1992, 07-20 Permit App: 92005512 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 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=. 92005512 APPI._ICA1' CON DATE= 07/20/92 PAGE:::: 01
****** THIS IS NOT A PERMIT xittie ••x :•
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15823 E 2.1 ST AVE PARCEL.:a= 45255.rt 9054
ADDRESS:::: VERADALE WA 99037
PERMIT USF. :::: RESIDENCE -- NATURAL._ GAS
PLATO= 005177 PLAT NAME= RI.DGEME:.ONT ESTATES NO. 4 -- 4TH
BLOCK= .'. LOT= r ZONE= UR-3,5 DI: >'TO::. E:
AREA: F/Aw 9 WIDTH= 126 DEPTH= 125 R/W= 50
:: OF BL.DGS=:: 1 0 DWELLINGS= I WATER DIST = VERA
OWNER=.: HARLEY C. DOUGLASS INC. PHONE= 509 409 4260
STREET= 815 E: ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= HARLEY DC:fUGLASS PHONE NUMBER= 509 489 4260
BUILDING SETBACKS : FRONT= 31 LEFT:::: 17 RIGHT= 10 FEAR==: 3
ri' •'ak•#e•1i•tiktirr.tii:a;vi:*ti!•ti<:;+:tii•tii}i•*be•tie•tiiticx•ti::ieiEtititi{ REVIEW INFORMATION *itti{***tie•ti! •**i':ii... **iii*i{**it.* '
DEPARTMENT REVIEW COMMENTS APPROVAL. COMMENTS
BUILDING PLAN REVIEW REQUIRED 2_
BUILDING SETBACK REVIEW REc:I..!IREI) _....._.._............_._.._.__........._....._..
BUILDING ENERGY PLAN REVIEW REQUI.REI?
ENGINEER A PP FE f'I A CE•I/F L..(:i C:E Z 1 C'f._F`t:!:r,l,'DRAINAGE
k'tie•tie)e•**tii#**#**•H:tiE*tie•••r:***'M:*:r'}e.•r•i:•'b:' ** TL„ • ••( E•I.:.E'•.MI.i ti*W:*piEa****•v:.. ':.*tirit*tit*b'kti;tisN:W:r:
:1 I I.I...T:�.I.t'�4.Y
• CON'TF,ACTOR,= Hr'l(YI...F"t C:: Tt01_IG1._A" '. :I:NC:; PHONE= 'si:''' 489 4260
STREET= 81 ' Em ROSEWOOD AVE
WA99208
ADDRESS= SPOKANE�
NEW=:: Xs REMODEL= ADDITION= CHANGEOF USE=::
DWELL UNI `= I OC::C:UP'n 1..,D= BLDG HGT':w "'4 STORIES=
BLDG W :K T'� = 63y 55 SCS FT= 2052 SPRINKLER= N
REG PARKING= HANDICAP== CRITI:CAI... MAT:`: N
DESCRIPTION GROUP TYPE:: SQ FT VALUATION
BASEMENT F R-_3 VN 307 4605. 00
BASEMENT H R-3 VN 1120 tti'.3 'O:.0a;
DECK K Fi— ? VN VN -120 600.00
GARAGE: M_'
M-1420 3360.00
RESIDENCE R-3 ' F') .1427 7 r0`sEI 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
RESIDENTIAL VALUATION 'r' 630,50
STATE SURCHARGE Y 4.50
RESIDENTIAL_ SURCHARGE Y 113:49
RADON MONITOR I 19.43
SALES TAX i i 55
•Y'ii•*tit•*tietie•:r.•.. ***#r * **#*•ri*''r.•'k•3t*tit•*** MECHANICAL. P'F.F MIT Mtie•**ri**Mk*k**31b:>+;Ie .*.ie•h:Xi+:XXA
CONTRACTOR== WAYNE: SMITH HEATING PHONE= 509 :.20 4431
STREET= .Ica°:'. E" d O E'.A AVE
ADDRESS= >POK.ANE. WA 9920?
ITEM DESCRIPTIC:{N QUANTITY P'E E AMOUNT
G A S WATER HEATE.R i t 0,00
i
GAHI:GGAS EQU1.F`i. i '"t"r, '; 'i0 T TI.I N .12
. }ii
CY A S t1.y..O G 't 10,00
`
^ ` * .
