1985, 07-26 Permit App: 00006558 Residence BUILDING PERMIT APPLICATION 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 Owner's Name (last) (first) (m) 1 Department 1J8eOnly
TUPPER INC. RS. JJ Comm
2 Project Address(not Mailing Address)a Road Name Space Zip
E. 13001 Cataldo
3 City/Community State Subdivision/Plat Name
Spokane Wash Helstrom 2nd Addition
4 Assessor Parcel No. Lot Block
15542-1130 19 2 * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.4 Zone Project No.
I
6 Dwell 0 No.of Buildings Sq.Ft./Acre Depth Frontage
7 Set Bads-Front I(145-1 (R)S-2 I Rear Census Tract Module No. Initials
*
* 16 Architect Firm Name Street Address
Zip City State Phone
( )
Contact Person Phone if different than above
( )
Contractor Firm Name Street Address
Tupper Inc E. 12929 Sprague
Zip City State Phone
99216 Spokane Washington (509 ) 928-1991
Contact Person License No. Phone If different than above
Ken or Debbie TUPPEIR179DC ( )
8 Owner/Agent(if different than 41 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(Y/N) I SEPA Exempt(Y/N) Date
N Y N N 7- / - 76--
15
'6^15 Type Work XX Bldg ❑ MH EX New ❑ Replace 0 Other
0 Fire 0 Demo 0 Add/Alter 0 Move
14 Describe Work
Single family residence
10 Applicant Name Street Address
11 Zip City State Phone
( )
* *
Lender Street Address
Zip City State Phone
( )
Contact Person Phone if different than above
( )
Additional Information
q40 Main Floor
884 Unfinished Basement
•
•
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 //
W.1101 College ❑ New Construction; ❑ Bldg alteration/addition
Room 200 ❑ Additional structure; /
APPLICATION# 75_0 lie
d
Conditions/Comments: „4.'7f-di----;(-1
❑ Planning/Zoning: ❑ Commercial; ❑ Cert.of Exemption; ❑ Frontage;
N.721 Jefferson ❑ Setbacks; 0 lot w/d; 0 lot size; ❑ use/zone; .
❑ CU,variance,zone change;shoreline; 0 fence;
O Other
Conditions/Comments:
111 Engineers: 0 Commercial; 0 Residential; ❑ Flood Plain; 7—/I �� I
N.811 Jefferson ❑ drainage 0 new access/approach; ❑ fence; ..01011111
❑ road improvements
Conditions/Comments: ////41:—2/2g
Utilities:
N.811 Jefferson
Conditions/Comments:
Other:
Plan Exam
Fire Prey.
Conditions/Comments:
c
c
c❑
Project Representative
Telephone
a Agencies Performing Special Inspection:
Y O 1.
E 2.
70- O
c
3.
1 indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
. .
. 1 ..
, .
/ ,
7 ( •
.,/ < 7717..; 1 )
, /:,""
_. I .
CkligA)
1/ ic,/,„..,,,,, 14 • N../ d/940191 i P
1
446drto€ 41.01J-4-12L"IA'a .
',',.' ::' ---4,• .
PVC- }AsrAf P-3031/
/COO 9r4 1
517a 35" 4t12.$Alive.
o $
CP. tt:tedstra,14 I a**4 Awe
•
:
, .c 'LEV
.. 3.c,,
fx-c ...,
2.z •
,,1.76 . ,/z:,
,
I j ;
24' ,
'! -2:21f,42.:1‘
A
Colcrcie .....
• 1 4-1,73T 4:0 44, 4) -- 9!)471-01-1
- - •
1Q1 z5-t-4-ix?
ii,
. ,. . 35' i -1-t 0-10-6
. . .•.
,
. . i
I ioaci
• c:'47c ,i.:vc liouy f
cukz,
ADDRESS E. 13001 Cataldo Ave. STYLE 940SE
LEGAL DESCRIPTION Lot 19 Block 2 Helstrom 2nd Addition
APPLICANT Tupper Inc. POWER Modern
SCALE 1'=20' approximately WATER Modern
JOB #