 3*3*3r*3***3*3*3**'3*'ri•3*3*3*3*3*3,:••'n.•:I REVIEW INF OF+:MAT.= ON 'b:3h.'*,*: 3i•i*'h'*3{. 1*•h:!t 3*',k h'H'7+:$i'i+:•*ik 9i..,i'*
DEPARTMENT REVIEW COMMENTS. • A.:'PRfl''Al... COMMENTS
•
6 • ,
Ht.l:EE._D.ENfxPI...At . REVIEW REQUIRED�w
BUILDING SETBACK REVIEW REQUIRED ��... ....'�.L?>�..RAI_...... .. .......
ENGINEER F:R APPROACH/FLOOD PLAIN/DRATrilFSf i::: /�1 �_ ... a.4..e::Zv3.rf'/
/ / �' •
H i=t^11..."f H I)J:,S'T' N E"W OR ADDITIONAL lRiF't;>TE WATER -..) e .. 4,
3i 3*3i 3*:+i 3*3i 3*3+i r*3<3*3*3*3*3*'i*3i ii 3E 3i 3t ii 3i 3t 3+'7C N 3*ri I i(.I I I...I)I N f,, PERMIT 3i'?i 3*3!3i 3*3*3*3i 3i k 3i'3t 3i 3'3t 3i 3:3i 3*3t 3*3*' }t 3+:;i
CONTRACTOR= CLAYBURN CONSTRUCTION PHONE= 5(9 '45 5 1618
STREET= STAR ROUTE 2, BOX ;:'.()
ADDRESS= CUSICK WA 99119
NEW=:: X REMODEL= ADDITION= CHANGE fF• USF::::
DWELL UNITS:::: i OCCUR,. I...D:::: BLDG HGT= . STORIES=
BLDG W X I) -: 54 ;ti: 36 F SO T==: 1 300 SPRINKLER= N
REQ PARKING= OHANDJCAP=:: CRITICAL MAT= a'J
•i 3r•3*3*3*3i•3i••H'*3i•:N•3i•3**35 3*h 3*•rt•u••3t*3*•m 3*3*•u•>,:3*N;3* MECHANICAL PERMIT •h 3*3*3*3?.3t*3i•3*r:3t 3**•h:){•3*3*=p:•N:•3t L;3t:3+:*3+;3* •
CONTRACTOR= CLAYBURN CONSTRUC'T'ION PHONE::: 509 459 1618
STREET= C`•TAE? ROUTE "' BOX 20ADDRE'::S; CUSICK WA 99419
i n*r h t{**3i•*3*:+*3i•3*it n 3t n•tt*h n t h*3t 3t 3i••h PLUMBING PERMIT *34 3*?i•3+i 3,:•i*3+:3t•h•3**3*3*•ii•'ri•*3::3i•3*3*3*3***•lr 3+i*3*•ri•
CONTRACTOR= CLAYBURN CONSTRUCTION• PHONE= 509 455 1618
STREET= ''TAP ROUTE 2, BOX "
ADDRESS= C1.lSICK. WA 99119
PROCESSED BY : Jt.II...:FE: SHATTO
PRINTED BY : JULIE SHATTO
.... .
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NOTICE.
It is the responsibility of the perrnittee, net Spokane County, to see fo it that the use described on the front of this permit
complies with applicable codes and requireinents and Met reerriferil inspecribris are requested.Failureto request required
inspections and obtain f,he necessary approvals prior 0'yogi essing beyond the point where inspections are required may
necessitate removal et certain parts of ever rforstritiormin temi ownetihr permit-thesis expense.At a minimum,the following
inspections are recruited by Crourity Cede:
