1991, 05-16 Permit: 91002601 Residence 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 processin• In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provision . 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/a.'licatio a • •ny subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcanc- e pro isions of an .tat.. local I .ulating construction,or as a warranty of conformance ith the pr isions of any state or local
laws regulating construction.
SIGNATURE OFfl/ �, APPLICATION` 7 / 6 Q, /
OWNER OR AGENT ,.�./jL_ DATE v
PROJECT NUMBER- 9l0( 26: i ISSUEDPERMITt DATE= 05/16/91 PA E "
t::".
F' : .,'M .T .I N i..f•i i•,.M fl ,f •.1t:-P:. .it....3.i,.*3.* **•ik•. .. ..-it:-.-i(•-u:•i::-..-n:-..•it:
**§************************* .,"F_f,��.±- i ... t'1 i i. t
SITE
ET_ : i E Ei . 306 v 1 : 1 ?1tuN LN t . :CE; , :
15543-2507
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE
, AT , _ SHIRLi IFNAME= ; r - r _ _r ; ADDITION
1 : T
itO '% : i LOT=
Oi= ' t J t = UR-3,5
aFjn-
F
AREA= r ! "= FWIDTH= ; ) DEPTH- 1 : 9
F /
, : 30 aOF Bt _ sE: rDWELLINGS= ± WATER DIET _ MODERN
OWNER= t..iUF,..f'iA N : GLORIA PHONE=
STREET- 17927 ±::. t•i t''t'.._e..t!.f•4 Y !••:'e`t::.
ADDRESS=
p.ir) . .. f•-R}..., i J '•t t": E::,` WA 99016
CONTACT
4'•?f-l±`'±1::.:::: GLORIA HUFFMAN .'HONE NUMBER= 509 924 3013
BUILDING SETBACKS : FRONT= '.'°°> LEFT= ':; RIGHT= 14 REAR::: 21
)t.?(.*:p..3(.t:-$('i+t:i'-•ik*P-ti-!!.i(•*Y::iR•Ti 1 P•Ni iti it-•Tl'•)t-it:•M•9k)'•:!t 1.t!.,.±.±. Ti.t.!J G p?::.ft±•'±.±, T 'rii,u.Jt 7t iE it):)k it)!•i!-9`i{•.-` iY i!••):R••i is-1:-..'R••Jk
CONTRACTOR= PH••iflNF::..
NEW= : REMODEL- ADDITION-
t ?• . , ON: '. ^ ` wi
i i 11:-:'1:=
DWELL UNITS= - + :CtF . t ?_
BLDG j..ti.7••t• ... ... R:.. ... ..
BLDG il. X ?_) .... •, SQ FT= 1350 SPRINKLER.. f,
REQ PARKING= OHANDICAP- CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE ri.. 1 VN '33) 1 ::.:.'. 300 .00
RESIDENCE l:5.....3
VN 1350 59400..00
ITEM DESCRIPTION t,.t_?A1'•J I .l. ± .t +..±::.±':. AMOUNT
RESIDENTIAL VALUATION Y 473.00
STATE SURCHARGE 4 ,50
COUNTY SURCHARGE Y 75 ,68
*;,..i,;:)(..x.:p.:,t,-it:*a:i':r;dt:•iti-h:ii•:4:1{-•it-ii••i•:ii. 3;.:n:*•it:ii••iti*(i• it F:.t.:F•1 h'!f@.t.l.:A 1 11141111 ************************:k*
CONTRACTOR- r ± ; , ? _ , HEATING & 1 r : PHONE= 509 325 _ ; ) ,
STREET= P iBOX
9982
ADDRESS= SPOKANE WA 99205
_,. DESCRIPTION QUANTITY F:';.'i::: AMOUNT
WATER
7 : T "rFr :
4 10,00t
t:r(.:;;• ±-t i tx 2 t::.l:;'..i:F t- •: 1 •.)::• ; ::: 1;-i;t"i'i„j : 12,00
GAS PIPING 2 ,00
it?•*.i(..i;..pi K JY*1+.•**i1.ip.Pi Nr li*y,..t:.:*j(***P:-lt h:P:-ri.- !''l._t.?r!B.F.N is t''E 1•',r1.:. t *7L***y:*it•&F- .:r*4t:•Y•.-1t-i'•*-tr 9t•*.)...)..},..),.j..*.„.*.r.
