1992, 07-31 Permit App: 92005940 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 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
PROJECT NUMBER- 2005 9.40 APPLICATION DATE= 07/31 /92 G 0'
***** THIS IS NOT A PERMIT *3i****
PENALTIES W:I:L..i... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE: }STREET= 18505 E 4TH AVE: PARCEL: ::: 59191 , 0502
ADDRESS= GREENACRES WA 990. 6
PERMIT USE USE= RESIDENCE W/GARAGE _. GAS
PLAT :-= 000501 PLAT NAME= CORBIN ADD TO GRE:ENACR.E.,S
BLOCK= LOT= ZONE= SRR-5 DIST4= (;
AREA= F/A= F WIDTH= 319 DEPTH= 630 i,;,`W::::
4 OF BI...DC;S:= j " DWELLINGS= 1 WATER: DIST :-
OWNER= SELLERS, JOHN H & VICKI PHONE- 509 920 6306
STREET= 12505 F: 4TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT. NAME= JOHN OR VICKI PHONE NUMBER= 509 920 6305
BUILDING SETBACKS : FRONT= 62 i...EFT-- 26 RIGHT= 26 REAR= 523
s.
**3i•**3l***3i•:.. *•N:*A:**3l•3i.******'tl•*'i"• E';r.vVii:E::W INFORMATION *********************x****
DEPARTMENT REVIEW:W COMiME NT " i... COMMENTS
BUILDING PLAN REVIEW REQUIRED ce -j/ c
�J
:BUILDING SETBACK REVIEW REi:c1.Ja.RE1? �/ !.._._................................_...............
*3i•*****************•**•3i*3i•3i•*3e*}r3i•* BUILDING PERMIT k3i•3i•ir***3i******'ri** *a'*r.*iia 3i ii
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL-:: ADDITION= CHANGE OF USE=
DWELL UNITS= i OC::('I.IF':. I...P-: BLDG HGT== 10 STORIES=
BLDG W ' P X:: ; Ch FT= ;%549 SPRINKLER= N
REQ PARKING; tHANDICAP= CRIT:I.CA!... MAT= N
•i=:•*3i :*•*•'r.•***•'r.•*3i•H*******it*•*****•3i•** MECHANICAL PERMIT *3 **************•h:•**••h:•3 ri**3i
CONTRACTOR== UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
t rix*333ri33 ** t*3W*333h *ri333t r3p _ i m EI3 ; PERMIT 3 ********************3 ***3 *3i *
CONTRACTOR=- UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PROCESSED BY : ,tt.iL.:i:E. SHATTO
PRINTED BY : ,JULIE: SHATTO
*********************x********** THANK Y(:J i.f
•
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING —when forms and reinforcement are in place and prior to placement of concrete.
NOTE:This inspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb.The
responsibility to comply with applicable setback provisions lies solely with the permittee— neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines.Please verify their location prior to locating your structure.Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
•
3. FRAMING—after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION —prior to the installation of drywall.
5. PLUMBING —after rough-in, before covering, and final.
6. MECHANICAL— rough-in of piping, before covering, metal chimneys before concealment,and final.
7. FINAL—when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically
depicted on the approved site plan)required by ordinance or as a condition of approval of this permit.Items such
as the installation of fire hydrants,fire department access,on-site drainage("208 swales"),road improvements,
parking,and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or assurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives, State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or l's stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit.A permit may be renewed within one year of the date of expiration for one-half the
original fee,subject to certain limitations—please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit,please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery.All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: QS-i" /REPS
q
CITY/STATE/ZIP: GCeeRacc'es / G.} f 9901
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
I OF BUILDINGS: / I OF DWELLINGS: WATER DISTRICT:
t .
OWNER: d( 11t\ ` V IC \ S ',"E'(`S PHONE: 5.)9_ 92,1? _
MAILING ADDRESS: / 43(27)\-)5 y
CITY/STATE/ZIP: Cjc-c e r\okc6e5 ) 6A) /; 99K-d6
CONTACT: J f.) N c VACk.1 PHONE: - Q Z g - 6•30b
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: 3U'Y\N 'v c S PHONE: -sCJ1N - 6'c.A
MAILING ADDRESS: P 1 � � "` <lQPf\aCce5 / WTI 99 f1(
ARCHITECT/ENGINEER: L-1-3R gem-16N PHONE:
MAILING ADDRESS: /0, 29 Arc;,...,Ne , 5 O
NEW: 'x REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: 1 HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE:
SPACE HEATING TYPE (Check One)
FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R DOORS U
VAULTED CEILINGS R WINDOWS U
ABOVE GRADE WALLS R GLAZING AREA 254d %
BELOW GRADE WALLS R TOTAL FLOOR AREA OF H TED SPACE:
FLOOR R v
SLAB ON GRADE R FURNACE EFFICIENCY RATING
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
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SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
******************************************************************************
LENDER/BOND HOLDER:
ADDRESS
CONTACT PHONE
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