Broadway E 11315 Gethsemane Lutheran Church Addition & Alteration
R PLA~%NUMBER PEOWIT NUMBER ~
73 SE i & SAFETY
_Z] 58-8815 '
APPLICANT COMI OPIES FI Na~i
STREET AODRES9 .
~ East 11315 6roadway, Spokane, ►6542-1126 ,
2 ~.)r eLocK ~ SUBDIVISION LEaAI DESCRIPTION
_ Opportuni ty W 1/2 Exc. E. 25 ft., B12
t14tiFF PMONE PNONE
g Uethserrane lutheran Church 926-3311
V41! NC ACDFiESS ZIP Aojw so dacNe In Feet to
_rast 11315 Broadway, Spokane, WA 99206 wt415,25 ~Sftdn 102 (East 12,5 ~wa+ 131
`,'aAdTC'R LICENSEEXPIRES PHONE SlaeofPm'o0! ZoneCloael}tcoion
4 296,15 x 654.25 A$
u ss ZIP TyV~ ooE~ owncf► ~ree -,5qeiq'a
EairiNER PHONE IVewCoM Veluatio Remodeied Vatudion Total8ldq Ftoor Area
5%'hRShI AND AUGIER, ARCHITECTS 747-1170 N 1+}3.750 9,039 sf '
nZESS ZIP Main Floor Uppe► Flooro GereplStoroe Greentwuse
27 Sumner, Spokane, WA 99204 9039 - -
~.E CF USE FROM TQ Owe►Oedk Uncv Dedc Fln Beaemenl UrNin Basement
6 - - - -
'YQE NEW X AlT JIAD'N RPL MVE No ealb No floae Mo Fin Hoonn No OwelNnp . ~
~
,y~~K 8L0 X PLMB X MECH - M H ROOL r° OTHER ~ p~rroo yeeq NoC Numoer ~
Aeodvea ree❑ Ka[l
8 4E~('p18E WARK ShorelineslFlood Hazard P9~e Requlred C
Addi ti on and A1 terati on reeS W Ao~~ Z FMmivo
i sooFce aa5 'ELECrpiC ~~l C~4 s~ar C~ a""°`~'ip FEE8 COLLECTED
, rmuTIes WWP Mode rn PRIVATE = SEWER _ Public Pr►vaa a
t herepy certity that I Aave rea4 and examined this application and have read the •NOTICE' provisfons included on ~
reverse side and know the same to be lrue and correct All provistons ot lawe and ordinances governlnq thia type oi Builaing
work will be compNed with whether apecified hereln or not The granting of e permit does not presume to give au•
thonty to violate or cancel the provislons ot any other state or local law regulating conatructlon or the performancs
of construction SEE REVERSE SIDE FOR pECUIRED INSPECTIONS Plumbino
SIGNATURE OF ClAPPLICATION
OWNER OR AGENT DATE moch
SPECIAL APPROVALS SPECIAL CONDRIONS- (SEE REVEflSE SIDE FOR NOTIC~ ~
PiiELIM FINAL OATE ~oom'N ~RTOLP- MfuN S G* Q0fI1A$1F,3 plan (hoqi
1hc sAos1R;Vikk%= w~tW RRTA*OLS
SEPA ~
► irs~
M~i~o,ne
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ty)
w
fleg .
~
TOTAL s
~ WHEN MACHINE VALIDATED IN THIS SPACE,
~ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT
PERMIT IS NUII ANQ V010 IF WORK HA9 NOT COMMENCED
~ j"o IN 180 DAYS
DATE ISSUED PEAMR NO tOTAL
~~wtim v T ucrAn i MtNT oF BUIIDING & SAFE1'Y
~ NORTH 811 JEFFERSON i BPOKANE. WASHINOTON 98280 I(6Q9) 4W3875
APPLICANT COMPLETE NUMBERED SPACES - PRESS HARDTO MAKE 3 COPIES N A~a
%rqE~ aao~ESs PARCEL NO FI '
East 11315 Broadway, Spokane, Wa 99206 16542-1126
LOt etocK sUeowtisIoN L GAL DESGRIPTION.
2 pportunity W 1J2 Exc. E. 25 ft., 812 OV+iNIEA RHONE PHDNE g Gethsemane Lutheran ChurGh 926-3311 _
MAIUNG ADOAESS zIP Nctuat Se1 Kaa~ m Feel ro
East 11315 Broadway, Spokane, WA 99206 Nwn415.25 Isou,h 102 lEast 72.5 ~ west131 ~
CQNTRAGTOR UCENSEEXPIFIES PHANE SmotPwoB~ ZA~C~1+tm8tiAn
296.15 x 654,25 ,
4~ AODRESS ZiP TypeOorret Oaupency . SWfnNlereO
vN Gl "'Yes ra Req G
DESIGNER PHONE NewCorol Veluatfon Rertrodelod Veluatian Tota► 9109 1`-100r Arf!a
5 ONASHI IWD AUGIER, ARCNITECTS 747-1170 9,039 sf ~
ADDHESS ZiP MWnFfoor Upw Flaoro Gerape►Storage ~ GreenhAUSe
W. 27 Sumner, Spokane, WA 99204 9039 • ~ • !
CdfAN0E0FUSEFROM TO ODSrerQBck Urn,w Oedc Fln Basemenl Unlir 83sempnt j
6 - ' - • P
No eatns No Flaors No Fin R9oms No Dwellings
TYPE C NEW 2 ALT [X AD' N-7 RPL D MVE '
~
WOFiK r BLQ 2 PLMB p';~ MECH ; M H POOL ~OTHER ~ t ~rm YeaT No- ~
Reoetred Yes^= No
Ri8Ew~7RK ShorellnnalFboOHarard Pbns Fepul►ee~!
