1985, 04-22 Permit App: 00005048 Residence BUILDING PERMITAPPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 s Name (last) (first) (m) Department Use Only
9if C ,,..,,''�5 i�s�ir Res. Comm
2 Project Address(not Mailing Address)ar Road Name Space ip
3 City/unity Staatt Subdivision/Plat Name/f r, yt,pw i. ia/�7o..i
�/,o offc ,�"�5� L�'ito.1420 ir4~/Z />l. N///,7f- .e ,/.3/0 c,/ 3
4 Assessor Parcel No. Lot Block
24-553 - dS3 l N * * DEPARTMENT USE ONLY
71 5 Sic Code Zone Act.If Zone Project No.
6 Dwell*? No.of Buildings Sq.Ft./Acre Depth Frontage
7 Set Bads-Front 1(L)S-1 (R)S 2 Rear Census Tract
Street (AddressModule No. Initials
\l *
16 Architect Firm Name
*
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Contractor Firm Name Street Address
Zip City State Phone
( )
Contact Person License No. Phone if different than above
( )
8 Owner/Agent(If different than a1 above) Business Address
g Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(Y/N)
1SEPA Exempt(YIN) Date
15 Type Work ILVBIdg ❑ MH t/ New ❑ Replace • ❑ Other
❑ Fire ❑ Demo ❑ Add/Alter ❑ Move
14 Describe Wor
J IED•ENe_�
10 Applicant Name Strutd
��ste QS �//0 r dV/ /0/0 N /f:,, ez
11 Zip City State • Phone ,Q
* *
Lender Street Address
Zip City State Phone
( )
'
Contact Person Phone if different than above
( )
Additional Information
!"1 r _ Q V
Li @ (126
DEPARTMENT APPROVALS
This is nota Permit
Application Type
(Standard unless (Indicated approvals required in either"release"or"release with conditions"
otherwise indicated) space prior to permit issuance.)
❑ Fast Track
❑ Early Start Release
Release w/cond 1 Hold 2
❑ Environmental Health ❑ Commercial; ❑ Residential 10 Ie'5
W.1101 College ❑ New Construction; ❑ Bldg alteration/addition ,,,�t>rai-'. ,
Room 200 ❑ Additional structure;
APPLICATION#
Conditions/Comments:
O Planning/Zoning: ❑ Commercial; ❑ Cert.of Exemption; 0 Frontage;
N.721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone; ,
❑ CU,variance,zone change;shoreline; ❑ fence;
❑ Other
Conditions/Comments:
V7I.,-(
Engineers: ❑ Commercial; Residential; rlood Plain; I/ : + �1_
N.811 Jefferson 0 drainage new access/approach; El fence; ,
CIroad improvements !
Conditions/Comments: �� <��'"
4
'.. �" f /fi 0"'! i _ • i- . - I LLI! - � 0 _ _ —i1—" -,/ /�
❑ Utilities:
N.811 Jefferson
Conditions/Comments:
El
Other:
❑ Plan Exam
Fire Prey.
Conditions/Comments:
ri.
co
c_J
i° Project Representative Telephone
U
a Agencies Performing Special Inspection:
y
Y1' c 1.
O
U '
W a6
F- E 2.
') O
OC
u_
3.
1 Indicate above or attach conditions relative to final as built approval
2 indicate above or attach reasons for hold
**4*** -*-:4-**44444*********44************* ************444*444**4:4 ***44*44***
* ' INFORMATICf WCRKSHEET /9 *
*4*** -********* ***********4****X **************4444*$T*** # *4 4*** 44****4**'- **
* GENERAL INFGRMATICN *
* PARCEL NUMBER :: s 3 3 8 7 *
t
STREFT ACCRESS : L20 7 �
*�
*
* )CITY/STATE/ZIP, __ 17_/4;,2 P 4)44,- Zf - ---
* SUC�CIvisiC :,..2e77/7"7ef,02 5147/C *
* *
* BLUCK : L1___ LOT : LCNE :_As_ CISTRiCT # :_______ 4
* *
* LOT AREA : F /A : WIDTH :__----- DEPTH : R/ , : *
* *
* N CFSiAu - -_ # CF DWELLINGS: *
!* *
* MAILING AUOPESS 6 (;:p4' 4.5y Zi/ --- *
*K CI TY/STATE/Z IP : sem=7 __..,/_ G _83 t� *
* / *
* CONTACT : FHCNE : - - *
* *
* SETBACKS - FRCNT LEFT RIGHT REAR ___ *
* PERMIT LSE : Od 0 cF ase S --rc JPL `J,1'—----- --
**********4 4*4 4 4'444 1 Y 4 44 4,4 t*4 44****************************** s i 4 T*Y*****w *#***
*44 4***44****4 4 4 4#*44 44 4 4 4 4 44 4*4 4********'ks 44**********************************
* PLUMBING INFCRMATION *
* CONTR LIC# : 4
* *
* CONTRACTCR : PHONE:____-__ - *
* *
* MAILING ADCFESS : *
*
44444*4444444444*44******4***************44*******4*******44444*4******44*****
* MECI-ANICAL INFORMATION *
* CONTR LIC# : *
*
*
* CONTRACTOR : PF-CNE : -____-_ *
* *
* MAILING ADCRESS : *
*
* ELECTRIC :_ . GAS CIL:___ COAL :_ WOOD :___ SCLAR:___ I-EAT FUNP:___ 4
* *
4*4*****4**44444****4***************4444**4444*******4444******4***444* 4*4*44*
*************#************************** k#*********************** ********* *****
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER CF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR PROCESSING FEE YES �R�
DUCTWORK SYSTEM TOILETS �.__
WOCCSTCVE/ INSERT SINKS
---
GAS WATER HEATER _ SHOWERS
GAS FTG EQUIP<10C,000>BTU _ BATH TUBS
GAS FITG EQUIP+100,000 BTU - Y KITCHEN SINKS
GAS PIPING - # OF UNITS _ 11- DISH WASHERS
hEATPUMP 1-100M BTU GARBAGE DISPOSAL
HEATPUMP 101-500N BTU CLOTHES WASHER
HEATPUMP 501-1, 000M BTU UTILITY SINKS
HEATPUMP 1 ,001-1750M 8TU ELECTRIC WATER HEATERS.
