1991, 07-09 Permit: 91004032 Addition SPOKANE COUNTY DEPAR'T'MENT OF BUILDINGS
1 W.13038 OADWAY 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 c struction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATIONC� /
OWNER OR AGENT em,sDATE
PROJECT NUMBER= 91004032 ISSUE!) PERMIT DATE= 07/09/91 PAGE= 01
363";3r3E3i•3i•3****3E**************3i•ii* PERMIT INFORMATION *• * .;.**
SITE STREET= 11209 32ND AVE PAR.CEL.a•- 28543_••5521
ADDRESS= SPOKANE WA 99206
PERMIT USE= BEDROOM & FAMILY ROOM ADDITION
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
I:fi_.00,K-•: 53 I. 01-. 20 ZONE= UR 3.,5 DIST:.-: F
AREA== 00000000 I=./A= F WIDTH= 50 DEPTH= 145 R/W=_ 60
4 OF BL.DGS= i 4 DWELLINGS=: 1 WATER DIST
OWNER= KOWEL.L, SUE PHONE=
STREET= 11209 E:: 32ND AVE::
ADDRESS= SPOKANE WA 992.06
CONTACT NAME= HOME WORK.. PHONE NUMBER= 509 326 5581
BUILDING SETBACKS : FRONT= 35 LEFT== 5 RIGHT= 7 REAR= 62
x•*3k3f•**3+:***3k*3{**3i*3{**3r#*3i*•a*3k*3i* BUILDING PERMIT •*3t*#**3i**3i3i•3e•3r**b:ii**3i•3k3i*•a*3i•ii
CONTRACTOR= HOME WORKS PHONE= 509 326 5581
STREET== PO BOX 91 30
ADDRESS= SPOKANE WA 99209
NEW REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS- i OCCUF':. i_.D== BLDGHGT= 12 STORIES=
BLDGW X I) = 16 X 38 SQ FT= 986 SPRINKLER= N
REQ PARKING= O HANDICAP== CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADI) R_-3 VN 986 32538.:00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 304.00
:NATE:: SURCHARGE '� 4.50
COUNTY SURCHARGE Y 48.64
3i•3i3i••b:3i. *ii3i3(*3i•**3i•#a3{a#3i3t3t•3i3i#****3i• MECHANICAL PERMIT ***3i3i3t*•3ifi3i•if3i**** :**3i•e**•it=I
CONTRACTOR- HOME WORKS PHONE= ': 09 ::32. '581
STREET= PO BOX _91 30
ADDRESS= SPOKANE WA 99209
ITEM DESCRIPTION QUANTITY FEE AMOUNT
DUCTWORK SYSTEM i 10.00
3i•3i•***•*3t•3i•**3•:*3t•*******3i•***3i•*3i3E3i•3i•* PAYMENT SUMMARY 3i*3i•*3i•*•**•k•*k•*it•3i•*3r*3iM*•**3i3c**3i*•
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/09/91 4496 367. 14
TOTAL DUE= .00 TOTAL PAID:::: 367. 14
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
BUILDING PERMI'T 357. 14 35 14 .00
MECHANICAL PRMT 10.00 10.00 <00
367. 14 367. 14 .00
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
••r.••iii•h:•k 3i•:n:••ii b:**at•***ie**?>;3t••n.••Ana****3r:*•k:•*•a• THANK 7 i i i,f •h:*3i i•******3k 34 3{•n:***•x••s:*it ii***•b:•u:•n:•u*•x•11 h:
SPECIAL CONDITION CHECKLIST
Project
Address: - Project# Use;
Dept Date: Condition- !nit Appr:
(in) (out)
Dept,of Bldgs.
Special Insp.Final Report —___--
Hydrant ( ) ---____--
- Lock Box — —
_ . �.�
Engineer's RIDfCRP
Easements----_ �_ -- --- __._---_- -
— Road Pians/Irsipraumersf : ;::, ,.::
Bonds'
Planning__ Bons _
:
•, t. t. � �._, .f f. . s s .r
Utilities_-- _-- -_-- __._ Double Plumbing.___ -- --_-_._
ULID
Other
«, .,..,,R,.<>. ,,,k<; ,.•`T9f#S SPACE FOR COMME'RCIAEPLANS TRACKING,CERTI FICATE OF OCCUPANCY ONLY
Date received for 0/0 pracesslog Plans pullet)-for final'processing
Temporary C/O issued :- _ Certif cat Occupancy issued: __--
Office file review by: _ _ Date
Hied insp finaled by. __-__-- Date.
Ninety days after 0/0 issuance:
Owner,'contractor called regarding the return of plans: Date
Flans returned Received by
No response from ownerlcontractor-plans destroyed. ._--
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