�
-
^ ,
" ~
NOTICE
k /u the espono.miir of the permittee, not Spokane County, to see to it that the use described on the fronof this permit
:ompoem with
app cihle codes and requirements and that required inspections are requested. Failure to request required
/nop*uz/onu anu obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necemnvaua
removal n, certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
mouacdonoAeE REQUIRED by County Code:
Foonrio — 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.TypiceUy,side and rear yard setbacks are measured from property
|.neu, whUa setbacks for yards abutting streets are measured from the property line or the center line of the
madwuv,ight-u|-way.'whirhewn/provid*sthvgrea1ersothaokfnommeoentorhnonfthemadwoyrigUt'of-way
Curb ines.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 ifs authorized representatves assume any responsibility for the verification or location of your
property lines.Please verify their location priorto locating your structure.Failure to properly locate the structure
0 ' .p - relocation at the ownor'xpo,minpesoxpenoe.
z. FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manu/octurisd home, is required to he inspected prior to the installation of skirting.)
1 FRAMING--m+leraU naming, bracing and blocking is in p|ace, and prior to concealing.
4.
INSULATION our to the installation ot drywall
5. PLUMRING — after mu8h-in, before oov=ring, and final.
•
aMECHANICAL-- rough-in of piping, before covering, 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
ciepleted on the approved site plan)required by ordinance or as a condition of approval of this permit.Itemssuch
as the irfsfailation of fire hydrants,fire department access,on-site drainage("208 swales"),road improvements,
pa(king,and landscaping are common requirements of a permit/site plan which must be completed prior to final
auomva! of building or issurance of a Certficate of Occupancy.
/n addition io the above any plumbing or mechanical systems or materials which would be concealed by framing, drywaU,
oon:,ere, etc. must be inspected P'io, to cover, Check with the department for "special inopoctionx" in conjunction with
uommnrdm| pr�ec�x
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 tor utilities or drives, State or County Engineer's Office
456-<360b
• r-sin waste thsposa system, Environmental Health District
458-6O40
• Cnntru iCii in a flood pimp, County Engineers Office
�6,30O
� o|mt,:itrioal wiring, State Department of Labor and Industries
4Sh-2732
o "v or onn -. un, Cor'nty or City Utilities Department
4S§-38O4
EXPIRATION
cid ' ivs uted, this permt wnll be considered null and void by limitation of the work authorized by the permit is not
oomma"und o, is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
aciproveci by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
clays ha assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
origina/ feo, aub)mcucertain limitations — please call us if you have any questions.
MISTAKES?
U you think we've mada an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
nforniation in the permit,please bring it to our attention immediately by filing a written request for correction within 10 workingg
rl�yno,discovery,Ali such requests should be directed to the Department of Buildings at the address found on the face of this
• Spokane County. ,
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: //S- (3Z5/ ,7/./01i
CITY/STATE/ZIP:
SUBDIVISION: /e/c6E/ncpy I ^f 3/27
BLOCK: a LOT: ) ZONE: DISTRICT:DISTRICT:
LOT AREA:4 0QC F/A: WIDTH:9'0 DEPTH:/Z S R/W:
if OF BUILDINGS: / if OF DWELLINGS: 1 WATER DISTRICT: (Leve
OWNER: ,Q ) /,s(' PHONE: S09 -`f,?J -V2C, 0
MAILING ADDRESS: X31 S E<. £c,s cj oc'�
CITY/STATE/ZIP: . c'►f V) ,0,0 992_0 e
CONTACT: PHONE: - -
SETBACKS: - FRONT: S ( LEFT:t ) RIGHT: 1' 6 REAR: 3
PERMIT USE:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: A),L' a Q 1 ) O P(5
CONTRACTOR O J 6` Lc Alf) 117:„10.... PHONE: .109 - c#5-
MAILING
/ 5 MAILING ADDRESS: lS '0 .S Q-,{j O 0 O s ►o
AM
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS: '� -
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: 6 3 X S , (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
r
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 3e DOORS U \ L7 D
VAULTED CEILINGS R WINDOWS U � Jr
ABOVE GRADE WALLS R ` Ci` GLAZING AREA / Z 0 % AO
BELOW GRADE WALLS R I77 TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R A a8 s 2-
SLAB
SLAB ON GRADE R FURNACE EFFICIENCY RATING 8C1)67-AD
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
*******************************************************************************
SQUARE FOOTAGE: //Q
MAIN FLOOR 6< 2-
SECOND FLOOR
BASEMENT - FINISHED 30 -)
UNFINISHED LG l 2_bGARAGE i'2 0
CARPORT AVIC0
DECKS /4) 12-
ADDITIONAL AREAS:
****************************** * i ********************************************
LENDER/BOND HOLDER:
ADDRESS
CONTACT / PHONE
MECHANICAL PERMIT APPLICATION FORM
r Informdeion 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)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
ELECTRIC/DUCTWORK(SEPARATE SYSTEMS) x 10.00 =
.yey��y�i:.:f.}���µ+yy.::tx,l:`i.•��{�y,:::.:>µ,.:..r�::..w.{:?} as:.}};{.r:,•;tt;%;'2:�2c ";.:?.}.x.,;v#�•Q`S!.:��c{t.}}::.}}}?}}:::-}.' =
..;. r.•.•:{o-. ) w w:�# 31' J tt: ff }',+o-o:•}}.};::•:
$W '4'•MNFF'it.4. TT. ::{`;:}:!!n f•\ 1\}•\4 ::} fi S .n ....--.....