1. FOOTING -- when fermis and reinforcement a!V) in piarte and prier to placement of concrete.
NOTE: This inspection includes review of Om sterol-Lire's setbacks from'properfy lines.Minimum setbacks
are established by Coarty hetning reertilaiions, Typihelly, side and tea! yard setbacks are measured from
property lines, whiie seiciacks Lim yeihris ebtritrig streets are firma-tarred frorn the property line or the center
line of the roadway right-of-way, whieheve r ere:vides the greater sermack from the center line of the roadway
righttrofhway. Cure Thies end recce,knee aro dot. rico essarily indicative of property lines. In some residential
areas, the Crounty can own as inamth os ffri feet et rignti of arivai between your property and the actual im-
proved street/ curb. The response-Mitt- to comply wirh applicable setnack provisions lies solely with the
permittee-- neither Spokane County ear- its authorized representatives assume any responsibility for the
verification Of V)CatiOr) of your papperty lines. Please verify Meir ihmation prior to locating your structure.
ailure, r properly locate the ern Lir-Lite may ragtime its revocation et tee ownerishpermittee's expense.
2, FOUNDATION — when torens and reinforcement are in plarto and prior to placement of concrete. (Block-
ing for a manufactured home is remairert to be inspected prior to Me installation of skirting.)
3, FRAMING — riiirifter ell P arlittirig, brim:hind and Mocking is iiii piece, artd prior to concealing,
4, INSULATION -- or to the installation ct {7{{,{ywall.
5. PLUMBING he after emir:Prat, before covering, and (-Mai,
6, MECHANICAL roughtin of fhping, heOrei covering, amtai chimneys before concealment, and final.
7. FINAL -a whien complete mut arior io occupancy anwur ase,
In addition to the aboiiie insnectiftms, any bierritaing "10 Pr systems or materials which would be concealed by
framing, drywall, concrete, etc— 'r is. be inspected prioi fe cover Cheek with the department for"special inspections"
in conjuncalon with commerciai proiehts
CALL 456-3675 FOR INSPECTIONS,
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CP RCUMETeNCEO, 3' iirrOttihi PROjECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
* road cuts tor iifies cir drives. Lifete oh County Engineer-Li, Orrice-
456-3600
* on-site Waste dispose; system, Levircinenental Health taititirict
4-55-6040
• construction {{{{{ 0' Wein, County Enramerries miftriniti
4-56-3600
• electrical wiring Statile criftepar
4,56-27g2
•
sewer connection, Corthirry chi,/ prirparrariier,r
456-36'04
EXPIRATION
Unless otherMse noted, this perrnit vial be considered null emit, void oyi limitation if the work authorized by the permit is
not commenced, or is steeped for a period ot if:Mete/a. imihash wiiitr en request for an extension of the permit is received
and approved tne Building Official orice to {{{{{{,p{{{-ili{{{,{{, A{ {{{ ,{1{: Lewin an inspection should be requested at least once
every 180 days to re-seLire nee\minority itif five permit, A phi,mif hem: erit renewed within one year of the date of expiration for
one-half tee originai fee, stintect thearren tations pieese es ir ycitu have any questions.
'MISTAKES?
If you think we've made en ratittm in pi ohesserg this permit or in conducting inspections pertaining to it,or find erroneous
information in the -permit, please bring it to our attention aTintic,-)diateiy by filing a written request for correction within 10
working days of discovery, Ali such requests slicarld directed:to the Department of Building and Safety at the address
found on the face of this permit.
