1991, 06-26 Permit: 91003443 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 o'Occupancy shall not be construed to
give authority to violate or cancel the provisions.f any state• oc•' law regulating construction,or as a warranty of conformanci ith the provisions of any state or local
laws regulating construction. _
SIGNATURE OF APPLICATION
OWNER OR NT -VA, DATE — 5/
vJ
PkUjECi . ...
,., .. ..v....v..,,..rv.....,..:..a.n..:..........a..,. :'.:,::::' EERMTT INFORMATION •!!.:j.:iH:}j.:,j..i}::}j..j):.ji.:!i:.i :,}::,i:':1!•;ii,•;lf::; :k*:}j.:}}::}i. :!j..}!,:,
SITE STREET,- 12615 E 14TH AVE PARCEL4= 22543-1220
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE
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..... 001345 PLAT
! in ... ....:(-.. J''•/. 3
BLOCK= _
CI' ... ZONE-
.... OF 1''{ 7i.,'-:.`:::: :}ic DWE L.I_ 's N ..
';L):.i).. i.._:: ;;t i.J RTI'•?l::1;::" '1 i-i1.{i;,'. PHONE= 509 926 0972
ADDRESS- SPOKANE WA 99214
CONTACT o• NAME= TED ARNOLDPHONE ':Ji;i'1{'.I..)' .. . -
BUILDING :
TBACKE : FRONT= 35 LEFT.. 26 RIGHT= 25 REAR= 77
CONTRACTOR=ii
NORTHWEST
STREET= P 0 BOX .141295
ADDRESS= SPOKANE WA 99214
NEW- X REMODEL- ADDITION— ;
DWELL UNITS- . ,
Tad
SP FT= 276 SPRINKLER= N
........:... : ::.. ,: , . .. CRITICAL MAT- N
I
i.}}
COV DECK R—7, 192
GARAGE 4eo
2ND FLOOR "
ITEM DESCRIPTION
RESIDENTIAL ) i
STATE SURCHARGE 4 , 50
COUNTY SURCHARGE •
.. ...... .. .... .. .. ...... .... .. .... ...... .... .... :i..i'.:,i.:, :}::j..ji:.ij.:ij. '.:}j.:}..ij..jj..� .j}..i.n}:Ii::g: :..j:..:'}: .....:. .. ..
,,,..�..!}...!..}}..}...1}.;:; �?::p::!.. .!!..}..:. .:v..J}..}t.,... :... ....i)}i )i "i j;• .... .. .;`•.i.1.{. 1•�..I�1 i. 1.1... :. .. .. .. 1
STREET= F 0 BOX 696
ADDRESS= MEAD WA 99021
ITEM DESCRIPTION
.... .. .............. ... .... .......................i_...:vi. ::)j..jj.:,'.:1'. :Ij.:,i.:I.:}i...:`. .::)i..i.:k:!......... .. ..ii::i. ,: .. ..
t
ALPHA
STREET= 5805 E SHARP AVE
ADDRESS- SPOKANE WA 99212
ITEM t :.. .
SINKS 4 2.q , 00
DISH I
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 9 260
(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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
... ...
OjECT NUMBER= 9100'3447 ISSUED PERmIT 0/:,/26/91 PAGE= 0'..)
. . .................................. ...... ..... .. .. J.......:. ...... ............ J.
f?:. J. 1, :�.: .},..J,..J,.!`.:,`...}?•g?':n:?I::,J...},.�,.q.;;I?•".•?' .. . . ....!'�;;.. .... ,A I+:'"
TOTAL DUE ,00 -r,TTW PAID=
PERMIT TYPE FEE AMOUNT AmOUNT PAID AMOUNT 01,AIG
............................................................ .................................................. ................................................ ....................................................
BUILDING PERMIT 579 , 22 T79 ,2O , 00
MECHANICAL
PLUMBING PERMIT 7O,00
68i , 28 62i , 22 ,00
PROCESSED BY :
PRINTED BY : jOHN LARSON
.... .. : .. . ..:v.. v.: . ..:,....:....,:....,. , .., ..:�....,,.....,....... . ., . j.iy. j ; :jSITHANK yOU .. . ., rt .•. :. .. ... . . . . ... J . . . .. .. .. .. .. . . . .. ..
