1989, 03-08 Permit: 89000367 Residence SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.,1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(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 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 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 r)ATE
PROJECT NUMBER= 09000367
ISSUED PERMIT
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SITE STREET= ...''•::) t.:' ,.? '`•{'A{`a i`i A 1'`.•.{ C:.!'t ET t.. i•=s H!..:{::.{._:{,..... 05441 -1608
ADDRESS= ,:f='t:{1::;x;3'=:: W?^! 99206
PERMIT USE= RESIDENCE
PLATO= 001297 PLAT !v,i"i{''i!...••_ .S.!...1...{...R 1ST i"!L:::
AREA= !... ; :. . WIDTH= 1 • ,- DEPTH= 32r ' .. :,;:;
STREET= 5010 S VAN MARTER ST
ADDRESS= SPOKANE WA?'•
CONTACT NAME= TED ARNOLD PHONE NUMBER= ...'•:i•":' 926 0978
BHTIDING SETBACKS : FRONT= 85 LEFT= 30 RIGHT= 40 REAR= 195
**** '.****':.ji:****:i±'.*** '..;f*.g:.p:**•n•:U::o-:** BUILDING PERNIT *...!:•?:•*•P::'!. ..v.....:..±..:n..... :.3A i:•.}:•A:'1!::.-. .. ..
CONTRACTOR= t ±y H{, v'"'' HOMES PHONE= t:i9"
STREET= BOX 141295
ADDRESS= SPOKANE
J '+NE :i
N E = X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= E {..i{..:'t.:t.?{" E...i_I:_ BLDG f r T.... STORIES= 'i
BLDG j i 1 .:t: D .... SQ FT= 1493
1';{::.{.! P.`.. .KIi:{{:;::: :irHAf'"•!DI:c::F:?p:.A SEWER= ?"! HYDRANT=
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 352 3872 ,00
BASEMENT U R-3 VN 685 6165 ,00
GARAGE M-1 800 5600, 00
RESIDENCE :.!
.{. 1 ?...i{ x:!...:::c.:R.!.?.. ? .?.O?`? QUANTITY C' c:.1::. AMOUNT
RESIDENTIAL VAIUATION 552 „ 50
STATE SURCHARGE
ENERGY EURCHARGE 15 , 00
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CONTRACTOR= NORTHWEST HOMES PHONE= 509 926 0978
ADDRESS= SPOKANE WA 99214
....:..«... .T.i.:5..;
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(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 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 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
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y/n) Certificate of Occupancy issued:
Received application: By:
Approval granted:
By: ,
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:
Notes:
PRE CENTRAL PRE-MIX
CUSTOMER COPY
CONCRETECO. WA REG#22301•CE-NT-RP-M311J8
ID REG#5894-AAA-1.2.3 MT REG#3461 A
P.O.BOX 3366 • SPOKANE,WA 99220
SEQUENCE NO. 3_4 0 8 0 9
UNLOADING CAUTION:May cause eye or skin injury.Comair
Free unloading time 7� minutes per cubic yard Portland cement. Freshly mixed cement, morN
of concrete.Charge thereafter at posted truck CONCRETE CRUSHED ROCK concrete,or grout may cause skin injury.Avoid co
time rates. This concrete designed in actor- T/� 1 tact with skin where possible,and wash expose
dance with specifications indicated below. 1 skin areas promptly with water. If any cement i
We make deliveries inside the curb line at SAND &GRAVEL FILL cement mixtures get into the eye,rinse immediate
customer's risk only and accept no responsi- and repeatedly with water and get prompt medic
bility whatsoever for damages resulting from attention.All claims for damages or shortages mu:
such deliveries. be made within 24 hours of delivery.
LEAVE PLANT ARRIVEJOB SITE START DISCHARGE FINISH DISCHARGE ARRIVE PLANT 0 TEST CYLINDERS TAKEN
a
2 �� ADDITIONAL WATER ADDED TO THIS
. 7:53 /f() ./J f • CONCRETE WILL REDUCE ITS STRENGTH.
A LATE CHARGE EQUAL TO THE MAXIMUM ALLOWED BY `y,
LAW BUT NOT LESS THAN 18% ANNUAL PERCENTAGE AARRIVED AT JOB WITH INCH SLUMP
RATE WILL BE CHARGED ON ALL PAST DUE ACCOUNTS.
o SI ATU - ADDED GAL WATER AT CUSTOMER REQUEST.
a ORDER NO. CUSTOMER NO. CPM PROJECT NO. CUSTOMER P.O./JOB NO. TI ETN DRIVER
CUSTOMER DELIVERY ADDRESS DATE
DELIVERY INSTRUCTIONS MAP TIME DUE
• LOAD QTY DELIVERED QTY ORDER QTY PRODUCT CODE PRODUCT DESCRIPTION UNIT PRICE AMOUNT
a
f
0
z
ka
a
a
LOAD SIZE MIX NO. MIX DESCRIPTION SLUMP AIR CC USE TRUCK PLANT SUB TOTAL
o c�
a TAX
N
RADON ROCK , • 00 10(_; 0. 00 GRAVELRAVFL c)07:7. TOTAL DUE
/'`'Iof?F
AR,1OLb 126-097p
50o Miti .3 egg-367
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4(RNa r Altit%� r2 eat 'tt-�
(hiSe c-t-1 a1; rv{t s u.+3 Stilt
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44-17 m /2
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