-500 ` Spokane County
? DEPARTMENT OF BUILDING & SAFETY
1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: lln � � - �1
STREET ADDRESS: Ap fu c 1\C (� O J - k. —
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1\,_ _
CITY/STATE/ZIP: c ctA,t2 ' A SCA
SUBDIVISION: V`�
L iS�Y� rA l l%u )er •
BLOCK: LOT: j ZONE: DISTRICT:
LOT AREA:7(-)(L) F/A: WIDTH: 9 6 DEPTH: )2-1 R/W:
# OF BUILDINGS: ( # OF DWELLINGS: WATER DISTRICT: L!cy\
OWNER: JCI ,/ t. ( (Ct PHONE: 5 - y(5 - J p g
MAILING ADDRESS: 5 UL-1, 7, r6' Z v
CITY/STATE/ZIP:C ut_sL1 j '
CONTACT: PHONE: - -
SETBACKS: - FRONT: 3 O LEFT: -O RIGHT: / REAR: 55
PERMIT USE:
*********, ******************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:;-)1 I vel' C Homes PHONE: SDC/ -'V.S-
MAILING ADDRESS: r- O. Z. ( 7 () Ctk.S1CL We . C C7 J
ARCHITECT/ENGINEER: TtvdP I . OSi C5. PHONE: - -
MAILING ADDRESS:
NEW: /REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: f OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: Lf//rr X
✓ (,„, (WIDTH X DEPTH) SQ. FT. : -3D (:'
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLUMBING PERMIT-APPLICATION FORM
Informtiori 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
NUMBER OF X EACH
DESCRIPTION FIXTURES FIXTURE = AMOUNT
TOILETS 3 x $6.00 =
SINKS x 6.00 =
SHOWERS _ x 6.00 =
BATH TUBS x 6.00 =
KITCHEN SINKS j x 6.00 =
DISH WASHERS (x 6.00 =
GARBAGE DISPOSAL 1 x 6.00 =
CLOTHES WASHER 1 x . 6.00 =
UTILITY SINKS x 6.00 =
ELECTRIC WATER HEATERS x 6.00 =
FLOOR DRAINS x 6.00 =
FLOOR SINKS x 6.00 =
BAR SINKS x 6.00 =
ROOF DRAINS x 6.00 =
LAWN SPRINKLER x 6.00 =
SEWAGE EJECTOR x 6.00 =
WATER SOFTENER x 6.00 =
URINAL x 6.00 =
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (5U9) 456-3675
MECHANICAL PERMIT.APPL'ICATION 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) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM x$10.00 =
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER _ 1 x 10.00 =
HEATING EQUIPMENT <100,000 BTU 1 x 12.00 =
HEATING EQUIPMENT +100,000 BTU x 15.00 =
GAS PIPING (EA OUTLET) x 1.00 =
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 =
REFRIG 101-500M BTU ' x 20.00 =
REFRIG 501-1,000M BTU x 25.00 =
REFRIG 1,001-1,750M BTU_ _ - _ _ x 35.00 =
REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3TONS:: x 12.00
HEAT PUMP & AIR CONDITIONER 3-15 TONS x 20.00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS x 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS x 35.00
HEAT PUMP & AIR CONDITIONER +50 TONS :. _ x 60.00 =
VENTILATING FANS _ x 10.00 =
EVAPORATIVE COOLERS x 10.00 =
TYPE I HOOD (PER 12 ' OR 12' PTN. OF. HOOD) x 50.00 =
TYPE II HOOD x 10.00
CLOTHES DRYER x 10.00
RANGE x 10.00 =
GAS LOG x 10.00=
MISCELLANEOUS (NOT. COVERED ELSEWHERE) x 10.00 =
UNLISTED GAS APPLIANCE <400,000 BTU _ x 50.00 =
UNLISTED GAS APPLIANCE >400,000 BTU _ = x100.00 =
USED APPLIANCE <400,000 BTU x 50.00 =
USED APPLIANCE >400,000 BTU x100.00 =
AIR HANDLER <10,000 CFM x 12.00 =
AIR HANDLER >10,000 CFM x 15.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260__., (509) 456-3675
SILVER C HOES - PLOT PLAN .
i~ N 1300 Skipworth Ct - Lot 8 • `"
Scale - 1" = 20'
LEGAL DISCRIPTION: Lot 8 Block ' , ROBINSON ADDITION,
according to plat recorded in
Volume 17 of Plats , Page 80, in
Spokane County, Washington.
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TYPE OF SEWAGE SYSTEM -- ,e. ,,,.t-c'c t, `
LINEAL OR SQUARE FOOTAGE: I Si) '
WINCH WIDTH: 3 6 '`
mem FROM ORIGINAL GROUND SURFACE TO BOTTOM
V SEWAGE SYSTEM; _ 3 co" 13,, . -C.-04r,i, 40r CP;II r++usi 1.
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