1992, 10-23 Permit App: 92009266 Addition i
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 o 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= 92009266 APPLICATION DATE= 10/23/92 F'r°•GE:.:::. ;•;
.K**** TFI:I:.S :I•::> NOT A PERMIT c*�i•x • :
PENALTIES WILL BE ASSESSED. I ilk COMMENCING INl WORK 141:THC?UJT A PERMIT
SITE STREET= 13004 V: i S TN AVE t:'ARCEL.O:::: 45Z23.0826
ADDRESS= SPOKANE WA 99216
PERMIT USE= rkINRO::?M ADDITION
PLAT4= 0029. PLAT Nl ; L : :P66 PARKAD>
BLOCK= : CDIST4=
AREA= 000000 00 F/ F = FW1DTH= DEPTH=
I
-/ o:
41. 1 ` yy, = •: DWELL. ING := WATER DIST =
OWNER= GR:I BNFitU, A F PHONE= 509 926 0272
• STREET= 13004 E i i TN AVE
ADDRESS= SPOKANE: WA 99216
CONTACT NAME= GF:I l:t PHONE TONE N!.UMBER= 509 92k 0272
BUILDING SETBACKS : F"RDNi:•w NA I...EFT= NA RIGHT= 15 REAR= NA
i *H M. ....k...# i* .? r.r ..**ra* o- REVIEW CtFCiM" 11CN ; *** e c* r xiri** fi*
*Pe*ri*xr**p
DEPARTMENT REH:i:i A COMMENTS AFF>ROVA1... COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUILDING ENERY7 PLAN '" } r "W REQUIRED
w _)G
......... _ .. ......... ...._..._............._.
7(M*** :** .*.*******;>:..*•r:' f n:*•x' :* BUILDING PERMIT hit'ie:1{3i•3#' 'x•?r*4fi•!fi h'k'yc# ';1t.•r'x'' '>"3r:1;•'i+:M:.fi'n
f
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
• AD F:F•:rb >:::: UNKNOWN WA UNKNOWN
NEW= REMODEL.. :: AI?D1.T:CC?N= X CHANGE. OF 1.1SF ::
DWELL UNITS= C?C('(II I._D= BLDG I T 8 STORIES=
C.{1.1.1.{:Y W 1,1 = 14 X 21 Q F.T::: 273 SPRINKLER= N
REQ PAWING= HF7ND1(.T.C:AF':-: CRITICAL. MAT= N
DESCRIPTION GROUP TYPE S-, FT VALUATION
RES ADD R-3 VN 273 11193 .00
ITEM DESCRIPTION • QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION 'r 135 ,00
STATE SURCHARGE r' 4 ,50
RESIDENTIAL SURCHARGE 24. 30
F'ERMI_I TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 163.,80 ,00 -163.80
163 ,80 , 00 163.20
PROCESSED BY : BARRY HI_.,`.t'F•L_(:JEN
PRINTED BY : BARRY Hk.? F1...OEN
}j.:R.:1i•A1:R••1{*$:'A••A:it 4l•;0.•:a:ik ifi:4.9{7!•A:*it•fl•N.•:N:'b:"d{•!k•}n•ii'i1;* THANK Y(.,k.? 'h:•j{'Jt•N•****.}j.:ri.***A'''}k'H•'k'fl*•lr'fit'31;*.P"1t''N:'Jt•N::k:3{•'f1''N:•)t•
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NOTICE
,
it s the reeponsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
:n-rile.; nOth 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
inotticissifittlio rompyal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARS REQUIRED by Cciunty Code:
1. FOCITNG —when forms land reinforcement are in place and prior to placement of concrete.
NOTE:Tins inspection in ludes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zo ing regulations.Typically,side and rear yard setbacks are measured from property
lines, tytible setbacks for „ards abutting streets are measured from the property line or the center line of the
roadway right-cot-way,whi.,hever provides the greater setback from the center line of the roadway right-of-way.
Curb
hues and fence lines•tre riot necessarily indicative of property iines.In some residential areas,the County
can own as touch as 20 tet of right-of-way between your property and the actual improved street/curb.The
responsibility to comply :.ith applicable setback provisions lies solely with the permittee— neither Spokane
County 001 is 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 requite its relocation at the owner's/permittee's expense.
2. FOUNDA-1Z1ON—when forms and reinforcement are in place and prior to placement of concrete.(Blocking fora
manufactured home is re Lifted to be inspected prior to the installation of skirting.)
3. FRAMING—atter all trar ing, bracing and blocking is in place,and prior to concealing.
4. iNSOLATiON ---prior to t)e installation of drywall.
S. PIAINIiiiNG. --after rough-in, before covering, and final.
I
6. MECHANICAL --- rough-h 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
depieted on the approved Site plan)required by ordinance or as a condition of approval of this permit.Items such
as rho installation of fire hydrants,fire department access,on-site drainage("208 swales"),road improvements,
parkir19,and landscaping q re common requirements of a permit/site plan which must be completed prior to final
approvisti at tit. building or isurance of a Certificate of Occupancy.
in addition to the above any piumilUng or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc , must be inspected rior to cover. Check with the department for "special inspections" in conjunction with
sown-a:tacit al projects.
CALL 456-3675 FOR INSPECTIONS.
TO NSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CiRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCi ES:
* road cuts for utilities or drives, State or County Engineer's Office
456-3600
S on-site waste disposal system, Environmental Health District
45E4-6040
O construction in a flood plain, County Engineer's Office
456-3605
• 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
nonmenced or is 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 p•lor to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the p rmit. A permit may be renewed within one year of the date of expiration for one-half the
ortqlnal fee, subject to certain limit Loos— please call us if you have any questions.
MISTAKES?
it you think we've inude an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit,please brfog it to our attention immediately by filing a written request for correction within 10 working
daI s(,) diSCOVerY,,A. ;Such rec.t,tiesti should be directed to the Department of Buildings at the address found on the face of this
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: E A ST (300 4 I t 1 AVE"
CITY/STATE/ZIP: S PDX11` � A
SUBDIVISION: 1n16o 0 WAle D PAR lei ADD Molt]
BLOCK: 8 LOT: !• ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH:_ R/W:
I OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: ADAM G 121$NPHONE: - -
MAILING ADDRESS: }ST 13 00 4 11114 AV E
CITY/STATE/ZIP: SPoKAt1E 4.J'/a
I
CONTACT: CGrb) _ PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 600 9 574
CONTRACTOR:I)A N 1.- J CREN R -C PHONE: S'o ci - � -8 ZS
MAILING ADDRESS: I4 OCt.TAA l5 r - 7,r)
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS: NOK./14 c—$t 5'(C 2P
NEW: REMODEL: '\ ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # 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
BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R
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.
*******************************************************************************
SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
******************************************************************************
LENDER/BOND HOLDER:
ADDRESS
CONTACT PHONE
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