1990, 05-17 Permit App: 90002163 ResidenceSPOKANE COUNTY DEPARTMENT 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= 90002163
047(327q4/" PAGE= 01
****************************** APPLICATION *********************************
SITE STREET= 2415 S SUNNYBROOK LN PARCEL4= 26543-0202PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE
PLATO= EVEPUD PLAT NAME= SUMMIT AT EVERGREEN POINT
BLOCK= i LOT= 2i ZONE= PUD DIST#= F
AREA= F/A= F WIDTH= 55 DEPTH= 138 R/W= 30
.1L OF BLDGS= DWELLINGS= i
OWNER= W R S ASSOCIATES INC PHONE= 509 922 0782
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
CONTACT NAME= BILL SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT= 28 LEFT= 5 RIGHT= 5 REAR= 45
****************************** REVIEW INFORMATION **************************
DEPARTMENT
BUILDING
BUILDING
BUILDING
REVIEW COMMENTS APPROVAL COMMENTS
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
ENERGY PLAN REVIEW REQUIRED
******************************* BUILDING
CONTRACTOR= W R S & ASSOCIATES
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
NEW= X
DWELL UNITS= 1
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
X SQ #HANDICAP=
PERMIT ****************************
PHONE= 509 922 0782
1260
ADDITION=
BLDG HGT=
SPRINKLER= N
CRITICAL MAT= N
CHANGE OF USE=
STORIES=
******************************* MECHANICAL PERMIT
**************************
CONTRACTOR= W R S & ASSOCIATES PHONE= 509 922 0782
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
***************************** PLUMBING PERMIT
CONTRACTOR= W R S & ASSOCIATES PHONE= 509 922
STREET= E ' 0 BOX 14084
ADDRESS= SPOKANE WA 99214
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************
******************************
0782
FiA) ,A;701.7 /O/
Spokane County �r yy
`DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: 2- 7 /J'
CITY/STATE/ZIP: J
SUBDIVISION: c24L g/
BLOCK: / LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: S._J DEPTH: 1?O R/W:
# OF BUILDINGS:/ x # OF DWELLINGS: / WATER DISTRICT:
OWNER: te_1%7 .0 c'- AcsoG ° //t- PHONE:
�l 4t'7
PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
992/
--- !r
SETBACKS: - FRONT: 20 LEFT: ` RIGHT:J/.)REAR:
PERMIT USE:
****************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
G(2 of St%X Z V✓"
PHONE:
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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: / / J— ,eV
CITY/STATE/
ZIP: PARCEL (BER:
PHONE NUMBER:
OWNER:
MAILING ADDRESS:
(Street)
CONTRACTOR:
(City/State) (Zip)
LICENSE; NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS . UNIT.
DESCRIPTION
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT -<1:65,-60-0- BTU
HEATING EQUIPMENT +100,000 .BTU
GAS PIPING .(EA OUTLET)
REFRIG 1-100M,BTU (NOT A/C OR HEAT PUMP),
REFRIG 101-500M BTU
REFRIG;501-1,000M.BTU_
REFRIG 1,001 -1,750M -BTU
REFRIG +1,750M BTU
H A_.� p_ MP & -AIR CONDITIONER 0-3 TONS'
HEAT PUMP&.,AIR CONDITIONER 3 -15 -TONS.
HEAT PUMP & AIR CONDITIONER 15-30 TONS •
HEAT PUMP.& AIR CONDITIONER 30-50 TONS-
HEAT PUMP &)AIR CONDITIONER +50 TONS
VENTILATING FANS _
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12' PTN. OF' HOOD)
TYPE II HOOD
CLOTHES DRYER
RANGE_
GAS LOG
MISCELLANEOUS (NOT COVERED. ELSEWHERE)
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU
USED APPLIANCE <400,000 BTU
USED APPLIANCE >400,000 BTU
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM
Zip)!
AMOUNT
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 =
r..i s �:9"•l ins
NOTE:
SIGNATUR
UM PE IT FEE IS $35.00
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= $
Spokane County Department of Building_ and Safe
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
JOB STREET ADDRESS:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL R:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
PLUMBING
DESCRIPTION
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS.
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER
FLOOR DRAINS'
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE. EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
(City/State) (Zip)
WORKSHEET/FEE SCHEDULE
NUMBER OF 1 X EACH
FIXTURES FIXTURE
1X.$6.00 =
x 6.00
�x 6.00 =
6.•0:0
6.00
6..00 =
x,.:, 6.00
x`.h;..6.00
x,:6.00'=
=
6.:00
00
,:6.00. =
r.
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
4
Lor 2_4 E LocK. I
-ririf. _Sum MIT
AT
Bakaitki Pe) air
- IL1. 'Y112)/2(1 -A.' 69A/C.-.