1989, 05-18 Permit App: 89001359 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 DATE
NUMBER=PROJECT 89001359
DATE= t'1
5/18/89 PAGE= 01
APPLICATION
*******N********************** **
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SITE STREET= 3919 WOODRUFF CT i *'#i''.C#.::.L=is:::::
ADDRESS= SPOKANE WA r-r,!•,!r1,'S:..
PERMIT USE= R#• ':` ;'1E'11_••
i ( Ty . 004124
;4 ? ' f : ivNAME= P_ lERO :(
4THH ADD tip Li
BLOCK= - LOT= .2 ZONE=
1" OF fi;l t•. "t:.... ::t!t F::.#...I...;,i is#v::::..
i .ti. 7 i # # .. :#
OWNER= ,. CONSTRUCTION DEV PHONE= 509 »...,.. 2912
STREEf= 12609 E SPRAGUE AVE
ADDRESS=.. ,:}F.,,`...jt.A 'tE WA 99216
CONTACT NAME=
is . OR {k PEARSON PHONE _ 1 _ ' 509 922 2933
- ...
BUILDING a...... :•, FRONT= t'�' ... 25 REAR=
NA
mu J . 15t } * : { :"*0; r F: a :a - ! Sr: fij; REVIEW i ` e I_ r :: yivPu1Pk
1:L *_ t {fiu ;a ] _ _
DATE
DEPARTMENT
. " v , F7 " ` : REVIEW tI ' E' . ,
IN/OUT INITIALS
BUILDING . SAFETY PLAN tIr •L # REQUIRED 89('-518 rv
MW
BUILDING , SAFETY SETBACK 7 \ # iW REQUIRED :c . .9147
Ft
COUNTY #..Ai i'" i'n #..#."#" !..#. ...#i�:i#.:. .. '.S,f"C i• )_!F".. '
:: 'E'
,!
c —F_.4(0.......Xf0 .
ENVIRONMENTAL . " NEW OR ADDITIONAL #r - .._. . # . 8
9 I
F -'&976
r4/ 4141
t.....-4. . .. V249/89
1011- 66
INFORMATION WORKSHEET
PARCEL NUMBER: -
STREET ADDRESS: 5 3cri M-vo"p Ra FF coajZi
CITY/STATE/SIP: Sno/L, A) e
SUBDIVISION: Pp N P IZa 5 A- 1/�/it
BLOCK: T LOT: Z ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: Tag-ppS .7/'? j/. PHONE: To 9 - 9ZZ - Z4/ 2-
MAILING
MAILING ADDRESS: E. I *2.6 o �/ S PTLA A M E 514 /7-F- Z
CITY/STATE/ZIP: SP4/2-04-) g, LN Ar „ q 9L! c
CONTACT: r3 R,4,,D PHONE: So q - ?2Z- 1133
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
********+ ******************+ ************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 1, Z,A-FOG 7 / Z3 7A
CONTRACTOR: r,/zA-F-e S co N 5 7. ? A, v. PHONE: 3o q - 9z -
MAILING ADDRESS: E • 2 6 0 9 S/"'JZla.6 A& S4/7F L spD. Luo* • 99L/6
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: ✓ REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: Z
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
(ig5 M 528 0`A/c
® 2IJa
ripe unn
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
*******************************, *****************s****************1*s******
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER OF_ ITEM DESCRIPTION NUMBER OF_
PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
DUCTWORK SYSTEM TOILETS S
WOODSTOVE/INSERT SINKS
GAS WATER HEATER � SHOWERS
GAB HTG EQUIP(100,000)BTU I BATH TUBS
GAS HTG EQUIP +100,000 KITCHEN SINKS ___-
GAS PIPING - # OF UNITS DISHWASHERS _L___
HEATPUMP 1-100 BTU GARBAGE DISPOSAL
HEATPUMP 101-500 BTU CLOTHES WASHER ___L_
HEATPUMP 501-1000 BTU UTILITY SINKS
HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS
HEATPUMP +1751 BTU FLOOR DRAINS
REFRIG 1-100 BTU FLOOR SINKS
REFRIG 101-500 BTU BAR SINKS
REFRIG 501-100 BTU ROOF DRAINS
REFRIG 101-1750 BTU LAWN SPRINKLER
REFRIG +1750 BTU SEWAGE EJECTOR
AIR CONDITIONER 0-3 HP WATER SOFTENER
AIR CONDITIONER 3-15 HP URINAL
AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM
- . ....----- J N- -" 2:5 E I HY $PO L N -4 -4 #928 P01
JUN-02-'89gg 71.2:26 II pD:UHEALTH SPO TEL N0:50g9-45r6-4{716 ��
J N '8y tea= l U i( .4E i H bPG ,T L Pe 0: 6-4? g
.,...,...,..— _ X09-45£1.470 5 #656 P01 *..r.N.-W.r...".,
'F1PlY��4-'$9 071? 1 a 1 SL�t� AND SAFETY SPG TEL NR:
Arr I. pi i<e, A 1..Pre6
AWN 15 11147 COACHL r T1 INC $PDKANd WA ! P1661
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