1989, 11-15 Permit App: 89004714 Residence SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 992L
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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 HATE
PROJECT t''ll.il'I.i:fER::. 89004714 ,'jr+'•i't::. 11 /15/89 ('Alai 01
APPLICATION
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ADDRESS= i••O<-,raN :. Wii 99206
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PERMIT USE= RESIDENCE
F:'I.-.t.\T•:II:= 00415 ' PLAT NAi'iE::: :: ROBINSON N,`::isiN Arlf'i
AREA=BLOCK= LOT= ii ZONE= EER DIST0=
= 5
'n• OE .:i?...111.,E:::: 0 DWELLINGS=
OWNER=`--•- •,:-:•;,.., 509 9�i•. -�,.}--A
1.11,:±r:!I::.F:..... i•'li;i.+±..1?,?•�l._l.!: GARY T:' PHONE= ?,:.,_a :A 1' ? ....
STREET= 8423 E SOUTH RIVER WAY
ADDRESS= .'I•-'1..1I'!•'NE WA 99212
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CONTACT NAME= GARY MCDONALD ;•`F•Ii,iN.'. NUMBER= 509 9 9
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DATE
DEPARTMENT NAME REVIEW COMMENTS TN/OUT INITIALS
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BUILDING & r•:±;-I::. . r' PLANREVIEW I't'I:-.it•t.i:-I t::.1.1 i:'1 1 1 .•'_ GMW
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BUILDING ,^., SAFETY SETBACK REVIEW 1=F i(f.J 7'T.'E( : 9 i :i - `: i::•;m!,-i
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COUNTY Fi ; ' ` r ?t LAND F I ACTION REQ 1 ,, iiV i _tI ? 891115 t ' ,
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Spokane County /4f t
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: "1�! 60 / 4-///
STREET ADDRESS: 17470/,lJG'�VX C / /c7�
CITY/STATE/ZIP: qoWcpc„.e._
.
SUBDIVISION: , 26-olc 46 (, (?Vce' l/ l
BLOCK: / LOT: // ZONE: 5r,‹ DISTRICT: F
LOT AREA: F/A: WIDTH: � r / DEPTH:4V, �� R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: e,, / PHONE:
MAILING ADDRESS: 4--'',43 , 14)a7
CITY/STATE/ZIP:\% i' l ;
CONTACT: F—% �, � i PHONE: - -
SETBACKS: - FRONT: 349 LEFT: /1 RIGHT: /' REAR:_ <
PERMIT USE: ,
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: ,v®we
CONTRACTOR: 4vV igia6/,4-��
oloe
MAILING ADDRESS:/ ' . �� '� � 1 > . �� /
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: /L 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:
PLUMBING PERMIT APPLICkTION 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)
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER OF X EACH
DESCRIPTION FIXTURES FIXTURE = AMOUNT
TOILETS x $6. 00 =
SINKS !7 x 6. 00 =
SHOWERS ( x 6. 00 =
BATH TUBS i x 6. 00 =
KITCHEN SINKS 1 ! x 6. 00 =
DISH WASHERS I x 6. 00 =
GARBAGE DISPOSAL x 6. 00
CLOTHES WASHER x 6. 00 =
UTILITY SINKS 1 x 6. 00 =
ELECTRIC WATER HEATERS I x 6. 00 =
FLOOR DRAINS i 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 1 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 (509) 456-3675
, MECHANICAL PERMIT APPLICATION 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 I x 25. 00 =
GAS WATER HEATER x 10. 00 =
HEATING EQUIPMENT <100, 000 BTU I x 12 . 00 =
HEATING EQUIPMENT +100, 000 BTU x 15. 00 =
GAS PIPING (EA OUTLET) r 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 0-3 TONS _ _ 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 Buildinq and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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