GAS WATER HEATER / x 10.00 =
E.?' <>' ( Q3OI 1 G `w�_ / x 12.00
�`< ��311�:�rr:�, ..¢.,..s}.A..�::._:::r:.vraw:r.:::�:w:rr::.,,.kv. ,:.::.Y:r..�,.�r:,��.,.,..r....�,
GAS EQUIPMENT+100,000 BTU DUCTWORK) x 15.00
iKn..}}}:}?•.::;}?:: n::rt?,rNrrO:y?i•.x .}4pr:'i?Sv,:4}::?}}::.:xyuN,:•.{n• \ri?v:{,it':tiii}r:)${-$}}f;-i�::::�:::.
t':: j.T�' .$ i ::w.?>.:f?-:??::' 2 x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
� :y/�Jr:�.}:.?.}�:.vtivn t},}•nY•?}.`•'N Y:°}'Mv.},},v ,fr:.}}••\}ti``};"}}]�":•v:;?:? }•-.vX:vt�KrF.•}:•V}}:?i:'�:.'-
,�,,"•vy•y{{ 11 J}}Y.!! yy}}MM!�� ?• xy��+µ[Y f { F {ny _:�' ::::"•..>}•:?:<>v': x 20.00
?k.:•.'}.:.:.:,w.:: `•v'st•:,,,•.,:,}}aa .:,w, .'}w'}.a;;•}r:c•::,t:.:.}}•::a:,,•}.,....}:.tk•.:,.•.t;:.,: t•.t•raax}rr.:ffat4.�:::::`:ti:::k=c::
BOILER/REFRIG 501-1,000M BTU x 25.00 = •
.i}.ir•1i:':t-:tr.:i•.:i!Y{:{4:}}'ry:;ixu::x:r{n:::.i^$}rv:�}:?:.}::�{:.�::�:�±!:}'�:: ?:�:?
r .' � ... f kA Arti -
€BOttr�RRE O PIRA 5QM•RT(#,w t..a:: .t..4 .,,., x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
.,:;{�,,��..:.,-..:fix::.:,.o:r{.,::::>:::.:,:.,•:.},},:::::::;:,•r< --::
♦�•i .•t: . til't'): >:: B I ": :?I' ! 5::£::::>:.?a.}}::.:..}}:?.;??:t.: x 12.00
i!;:1� � ��x :+r�?Q ,S{���.}.i4:n:•:.tw :..-.w.::::.�•rxr}.iv„x•:.4v:t,•:.x•.•n.:rr:}::::::::::r.}
HEAT PUMP&AIR CONDITIONER 3-15 TONS x 20.00 s
v:v}}vv.!OJ,v}y:•';}r{wyy�:vv,v}v:p�v��x7�y .,y:..vyi.}��:yy:'.v::rn;.}vmay:�:q}Y:4'�..{:::.vv}W.::}},;.�+,-�i::ti?'F};:i%r. _ • - i
' : #' V'f 't r f t f`t ltiei 4 � hTI f f '1 at �;= x 25.00 =
;..:,•?.t..,:}•..•.• „�.,.,ccs,.{{•..a.U ' 'w�:rwc,•.:.,o..x;aw.:,tQa:�r,..r}:w,,.:....,.:.:..�<::f�:a
HEAT PUMP&AIR CONDITIONER 30-50 TONS x 35.00 = '
v:ffix¢KrKvx:�rxr:wyr,:{r�.;::mr{:•:.•tn}w:x{ xyriSrerw{y�v:.vl$�.L:•}::?:{::{,r�::}_5{::;�
itatt galit nie telae `t`"}Ya s1111.r..ti x 60.00 •
-
VENTILATING FANS , x 10.00
y ; \K.Ti}*: ':'.>'
.?f.iY.< . t } , x 10.00 =
TYPE I HOOD(PER 12'OR 12' PTN. OF HOOD) x 50.00 =
}vr:.}l�Y.Y L•...f.;?::;}•::{?}.f•'.•,:3};::{ hvY:.r't.: �j:2�}::!:i::}:v}'6i.`?i:?�:: :i{}?•-'.:::i;:;:_ 00
x 10
t{::�?Ytt??::f•�:}::{::�*'•••<':{t.....? ::ry%-S,?:.i5':}i:,{v'.?a:- {}};.%.::\v.?'•}{:?:t•}>.p.
'{{.}?.:•:,.:::::... :•}v.: :.{f..;t. .:.... .
=+�}v.:Y�wun•{:i'}:v.n.n.}.......'v:}}>}?::•}?.•.\•. •}:•: n-4:.... •}:::vi•:{i'?•'1•.:�i i:•:•':::i{}iii:}
}}:6:i•::ii:?:JXk ...r..,..}.:4n•}:vf.•:•%{v{ :'.•:• {;{.:• .{t?ivi::•:•}`,i•::}k•:t8:ti•:h:A?v.,•::.:�:}::•:•:..:.:. __
CLOTHES DRYER • x 10.00 =
�{♦�,ry/{/�� -::}t:f•:::r-.:. {.:. .,... t.4::.... "?y,':::.x:_.::r•.zM1};}.}:ic::°_y: $;: :i;••:;•:: { x 10.00 _ .
}f.:Y:�R•:T,*�/!�>'G:'.} }^s{{?.:?•:..' :•}:•}}•vS:• >-?..:4>:} .:....... 'r.r....... ....
GAS LOG.:.:.... / x 10.00 = s
x1 . 0 =
:I�tt�G0�..L.;A�1I�C� <::.f ' ` i� 0�:t. :: .1 . 1Nkl -
UNLISTED GAS APPLIANCE<400,000 BTU x 50.00 =
IN?::.,. ::::' `:a -}:.t°.1 t::, OOG B'' `:<:>h<.;<.:;I:::::>: :>>; x100.00=
USED APPLIANCE<400,000 BTU x 50.00 =
O11.1 ;::114AI a 'f'filinf.?t«.::,>}}:}.:}>:t.}>}}}}}}>}?»:t.????:_?: x100.00-
AIR HANDLER<10,000 CFM x 12.00
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 P€RMITAPKICATION 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 x 6.00 =
{.:}-:•}:ii•:?3itr::i:>;n n, r,.^''�jv/.".:vvi•..v,.;.....i• rr:?:':+:{{n•v•.
x 6.00 =
��-y� v.+t}\v;: :.,Ysi:•.}';"ti•'r}}'}:•:?+y}} i'i'if}:.i:%:iv'%ii%t${?:ii'r,'i:Li%j?i:?.
�K' ,.?{ y`.'<:<•x/:".},}f•}:{{3i:i:•}:?•,.:•,-•:?: i :
}:3:3}:•}v}:{?3:3:3:•}:::.}:{?•:v{::u•:tiCti i::::}isiv�:v+lvr'•.v}.r,'v}rh•}r::?,v:::::is is}%'}ii::i:•::isi%ii'r:::-is%i:::r:':::�i�::::..';-:ii::}i:::};:i.;%.;
SHOWERS / x 6.00 =
}v}Y..v;3}}v,ri'..}}}Yf3::ti?^'.'f,.:?+ii'{:3}:j't."'r>::::ii%:':,'4:ii:?jr:n ;Y.v�}:y
5
h =
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x6
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KITCHEN SINKS / x 6.00 =
y,�'A x..�:>..::f..:wAv::::.?,.?..:h{, •:.i}.••:v..:}}}}:v}:•i'v::ii`rh::.:.:::::.:w:±.}:}.+•
:.::....:::}:::
..:.:......:. :...... t.......:::::nvx:h•.wt,,:..hvv.:.....n n........nv :::w-.:.........::n.......::::::::::::::::::
:...:::.:::.......... ... x 6.00 =
GARBAGE DISPOSAL
•.yy{:n:;m{{i::;vtil:}'??•}:•}:?{?}?i�'}S,%':ifiii•}:•}:y}i:{;:-}ii+-iii?'i.,?3:0:•:?•}'v:{?3}:??;}+??•}:i:%
:h••cy{'••:.}k•.•{:.:y}-x•}i?{}+:u•::i::}:::?h::}::%}:.}x:::s:<•%y'{••i:•`.:: •i•.:•:•+:•:.}•.:<••%::.fi6.00 =
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: Fliw.W?:iW1M�i::v:::-:::::::.:::......:,..............................:...::::3:•}}}:•i}::ivw:}:::::
UTILITY SINKS x 6.00 =
x6.00
E
FLOOR DRAINS x 6.00 =
•.••}x{{.;t::;Y:.}x{{n}}:3:{.;;:p;:{:iiax;•:i:�:i:%.`�i::ciiiiiii:::::%:%ii::;:..;:{;.?;.; :..x::;%:;};;;}}}M1ir
. ;;fn i:,;:z.:.h:: •:..•.,.:::.y.}<>}:«•:::>:�;:<:::,:i ..}.:�::: x 6.00
•::i3.•::r-.r�r+.t::r r.•?,2a?}•h):3:.?:?.:::;:•}h•-:•:{....;;•:3:{: .•r'.?::cri:}.:::?{:,::: k %::
•- v.•.n • 3:..},.:..::.. yr::i:.:{{.}'F..:3}:•y;:}:?vx:::h3:3y.{..
}:•ii:w:•}}}i:•}.-0:"+vv}:4:ih•:.:iS}:vv}i..W:iNM4}S„v.'{-0i3Y:.;;,•.JN:?::N.;vi.{•}:::::.�}}}:•}±:?3}%?
BAR SINKS x 6.00 =
Y..}:v}•:?{:.yv v,.•.:K{???{3::•}%?3';?inivm:H.v'?.:?;hw'•:ii{av}:vi i{}'{}Ci;;}`}}}:?•}vy}i-ii?: }:•:{{a}i}:-•{.}}:{m;;}:;:x.};nk?;v
`f tggp o 3:. f• Ira �•{ }`�< < ?3,�..{{}> r. x 6.00 =
�kh n3A:.vf..v:rx:
LAWN SPRINKLER- FOR EACH BACKFLOW DEVICE x 6.00 =
?::F.x{3:+?:r:3.3y.{ra+3}:o}. ..,.,y,...a } }y{,;. r.:�::;.x-;;r?r:�r3,'•>y::� <:`.:5??;r:Y;;,set:c�oi:3}:a;:;x:9^^'- --
WATER
B r :w::.}•:;::. x 6.00
::•S'i: i.:H'• .?v3'/x.,Yir+' ;:tij{v\%�`{?•{? :S;::{y::i: —
..:.:....}}}}}}:. :::w•.-3i:3} }}:t}hwh3A:rJ}:rh �..::.....
WATER SOFTENER x 6.00 =
}N:3}}:-:•}:?....hr•%•}}:w:3}}:x}•f.•}}:iv:::::ii�}:?;:iii a:iii:S}}yiiiF::ii::•:•:?:}:ii::i::r}::i}
.v.+,!•C;i^...v4•}}:-}}}yam}'•}::::iv
Zvi.::..r.
•::+f.>;:«:i::}::ii:�:::::;:>:<i::<1,::>::?iii:::<:iii :;::: .:i.<ii::::i::i::i x 6.00
�} 'au •::{,:?{.}}}Y:}:?13}:?3:13:3:•}}}}}}i:?xm:•}:•}hv::rvni?:•:.}•.}w.}v:
[{.•.F'.F��F:)�J:v::4$:iii:i•}�'{.:::•v.3i:;n':?{::�:..:..:.
+ 3};s}}i}}Iri?i??ii{v:{}iti?{14::•:?•:?}iiisisi%:iti3h\L:•}:4:i•}:dh•}}}}}}}:3}}}}}:.}}}}}}:;ti{3}:3}:-}}:•:i-A:•:{-:}.3}i:}}:
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL $ s
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
'r 1 HLA7 LOSS CA L
r iuLAi ,or:s
'19 �fck ' y�
L ` _Q,Ly.I 1� s S,,: fru- -metre l '- /
man" Ps- Dimens r _ .
DZHENSIoHs - XRZA x "Ux S . It. x 3 '' �7s cu. ft.
Grosz Outside Wall r x T.D. r gIUH No-ES
W1rldpw= 'r��F£i ) r X i
Outside Wall /z`s `''sx 60 -- 9`� i• l_ llta.i Less•-:- "A.�aye tru }
Outside Wall -
X x so
1 e ,- C r.-"-.! (Li "' .,.2i x , y7 x SO ' 790
Floor x x - .
Ceiling • 7S x
,o�4dC "0 - /...57,MI3 C. /e % t,- IN's'4..J. /oscec - > x a
•�O �7e�- -27/T/
Infil.
97- cu. ft.x .018x / ACx rjp - /5c64/
TOTAL BTU -297" --
l'�•: Lr ►1r., Adorn Diens: p
1 /s X /.3 a /9,' sq.ft. x 8 - 7s-6,0 cu. ft.
DIMENSIONS - AREA x "U" x T.D. - STUN NOTES
I Gross Outside Wall -
Windovs (,t,. .) - d-z7L x
1 Outside Wei.l • 3-S x f3o = /S/�
�4t4- fl v.) - /eV" X .oi7x - o = 4/ 9/
i Outside Wall ( ,-,,-,./-€./) - mac} x • at/Tx fie - /fl
l FloorP.at_43o-c1. (iergi.3- FA.) - 4,10 x ,off!7 x 8O a / j
lj - x x a
i Ceiling - /q� x ,oat.x div - 401,
IM.Sc. /o '7 6/ M,StJ./acSct - X ./0 X /`7L = SMO/
1 Infil. /syp cu. ft.x .Olex /
ACx 60 i 4,,,l"/7
��,,� �,� Tc^rA 3 T 5. .�
'!�^,�: -� ,fin D im e n s: /a x /9,s' _ -./;4.f s c,. f t. x 'A a /R 7�- Cu. f t.
1 DIMENSIONS = AX.-.1A x "U•' x T.D. = STUN •NCTES 1
Gross Outside Wall .
Windows (L.., Fl) a e, x .3sx 80 = sy
Outside Wall (L.14_f/) - eSi x •ay7x 60 _,j7
Outside Wall (Kz.� €C4 ) /07 x �07X fro - yo,_
P-1—:---,-#641-.
c.0:n.144.,as C4uK f1.1 • 9 x ,A,S"-x f30 = ds�
W.n ,a (fia•tio) - /iv x •`//x 3a =/3/2.. -
Ceilina ._A„ x , oit,x ao - 987Misc. /o:. ..,.Sti io,•Spt - x ./v x .5-7-1,Pc .57-
1 Infil. /R-7a.. cu. ft.x .018x / ACx 80 - .4Lq�
l TOTAL 87.U Leo?
&t nom CSmafteA Diraens:
Jo s x /6 I. /o0 sq: ft_ x f 8oc3 cu. f:..
DIMENSIONS - AREA x "U'• x T.D. a bruit NOTES
Gross Outside Wall .,
Windows ('n Fl,) - .. x
Outside wall • 3sx Ai• god
��n# j1 '• 7/ x .O 7x do o - -2(..7
Outside wall (/iv_f/ ) - 4,0 xx
Partition 'n fie - �b
x x
Floor
• ••
Ceilin r x x -
/47) x .est, x g.
C. /o% .- �►r,s�. hisses - XInt il_ Bo • .�o
i,00 cu. ft.x .018x :7 ACx Pp - Sod
•
TOTAL BTU �yi.27
Page / Of c/L .
•
r HLA7 LOSS CR
r .. Li UL.TiOt:Sr
6Y_ KED___DATZAV/S//qa
Aoaa: c/roorYl L 0r9 ate) D imc n a x / - /
DI HSIOD - ATs x "v- ci. ft. x 8 - /f y Cu. fL .
Grosz Outside Wall - x TT.D.D g IH NOES
W ind otirs (f� x,F tL.]
Outside Wall <yt, '_ 1.,D,_ X y. T X ¢10 — 33�
Outside Wall 7 P X . /7x 80 - .46 t.-
�r-r,,i. U.) " l•4i X .e y 7 x Ho a 3411
Partition = x x
am
Floor •
. X x
Ceiling •
HIS" /e /o m,s�. /ossrc - /11.3. X . /o&XiX RD "0.297
Infil. I/4l cu. ft.x .018x ,/� - //s
X ...I%...I% /.5-L
7 ACx go 3
TOTAL BTU _270/ — ,
:Paoz: gc,-0, • Dimens: (o x g a
i DIMENSIONS - AREA x "U" x T.D. �`BTUH� .f t_ x g N •�� eu.f e_
I Gross Outside Wall NOTES
Windows - X
x a
1 Outside N21.1 .. x x .
1 Outside Wall = x x =
Partition - x x a
Floor iiix x
•
i Ceiling - 48 x.O x Ra ' /ao
IN.isc. /d '/o 4.- rH,$C). /0c5e.s = X ./O x -9/*7 a 1�
IInfil. Aci cu. ft.x .O1ex •7?Cx po a sg' _
T cf.'A✓ BTU 53.4.
•
Room: «-,fl/u) / DL ens: I x /f� = qs7 sq.ft. x ')• a 7,94/..cu. ft.
(/ DIMENSIONS '' ARZA x ••U" x T.D. = STUN .NOTES
Gross Outside Wall -
Windows
-, x X =
Outside Wall - x x =
Outside Wall x x =
Partition - x - X =
' Floor x x a
Ceiling
96 x. DaL x =
Mise. /O / --tor M.X/. i/3siti '1 X •[O x e/Q./ c /19 t
Infil. -784 cu. ft.x .018x ,7 ACx 136 = 710
TOTAL. BTU /O ,
Roc:a: Mader adroorn Diraens:
/a i x /e".s - /14 s q: f t_ x (C3 � /3 9_1. c u. f:..
I DIMENSIONS = AREA x 'U•' x T.D. a BTUN NOTES
ICross Outside Wall
Windows (Ae (l.) a -2/ x .33-x So - 5 s
Outside wall -
urrfp•) � QS X .ay7x fab = 3s9 47'
outside Wall yt#-f>j - 9G x .o Wx ilio -__34.,
Partition _
x x a
Floor _
Ceiling xon
x
-
2113c_ /p .�o /'7y x .6A-Lx 1.130 a 3!
• Datil.. Mts�. 1..5,...s - x ,/0 x Sof/ .. 5O 7
/39� cu. ft-x .018x 7Acxga i
•
TCTAL BTU 337,E
Page o? Of
H£A7 LOSS CAL^uus7 ;or;S
r f
cs ./'''' (4 8 <5_,F, PQM,-- d, . •
. eY 45-e--.-_____ A-1-E��21540
oca: lYl a Skr Aa4-1.1 Dimene i
x 8 - 340 39. f t, x 8 -
D1MrUSIONS — XREx "U' x T.D. -O Cu. f c .
,..
Groes Outside Wall )H No7ES
r
Wind c .- P
l er r FQ. As— i
Outside Wall e,.� ft)
-
Outside Wall ,. ---F3 x.
Qy7x R° - /f', , .
.. x x -
P arti ti on - • x x -
•
Floor - x
Ceiling • x -
/ D x D.a` X AO - A3
MISC.. /0 .4 ,t,sP/ ./iScpS - 1x
-!d 79�., o 7
' Infil. 3.a.0 cu. ft.x .O18x ,7go "'ACx , '
TOTAL BTU 57I•
P'..00m: w Gt l l!- A.) o-cas E j' D im e n s: q x ,s- a
DIHbNSIONS inr AREA ifS sg.ft_ x ...4106 cu. ft.
"U" x T.D. - BTUH NOTES
Gross Outside Wall - •
Windows - x x
! Outside Wall (1 ,qy -a.) - zio x
.D'f'>x z=30 = /.Sv
1 Outside Wall - x x -
{ Partition - x x a
!( Floor usx x =
i Ceiling/ / a "4s x , O�6x ffo - 951
!
I }tisc• ae/ i11.4U (os�Y� - X .!O x GO 7 = et/
lInfil. ,6 cu. ft.x .O1ex •7 ACx 8o - ....1.4,a_
TOTAL. 3711 LL4:3
51°°::1ar.,,II Konrrl Di-nens: /471 x a3 = .aZ)4 sq.ft. x R =�s cu. ft.
DIMENSIONS - A_Z.A x "U" x T.D. = 9TUH .^CT ES
Gross Outside Wall -
Windows (R�a.-- e-&4.) - sG X .3Sx 80 = /s
Outside Wall (ip Fes•) - /_�8 x .6SI7x 8o =
yam/
Outside Wall4y,- 0,0 //. ... x ,09.-7x -qa a 9-14
Partition - x x •
Floor - x x -
•
Ceiling a- x x -
..isc. /0 4/ • .,- r1,sc!. ieg5c4. - x •JO X w/-79 a Lig
Infil. As94, cu. ft.x .018x i ACx L, , . 3709
Ter BTU 1.797 -
•
F.-"`s': &dr-owen Diens: // - x AS - /a7 sq:f t. x 5 - : /Oi cu. f r..
DIMENSIONS - AREA x "U" x T.D. a BTU11 NOTES
Gross Outside Wall -
Windous Ct J- few!) - /(i x . 3S x - 4'f8
Outside wall •,„_,,.,4 €12,,j.1 - (ems x .Qy'x -
Outside Wall CR-i/
Partition -
x x •
Floor
Ceiling - x x •
``�� j/� x x
ki3c. /0 !o ` e m,Gc/, lac rc - X ,/O x j 31 a /92...
Infil.
, cu. ft.x .018x , ACx on
ICTAL BTU .2!/
•
rage .3. Of T
t f1LA7 LOSS CALCUU.7 %or;S
C9 / (1p, ,F� ra L ,
•
4CCa: ` Ounrii/14a 114,0 m
• Dimer
DZKENSIONS - AREA x U. 'y0 .- U f t. x N O cu. f i .
Grosz x T.D. B
- :UH NO:ES
Outside wall =
Windows
x X
Outside Wall (F-,„..f q.) - x
� ,o 7X 3r> = G 7 •
Outside Wall ( i. plid - 'f8 X °y7x /30 /8/
Partition '��9 -
Ceiling
•0 Oor '. l �reb-J-EtAt.I a" _2! x .�7 x sc. - '03.
x x -
Ki s c. /o % -1-oY .,i,s u. Costs - X •/o X /35.,, a /3a
Infil. 9/,0 cu. ft.x .018x / ACx g - 1382
TOTAL BTU „36 r I
!Room: SrfDimens:
I DIMENSIONS - r AR.A S x 6 a .91959.f t. x (5 • �O CU.f C_
x "U" x T.D. = BTUN NOTES
Gross Outside Wall
Windows (-R,gnt F1wJ - (p x ,ss x 8d' _ '
! Outside tiall / /�8
Kin} f.G,,.) '' 'TA) x .01,17X 80 = a--ir
I Outside Wall (
x x =
Partition - x x =
Floor - x x =
•
Ceiling - x x -
fMI5 C. /O Vo -4.-en,s.;/
r.-en,au. losses = x •/O x 7c5 = -IL_
j I Infil. z, cu. ft.x .O1ex 7 ACx go -,-/a-,
. : (Jr]j n . ^OOM Dimens: /cel x . o
D I K`y S I ON 5 ARD 5 5• f t. x f3 42:),740 cu. f i.
