1990, 05-17 Permit App: 90002169 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= 90002169
DATE= 05/17/90 PAGE= 01
APPLICATION
****************************** APPLICATION *********************************
SITE STREET= .24'''r S" SUN YBROOK LN PARCELO= 26543--0202PTN
ADDRESS= VERADALE WA 99037
PERMIT USE=
PLATO=
BLOCK=
AREA=
0 OF BI._DGS=
OWNER=
.STREET=
ADDRESS=
RESIDENCE
EVEPUD PLAT NAME=
1 LOT=
F/A=
0 DWELLINGS=
SUMMIT AT EVERGREEN POINT
18 ZONE= PUD DIST4= F'
F WIDTH= 65 DEPTH= 129 R/W= 30
1
W R S & ASSOCIATES INC
P 0 BOX 14084
SPOKANE WA 99214
CONTACT NAME= BILL. SMITH
BUILDING SETBACKS: FRONT- 30 LEFT= 5
PHONE= 509 922 0782
PHONE NUMBER= 509 922 0782
RIGHT= 15 REAR= 30
****************************** REVIEW INFORMATION **************************
DEPARTMENT
BUILDING
BUILDING
BUILDING
REVIEW 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 FT=
*HANDICAP=
APPROVAL COMMENTS
PERMIT
****************************
PHONE= 509 922 0782
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
1260 SPRINKLER= N
CRITICAL MAT= N
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= W R S & ASSOCIATES
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
***************************** PLUMBING PERMIT
CONTRACTOR= W R S & ASSOCIATES PHONE= 509 922 0782
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************
PHONE= 509 922 0782
******************************
'fl.Li8.o/�/0
Spokane County Awl? J -e)
6;i10_±=__9Yy
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: IV- /�
STREET ADDRESS: 2 7 ,,e7 a%
CITY/STATE/ZIP:D3
SUBDIVISION: Gg/
BLOCK: / LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH:/./D R/W:
# OF BUILDINGS: l # OF DWELLINGS: / WATER DISTRICT:
OWNER: Z
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
9L
PHONE: - _Z- O% 9 2__
/fro f c/
PHONE:
SETBACKS: - FRONT: j G LEFT: RIGHT: /4 REAR:
PERMIT USE:
****************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
G(// sus 0-y�� /�
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
BUILDING HGT: STORIES:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
/
65,7 2----..eg2g3
JOB STREET ADDRESS:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
CITY/STATE/ZIP: PARCEL NUMB
OWNER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
CONTRACTOR:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(City/State) (Zip)
(Street)
PLUMBING WORKSHEET/FEE SCHEDULE-
DESCREPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT.
TOILETS
SINKS
SHOWERS:
BATH TUBS,
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER. HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE. EJECTOR
WATER SOFTENER
URINAL.
DRINKING FOUNTAIN
_9
7
./
1
x $6.00
x 6.00 =
x 6.00 =
x 6.00 =
6.00
6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00
x 6.00
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
S IGNATURE
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
1
EQUALS: TOTAL PERMIT'
FEE DUE I= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
JOB STREET ADDRESS:
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet 1
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(City/State) (Zip)
(Street)
CONTRACTOR: LICENSE; NUMBER:
MAILING ADDRESS:
PHONE. NUMBER:
(Street)
(City/State) (Zip);.
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER' X EACH
DESCRIPTION OF UNITS UNIT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS: -WATER. HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GASPIPING(EA OUTLET)
REFRIG1-100M.;BTU (NOT A/C OR HEAT_PUMP).,,
REFRIG:1017500M BTU
REFRIG's;501-1000M BTU _
- REFRIG`.1001-1,750M BTU
REFRIG +1,750M BTU _
HflagEBBEF•&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 Eau
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
= AMOUNT
x$10.00 =
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 =
NOTE: MINI - PERMIT
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
10-r /8 1 t / - 7701. _4 (, '7_ ,
PUBLIC ROAD DEDICATION
5' Vv1DE FUTURE
S 8903'47" E ACQUISITION AREA
r' - -133.00'
637.81
COMMON AREA
/ 1: 77.80'
R = 50.00'
L = 21.57'
10
138.00'
COMMON
138.00'
138.00'
130.90'
131.11'
130.90'
130.91'
5.90' C2 1.62' 138.00.
100.90'
C5 '
C3 0.
94.67'
15' BLDG.
129.50'
0
vi
`OSETBACK
47.00' 122.40'
S 89'03'46" E
122.41' 47.00'
637. R1'
'129.50'
O
O
tii
S3oKane County
Health District
West 1101 College Avenue Spokane, Washington 99201-2095
August 28, 1991
Theodore D. and Anna L. Steinke
S. 2515 Sunny Brook Lane
Veradale, WA 99037
Dear Theodore and Anna Steinke:
You have elected to receive this radon detector and to pursue monitoring of
your home which was built under the requirements of the Northwest Energy
Code. The radon detectors and the evaluation of such detector are provided by
the Bonneville Power Administration at Bonneville's expense and at no cost to
you on a "one detector per dwelling unit" basis. The pursuit of radon
reduction measures or additional detailed monitoring is your responsibility
and is at your expense.
The following procedures shall be used in the installation and handling of
your radon detector:
1. The radon detector shall be placed in the dwelling in accordance with
the following guidelines:
(a) Remove the detector from the aluminum packet. (The detector
package may be hung with the detector tag as long as it does not
shield the detector itself.)
(b) The detector shall be placed in a centralized living space, such as
living room, dining room, kitchen, den, family room, or hallway,
etc.
(c) The monitoring location shall be on the first floor of the dwelling
completely above grade level.
(d) The detector shall be hung on the wall, placed on an open shelf, or
suspended from the ceiling 4 feet to 7 feet above the floor, away
from windows and doors, and away from possible drafts from heating
or cooling vents.
2. At the time the radon detector is placed in the dwelling, the date
should be written on the tag where indicated, denoted as Section 1.
Administration 456-3630 Personal Health 4563613 Environmental Health 4566040
Clinic 456-3640 Viral Statistics 456-3670 Laboratory 456-3667
An Equal Opportunity Employer
Page 2
Radon Detector
Similarly, the date of removal shall be written in Section 4 of the
tag. DO fill out the monitor tag blanks pertaining to starting and
ending dates. DO NOT fill out the remainder of the tag. This area is
for agency use only.
3. The radon detector shall remain in place for at least three months
during the period September through March, but should not remain in
place longer than 12 months.
4. When the monitoring period is completed, the radon detectors shall be
placed back in the aluminum packet that they came in. The top of the
foil packet shall be folded over and taped or held shut by similar
means. If the foil packet has been lost, then wrap the detector in
heavy aluminum foil to help reduce additional alpha particle
contamination during shipment. Mail or deliver the radon detector with
the tag to the Spokane County Health District.
5. At least once a month, the Health District will submit all detectors
received from consumers to a processing agency. Results will be
returned to the Health District, and you will be notified by a "radon
results notification letter".
For more information, please call 456-6040.
Sincerely,
ENVI;iiTMENTAL HEALTH DIVISION
Daryl E. ay, R.S.
Assistan Director
0055D/bls
c: George Webster, Spokane Property Development, City Hall
Marty Robinson, Energy Code Coordinator, SC Building & Safety