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SPECIAL CONDITION CHECKLIST
Project •' _^ `
-'
Address: Project# Use:
Dept: Date: Condition: {nu: Appr:
(in) (out)
Dept.of Bldgs
Spooia| |nop Final Report
Hydrant( ) -- —
Lock Box
'' , - •
• •
enginaern / ! _- RID/CRP
Easements
Road Plans/Improvements - -
Bonds
.
-
Planning � —_ _-� Bonds •
-- | --
| __|
-- '
Utilities Double_- DoubleFYvmbng
ULID •
| --
' --
Other
-_. .
^
~^^^^~`~``^^`~~^^~~~`~~~^~^TH|SSpxCEFOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY``~^^~~^.~~^...~~~,.,.,.
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: _ . Date.
Filed insp finaled by: � � Date. _
Ninety days after C/O issuance:
r calleregarding the return of plans: Datn
Plans returned: _ . Received by.
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 �i DATE
PROJECT NUMBER= 91003443 ISSUED PERMIT DATE= 06/26/91 PAGE::. 01
aka••******* **** ***. * **** PERMIT INFORMATION **ae**:•*x*x**ai**#** •* • •**ac•a • *
SITE STREET= 12615 E 14TH AVE PAi CEL.. = 22543-1220
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE
PLATO= 001 34 5 PLAT NAME= JORGENS ADD
BLOCK 2 LOT= i ZONE= UR--3.5 D I STS- F
AREA: F/A= F WIDTH= 105 DEPTH= 145 R/W-:
p: OF BLDGS= 0 DWELLINGS= i WATER DIST = MODERN
OWNER=:: NORTHWEST HOMES PHONE= 509 926 0978
STREET= P O BOX 141295 AVE
ADDRESS= SPOKANE WA 99214
CONTACT NAME== TED ARNOLD PHONE NUMBER= 509 926 0978
BUILDING SETBACKS : FRONT=:: 35 LEFT= 26 RIGHT= 25 REAR= 73
*•x*******at•ae****ak**aiof*ask***of*a4*** BUILDING PERMIT ai*aiaiaca*:•**x*****ai:***•aixx*aa•' a' •ae*
CONTRACTOR= NORTHWEST HOMES PHONE= 509 926 0978
STREET= P O BOX_ 141295
ADDRESS= SPOKANE WA 99214
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL. UNITS= i OCCUP. LD-: BLDG HGT= STORIES=
BLDG W X D = X SQ FT= 836 SPRINKLER= N
REQ PARKING:;: NHANDICAP= CRITICAL. MAT= N
DESCRIPTION GROUP TYPE. SQ FT VALUATION
BASEMENT U R-3 VN Bis 7524.00
COV DECK R-3 VN 192 1152.00
GARAGE M-1 VN 480 3360.00
RESIDENCE R-3 VN 836 36 784.00
2ND FLOOR R-3 VN 872 19184.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 495 ..50
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 79.28
***** *3r**** :3**** ate**x***** MECHANICAL_. PERMIT *• ******ae*** ****• ***•****
CONTRACTOR= QUALITY HEATING & A C PHONE= 509 467 4032
STREET= F' 0 BOX 696
ADDRESS= MEAD WA 9902i
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS WATER HEATER i 10.00
GAS HTG EQU:IP< i 00, 0O0 BTU i 12.00
AS PIPING; 2 ry
a;•a,a<ararac•a;•a•ai•*:*ri,-*************ai**t PLUMBING PERMIT * xh•****•****r*********•**** •** •
CONTRACTOR= ALPHA PLUMBING & HEATING PHONE= 509 535 0727
STREET= 5805 E SHARP AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 3 18.00
SINKS 4 24.00
SHOWERS 1 6.00
BATH TUBS I 6.00
KITCHEN SINKS 1 600
DISH WASHERS i 6.00
GARBAGE DISPOSAL., i 6.00
CLOTHES WASHER i 6.00
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,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= 91003443 ISSUED PERMIT DATE= 06/26/94 PAGE= 02
ti4.***. ***til•til'**til•**##************3{)F PAYMENT SUMMARY *;R•*k****•Yl•***tie ***#i• **a•;R•xi•:l•til
PAYMENT DATE. RECEIPT'- PAYMENT AMOUNT
06/26/91 4153 681 .28
TOTAL.. DUE= .00 TOTAL PAID::- 681 .28
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 579.28 579.28 ,00
MECHANICAL. PRMT 24.00 24.00 .00
PLUMBING PERMIT 78..00 78.00 .00
6E11 .28 681 .28 .00
PROCESSED BY : WENDEL., GLORIA
PRINTED BY : JOHN LARSON
*•tip}***il**M**•k*tit,*tit*.k.•ktil•* :•Mr*k•****•*i{* THANK YOU ***•if***: aE al••n*** •***•k•#*' *** :at***x
/7/. r A
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5 vC- S
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 mmo"al 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 --*hen 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.TypioaUy,side and rear yard setbacks are measured from property
|ineo, 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 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 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 haminy, 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.