...,:.,. a .., i n, , •�
t.:+..?1`'i i-':(-i±..: ± ±.. I�<:.:. ;.:- °•: v;.:��• �=i i ij-li:. -i'yj:: P H ..iNi::•:::• _.'.:t`"% ... ...... ..i ...
1 1':1::.1::. 1 -- "1 1 •, 14 1-,...L. :.r •i
ADDRESS= SPOKANE WA 99202
ITEM .(?F<.'(..:RIF t t-ON QUANTITY :'i::.?... AMOUNT
TOILETS 9
H TUBE
— 1200
KITCHEN SINKS .t •
WASHERS 'i .00 00
. ^
SPECIAL CONDITION CHECKLIST
Project
Address: `
-- Project#_ � Use:
Dept. Date: Condition: mu: xppc
|
(i») (out)
Depto4Bldgo
3paoio| |nup Final Report_
| ------ -| _-
Hydrant<
Lock Box_
'� ` ^ / ���� __-�_ �_�-_- • • ' - � ` i _
--------� ` __. ' ` �� ' '
| --- ------| -- ------ ' • - •
Engineer's R|D/CRp - -- - -
--- - _-|
Easements
Road Plans/improvements, �. . ^ |
Bonds ^ .` ' ��-/,• '
' --
' . �� ` � ' ' ` ' - . ' ' �• -- }
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.
.,
Planning ' ' + ` � ' �- ' —
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- ----- --| --- - -_ � _
------- . � � ��� � ' �. � � _ . _ ,
-------- -/ ------ -/ --| ' ' _- -----_ - ___�i' _ !
'
----
Utilities .. DoobleF1umbinS
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~^~~^^^~~~~^~THIS SPACE FOR COMMERCIAL PLANS 7nACK|mG.OsnTmCATEDFOc�uP4mCYONLY°`^~'^�`~~^~`^^`~`~^~~``~
`
Date receved for C/O processing: , . Plans pulled for final processing:
Temporary C/O inaued:_� ' __ Certificate of Occupancy issued:.
Office file review by: __�-�__ � _ Date:
Filed inapfioaled by: ' . Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: ..nenei,edhy:
No response from owner/contractor plans destroyed:
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 conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
R i :.7-f; U„i" sEC : : : r - 1: :,. i-IED PERMIT iAT "= 0!!:% ' /9 p1 (; ::.
A,•.,r..N... ,,t .. E .. .. ::.....:..:..:�.',.:'.:P:'P:1�:�:•P:'P:-A:ik•A:i�::li''i�:-)':•N:'St:.r.•)1:•il..j;..'p':
........ .. .. ...... ....*:p:•*................................ .. - Hit i� 1 P 1 '! P.
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PERM'.1"1"f P E F!::E: AMOUNT (.:,;•+i..;t..i±'v ! L:;..}T I) !s:iMOUNT 014 T f•.t.Y
B il r, D PERM 1: , '. ...; , ..
: . r 0
. °:'st::". 1:T,: ;.<r ,!.:)t;j %=F .,'+'1t:'1 ' 00
P;i 1:. i::. i ':I::.3_! t::•'} W i::.N D 1::.i._; G i, t 1!•S.!.A
i:rl:., .j•1f: i.i B'Y : I..;::'NI.:D I i::rl..c:iF.:1:tt1
1'i•ii•)i't*-n:•ie i}:•.) iii'*a a:P:•)1.:1;,•i}i a1::P::i[-'ii•:r.'3f.:Pi:Pi 3I.31:.***** THANK 'f t.!i,_t **a***-n:•n•-P:1e•1r-n•as***a* a a 3*:P:**a***a.a.P..,,.
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 —�
-- --___r Easements
Road Plans/Improvements• —�
Bonds •
•
Planning — Bonds___ ——__
Utilities_. Double Plumbing
-- ---- U L I D
Other. — -- — — —
"""""'"'" •"'^**' "^"""THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY
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
INSP - ID
DATE 1
1 i
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P ► I , {
E i i
C i 3
A
A I
! 1 f
E
E 7 i
R f i
* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans putted 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/0 issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor - plans destroyed:
Notes: