1992, 02-25 Permit App: 92001068 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
)/Lx7,2 g73
a3
PROJECT NUMBER= 92001068 APPL..ICATION DATE= 02/29/9 f't=tCrE o •
***:*•**: THIS IS NOT A PERMIT ***•***
PENAL..T.T.ES WII...L BE. ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET== 6.10 E 14TH AVE F'ARCEL4= 24533-0626
ADDRESS= SPOKANE WA 99212
PERMIT USE=: RESIDENCE .._ NATURAL GAS
PLAT4= 00 ; 2i PLAT NAME= VALLEY VIEW HILLS 2ND ADD
BLOCK= 4 {.,.0T-= 1 ') ZONE= UR-3m5 DIST w= E
AREA= F/A= F WIDTH:::: 105 DEP H= 200 R/{,.1::::
C)F BLDGSw= 4 DWELLINGS= 1 WATER DIST =. SPOKANE SUBURBAN
OWNER= VANHAAL_EN, JOHN & TERESA PHONE== 509 456 0110
STREET= 164 COEUR fl ' AL NF" AVE 4.106
ADDRESS= SPOKANE WA 99204
CONTACT NAME= JOHN a ANHAHI...F N PHONE: NUMBER= 509 q 6 0110
BUILDING SETBACKS : FRONT= 50 LEFT= 40 RIGHT::: 20 REAR= 1004-
******************************
0?0+*: •***3r**•****'****•3e***•x.•**3e****** REVIEW INFORMATION **•* •** * >ac• •>; H• * * •• * •*
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
BUILDING PLAN REVIEW REQUIRED _. 9 - � ...._�._....._....__.
BUILDING SETBACK REVIEW REQUIRED kg __..._. ___....
/
ENGINEER{.4 fyF'E'FROA Hl{~{...00D I°'I...A { N/DFRri:ENAG .. ertifiV4131-- / „ip`
HEALTHDIST NEW OR ADDITIONAL. WASTE WATERPi-Pc-4- 2---;?g 1 :..._4 w.._.
=^ C_ ,c{��.�rA.✓
*.3t•*'*•**3�:****•3�:**•3i*•* *•*•**•*3i3t:****** BUILDING PERMIT ***•*•****•**•*•***•. ****•3 ***•*3E**3k
CONTRACTOR:::: UNKNOWN PHONE
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
NEW= X REMODEL= ADDITION= CHANGE: OF USE::::
DWII...I... UNITS= 1 'IC("(_IF`n I...1)- BLDG HGT-- STORIES=
BLDG W X D = K, SQ FT= 2132 SPRINKLER= N
REQ PARKING= 4=HANDICAP::: CRITICAL MAT== N
i{***********•**:*****3ti**•*******3c* MECHANICA{... PERMIT **3t-*******•******••t•:***:m•***•N3i
ONT.RACTOR=: UNKNOWN 'I d f3
(
STREET=== UNKNOWN •
ADDRESS= UNKNOWN WA UNKNOWN
*1;**•***3k**'3i*******3i******3i•**•* PLUMBING PERMIT **ii*•**••)t******•***•***•****•3f***•**'*
CONTRACTOR= UNKNOWN :aae-ccr) ar3Gt PHONE=
STREET= UNKNOWN irsvlT Pl /58�
ADDRESS= UNKNOWN WA UNKNOWN
PROCESSED BY : WE.NDEL.., GLORIA
PRINTED DY : W E N D E L , GLORIA
THANK
�t*�*•3(•k••>t•*•*•>«3c:k•3e*•;t•M*3�:*3i*•�:fir�:�:•3k*•*•*•*:.�.3(* y o{,i •»•3C•*•r:3r oi•*•3i}r**•a*3r 3r•k•#•3r*•*3!r:*•3r***+r:+r c••,s•n•:x
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 iine of the roadway right-cif-way.
