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1986, 12-02 Permit App: 00014412 Residence (THIS IS NOT A PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE Project Number f //1 Owner' me / LAST FIRST MI / L Projec dress(Street . e&Number) Zip 3 B4, ; / . 9 SouTW 3it 14 too,ppLc, cv— 4Q2 6, Applicant Address �/� State Zip Phone 40fFiefv..4—, 61 K.) °,9 d2.1 44 ( 9$/B -s-e....p,3 Business Phone ( ) Contractor/Agent Address _,... 017.l:"-7---**P7 — 1°""‘fr"4"4- 4, 4.0,-C,..... 73-1,--,' c2...t...... Cr 3-_________. - . City State Zip Phone ( ) Contact License Number(Required) Business Phone ( ) Architect/Engineer Address City State I Zip Phone I ( 1 Contact Business Phone ( ) Lender Address City State I Zip Phone ( ) Desct'ibeWork I Res....,.." 1 Comm. Subdivision/Plat Narre/Short Plat Number H1J1L©u 1/7H" Assessor Parcel Number Lot Block Plat Number 335 -1 - 3303 3 46 Pertinent File Numbers ZoneY}� Comp.Plan Census Tract T Si Number of Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth I , gs Front Setback . Left Setback Right Setback Rear Setback R/W Width 5 Additional Information Square Footage t =hr � MP- 0 a --7f urs tx z z - J 7 00 Number of Bedrooms BuildingT:. .ician {Date Group Type t I /1----1)2:' IC-3 vtJ DEPARTMENTAL REVIEW Cond. ApprovedApproval Hold Environmental Health Application# . //A ❑ W.1101 College �`7/" Room 200 l - Planning/Zoning ❑ N.721 Jefferson ri;* ra ' , 7 Engineers ? -1A1/1 4?-7IId N.811 Jefferson Q /Utilities ` I L ' /�N.811 Jefferson �,�r � O _ -, 1� _ . " l�ii. Plan Review/Fire Prevention 14fx Ey' N.811 Jefferson IL-9-K, Other(SEPA/Critical Material/etc.) 0 ❑ Fast Track/Special Inspection Information Project Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent to compile said application is true and correct. Signature4e9...-3...4Date / 2-- 2-O PLUMBING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND Protect Owner's Name Last First MI Project Address(Street Name&Number) City State Subdivision/Plat Name Assessors Parcel# Lot Block Plat# Applicant Address City State Zip Phone Business Phone Contractor Address City State Zip Phone Contact License# Business Phone Describe Work Bar Sink(s): Drinking Fountain(s): Floor Drain(s): , Washing Machine(s): / Dsh Wshr(s): Garb Disp(s): 1 Kit Sink(s): / Lndry Tray(s): Sew Eject(s): Urinal(s): Wtr Closet(s): 3 Lav(s): 3 Shower(s): , Tub(s): I Bidet(s): u) Other: Type; W CC I— Waste/Grease Interceptor(s): X LL tL Sewer Y N Septic/Health No.: O CC W CO Electric Water Heater(s): Drains-Roof: 2 Z REPAIR OR ALTERATION: Drainage,Vent,Water Piping/Treatment: Y N Lawn Sprinkler System(s),including backflow device on any one meter: Vacuum breakers or backflow devices in excess of line 16:1-5: (Or)5+: I certify that the above information as submitted by me is true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, including inspection requirements, will be com- plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state of local laws regulating construction or the performance of construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND Project# Owner's Name Last First MI Project Address(Street Name&Number) City State Subdivision/Plat Name Assessors Parcel# Lot Block Plat# Applicant Address City State Zip Phone Business Phone Contractor Address City State Zip Phone Contact License# Business Phone Describe Work Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove I r 0-10,000 CFM 10,000+CFM Air Handling Units Refrigeration Systems/ 