HEATPUMP +1 ,750M BTU _ FLOOR DRAINS
REFRIG 1-100M BTU FLOOR SINKS _
REFRIG 101-500M BTU BAR SINKS _
REFRIG 501-1,000M BTU ROOF CRAINS
kEFRIG 1,001-1 ,750M BTU LAWN SPRINKLER
REFRIG +1 , 750M BTU SEWAGE EJECTOR _ ~_
AIR CONDITIONER 0-3 HP WATER SOFTENER
AIR CONDITIONER 3-15 hP _ URNAL
AIR CONDITIONER 15-3C HP - DRINKING FOUNTIAN
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP _ _~
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTFES DRYER
RANGE -_-�--
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM
C7ec 7 �, -
-2z ERTIFICATION
0 t Ocerties that the
lowest floorfielevation
Roc.t.. will be above the top of
• //./ / jj �. � �8', o,,,t/°a �a the curb .
eri ,'n� :GroW,t ur 0c�C. / cola ,
�1-7.�"_
'. ( ,,�•'{��, .o. S.1 /4/ ria • United Investments by
��' sr S�iiP i 6" N4ve I etea t'oN �,
s'. !E-3 iet'o a '5, r'etoI ;n-�•i-- j, j
%yp:`-r__��- r>: pax..-� ��'°u ,- "
1:. Q c ' be.ci \ IteAle QIw�.6i . N s e 4. p . 4 M v-3031C r 0.s4 — S e c f�'o n j S'DR 3S 64'44% s 1opt• F{'"4-
I
34: c•iyasi—.4.44.41L,•—•t. .
, il „ l';'':Zi° // \ki MMI *, sr p.115-
.4.a/1- WY
- 1 0 7 1 - ---1-
errA ; , ' I ff-t 4 , , . , , ,...... ,f K-
' ' p
S°21 , LEGTA.L :
,,, 1,IdrAs as==s ML E-sT 4 FT OF L al-
...tiro-
�,( E #vra:if. ,-�-r i 20, a LL OF L-01 ::.t A.► D
.:a ' + ► , 1 -r 'N r iiFZ o�
_ I 01, o Lot 22 tiLoCK
1 s
e iETT PAA-NS A-00 f.
' 4Z.1 / z3 t 'l v��
Aids
ii } ,
7, , , , ,
, j 31)L1t 1 r PL/611
pl
c.:00)
ii .--i ,, i lt2. cyle 1 l', , -
1 La
..IM iT
® x Ex 1ST
E 6.007 12.'rM AVE. - c°> y', `' ',,g5 zP":71
' `
\S !; "5111::• _ . '
B.M . SF ,ke. i•, o•-il y FotC At- SE �' za. i.:42 cv_e
Eke...) 6.4;c...-16.4;c...-1Z , Co14_S 1 Cay.;Xy Da\- ��w •�'•;t. �
Et ,
Far" : ur,�t&a = ve,veskr+^ enkS
� ..)r'b gle_. w ,e,..+ 5 0YTV
_- !08.00' 1. 106,00o -- -
- � GSA `'1 -r � - -
._
( _ -
.a oQ
I6e,5•`� X11 ! "`aq'i
f :- -fir ia4-.o' I
I bA.oor x 1 -4'J
Al v,tnpc •i I
/ATCdKhOC A.A. itri•-w‘ .
1 I i if-----
\ - / ,
1 . :ill -• a . 4,14
vi
- \'-'"\i
i ar,Q fead Are. 444,1 %ZittkcQ
roz.s AP.e.i - - * \ I
40 .