Curb lines and fence lines are not necessarily indicative of property lines,In some residential areas, Goan ty
can own as much as 20 feet of right-of-way between your property and the actual improved streetitsurb. 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 cif 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 reinforcementare in place and prior to placement of concrete.(Blocking fora
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 ween 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 issurance of a Certificate of Occupancy,
In addition to the above any plumbing or mechanical systems or materials which would he 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 hood 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 is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Buiiding Official prior to expiration.Ata 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.Ail 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: E Gyro / Y h
CITY/STATE/ZIP: SOOVeLtmi
LJ'b, q a 1a
SUBDIVISION: (Ja l\ey tr1 ew Ny b\s a ue Ate.;INOV
BLOCK: y LOT: ( 0 ZONE: DISTRICT:
LOT AREA: Z0j 1 bo F/A: WIDTH: /0S- DEPTH: 'a.00 R/W:
I OF BUILDINGS: / I OF DWELLINGS: / WATER DISTRICT: cidlmc Skilarhnh
OWNER: Spkk,‘,. . U Q h 'p 1 t h PHONE: co5 - - 0110
MAILING ADDRESS: ( (04 COeur•1 Arkewe C( OL
CITY/STATE/ZIP: CcOVet,\,.,1 W'o. R 5' o1(j
CONTACT: \/•.%• lAtuAc PHONE: C.t)/ - YS 1, - olio
SETBACKS: - FRONT: S.- LEFT: LI RIGHT: I.S REAR: I/ I
PERMIT USE: V`Ct I ‘,Ns,
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 14 J k Q ( 4 1 S 3 13 3-
CONTRACTOR:
CONTRACTOR: ‘t\.k S1n.'\-S �►.��� -�p�„�=� PHONE: -9a) -00 6
MAILING ADDRESS: 102.it ja l 50 l-a."� 91)-o 6
ARCHITECT/ENGINEER: Y,YJ L PHONE: a7 -
MAILING ADDRESS: N R0 0 S d cpeSe-6.— LUc �4 a.o r
NEW: , REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: a'1 STORIES: a
BUILDING DIMENSIONS: 471- X ?j 0 (WIDTH X DEPTH) SQ. FT. : IF-8-0
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 3 DOORS U .06(2
VAULTED CEILINGS R � WINDOWS U . 41
ABOVE GRADE WALLS R ' GLAZING AREA 'S't %
BELOW GRADE WALLS R ( 9 TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R a-f
SLAB ON GRADE R FURNACE EFFICIENCY RATING 80
PLEASE INDICATE ON YOUR PLANS:
'(‘I /The location of the radon vent, and the location of the vent fan area.
*******************************************************************************
SQUARE FOOTAGE:
MAIN FLOOR k)-o`'I
SECOND FLOOR (0(i
BASEMENT - FINISHED VAlf
UNFINISHED
GARAGE
CARPORT
DECKS io-
ADDITIONAL AREAS:
************************************************fj******************************
LENDER/BOND HOLDER: C,IJI�� -T`"-rc
ADDRESS (,. 7o4 as /hp,
CONTACT aY ��ti5 PHONE 3- 3/5
MECHANICAL PERMIT APPLICATION FORM
. Information Worksheet
JOB STREET ADDRESS: C 6`i 1'0 14
CITY/STATE/ZIP: 51)u CM q/2•IL PARCEL NUMBER: •
OWNER: \,.v--- ()o.Y. t-4aa1 0,-- PHONE NUMBER: 4 sl.-- pal o
MAILING ADDRESS: I b 4 Cee' v AA, C /•A C seo L.�A ?pi
- (Street) (City/State) 1 (Zip)
- CONTRACTOR: KvN.�s.t,. (Dv-b...\.311. `-Ism LICENSE NUMBER: t4 AJ 1 6 r-}OH- /r3 6
PHONE NUMBER: c9 - 0-0'7 to
MAILING ADDRESS: ( oa, 1 ,' -jai v". LK. 9,A4 ,., Lr-__ 9')-o
(Street) (City/ tate) -- (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
nvf.: vvv v,-:•W ... ,?�$•.4Y•Y•y ��vr {�/� 4•�:{•:4,}}:{.v.
