1990, 08-16 Permit App: 90003989 ResidenceSPOKANE COUNTY DEPARtMENT cF BUILDING AND SAFETY
.W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99280
(509) 456-3675
1 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 specitied
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 1I IFiB ..R- 90003909
APPLICATION
.„ , .,'. f'.:. .... ',: :+!. ,,i : :r1: -!r, ,1 .. 3: * •1+: •+': • ,::n.:U.:,r- : j.. ,. • M • • j.. •.: F.: ; : j, w ,-. .. + .i. ; _• . , *********************4 '1 '
! ! 1!' •1!• •r: � .n ! 1 r . 1. )' •1: n: � jt 1. � 1 i• + 1 ' I' ` 1..... ? f`�t T� :I. t 1 i •„
SITU I iI.":; 4.i 5 t I 'JCiRc (j
DRESS- vERADA WA 99037
PERMIT USE- RESIDENCE •, E.a i-. +...
.13
BLOCK -
A ° EE (":i ::::EVA-. WIDTH= 140 DEPTH=
OWNER-
STREET-
ADDRESS-
PARCELO- 0x„05
'•:1!;!.':. tv ,' PLAT NAME- i LM _. ,... t-? -. 64 !'+.. ..:. 1ST ADD
4!: DWELLINGS- 1
:'1:ME=''l:;Ti'1 , i''1E:I:L.
POB 7339
SPOKANE WA 99207
CONTACT NAME- NEIL SIMPSON
BUILDING :1TT;C 'Ijt":
61
L I_F v
.i,.:Ji..,i.:Ji..ji. * ;irj * :j3..i,:.},....j!:.j,....ii.:p; di• * •Pi •x• '.. $$ .'. 9+r i++i * :P..il• •7ri I"+ E" 'i7 L E • is
1.)EE P AR is MEE.iJ T.
BUILDING
BUILDING
BUILDING
ENGINEER
REVIEW COMMENTS
PHONE= 909 499 0563
PHoNF NUMBER- ''';09 4R9 05-
RIGHT- 79 REAR- 25
INFORMATION ; .. ')t• 'ii• ',Si ir: i':, .y': ::,. jr.. * ...ji. .'1 . in• ''c ?: Jr: '1+: ')3:
APPROVAL COMMENTS
PLAN. REVIEW IEE.f3 R !i 1'LI:° !.i
SETBACK E:`EEVIE :L,1 R E i # 1: E+: F:
ENERGY PLAN REVIEW ! =.°;:E' O E.1 1. R E. ',.)
APPROACH/FLOOD 4✓.I • L.. r•'t 1 ! 1 %I•�. s < j I r•1r-r . ,, .... ...
1/4
No.✓eej>cfr ... ' GAT SIC/MED--0K 1 IX''( r
`'cfi
3; j!:• :li•'i3r )i• •jt' )+r jf.:l+t .P.::i• 9k )k 9!• J+: ' 'NEVI
)1; •jy •i3' ;13 N• 1'} I_,j I. I.. 1:) 1. ? 1. r p;..., h i"i .i. i *44*******, r 9i-: ii.:31. * !i• ,.:43 4) i.:,:. a,, :„t .
CONTRACTOR- OWNER
NEW- : ::
-,WELL 111••N :E- +..:::
BLDG ...1 f.Y W ., . 3..i :...
RFQ PARKING -
REMODEL
OCCUP, L.D.:::
X 64 SO FT- 332
:':iii,ND l t ,,I•.:::
i.ti::.rs( •:'.. . .:1::3 J (,Ri,il.ii:' TYPE PEE. FT
BASEMENT F
BASEMENT ( I
DECK
GARAGE
RESIDENCE
.F
I s
R-3 VN 956
R-3 vN 4o8
VN j' 4
R-3 VN 440
ITEM DESCRIPTION
RESIDENTIAL VALUATION
;,..(.r't_f•I::• SURCHARGE
COUNTY
;.l..il?'r..-H•'IAR,(:YI:..
Pi'•IIT N t':::.
ADDITION -
E 111. -ii•,•(':::
VALUATION
Y` '3 (4, 9
:1 t 1 , . ! .,. .+. .i .. .r 11 .) .! '33 '1 •11 1 •iF 3 1 .. .i y .i i .. .• .. .. -.. ... ..
