1991, 07-31 Permit App: 91004637 Residence SPOKANE COUNTY DEPARTMEAT OF BUILDINGS
1W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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= 91 00463 7 APPLICATION DATE: 07/31 /91 PAGE"= 01
**** * THIS IS NOT A PERMIT * ***•
_,�--
PENALTIES WILL.. BE ASSESSED FOR COMMENCING WORK WITHOUT A.J~PE.RMIT
SITE. STREET= 14106 E 13TH AVE PARCEL..: = 23543-0107
ADDRESS= VERADALE WA 99037
PERMIT USE RESIDENCE / NATURAL.. Ls
PLATO= 005036 PLAT NAME== RAYMOND TUL..L..Y ADDITION
BLOCK=:: 1 000 LOT= 6000 ZONE: UR 3.5 DIST'= F
AREA= 00000000 F=/A= F WIDTH= 75 DEPTH= i i2 R/'W= 50
0 OF BL..I)GS= i DWELLINGS= 1 . WATER DIST = VERA
OWNER= SIMON, GEORGE PHONE= 509 922 0565
STREET= 11020 E 3i ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STANLEY OXENDAHL. CONST. PHONE NUMBER= 509 924 6961
BUILDING SETBACKS : FRONT= 25 LEFT= RIGHT= 14 REAR= 55
5
*3c**********r*ii*******3i*khi**3f* REVIEW INFORMATION * *** ******** * **** **
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
_._.... -.. s-fes./. .....___........._...._.._
BUILDING PLAN REVIEW REQUIRED ,s"ti`.....-.__..
BUILDING SETBACK REVIEW REQUIRED a-. ... .... .43. .....___.. _._.._...-
1 BUILDING • P 1 a
ENRGY =11` REVEWaJfiE
i
q _
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE �741\6-6-7 ,��
UEAL.THDIST NEW OR ADDITIONAL WASTE WATER -.- - . '-'7 -4,-- - _.r_....,..-......_...._ ___.w
3ifit•#.M..fi?k**#**'N:**#3tk** :*****3(***#* BUILDING PERMIT kit•******•**3i•**#*3Eit****• 3*
CONTRACTOR= STANLEY ANL.E..'r OXE.NDAHL. PHONE= 509 924 6961
STREET= P Cl BOX 14394
ADDRESS= SPOKANE WA 9921 4
NEW= X REMODEL:::: ADDITION= CHANGE OF USE
DWELL UNITS= i OCCUP. LD= BLDG HGT= 12 STORIES=
BLDG W X I) _:: 32 :x 00 Sp FT= 2256 SPRINKLER= N
REQ PARKING= OHAND1CAP= CRITICAL MAT= N
DESCRIPTION. GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 600 5400.00
GARAGE M-• i VN 483i 3301 .00
RESIDENCE. R-'3 VN 1656 72864 .00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 558 .50
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE. Y 89.3
•x * :********* ** *3*********** MECHANICAL.. PERMIT M•******* ************a>:•x***
CONTRACTOR= SMITH HEATING & AIR COND PHONE= 509 328 4431
STREET= 102 1 NORA AVE
ADDRESS= SPOKANE WA 99201
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS WATER HEATER 1 10.00
GAS HTG EQUIP< 100, 000>BTU i
4 12.00 2.00
GAS PIPING
RANGE I 10..00
GAS LOG 1 10.00
3f:**************************** PLUMBING PERMIT ******************4***********
CONTRACTOR= MIKE ' S PLUMBING PHONE= 509 .. 24 1691
STREET-: 2619 S CHERRY RD
ADDRESS= SPOKANE WA 99216
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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
|inem, 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 locatinging your structure.Failure to properly locate the structure
may require its relocation at the mwno/x/pmnnitteo'spmponae.
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 ynaming, bracing and blocking is in p)aoe, 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"),modimp,p,nmems.
parking,and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance 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 inupoctionu^ in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN O|RCUMST4NCES, 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 notnd, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped fore 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 forcorrection 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
Ali C'rs�� r /j'a 13-
Spokane County d 63 Q,�
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ,7 (%
Please provide the following information for Energy Code compliance: .
Space heating type(check one)
Forced air electric Electric baseboard or Wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R 3g Doors U
Vaulted ceilings R `—" Windows U
Above grade walls R 17 Glazing area %:
Below grade walls R ( 7 Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating 7o��'
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor: /C S�
Second floor: _ ‘,254
Basement- Finished:
i
Unfinished: C o o
Garage: ,5713 0
Carport:
Decks:
Additional Areas:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NU\\BER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
TOILETS x 6.00 =
SINKS �j x 6.00 =
SHOWERS x 6.00 =
BATH TUBS / x 6.00 =
KITCHEN SINKS x 6.00 =
DISH WASHERS / x 6.00 =
GARBAGE DISPOSAL — x 6.00 =
CLOTHES WASHER x 6.00 =
UTILITY SINKS x 6.00 =
ELECTRIC WATER HEATERS x 6.00 =
FLOOR DRAINS x 6.00 =
FLOOR SINKS x 6.00 =
BAR SINKS x 6.00 =
ROOF DRAINS x 6.00 =
LAWN SPRINKLER x 6.00 =
SEWAGE EJECTOR x 6.00 =
WATER SOFTENER x 6.00 =
URINAL x 6.00 =
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL S
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT
FEE DUE =$
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: •
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
WOODSTOVE/INSERT
..:: x 25.00 =
GAS WATER HEATER / x 10.00 =
GAS EQUIPMENT<100;000 STU (INCLUDES / x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS PIPING (EA OUTLET) Y _ x 1.00 =
BOILER/REFRIG 1-100M BTU _ x 12.00 =
BOILER/REFRIG 101-500M BTU x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
BOILER/REFRIG 1,0001-1,750M BTU x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP &AIR CONDITIONER 0-3 TONS x 12.00 =
HEAT PUMP &AIR CONDITIONER 3-15 TONS _ x 20.00 =
HEAT PUMP &AIR CONDITIONER 15-30 TONS x 25.00 =
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PUMP &AIR CONDITIONER +50 TONS _ x 60.00 =
VENTILATING FANS x 10.00 =
EVAPORATIVE COOLERS x 10.00 =
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) x 50.00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE
GAS LOG � / x 10.00 =
/ x 10.00 =
MISCELLANEOUS (NOT COVERED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED GAS APPLIANCE>400,000 BTU x100.00 =
USED APPLIANCE<400,000 BTU x 50.00 =
USED APPLIANCE>400000 BTU x100.00 =
AIR HANDLER <10,000 CFM x 12.00 =
AIR HANDLER>10,000 CFM x 15.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25.00
NOTE: MINIMUM PERMIT FEE IS $35.00 EQUALS: TOTAL PERMIT
FEE DUE = $
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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SPECIFICATI S
TYPE OF SEWAGE SYSTE'M1 v's.:i . . .
if YOU CANNOT 1N;,'1ALt, 1l +MIEM i\, vo};,srdi LINEAL OR SQUARE FOOTAGE
TO THIS APPROVED PLAN, YOU t07 CALL 1Mk OFF ICE TRENCH
W1Dk
AT (5091 455.61140 PRIOR TO INSTALLATION.
• 11'FAC TO It 041....04444
Of SEWAGE SYSTEM
SIGNATUREr —
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