1984, 01-30 Permit: 84A-794 ResidencePLA" "UMBER APPLICTLON/PERMIT '
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
STREET ADDRESS
1. t-:. -
LOT BL CK
2. I
OWNER
3.
C'61 �gA
MAI li NG AD RESS
4. —'
ADDRESS
DESIGNER
5.
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
SUBDIVISION LEGAL DESCRIPTION: I
M Itnl f Ji�r.l �t I �
Set Backs in Feet to:
LICENSE EXPIRES I PHONE
ZIP VMW..nFlnnr
PHONE
ZIP
C!
Upper Floors
PERMIT NUMBER
:est 15 1 West l v
-
Zone Cl f do
a�
Residential
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
I Valuation
Total Bldg. Floor Area
arage/S,or!ge
Greenhouse
CHANGE OF USE FROM
s.
TO
Cover Deck
.�_21.225
Uncv k_
Fin. Basement
Unfi�6 serognt
TYPE El ALT. ❑ AD'N. 11 RPL. ❑ MVE.
No. Baths No.
Floors
No. Fin, Rooms
No. DTIlings
7. ❑OTHER
W BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
Certifi. of Exempt.
Required Yes No❑
Number
or Variance
Received Yes❑ No❑
DE$C 8 RK , {{
8• ��
Shorelines/ Flood Hazard
Plans Required
r'�+
Yes Not Applic. ❑
Received
VALUATION
SOURCE
G S
ELE TRIC
Ownership
;�T
g°
PUBLIC ❑
SER EP IC
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER
Public ❑Private
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
thority to violate or cancel the provisions of any other to or local law regulating construction or the performance
of construction. SEE REVERSE SID O EO E P CTIO
Plumbing
SIGNATUREOF'` ' APPLICATI cy�
OWNER OR AGENT DATE
Mach.
SPECIAL APPROVALS
SPECIAL C NDITIO S: (SEE REVERSE SIDE FOR TICE)
PRELIM. FINAL DATE
G V LtC F 1 �� �w� �C7
Cl
Plan Check
Env. Health
Planning
Prevent.
Engineer
Utilities r I
Plans/ e j PERMIT IS NONTRANSFERABLE
Exam.— 11/ C PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech. IN 180 DAYS
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
ACE,
DATE ISSUEb3 0 8 4 PERMIT NO! 9. 4 L * 3 8 2. R TAL
CL
O
V
W
J_
U.
10(
or
/`t,p,�orti� �sr Fr�apiTi�o�l
WW P 1049
C;�1`-�����
19a tui.
■ - -4
HEAT LOSS CALCULATION SHEET
Design Temperature /0 ° F
ce�c r --;S-' z X•/
ROOM OR
SECTION SQ. FT.OR
FACTOR
HEAT LOSS
ROOM OR
SECTION
SQ. FT. OR
FACTOR
HEAT LOSS
AREA
CU. FT.
IN BTUs
AREA
CU. FT.
IN BTUs
/
jl
Floor
Floor
Ceiling
Window & Doorsl
/5 7
/
3 3o
S 7 G
Ceiling
Window & Doors
Wall Dc" U
/ O q
7 3 4-
Wall /
/ D G-
/
Infiltration cu. ft.
643
Infiltration cu. ft.
Z/6
TOTAL
2 7 / U
TOTAL
Z L
I1c4 j/
Floor
.ti f �. (�
Floor
Ceiling
%
o 3
7
Ceilin
Window & Door
76
L
Window & Door G ?�
Wall 7C 2.
701Y
0Wall
j_,��_ ys
3 '�)-
Infiltration c ft.
Infiltration cu. ft, //5-2 %�l�
TOTAL
3/
-Z /G
314 oi-? =1-/
TOTAL
-7 C /
fes` t3«i
Floor «;
I O
O
/�_.
Floor
ZY 0 'i 4
Ceiling
3 Li %
Y S
Ceiling
Window & Door
/ G
S -74
Window & Door
-,7/
s5 G
Wall c0/S
3G
Wall/ 3z
%/,1,/
62
Infiltration cu, ft - b- 5��
`
c� /
G
�.3/cant-s/
Infiltration cu, ft,
/U )Jit
C/
/ / / Z..-
TOTAL
L
TOTAL
�2 J 3 3 !2,-
Floor
--
__Floor
Ceiling
Ceiling
Window & Doors
Window & Door
Wall S t
7G
Wall
Infiltration cu. ft•
ils J
U
Infiltration cu, ft,
TOTAL
Z
TOTAL
Floor
Floor
Ceiling
Ceiling
S
/4 -
Window & Doori
Window & Doors
Wall
Wall
Infiltration cu, ft.
Infiltration cu. ft,
—
TOTAL
TOTAL
k r
Floor
—"
Floor
Ceiling
/SL
3 rY
Ceiling
Window & Doors
Window & Doors
//
31(,
Wall
Wall / U Gi
y 3
3 7 :1.
Infiltration cu. ft,
filtration cu ft.
2
/GC /
u
TOTAL
%
TOTAL
3 3 z B 1
+e��
13d
S'7
--!1-5
.'o7