1-100M 101-500M 501-1,000M Heat Pumps(BTU) 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP 1-5 Outlets 6+Outlets Gas Piping I')! Gas Fired Heating System 1-100,000BTU I / 1Q 0;00+BTU I certify that the above information as submitted by me is true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, including inspection requirements, will be com- plied with whether specified herein-or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state of local laws regulating construction or the performance of construction. SIGNATURE OF APPLICATION OWNER OR .DATE : : : : : : c : : : : u ; : ; : iY2 : : : , ,; : .: : i: : : ! ; : : ; : � � � - 3 : : : : : c : : : : : : : : : : : : : : : DRAFTING & DE'1I(SW" ��7::. *or: Oteblaj Construction N. 8605 Division 1377 Sq. Ft. 4-Level Spokane. WA 0';'203 December 1 , 1986 (509) 467- ,i)200 ___________________________________________________________________ 2x6 Wall Consttii:,...tion <C> 1706 ":,ra-fting � Desicn~ Inc. R-19 Wall InseIati�n R-38 Ceiling lnsyIation Pozzi Wood Winduws -----------------------~-----~------------------------------------- PROPOSED CONSTRUCTION Sq. rt. U Value Delta T BTU Loss _________-__-____ __-_________________-_____________________ Ceiling - FIat. . . . . . . . . . . . . . . . . 1026 �. 026 00 2154. 08 Ceiling - Tapered. . . . . . . . . . . . . . 346 0. 04 90 1107. 2 Ceiling - Vaulted. . . . . . . . . . ^ . . . 0 0. 03 80 0 Floors over unheate7: spaces. . . . 17 0. 05 8c, 6B Framed Walls Nain FIoor . . . . . . . . 1487 0.05 �0 5956 Main Floor Wimjc1/2e. . . . . . . . . . . . . l92. 5 0. 55 CO 6470 Sliding Glass Doors. . . ~ . . . . . . . . 40 0.54 BO 1�22 Entrance doors. , . . . . . . . . . . . . . ° . 20 0. 07 B0 117 Infiltration - Maln FIu'sr. . . . . , 10004 0. 012 80 10544. 64 Fremed Walls - Basement. , . ~ . ° ° " 248. 5 0. 05 60 745,5 Basement Wimdo . . . , ^ , . . . . ^ . . " " 61 . 5 0. 55 60 2025).5 Basement Entramce Dcors. . . . . . . , 18 0. 07 60 75. 6 Basement Si iding GIc.sa Doors. . . 0 0. 54 60 0 Concrete Fdn Walls 7.;r,1 Level . . . 248.5 8~067 10 166. 405 Concrete Fdn Walls 1,rd Level . . . 912 0. 362 10 6997. 44 Concrete Flaor. . ° ~ . , . . . . . . . . . . . 1'2:40 0. 26 10 3464 Basement Infiltr�tinn �� 60 deg. 272.2 0.012 BO 1964. 16 Basement Infiltratlon � 10 deg. 72.552 0.01 10 7:5. 2 0 ----------- TOTAL PROFOSED HEAT L[B3----- ----------- --------------:` 46310. 815 =========== ; : : : : u : : : : c : : : : : z : x4 :! c : r, : c : x � � .1 : zerz : : : : : : : : : z : : : : : : : : z : : : : : : : : : : : : Wash State Ener�y Co0e - 11aximym Allm*able - Gas Forced-Air Heat Ceilind. . . . . . . . . . . . . . . . . . ~ ^ - . . . 1373 J. -:Y35 00 3044. 4 Ceiling - VauIted. . . . ~ ° . . . . . . . 0 O. �35 Sc 0 Floors ove� unheatei eAacoa^ . . . 17 0. Q55 00 74. 0 Framed Walls {,; n72 lezzog) . . . . 2060.5 ''. 203 80 7360B. 6B Concrete Fdn Walla. Trd Level . . . 248. 5 0. 05 19 124. 25 Concrete Fdn Wells 4r0 L:avel . . ,, 212 0. !l62 10 6909. 44 Concrete Floo.r. . . , . . . . . . . . . . . . . 1340 . 2..:3 3484 InftILration - Main Floor . . . . . . 10').24 �. 0= O3 10544. 64 Basement ImfilLration Q 60 deg. 2720 O. 612 �u 1964. 11. Basement lof,, 1lratS,nc ',,:"J 1@ de . 7352 (. .01 10 77,5.:-:. ___________ T[]TAL ALLONABLG BTU LQSS------------------------------> L13�9. 57 =========== OIFFEREMCE------------> 15059. 755 : : : r : : m : : : : : : : rm : c : : 1 : : ;; : : u : : : : : : : : : : : c : : : : z : z : : : : : : : : : : : : : : : o : : : : : , ` 1 . , .. II ., • I I I I 1 i ! : I I ! I 1 I I I. I ' i - , ••• 1 , , , Show on Site Plan: Additional Information: , - , 1 f. 4. , 7 —t- — ----" --1- ---:- i -,- -1-• Lot Dimensions Landscaping - ------1-- -1- - i , 1 _______,_____:: ___"T-----i-----1---4-------------4-4,....._4___4_______ __44.______,___ _;_. .f..._. _..4......._-_ .4___ ., ,_.... : i 1___...1..., _ .7 4_,L .1. ' i 1 I I ! ; ! 1 1-- I 1 Existing Structures Drainage Plan i , i , . 1 . , , 1 ''. 1 I_ . Proposed Improvements Hydrants ---- -- - . . - ; f 4 ; : : .. I t , 1 1 - : . 4 4- Structure Setbacks Topography , , 1 1 i I , ' • • - , I , , . • ' i , ' , _ Easements Lighting 7 — -H 1 ; i : t Septic System(s) Signage _ , I , , ' — ..„ _ _ . „,.._ ...4_ - _ ' ' L 4 ' 4 ! ' 1 ! Water Lines Shorelines j I . , i i 1 . _. .,, ' I; '1 , : i _ 1 __K i .1, ,-----4---_.__ _____i___ i i , I i , Sewer Lines Highwater Mark - - --j-- ' 4 Fences,Wells ; : „ I 1 1 1 i?37 1 i . 1 1 i I 1 ! 1 , . , Driveway(s) 1 I .4_ _ ! .1__ __f______r_. _____ .4_ L_ ..__ _ _ „ . ! _ ;_ . , ' , 4._' li,- l 1 i ':- - , I I Right of Way Width(s) -----4-------i----. -4--1- 4-. _..._ 4--- 4-----4.- _.1._-__I. _ I 1 i ; . : , , Names of Fronting Street -- -77- - - ;;;- 4 7 - !---- 1 i I i 1 I i I 1 - 4 I A •- • - , . Flanking Street ..._...,......_4_ _ ____,__ , _ ..... _ i_ ——_i.. . _i_ i I i --, f_ , ; 1 -I——•-!---- 1-- 4-1 1 , 1 1 1 -f 1 i ! I I 1 I 1 ; 1; i ! ' i ; i , ! i 1 I i r ‘,. •• : ; I I I • _ _+__. - -1- Legal Description ' 1 1 -1 i___....t. i 4 -4- _4 ----1_ ___/., i_ I I . . . -..- __ , _-_1------1- _4_ 4._ 1 i--, I! , I— , . . i,.• t _:_ + _ . i __, 1.._ 1 i -- , • , --F , — .1--1 , — 4 ---f - ., , . • - I i i 1 i I I . 1 : I ; 1 1 i I t 4 4 : . ! I _,__ , I : • I : , 4 -I .1_ ____t_1___ __ .t_. _.4 . , ; - 1- r 1 , •i-• --1_______ •• 1_ ___ L...I ...l i • , 1 ! ; . , ! ! ! ! . q ----!"-- -- ""' -t - -"•- ___ ______,. .. -!-- 4 __I , -- 1 : 1 - - III it1. r i i 1. I 1 I 1 i III I 1.1: ; 4.---'"---: r I -----[ 1:1 I I - 4 -------- I . _____4:____. , .. • • -4- -1--- 4- . ' ' . ,• _i_ - 1 —"f i ----- ; , •N r , -T - - ---± .!.____. - .,_____________., i t. • !. [ !, i ' 4 [ I , 1 r , I . 7-+-1----- . ' . . , . . , - , - I.: • 1 - - , ---1- ---.----t----1-- • -. __________I ___- --"--- ____ - I--,-- 4-___ .__.._._; l', I I I : ' , , , .,___ .,H i. i :'. _ I I- I 1 r , „ ---: : 4-4___4_ ---- --- --.--- , ... - Min' 1 .--______. _. __ _____-L__. I 1 1 ' " !-- r -- i "--- r ' I- - Fr- .I:----i-- -.1-1 , , 1 ! ' I I , r , 1 ' ' ' . ' _...f___4_ ' _____L___ '_ ' - -4 ----_. ' ,____. ..- - . ._ 2....__; , HJ • [ - - 7 1 --- 1 ! ---t, -t- - 1 --1- 7 - ---17----1 --t.'---1 1 :[ I . i , 1 i; . I 1 i 1 1 I 1 i 1 i ; -1 --1-- i: - • I 1 -,-- _._,, , _ _ _____ __A________ _____1 i 1 1 I : 1" t I , , . L , , - ----r- - 1 1 i 1 i 1- --1----- -•-••••-1 • I - 1 l- 1 . . . „ _ ____,_ , . ±--------T -t- 1 I 1 1 I - i I 11111----1 Ell . I . II -I i t - t I , i i - i i , 1 _ _r>, 1 -- i - --1- . , . 1 I I [ • 1 _4__ • . , ! : - -- .1------ . ___i_ _f_ i _,_ 1 • t ..... , , --(1)- __ ri -----. i 1 i . • 1 1 , il I i I I 1 , 111111111111 I . . , i . ; • - ' , ) i 1 ----"---I- --.--- 1-- 1 , . I I _ I 1 , ! Scale: 4 :-... ,s , , ! I ALL- , _ _.4 - ....-....... - 1 -1- t-.. ----L-1--" --1 , 1 i 1 - / I i Date: I • MIIII 1 -- ----1 : II 1 1____ , , . i ! 1- Revisions: Attachments: I I . 1iii i a- a 1 i I I , I I 1 i 1 1 l i 1H 1 1 ----h--t i -----t 1 --i- i _ 1 .. . •,„