1978, 03-01 Permit App: M5150 Residence h
APPROVED AS NOT6D
Spokane C unty/Bldg. y de u t of Spokane, Washington
Date j ,/ I /DINE, CODES EPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
by - EICATIQ FOR LAND USE OR STRUCTURE PERMIT 4-C'
NERAL REQUIREMENTS PERMIT FEE 5(
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress -.
and egress.
�,.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APP ICANT FILL IN BELOW THIS LINE c
Name of Owner 4.4,-1.4e4 ...... a = Address A). //oe ? .2./".,a11.1-4...., Phone A " lCa?-2—"
Architect Address Phone
Engineer AddressPhone
Contractor / --fi'N-s2Address 'f Phone _�_
Legal Description of Property (Give com tete descrip on fro heed, t x receipt, etc.) Parcel Numb r /3--.0 '7
/ 7 /Q CL,e.,-,t
a�CL - '_"S_
2R —- c o� /O .-_ /' /
ROADWAY R/W WIDTH = fir c/ --
DESCRIPTION OF WORK: New Additiioon Remodel Moving Bldg. Zone Fire Zone
�`
Size of Lot 9' 7 v /'.3 L) / Sewage System ' onst. F/26.7./,-2-yr-'_--
) 7 Fr., Conc., Br., etc.) 0 ''r 671-Stories ( Dimensions .6-262 k i ,e0 0 r /O X/Q ' Total Sq. Ft.:2°,2yO Valuation 1 °u C3
Rooms 7 Baths 2- Basement/' 7/ Foundatio Const. ( O '�```' Z7"L''' Chimney//t'( './ Fireplace
Fu I, part, none) `-/COc �`� (Kind) (Number
Heat. SystemeCeC fl ,,�'''Type of Roofing ct,n.XC..2� Ext.lFinish �/�` l Int. Wall Finish ,O'' 4`1,41
Use of Bldg. �Ji ,71c GC C _ I 't�¢.L 61.4._ Z Gi C . f; k C 4 No. of Units—Bedrooms `�
�✓ PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
,2,23.-- U/ 379..-/-11.---s/7 --C220c C-
rte'r--1......-Aco E--r-.Ar®.r-
X (7t % rerity RESID ITNE A -COMMERCIAL
UIRED
1,(e.4/PC. Plumbing Permit
in Heating Permit
m IP
N to Sewage Permit
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/10/7 g get;rtk-
SOUTH
I hereb certify information submitted is correct and there are no other structures located on
this property except
as shown. ;— / _
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS/IS NOT A PERMIT.
14-cll
DO NOT WRITE BELOW THIS LINE
#Jur street address will be /bl.� The zone is /-
VSewage Permit Number Issued Building Permit Receipt '*O j Issued
Remarks
Form 523 Bldg. Code
�tESTINg4q
syyy NSpFao� PITTSBURGH TESTING LABORA CORY FORM NO. 49 REV.
y0P o9� ESTABLISHED 1881
Z PITTSBURGH, PA. SP--482
2 Order No.
#2 AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS
` <y Sr PP"yhy ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHORIZATION Report No.
Cj HO �yF' FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING
YFE ��� OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL. CILent� N
�SANOG i X5128 1111,
REPORT OF IN-PLACE SOIL DENSITY TESTS
Client
20th 6 Bowdish
Project
Sand
Soil Description
128 . 7 7 10 . ASTM D 1556
Max. Dry Density lbs./cu. ft. Optimum Moisture % Method of Test
DATE OF TEST FIELD IN-PLACE DENSITY
TEST LOCATION ELEV. LIFT MOISTURE (LBS./CU. FT.)
TEST NO. FT. NO. COMPACTION
p /�7 p WET DRY
3/15/78
South wall' East lot 9 .S 143 .3 130.4 101.0
•
•
1
Technician: Todd Neumilier
Remarks
We certify the results ex Llai compaction test only.
site preDarati.on 6 bee ri11 operation Baas not wit nessec�
by this 1GW.
3-Client
S RG ESTING LABORATORY
3-PTL `
j.H. Thoma 6Tanc,
DISTRICT MANAGER
I
Q��yESTING14 Form 1205 Rev.
y0,- s PITTSBURGH TESTING LABORATORY .
E. 23
ESTABLISHED 1881 }�oiE�i' �
�y S P�.., PITTSBURGH, PA. Order No.
c •
�N RF��l�\y AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS 9
fEgSAN0t*- ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHORIZATION Date 3 1 +f 8
FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING
OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL. WO
9L
Lab §3556
REPORT OF Report 01
MOISTURE - DENSITY RELATIONSHIP OF SOIL
For : James Dunh ;1m
•
20th 6 Bowdish
Project :
Spokane, WA
Location
Sand
Sample
ASTM D 1557 "Cy -
Method of Test
MOISTURE - DENSITY RELATIONSHIP CURVE
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Date
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' °`y�P Transmittal No. Application No. B I ,
I
O NER INSTALLER 0
Mailing r
Address Phone Phone P . ...
.. ..._ _. ....._.... __ . _.
INSTALLATION PERMIT RECEIPT
j Date
spy a
. .?/6/?Gr.-.) .
"Oli 0%4' Transmittal No. Application No, B 0 ") 9 2 5 .
OWNER INSTALLER - . .16.—/:4 fak,
Mailing / 1
Address Phone Phone
0 /tr. 6/l3// 7 SPOKANE COUNTY HEALTH DISTRICT
° �� `I W.1101 College 456-2340
=R�'�y Spokane,Washington 99201
"(P" °,s, B 05925
Transmittal No. Date g/� Application No.
PPLICA 444 TO INSTALL OR RECONSTRUCT SEWAGE DISPOS FACILITIES
Mailing )./ )_ /
OWNERj_l_.--/-2-LJ' Address /�o� / .�`'�-
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Of Us .� ed rooms es No Discharge? Yes No
Water Supply: Pub lc (Name) / OR Private Source
Replacement? Yes No Fill Approval Date Building Sewer Elev. ...-----
Ft. Below Finished Grade
Septic Ta Length of Drywell
Capacity Gals. Dispersal Pipin Ft. Drywell? Yes o Capacity Gals.
Other Flow/Day Gals:
Management . No. Of No. Of
Systems? s No Acres Dwelling Units Mgt. Name
REMARKS 6o- � .,,,,`,./- ,_0/2�"4.`
•
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