1991, 04-15 Permit: 91000311 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKAPiE,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 (0 �o APPLICATION 4��—
OWNER OR AGENT Iv . DATE
PROJECT
NUMBER= 91 4jl;,o i i ISSUED I7 EP'?:::RMIT DATE= 04/15/91 PAGE= 01
• )i a*ii iia a a a a ii *it ii ii ii a a it a PERMIT is l a E f.)R M f 1 T .1.0 I ,t ik,Y 9L it*!t Jk 7!li fi fi R i!Ji ik A 1k A Yt ik 9L 9t 4t 94 1F 9l ik
F''
• _ 5''.52-3304
SITE STREET= 1103 N T',`.;(::I'i:i:F�:1_.1:::'�' C::7• 1::`�•� (:;��i...:„:-:: !I 8
ADDRESS= (;RE E_NACRE S WA 99016
PERMIT USE= RESIDENCE NWEC
PLATO= 003778 PLAT NAME= Z( NGAFi ' C ADD
BLOCK= i LOT= 4 ZONE= UR 3,5 1}.i: 'T'1=- (:•
AREA=C:AI /A=:: FWIDTH= ?}') DEPTH= i •i 2 R,'p,I::= 50
4 OF ItL..Dr.Tw}[. DWELLINGS= i WATER DIST =
.. _3333 �.,. INC PHONE= }:"• f.j ":,}i.. •-'C_C..
OWNER= o, c Ti BUILDING NC. F:HC:IrvE.-- _ 0 92 ., ;: f 55
STREET= 12018 E:: 1ST AVE:: ri
ADDRESS=S=:: ,POKANE WA 9 206
CONTACT NAME= CHRIS SWANSC:tN PHONE NUMBER= 509 92 • r-i . ..}}.:;
BUILDING SETBACK,` : FRONT= 33 LEFT= 9 RIGHT= 6 REAR= 71
*ar:ii*ait•*ii-iiaaiia'iiaiiiti}:•aii'a'iiah:•a•ii•h-*aa •T•••i IJ.I.I...D.i.N!.r F''I::.RM•, . 9t•a*ii*.k•itaN:'N:p:•N.•*•A:*•,t N:*•r:•P:•h:•ii'ii*a•H•*•N:
CONTRACTOR= I) & B BUILDING INC ('HONE:::: 509 926 0755
STREET= i2018 I::: i L T A V I..:
ADDRESS= SPOKANE WA 99206
NEW= x REMODEL= ADDITION= CHANGE OF USE=
DWELLUNITE= (:i(::C:I.JF'`:. LD:::: I:fI._L,i.. I- (:vT= 12 STORIES=
:[i:-, ::-
BLDG N
SPRINKLER=D(til! } II'{(.Y
X'r[' = 0 X SO F--c' : 1008
REQ PARKING= •H•HANI):irn-=:::: CRITICAL MAT= N
ENERGY CODE= NWE:.(:: UT IL...I.-(T:::: 14 LIF`
D E E C R I1-=T.i.0N. GFt`.0i.JF:= TYPE SQ FT ie AL..UAT.Lf:iN
............................................ .................... ................ .................... 3333_.........._.........._.._..
BASEMENT Li R-3 V 1009 90' 2.00
GARAGE DECK I' Ftp-3 +"N BO :;n2.iii; 01,
.YC. M-1Y'N 484 3388.00
}!'j•
RESIDENCE
\s. i ..NC... K-•y VN 1008 44352.:00
:I:TE:M DESCRIPTION QUANTITY FEE AMOUNT
........................................_......................................_3333_........._. _3333.._...................... ........................................
RESIDENTIAL NTIAL... SAL UATION Y 450,50
STATESURCHARGEY' 4 ,':iti
COUNTY Y URCHARGE Y 72.08
n i it a xiie a*iia* i i i pa a iada ia, iPLUMBING 'E : riiaiaaai.aaiiiaaaaaiia.* } aiii
CONTRACTOR= GOLD SEAL.. MECHANICAL... INC PHONE= 509 53,- 5944
STREET= r 5.i4 I. ."r.,fOONI::. AVE
ADDRESS= SPOKANE: WA 99212
ITEM DESCRIPTION QUANTl:T'Y' F:'E E AMOUNT
..............__3333..__3333....._..........._..........---._.._......_._................ 3333.
TOILETS i 6. 00
SINKS .i r}..00
BATH; TUBS i 6.(i0
KITCHEN ,`.i:E 1K i 6,00
6.00
DISH WASHERS i 6 ,00
ELECTRIC WATER HEATERS i
FLOOR DRAINS i C,.WI)
. 35353 . 3333I353535 PAYMENT NT S UMMARY **aaiiiiaiiaa*aaaaaa** M*aaaiii!•-
PAYMENT DATE RECEIPT;: PAYMENT AMOUNT
04/15/91 2043 569.08
TOTAL... DUE= .00 TOTAL PAID= 569.08
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
_..._....._.___3333.._................_3333_..__ ..........................__.._..._.._........ 3333..__3333___3333_.._..............__ 3333..
BUILDING N[ r" 527.08 527.08 :00
P I...IJMTf:Er'JG PERM IT 4'2 00 42.00 .00
569,.08 5$9.. 8 .00
PROCESSED BY : ,JOHN LARSON
PRINTED BY : ..JUI...IE:: SHATTO
3535:R i a a a i PF Pi i1a a 1Hia 1 a i KiPiAi i*a THANK y3335....35. .) 3533 )i35* k
SPECIAL CONDITION CHECKLIST
Project
Address: _____ _— __. Project#_ Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
— — Special Insp.Final Report____
_-- Hydrant( )
Lock Box
•
Engineer's_. — _ RID/CRP �+
Easements
— Road Pfaris/lmprovtlrrients • '
`:— Bonds
Planning_ _..__• ' — Bonds .;... .
•
Utilities- Double Plumbing-
_ ULID , ... • • ,
Other_
•
**"********—*****`* "`*"-oils SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY.ONLY""****"***********************
Date received for CLO.processing.. Plans pulled for final.processin�
Temporary C/O issued:_—_ —.Certificate of Occupancy issued:
Office file review by: . Date. •---_ --_
Filed insp finaled by: __ -- Date:-___.=- -------_-_ --
Ninety days after C/O issuance:
Owner/contractor called regarding the return of.plans: Date:
Plans returned — -.___-- =._ _-.— Received•by:
No response from owner/contractor-plans destroyed.;