1991, 06-27 Permit App: 91003739 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
1 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
w
q, --32 yi
PROJECT NUMBER= 910037 39 - APPLICATION DATE" 06/27/91 PAGE=:: 01
*x•**** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
- SITE STREET= 1 471 1 E 15TH AVE PARCEL.4_ 2 3543-1 41 1
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE / NATURAL GAS
PLATO= 000 368 PLAT NAME=- CHERRY ACRES SUB
BLOCK= 4 LOT= ii ZONE= UR 3.5 DISTO= F
AREA= 00000000 F/AS F WIDTH= .100 DEPTH= 135 R:/W::= 50
OF BLDGS= :«: DWELLINGS= i WATER LIST = VERA
OWNER= KRISL_OCK , LYLE & EVITA PHONE-: 509 922 0180
STREET= 1 .719 E 15TH AVE
ADDRESS= VE.RADALE. WA 99 037
CONTACT NAME= LYLE OR EVITA KRISLOCK PHONE: NUMBER= 509 922 0'180
BUILDING SETBACKS : FRONT= 30 LEFT= 21 RIGHT= i2 REAR= 64
*****o************************ REVIEW INFORMATION :** *x•** *** *** ***** •***
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
BUILDING PLAN REVIEW REQUIRED »__...__.._.__..__...._ . k_____________
BUILDING SETBACK REVIEW REQUIRED ..__..»...._......____»»..»__...__-...._».._»..»..»......__. ..
- -----
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 9,/= ._.... 1 •.
K**•**ie***** •******************* BUILDING PERMIT ******* ***********••********
CONTRACTOR== OWNER PHONE.
NEW= X REMODEL= ADDITION= CHANGE. OF UST=
DWELL UNITS= 1 OCCUP. L_D= BLDG HGT= 12 STORIES=:
BLOC; W X D µ 42 X 67 SQ FT= 1565 SPRINKLER= N
REQ PARKING- =HANDICAP= CRITICAL. MAT=~: N
DESCRIPTION GROUP TYPE S0 FT VALUATION
BASEMENT U R- 3___ VN ..« -y _1533 13797.00
GARAGE. I~i--i VN 5145 8015.00
RESIDENCE R--3 VN 1565 68860.00
ITEM DESCRIPTION QUANTITY FEE. AMOUNT
RESIDENTIAL.. VALUATION Y 599.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 95.84
*************•rc*******•********** MECHANICAL. PERMIT *****3(4*******************
CONTRACTOR= UNKNOWN PHONE-
STREET= UNKNOWN
ADDRESS : UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS WATER HEATER i 10,00
GAS HTG EQUIPC 100, 000>BTU I 12,00
GAS PIPING 4 •4.00
RANGE i 10.00
*******ai* ******************•x Pi...l.JMBING PERMIT *x•x**•*x•*;•x•*x•* ****x*****x•** :•* r
CONTRACTOR= UNKNOWN PHONE=
STREET== UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS 4 24.00
SINKS 30.00
SHOWERS .1 6.00
BATH TUBS 2 17.00
KITCHEN SINKS i 6. 00
DISH WASHERS I 6.00
GARBAGE DISPOSAL 1 4'6.00
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= 91003739 APPLICATION DATE= 06/27/91 PAGE= 02
UTILITY. SINKS i 6.00
FLOOR DRAINS 2 12.00
LAWN SPRKLER PER BACKFLOW i 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 699.34 .00 699. 34
MECHANICAL PRMT 36.00 .00 36.00
PLUMBING PERMIT 120.00 .00 .120.00
355.34 .00 855 .34
PROCESSED BY : JOHN LARSON
PRINTED B Y : JOHN LAFRSON
.*****:****>t******** :******** THANK YOU ****x**; *x*•R*•x *****a * ***M :3*
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
|inex, 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 no/ itoaumorized 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 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.
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, drywaU,
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 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 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 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 tpmrtain |imitavons-–p|pa000aUuoifyouhaveanyquootinna
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.All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
~ '
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: X355/3 /r//
STREET ADDRESS: E. 0111
CITY/STATE/ZIP: \/E A-t.._ . ! VIA 41903.1
SUBDIVISION: 4kceEs _36a-
BLOCK: 4 LOT: I I ZONE: 64e3.5"—DISTRICT: />
LOT AREA: F/A: f' WIDTH: fe!yr, DEPTH: 4.25--R/W: 4,6
.p
# OF BUILDINGS: , # OF DWELLINGS: WATER DISTRICT: \) t
V r.
OWNER: I..YL.EEVtlA OvSLoCt-
PHONE: ,SCA - - OlSO
MAILING ADDRESS: E.
CITY/STATE/ZIP: V 1�At A`..,E wtbs. cHO 3"'1
CONTACT: J �L / \/rt'A PHONE: SO°t - - tijb
SETBACKS: - FRONT: LEFT: el I RIGHT: , REAR: (o'4
PERMIT USE: /495/.4•Acc
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: LE_ ?1S1...0C(- PHONE: Spq - Raz.. - G�14�,c5
MAILING ADDRESS : S ,V41‘Q , S-LK
ARCHITECT/ENGINEER: PHONE: - - // ys�
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS : f OCCUPANT LOAD: BUILDING HGT: /// STORIES : 7
BUILDING DIMENSIONS: 65,7 X 52 (WIDTH X DEPTH) SQ. FT. : X5-45'
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
�i,�.4C.o -7/.�'
MECHANICAL I ERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/Z =. PARCEL NUMBEP:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/Stan) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMEHR:
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/INS£I T x 25.00 =
GAS WATER HEATER / x 10.00 =
GAS EQUIPMENT <100 000 BTU{INCLUDES / x 12.00 =
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00 =
GAS:_PIPING (EA OUTLET) 4/ x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
BOILER/REFRIG:;101_-500M;B' 1---. .. x 20.00 =
BOILER/REFRIG 501-1,000M BTU x 25.00 =
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:1'5-30 TONS x 25.00 =
HEAT PUMP &AIR CONDITIONER 30-50 TONS x 35.00 =
HEAT PIJMP&AIR CONDITIONER+50TONS x-60.00 =
VENTILATING FANS x 10.00 =
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 / x 10.00 =
GAS LOG x 10.00 =
MISCELLANEOUS'(NOT COVERED ELSEWHERE x 10.00 =
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
ULINSTED.GAS APPLIANCE>400,0.00 BTU x100.00 =
USED APPLIANCE<400,000 BTU x 50.00 =
USED APPLIANCE>400,000 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
PLUMBING PERMIT APPI7I6ATION 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)
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
TOILETS J V x 6.00 =
SINKSS x 6.00 =
SHOWERS 7 x 6.00 =
BATH TUBS =
a , x 6.00 —
KITCHEN SINKS / x 6.00 =
DISH WASHERS x 6.00 =
GARBAGE DISPOSAL / x 6.00 =
_ x 6.00 =
UTILITY SINKS / x 6.00 =
ELECTRIC<WATER HEATERS x 6.00 =
FLOOR DRAINS / x 6.00 =
FLOOD SINKS
x 6.00 =
BAR SINKS x 6.00 =
ROOF DRAINS
x
LAWN SPRINKLER / x 6.00 =
SEWAGE EJECTOR :.,
x6.00 —=
WATER SOFTENER
x 6.00 =
URINAL x 6.00 =
DRINKING FOUNTAIN x 6.00 =
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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