.}, v .t ,�..�"`� vV.<4 ';:i�i`'W',�}';}%;r:4hvt•nn
1!i't.:OOO$'f' I.l. . ltt `` : :. .: • '"C:;:;S :<:..`^�..:;>.> ;,<::>: x 25.00 =
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GAS WATER HEATER / x 10.00 =
.vvMrv::. x:�K?w:�:ry:.•:;JCnyfu:vv:nvnvn:}v.;�::nx,.v.}v;.ynu::.w: {M.::u.fi'?:{fi}!ii',
I} (F 1I I teritM ' '1 1C,OWSPA-VI,',N .; / x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
; - IP # {°}}i,! n, : , . >'� tti .x 1.00 ti.•n{:;: •.,r.•}}x•::c•. •..{2.•nxi.• . w.a4ac w�aL4xf`4:x:,.
BOILER/REFRIG 1-100M BTU x 12.00
01 # 0741..' n e.t ),.n , :« ; x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
SINNE {nfRGIVIf ou ° ;' fio x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
p-.}::n::..;:•:.,,}y:.y>•::c.}„n'.3fi.•,�..•v,Nn,.r."oY'. ::ami-•x.,..•,�v, •, ,..;:, ::.ry_,.,v:.y+;vvro:}•r{`'�<'-f,''-'.,,c^'-':r;`:•'}n2��s _
VIER I��„ .� tat ,.I I tiMaaitar illi x 12.00
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 =
lleig ,5 P T. o:. , (. ` t .£ . x,25.00 = 1
HEAT PUMP.&AIR CONDITIONER 30-50 TONS x 35.00 -
}.y,,x:;n}•:::<j.{:a{::+,.:.xx,:. :{:..:{ ,rhvro fy, �••y :«{ ::.,...cyv„nw••. «�vn .:�t.;rx..w:4};.<,,•: - -
#n t} I.!'t ? R 1 1 T `o?t "„$ 1 1 x 60.00 =
VENTILATING FANS /•lf x 10.00 =
`/` }w'•N•r it +"'M?.•.vJ^.'vr`{{,.^,v..'h nv n •4vN%. - !•:. .. {£
t A '. `I 14 w.ww. ,, .}, :.; x 10.00 = .
..:4}.:: :vrh�.o::.Sw..:...:}.ac•.,�• a• .� m �}n. ,r}:. _
TYPE I HOOD(PER 12'OR 12' PTN. OF HOOD) x 50.00 =
r '4:n3v�'+.n• r4.�. •{,}.i..n„y{,�� fhf_.i:ff!�.;a:22:'}3Y�}-,X•:}•:•.�
1 1 y lr`ty`:....: 4 ..C`<;`:'yS,?374}•: c`t'n•Y\- / i 5`11`1° ..