1:•i:•:>t•.r1:'i!•.::b:!•4::U:•1:{:'l:i:t:i:-.:•.i•��: s: •)i �/: ik '!: •i4 -a •1: )r.k 3+: '•: ":" � .: r u i.. ti ll•Yr + li 'i 'i 3 el 1
l : ? ; � •, r"+ I f.. .....' .I , Ji•'h::n.:p..t,. •r:.:• {;.: 'n: '�i •:a •�: •.:::•'!r •:i• c : •1: '1: •i: 'i�:.k :: 9e '.i'FEE AmOUNT
CONTRACTOR- (, 1(,.If'NI::.I-g'
'ITEM DESCRIPTION
DUCTWORK SYSTEM
HEAT #::'(1it1-,• 3.j......;3..�.i..ii,;..
GAS LOG
444**************************
CONTRACTOR- OWNER
ITEM DESCRIPTION
TOILETS
SINKS
SHOWER
BATH TUBS
' T i:,:1••3'11 I'.1 SINKS
SH wASHERS
TIHES WASHER
EIE: R
11;LITY SINK
ELECTRIC ;3:j:3:,; HEA
.i
E I vv;,, T.. � I : i, I i . , , 1 I ! kr.r * ;i3; ;i1 1Pi.i' )k .7 -!+i •jh 'Nr:d.k PrP 4+r c+i• �/
:-,:: ;:" r•`•t 4t i:9 (. I i»J ..i.
O i r-1 i ,l i: I..
4 4 jj. 4' :u: a 4
,c
`
NOTICE
It is the responsibility of the permitteenot Spokane Courity, 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 roquooted Failure toroquerequired
irod
|nopouhonuand obtain the necessary approvals prior toprogressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owners/permittees expense.t a minimumthe 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 im-
proved street/ curb. The responsibHity 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 Iocate 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. (Block-
ing for a manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING — after all fruming, bracing and blocking is in place, and prior to concealing.
4. INSULATION — prior to the installation of drywall.
5. PLUMBING — after nnugk'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.
In addition to the above inspections, any plumbing or mechanical systems or materials which would be concealed by
framing, drywaU, oonoreto, 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 CiRCUK0STANCES, 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 Utifities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation if 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 pormit, please bring it to our attention immediately by filing a written request for correcion within 10
working days of discovery. All such requests should be directed to the Department of Building and Safety at the address
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
it/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
to comply w with same. All provisions of laws and ordinances governing this rstand the type of work will be complied with CTION Ewhe hes specified
suance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
I certify that I have examined this perm
and correct, and authorize Spokane
provisions included herein and agree
herein or not. I understand that the is
give authority to violate or cancel the
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
Ri i ,;...;., i NUMBER= - ':}'000Y?0
PRO(
PERMITFLOOR DRAINS
BUILDING PERMIT
MECHANICAL PRMT
Y')LUMBING PERMIT
BY: jOHN
PO BY: JOHN
LARSON
LARSON
7+ 7+r 9!• iNi iMr *.. • .:.. ;n; ... .. •) * ?G t. 'Pi ?t• •jai 3G 'tE )1:.P: i . 'Ni i'!• ...... 'Pi :1: ii1i
APPLICATION
DATE
AMOUNT PATD
,00
00
........................
01:.)
THAW YOH
AHnlINT r11,1-1—HG
Sp cy
y
•�(. •�,; .r... { • .!�. .;%r ft •1!i •➢t . * ;i: 'Pr i5E .h• j,i; ;.....:p; ;nr ... .t,; ¢i; .. i' :n; ni•
NOTICE
It is the responsibility
�---complies with applicable codes and requirements and thatrequiredi —at —~~~~"""^"u�ovn�»*/n�n�of�hiopermh
/»oPn«i«noandob��n�henooeu»uryoppn�va�prio,topi »»p»«mnuare requested. Failure tor*quem required
tno«»u«/�ak»»emova|ofoe�ainpu�nof�h000n��ru�x/o progressing rtwhoeinspections are roqu"
� na�/�«own*r'a/P*rmi�e�aoxponoo�A�omininnumtho"v«�ay
inspections are required byCounty Code
� . following
1. FOOTING — when forms and reinforcement are in place and prior to placement of concret
NOTE: Thi�inop*chonincludes review ofthe structure's setbacks from pmope�y|inem Minimuma setbacks
are established by County zoning regulations. Typically,sideand rearyur� setbacks
property lines, wW/esetbacks for yards abu�in 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
«»n»meaou/odhnm
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 im-
proved 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.(Block-
ing for a manufactured home is required to be inspected prior to the installation ofohi�ingj '
3. FRAMING — after all huming, 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.
In addition to the above inopoodonu, any plumbing or mechanical systems or materials which would be concealed by
,nannmg, drywall, oonnmte, etc., must be inspected prior to cover. Check with the department for "special inspections"
»»«''
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN C|RCUK4STANCES, 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
• constructjori in a flood plain, County Engineers 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 if the work authorized by the permit is
not commenced or is stopUhorupohodnf18Oduyn.un|oauawrittonnaluestforunex8»noionofthoponnitianeooivod
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 orie year of the date of expiration for
one-half the original fee, subject tocertain limitations --p/oaomooU us if you have any questions.