e ~dition and Alteration Yes No+Applic : ~voo
VA1 UATION I 50URCE I GAS ELECTRIC H►a'~ 8EWA
g~ 7~, yN ° un°mEs ~ WWP Modern ~'vA~ s w~ ~i~i~,' FEES COLLECTED
I ha4by oer11ly thai l have read and examined this appllcation end heve resd the 'NOTlCE" provlatane Included on ~
reverse aide. end know ths same to be Irue and correct A11 provlafons of laws and oMlnanae3 governing this type of Bufid"
work will De aomplled with whether epecitied hereln or not The granting of e permlt does not presume to give eu-
lhority to vlolate or canc;el tAe provisions of any other state or lorsl law reguletinp conetructlon or the perlormance
of oonstruclion 9EE pEVEq9E SIDE FOp RECUIRED IN8PECTIONB Rlumanp
~ SIGNATURE OF C APPLICATION
OWNER OR AQENT DATE Mec►.
SPECIAL APPROVALS 8pECIAI CONDITIONS: (8EE REVER3E SIDE FOR NOTICE) PRELIM FINAL DATE ~ ~
k En Fwlth , SEPa ~
PB~l11RII Modulari
~ MFG Home
~f►r
PrFVOm PAS a e
~ ~►Y1
Jtiit~~ I
TOTAL s
vEPA
a~,,,, PERMIT 16 NONTRAN8fERA9lE WHEN MACNINE VALIDATED IN THIS SPACE ~ TMtS BECOMES A PERMIT
I PERMIT IS NULL ANO VOIO IF WORK HAS NOT COMMENCED
T'wh'~ IN 180 OAYS
~ ~ OATFISSUED rfRM N►.
ULPANEif OF IflaID1M b n ! #1 Is ~ii l: ~
~
~
.
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~ Ar~►~ ~ Y ~ ~I~Y~~
6
~r~dL~G+/ ~rwia~~• r ~wr~r ~ F(Ucr
1M UM I 4~TION ~
C1 t~lATldi
M~w~ r~ ~r~ rM1r r~ •~r. w~w~..~
I f?
Mr~r ~Ar~ww~a. ~Y~►hyMN~~~ - d ~~~w~M
, PA=:
, 1. An wYiy st,ort approvai !os wo►Yic te be dod* ptior !o loou~no• of the atteaL auildtas
titrrtt .ry be obcal.sed by teQeestloa lvrty 8toet Approvat aptet the pimo •es, doilvaRad
[oe o7oo chrck. Ail reqmots =at 6e io veitLaa. Tht• approwi wlti o.ir be gsostsd
: i dotldg adversw r"thar or ao snistlng iawrg-aney,
. .
~
F Z.; ?he Eaetr Stset Apprnvel eay ba lseasd only ieteer obtalrsnpt ~
.
/lppraoi o[ thQ Ditractee.
b. AppYOVa1 of ivr•~datloos by wIP10o CPvcfe.
e. Zsswnce o[ a DselaratLon e@ "sNpTlalt oe h4l:•SXGltTP?~.A14C3. !t e+~e~lt•od ua~~r ~
sIPA. (WaY YV.virit 1S•dQy ohirlag ptrf440)
a. Appromel of the •ir• plan under the caqntraaeote uf ttta rowt4tanetv+s Zswing
Ocatnence. tt prope-my duilpsted as a parcal of 14nd (u~t r. tot a+d blp:k) ~
a CBKZLPLCI►TE 0F et Al! ,0716M slitAfl7 pLt.g wia: aamompany ehR pomte
aopltcation tot+n. ~
Aaprov.i oc sookano coun=s lfalch nt•e,rlec.
PC. Ilpproy.i ot gLra riirshwl. '
. C. Approvsl of Spot:nna Covney llngiavP:.
.h 3: A eopr of tb* Boely etodt Appwoval teetac shatl :b• pasmec' -r.d min-atood ee t1s •Lrs
~a~~. ~ 6y the propensfne. thfe tetta; t~st h~:•ia a•itnQ r~ aa~;r•~.ii. s= s~~.~a~tut2 o! the
i ~ ~ B+uildtnR Codvs Diveetor.
.
•Y a
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APPROVED AS NOTEI~ ~ R01 0~ _ D r s NoTrD PcA+N19CI 4*+0+15540
~ AMRovaL A s Na-TE
~8pokane County FnRlr.epT ~ t o& 1)w.
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' Date ~ /f~
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~ ~ 40001~~if CrAy ALr9NJ
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JVWAPPHOV(- l ) ~ : ~ , ~ ` ~ ► ~ r-.
.
SPOKANE CZ,11.
:
Date
By _ ~ - _ t . •
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~
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OFFiICE ~OF THE SPOKAhE COUNT'r ENGINEER
p NORTH, 811 JEFFERSON
SPOKA,NE, WAa„HCNGTOPJ 99260
50,9-456-3600l
11 n
~•s"~.'"1 i' ,'4~j~ a~',► / /t N l!; A v ~ i~/a1'T
Date~f--23--g/ _ Project,Name
Inspector Project No. CRP/RID
Weather ~ - - - Re,port 'No. _
Time Charged Contrac,tor" thi s Day _-1 f 2,or 1 Contractor and/or Sub(s)
' Other County Personnel
Equipment List Hrs. Used Standby
1 -2
3
~ 4
5
_ ,6
Contractor Personnel Classification Number
1 - _ 2 - 3 4 ,5
6 - -
Oiary Section
. , ~
Comments:0~ s:~,~~ ~.,"12fl •r~ nfl,c A.n. oxrA}~~t~~~~~'s.L .s~.~
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I f~~S('ECTOPIS SIGNATtlRF-
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