AREA x "U" x T.D. = STUN .NOTES
Gross Outside Wall
Windows ( Latw) " & x ,as---x 80 = .1.1.cf
Outside Wall(/ 04.4. U.) " lo,c x - 44/7x 8o =-34/
Outside Wall 64;, ,A,4) •. /4D x _ny7x Bo " Low .
Partition - x x '
Floor - x x -
•
Ceilinq X X =
Kisc. AO./c, 4rr,,.sc� . I.•'sass -
x ./0 x 373 _1$17
Infil• e/.p cu. ft.x .018x.? ACx gp = _ L
TOTAL BTU Aga o
R- =11: ikirri. ilrva gmon Dimens: / �
• x AO - 4(v0 sq:f t. x P) �0�}v cu. f:..!
I DIMENSIONS - AREA x "U" x T.D. = BTU!! NOTES
Gross Outside Wall
Windows - x x -
Outside wall (/ / i) - /04 x .og7x 80 -
Outside Wall (/ j 3/GF5 x ' Dy1x 8o = (033.
�-
Partition
- x x
Floor
Ceiling -x x -
x x
lilac_ /0`/ e- ill,ay. /DSc Cs. X .10 x 3//9 " 3/2 •
Infil. AaRD cu. ft.x .018x,7 ACx -
•
TCTAL BTU 3593/
•
Page 4 Of T
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
O AD.._ "1 --i
ADDRESS �� o RESIDENTIAL ENERGY CODE INSPECTION CHECKLIST
o PERMIT ,:;1_-55-/
- p
o i SUB-SLAB
o • PERIMETER INSULATION R- pif.,GRAVEL BASE o PLASTIC MEMBRANE
o
O 111--�'
"
O o APPROVED FOR COVER BY DATE
0
F INSULATION a& CAULK
o • WINDOWS &DOORS PER PLANS;.WINDOWS&DOORS CAULKED XCVAPOR RETARDERS:
WALL 1/
o • ADVANCED FRAMING: A SOLEPLATE CAULKED CEILING
o WALLS PLUMBING//ELECTRICAL
CEILINGSPENETRATIONS CAULKED A ATTIC VENT BAFFLES
o ,�LCOMBUSTION AIR DUCTS
• WALL INSULATION: R- / + SEALED DUCTWORK D
INSTALLE
o • VAULTED CEILING: R-1 ,r EXHAUST FANS/DUCTS STALLS ACE VENTILATION
0
• BATT INSTALLATION INSTALLED ort RADON FAN CIRCUIT
O TECHNIQUES RECESSED UGHTS
0
O o APPROVED FOR COVER BY / Z) DATE
0
o -- ---
o
R
ENERGY CODE FINAL
0
MECHANICAL SYSTEMS KWEATHERSTRIPPING PLUMBING
o ,, BATH EXHAUST 0,,DOORS &WINDOWS WATER HEATER PAD
0 • KITCHEN EXHAUST z,ATTIC&CRAWL ACCESSES ,(SHOWER FLOW
• AUTOMATIC WHOLE HOUSE o SWITCH &OUTLET COVER o FIREPLACE/WOODSTOVE
HAUST PLATES0 ' � FIREPLACE DOORS
r MAKE-UP AIR INTAKES 0 I I, FLUE DAMPER
z DUCTWORK INSULATION COMBUSTION AIR
• EQUIPMENT INSTRUCTIONS o FLOOR R- 30 s CRAWLSPACE GROUND COVER
• HEATING FUEL&SYSTEM TYPE: KATTIC R- 11 CRAWLSPACE VENTILATION
P/4 pf�BELOW-GRADE WALLS R- RADON VENT&LABEL
• RADON MONITOR /\BATT INSTALLATION o
TECHNIQUES
SERIAL NUMBER 25-740 I
o FINAL APPROVAL BY c-A,.e�yDATE `J '`�-`1 0 wsPcf+Kz.oTP
0
Gam, 7 ZIA 2.. - 'Ic?ta thi u.► t
901-
ao
ci
j(q_.Q WInC DKIV
I.8-APS Q600( coeb