MISTAKES?
|fyouthinkwo'vomadoune,norinproconminythiopermi\orinoonductinginxpechonsportainingtob cv�ndonnneouo
information in the permit, please bring it writtentoour attention immaUia��lybyminga-`-
ethor—correction within 10
working days of discovery. All such requests should be directed to the Department of Building and Safety
at the address
Spokane County. .
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
ZS5f3-c9o5
G, 2 4 1410
SUBDIVISION:
BLOCK:
LOT AREA:
‹,(4916,40, ) - -
Ti M1, NE l PD rti\I
2 LOT:
5 ZONE:
DISTRICT:
F/A: /y0 WIDTH: 414 . DEPTH: 15C) R/W: c; 4,
# OF BUILDINGS: 1 # OF DWELLINGS: / WATER DISTRICT: \NI5EA
OWNER: l `� J L W. cJl K0AA) ii PHONE: SCCI
MAILING ADDRESS: P,,,Q_ 50K 7 3-561
CITY/STATE/ZIP: 5e1NA 6161g.0-7
CONTACT :1 (L L) 4 UD4b eki
PHONE : soc) - 489 - ®s% 3
SETBACKS: - FRONT: 691 LEFT: ID RIGHT: 75 ± REAR: Z.5
PERMIT USE: 45A4We-e
***************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:[ f
� �'/' STORIES: ,,,�
BUILDING DIMENSIONS: �3- X 1,1-t(WIDTH X DEPTH) SQ. FT.: 332-6
REQUIRED PARKING:
# HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
JOB STREET ADDRESS:
CITY/STATE/ZIP:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
MECHANICAL PERMIT ° APPLICATION .FORM
Information Worksheet
PARCEL NUMBER:
MAILING ADDRESS:
(Street) > (City/State) (Zip)
WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT = AMOUNT
(Street)
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
DUCTWORK SYSTEM_ _
WOODSTOVE/INSERT
GAS WATER ,HEATER
HEATING EQUIPMENT,X100,000 BTU
HEATINGkEQUIPMENT +100; 000 , BTU.-`
GAS PI;PINGEA.' OUTLET) _ -
REFRIG' I fi100M BTU NOT A/C
REFRIG
REFRIG5
-
r
REFRIG. + 50M,
HEAJMP
HEAT�PUMP
HEAT,,
HEAT : PUMP
HEAT4 PUMP I
01'10 'BTU
50M"BTU_
TU;''
CONDITIONERk03 '.TONS
COND.ITIONER3 >15 TONS.
CONDITIONER:15-30
0
COONS;
R NDITIONER +0,TONS;
IRs S
AIR: CONDITIONER , 3 0=5 T
TON
VENTILATING'FANS.`
EVAPORATIVE I2COOLERS'':
TYPES°° I HOOD rT ( PER j `12 ' r.'
TYPE; II .Boob; : ;
CLOTHES iDRYE'
MISCELLANEOUS.s-
(NOT.COVERED.ELSEWHERE)
UNLISTEDGAS`APPLIANCE <400 000 ..BTU
UNLISTED GAS•APPLIANCE..>400, 000,: BTU ,_
USED APPLIANCE`<400,000!TU w _
USED, APPLIANCE >400,000 BTU_.:
AIRHANDLER<10,000 CFM
AIR HANDLER.>10,000 CFM
OF. HOOD)'
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
I
l
SUBTOTAL
x$?0.00 =
x 25.00 =
x 10.00 =
x 12.00
x 15.00
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00
x 12:00,
x 20.00
x 25.00. =
x 35.00
x 60.00 =
x 10.00 =
x 10.00
x 50.00 =
x 10.00
x 10.00 =
x 10.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x100.00 =
x 50.00
x100.00 =
x 12.00 =
x 15.00 =
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Department of Building_ and Safety
West 1303 Broadway venue Spokane, WA 9260 (509) 456-3675
JOB STREET ADDRESS:
PLUMBING PERMIT=
WO Mitt
141-0.0 f L
No1H orzi