1991, 05-13 Permit: 91002519 Addition SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 conformande with the F rovisions of any state or local
laws regulating construction.
SIGNATURE OF 7(r / /J /29 1.,,c/./.6.. DATE APPLICATION 6 _ /3 — 9 /
OWNER OR AGENT (.'l�t,Q�L•,(
PROJECT NUMBER= 91002519 ISSUED PERMIT DATE=: 05/i3/91 PAGE== 01
**************************** PERMIT INFORMATION ******• ***** ***************
SITE STREET= 4614 N VERCLER RI) PARCEL4 03542--•0601
ADDRESS SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION (2ND FLOOR) -- LIVING ROOM
PL_AT4== 000749 PLAT NAME:= EVAS i ST ADD
BLOCK= 2 LOT= i ZONE= UR-3.5 DIST :w F
AREA== 00000000 F/A= F WIDTH= 94 DEPTH- 132 R/W==
4 OF BLDGS= i 4 DWELLINGS= i WATER DIST =::
OWNER= VANBELLE, DICK PHONE= 509 926 7832
STREET= 4614 N VERCLER RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DICK VANI:fELLEPHONE NUMBER= 509 926 7832
BUILDING SETBACKS : FRONT= EXIS LEFT. EXIS RIGHT= EXIS REAR= EX:ES
*•*****************************•* BUILDING PERMIT x********• *****************•*
CONTRACTOR== OWNER PHONE=
NEW= REMODEL== ADDITION= X CHANGE OF USE=::
DWELL UNITS== i OC'( UF'x L_D- BLDG H(;T:- STORIES=
Bi...DG W X D 22 X 1r5 SQ FT= ::.3:30 SPRINKLER= N
REQ PARKING= 4HAND.ECAP== CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
_ _
RESADD ._. _ R-3____ V _
N. _. _330 10890.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 12.6.00
STATE SURCHARGE Y A 50
COUNTY SURCHARGE. Y 204. 16
•x*-*•**•** *x*•************* •*****• PAYMENT SUMMARY ************3 ******x********
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/13/91 2805 ___.__.__1 5066
TOTAL DUE= .00 TOTAL. PAID= 150.66
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 150.66 150.66 .00
150.66 150.66 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
******************************** THANK YOU * kN**** *•IE****p:'*"A:'Ih*313k* *y1••IE*•Yk'Ylil'***
• SPECIAL CONDITION CHECKLIST
. .
Project
, • , ,
Address: Project# Use:
Dept: Date: Condition:
(Out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant )
Lock Box
;;;;.;;.; •••.:;-;;;„ 1 "• •t't 91:v;
...,,,.....•y•••,(•••;; y•••5;:.:y 3;;.•;t1.: t•••;-;-) cif"; iv't :".
.7:1 ,71 ; r:;`,
.;))11
Engineer's RID/CRP
• t 111;1 ;;;I ;.:Easeirnents ct:; ft.t r; : t4;:.4()
Road PIabst.Imp.ro.vqmeqs, -r - - -
•1: B. P94;I.I • `;:11 -; 1),
;:.t• T 4 "et .
T ;;;71.1 :1 V;I I ;;:i Li f."1 ,I;•:..j".4
": ItItt:; ; 7:1 : IA
....... ...
i A st.;:-.:t.t';'
Planning7 •••tt ',••••••••• I 7:1
:::: X. 1 7.T I tt-;;;/I11;i :i ; t.;;;.E
t ' • ;;“;....1;;;; , ;„; . :e• ".;. A :ett .ft
t.- ;:i i**1
r141tJ
4 i4 . ' •
I 44
s.•
Ai rf.,
Utilities ' Double Plumbing ' 7.)
. ........ .
•""" "•
ULID
2
:'1)T T
4 4Pt 4 ;
-;:",:;:f;;•.'....;-; ';:;17. T
Other
t:t; A 4: .";;. • "Kt (vs i";;t 7. T ?4;•••,/ ;a: ;t( 'St: t‘' P 1(•
41: ; I '/t.
........ „. ..............
irr . 1*—iT
i i.cVT ;
47 1 121'..3 H ti i‘l
I . :•j
TAXtki1G,66:6-trie'X't
Date received for C/O processing: Plans pulled for final processing:
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:
-•'A FSp�Yp Kli I�i�l 19y .
s P O K A N E V -"1144 C O U r 1-
DEPARTMENT
DEPARTMENT OF BUILDINGS • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L.MANSON,C.B.O.,DIRECTOR DENNIS M.SCOTT,P.E.,DIRI CTOR
September 14, 1994
Richard VanBelle
4614 N. Vercler Rd.
Spokane Washington 99206
RE: Extension of Permit - 4614 North Vercler Road
To Whom It May Concern:
Per your telephone conversation with our office on September 9, 1994 your request for an
extension of your permit number 91002519 for the above-referenced property is approved
through March 9, 1994. If inspections to verify progress have not been requested within the
above time frame, a new permit must be filed, and appropriate fees paid.
Should you have any questions, please contact our office weekdays between the hours of
8:00 a.m. and 4:00 p.m.
Sincerely yours,
� iLe ®-
P
Theresa A. Stephens
��
Office Assistant
tas
WEST 1026 BROADWAY • SPOKANE,WASHINGTON 99260 • (509)456-3675
FAX(509)456-4703
J�At' ,�;...• 2a�,.•' > , . i .Ya�.:.,,.SvY,
'�40** at,,7�, K'i �.\ `R 'G _1, ::-' 1 .,' • >Y �\ E 1''��� .\\ \ \y,`�? \ , ':�\,�.\\\\ 't� h,s ;
REQUEST FOR (6 MONTH) EXTENSION OF PERMIT
TUE 7-STEP PROCESS
WE NEED TO FILL OUT 171IS FORM UPON RECEIPT OFA REQUEST FOR AN EXTENSION.
STEP I: I g/
DATE REQUEST RECEIVED: • 9/ /
REQUEST RECEIVED BY: j?jjJtijjiJ.` Va/kt›.10..
PROJECT NO:
qi --
ADDRESS:
(-1-1,Q
PERMIT USE:___Q `
REASON FOR REQUEST: 11-t Witid
STEP 2: (IF INSPECTOR RECEIVED GtRE�� APPLICANT-SKIP 7n S7FP 3) - 1
FORWARDED TO: DATE:
Codes Administrator rr /
STEP 3:
GIVEN FOR CONSIDERATION TO: 10- DATE:
r
SIbP4:
ENTERED "00000" APPROVED EXTENSION IN HANDHELD ON: - 13 - 9 (
IF NOT APPROVED, REASON FOR DENIAL:
JIEP 5:
RETURNED FOR REVIEW TO: P-JV DATE: 9//2/9
57
Codes Administrator
STEP 6:
SENT FOR LE I LER TO: DATE:
Office Assistant
STEP 7:
CONFIRMATION LETTER SENT ON :
EXPIRATION DATE:
ORIGINAL: NEW:
VREN STEPS 1-7 ARE COMPLETE,
HIS FORM & A COPY OF THE CONFIRMATION LETTER
(EEDS TO PLACED IN THE ADDRESS FILE.