O. MECHANICAL — rough-in of piping, before coveing. 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"),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 be concealed by framing, drywall,
oono/o^e, etc., must be inspected prior to cover. Check with the department for "special inupoctinno" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN C|RCUM8TANCES, 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 noted, this permit will he 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 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 ff0 to our attention immediately by filing a written request for correction 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
permit.
. .
' .
or------- ---___ _ _______ _____________
SPOKANE COUNTY PAYMENT VOUCHER 129260
VENDOR
CODE MISCf DATE 9/1L/ -• .
NAME ;5t NAME CODE r-
-_14,1, F -_4., AUDITORS STAMP
ADDRESS p. 0. BOX 141295 r.,
0i.1" „'
}'-'ANE, WA (.3,. 14 . .-, �?-7i ti `
i;.1t1� Ili, l if I �..1 rY
ACCOUNT DISTRIBUTION,ORIGINATING ENTITY(ALL VOUCHER TYPES) 0 1099 REQ'D ID#
LINE VENDOR FUND AGENCY ORGAN- ACT OBJ SUB REV SUB JOB REPT BS DESCRIPTION AMOUNT
NO. INVOICE NUMBER RATION OBJ SOURCE REV NUMBER CATEG ACCT
:3443 030 (:I3 574.78
2 406 030 0008 ..J 07 1 nn
3 406 030 0008 2210 03 78.00
i N20 675 27nO 4.50
DETAIL DESCRIPTION
1 - 4 100% I, the undersigned do hereby TOTAL 681.28 REFUND ON PERMIT 91003443 FOR 12615 E. 14TH AVENUE certify under penalty of perjury
PROJECT CANCELLED - ANOTHER HOME BEING REBUILT PER
COPY OF PERMIT ATTACHED that sufficient funds have been
budgeted for this claim, the ma- TRAVEL CERTIFICATION
terials have been furnished, ser- I hereby certify under penalty of perjury
vices rendered or labor performed that this is a true and correct claim for
as described herein or contracted necessary expenses incurred by me and
for, that the claim is a just, due that no payment has been received by me
and unpaid obligation against on account thereof.
Spokane County or fund agency SIGNED
indicated above, that I am autho-
rized to authenticate and certify TITLE
INTRA-GOVERNMENTAL VOUCHER to said claim. DATE
SELLERS ACCOUNT DISTRIBUTION
SUB OFFSET EXAMINED and ALLOWED
FUND AGENCY ORGAN- SUB ACTIVITY REVENUE REV JOB NUMBER RPT. RECEIVABLES
RATION ORG SOURCE SRC CATEG. ACCOUNT
CRT C'TI'` DATE 19
`SIGNEDNM7�\ ; CHAIRMAN
SELLER CERTIFICATION OFFICE ADM \ ISTRAT3R
I,hereby certify that the materials have been furnished,the services SIGNED TITLE MEMBER
rendered or the labor performed as described herein or contracted
for,and that the claim is a just,due and unpaid obligation,and that TITLE 9/10/91
I am authorized to authenticate and certify to said claim. DATE DATE MEMBER