'X'�:•�� t��t�4,.:,•h• ��::•; v } ; } {•4;} x 10.00 --
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:rh.4n•..mv,v x:t• v'{{{{: /:G..• .xN.:. ... ,. :. _
CLOTHES DRYER x 10.00 =
fN• >> }•. A is y',5'}n}.1$'r'•.'Yi,:<kv .r}. ?)}i;{�:v,.i:h',:{.?tir5?-
{:4+i '.if:;i}i .f.•{J{y% .:YL,•:. :::ji}i}ti?� .:•, { •'�. ,,{..1
�� , :;<:..:;< . {' .� :� -.; {{.�w r::��uh�M f� � -�.;}f;; l x 10.00
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GAS LOG -' x 10.00 =
£.4}v :.:;r,.wr:{:.}}:,.n,.:.,,y{:�,w.;;�,:{{ww : ftn,w:.�.r:,�:,.•4.,•.,::;�..:cr: .x•:{,.«y�:..:,...,;n:s%:tn:7.:ijC}. S
a C. 1 CnF�•,..is :; 3 C £ t�SEagliir `:n t -- x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
IN tg SAS}Aettg. . 4( :1 :::,:,-:.::::::::::: .:...::.. x100.00=
USED APPLIANCE<400,000 BTUx 50.00 =
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AIR HANDLER<10,000 CFM x 12.00 =
.,.lti`'ne.:: g•-g00ISM:h,n,.4.,{.:,.h.N�:.:::..:::::.:..:::,:.::::.::::SI x 15.00 =
SUBTOTAL $
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE =$ •
SIGNATURE IR. e--) ._411"
<
Spokane County Division of Buildings --
West 1303 Broadway Avenue Spokane,WA 99260 (509) 456-3675
PLUMBING PERMIT APPLICATION FORM -
Information Worksheet -
JOB STREET ADDRESS: C 'o 9 1 0 ( 4-i-\----
CITY/STATE/ZIP: 5p,04,-. (4. 5'x.1 L-- PARCEL NUMBER:
OWNER: 3,',k.v. \-tea 1 t%-- PHONES NUMBER: -(S-(7-- Olt 0
MAILING ADDRESS: l by C.rt <-a A1c1.... C(O C 5t1 wa. 7 S 2 Oy
• (Street) (City/State) (Zip)
• CONTRACTOR: K.,...--0,:,-, tv (--- bv^0, LICENSE NUMBER: V tUL 6 (+ Q t+i c3 0 r
PHONE NUMBER: x'1)2) `@C)`) 6 • .
MAILING ADDRESS: ( b -VD �- ""),--i v.,_ l_i �4I o .4.3-- (x - F9 .0)
(Street) (City/State) .. (Zip) :
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
TOILETS r,� x 6.00 = •
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SHOWERS q i x 6.00 =
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KITCHEN SINKS / x 6.00 =
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/ x 6.00 =
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GARBAGE DISPOSAL / x 6.00 =
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iQ�k4• v{?F Sofir'•?:o' a ';f.; C':..{ r::br?;;x`; =
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UTILITY SINKS 1 x 6.00 =
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EC RIr - 1 .:,§.'•�'-i•:`.':'. d�. {:4 : �,wc bvf '? ;x 6.00 =
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FLOOR DRAINS _ / x 6.00 = t
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I :3C3 ? 4 .2 : .R{bautz ;v{Si,}t f}r a .k k:: =
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BAR SINKS x 6.00 =
tF {Q: O Ai s•,. " •.v-;- n :. � ; ax �cx
6.00 =
:: a, ' ,- ikr
LAWN
SPRINKLER- FOR EACH BACKFLOW DEVICE x 6.00 =
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}�..:.` 'k k t:�`��^{:.. iy k$`v'•,:'}}�vN, / x 6.00 =
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WATER SOFTENER x 6.00 =
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,-
',
IF YOU CAfJNOT INSTALL THIS SYSTEII ACCORUIN
TQ ms
(5091 456 6040NPR OR TO INSTALLATION.
OFFICE
T
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SPECIFICATIONS
LO`
•
• TypE OF SEWAGE SYSTEM, • � ���t•`+
: ." "�� LINEAL OR SQUARE FOOTAGE,
•
TRENCH WIDTH:
_ \ •. _ DEPTH FROM ORIGINAL GROUND SURFACE TO
MtiI 1 Ao-,
OF SEWAGE SYS7EM�
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LEGAL DESCRIPTION
.111lil411111l1e. HILLS, 2N DI
IIIII Nr IIIH LOT 10. BLOCK 4, VALLEY VIEW
Ipippiill SPOKANE COUNTY WASHINGTON
IIIIIIOI PLOT PLAN FOR:
IIIII IIIII . II��II IIIII
JOHN TERESA VAN HAALEN
BY: DDf — ARCHITECTURE t PLANNING
N. 8605 DIVISION
SPOKANE WASHINGTON 99208