.. -fr•_.__. _ ,,_ ,, ,:__.t...
_ - .- • ---- . ..: .s'o 'rev Pp 1'
14.1 9 1 ; T- 1T .f!
4 3 .
04147
::T ! . I tT .Tjcve'
• '"`a i VI el L'rr--
gh
s 102.e
_.
. , , 2 . , t•iie •—• I , -'t V
. _fi..- 1
ro yo Foe-, �, ��;T � .- L_...AL ca.S= .iPTiol.I
a v-f v e.:.46 v , . / - / . :4r--- THE EAST 4 FT. O F LG;
vki
20, A.LL OF LOT z! 4:J-►:
,/. 1``�0 1..f WESTOF
- _ LOT zz 51_0 -k 3
Ioz.co ' -N.,_ , 41 65 roo.co' EETTM/wl.ls A.PPi,I.
4 G e 1
w..rat --s I CC.00
/ \ MR'-2. 1— 70P of c.uRg
• 'ITE- PLA,K1 •
• E. 6007 IZrH /.V,F.... tG .L.a: 1P= ZCI.d,
-4 l'.— Z----IM-,.-FH13,---gzi"----=- -
pr-4,- . "s4"
._/q1iThflFP COPY
S ool Tne County
Health District
,fz
fa
X1....gaol t x
West 1101 College Avenue Spokane, Washington 99201-2095
kit.4iiiiirrarrim
July 13, 1987
Stan Sloan
c/o Lynn F. Sloan
E. 12403 - 3rd
Spokane, WA 99216
Re: Sewage Permit Application #85-0210; E. 6007 - 12th Avenue
Dear Stan:
As you may be aware, subject permit to install an on-site sewage system to
serve the two bedroom, single-family residence has expired.
Since it appears you are continuing construction of a multi-story structure,
we assume you intend at some time to either complete installation of an
on-site sewage system, or await the construction and availability of a future
public sewer.
At the time we originally reviewed the soil and site conditions, you may
recall that the only approvable area on the lot could not accommodate a flow
volume exceeding a two bedroom, single-family residence. If you intend to
utilize an on-site sewage system on subject property for a wastewater flow
exceeding a two bedroom, single-family residence, we must advise you that the
structure will not be able to be occupied.
We would appreciate hearing from you regarding your plans for wastewater
disposal at E. 6007 - 12th Avenue.
Sincerely,
ENVIRONMENTAL HEALTH DIVISION \)," v-)
Viri"
y /..7.„,..-64,
Dennis K. Kroll , R.S. 1\12
Director
c: Daryl Way )')( {1911 \</-
✓Tom Davis, Building Codes
V,
0507E/bls
Administration 456-3630 Personal Health 456-36456.361370 En vironmetory tal Health 456-60456-60400
Clinic 456.3640 Vital Statistics
An Equal Opportunity Employer
S poi bane County
Health District
Immil
off
West 1101 College Avenue Spokane, Washington 99201-2095 t wills .x'
l, , ■tuyt- : I I I
August 19, 1986
Stan Sloan
E. 865 Crystal Bay Road
Post Falls, ID 83854
Re: Sewage System Located at E. 6007 - 12th Ave.
Dear Mr. Sloan:
Your permit for a sewage system expired May 22, 1986. A representative from
our office conducted inspections of the site on June 23rd and August 15th of
1986 to determine the status of the property. The sewage system was partially
installed at the time of the surveys.
The District will extend your permit until September 18, 1986. If the system
is not inspected and approved by our office by that date, it will be necessary
for you to reapply at a fee of $75.00.
Please be aware that the property cannot be occupied until an approved sewage
system is provided.
If you have any questions, please feel free to contact our office at 456-6040.
Sincerely,
ENV,
NV ONMENTAL HEALTH DIVISION
tAtah,
Pamela Heeter, R.S.
Liquid Waste Coordinator
t//r: Tom Davis, County Building Codes
bis
Administration 456-3630 Personal Health 456-3613 Environmental Health 456-6040
Clinic 456-3640 Wal Statistic 456-3670 Laboratory 456-3667
An Equal Opportunity Employer
,..
4 Spokane County
' r' Department of Building & Safety
JAMES L. MANSON, DIRECTOR
December 16, 1987
MR. STANLEY M. SLOAN
865 East Crystal Bay Road
Post Falls , Idaho 83854
Dear Mr. Sloan:
In the course of processing your permit ( 87004219 ) , issued on
December 15 , 1987 , we inadvertently overlooked one ( 1 ) gas
furnace and one ( 1 ) water heater. An additional fee of $15 . 50
will be required to bring your permit into compliance.
We regret any inconvenience this may have caused you.
Sincerely yours ,
DE R MENT OF BUILDING AND SAFETY
/ �k/
ofreidsy
M. WendelBuig Technician
GMW: jas
NORTH 811 JEFFERSON • SPOKANE,WASHINGTON 99260.0050 • TELEPHONE(509)456-3675