1992, 06-30 Permit App: 92004894 Relocate Residence1
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY 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 previsions 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
OWNER OR AGENT
APPLICATION
DATE
PROJECT NUMBER== 92004894 APPLICATION DATE== 06/30/92 FAGI - •`.i'i
3t**a*3t3< THIS IS NOT A PERMIT 3t*•.*•3t*x
PENALTIES WIL..L.. BE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE==
H.
PLATO=
BLOCK=
AREA=:
OF BL.DGS=
OWNER=
STREET=
ADDRESS==
220 N CORB I N RD
GREENACRES WA 99016
RELOCATE RESIDENCE PARTIAL .BASEMENT
C'ARCEL..:H = 55183.0655.
000000 PLAT NAME-:: UNKNOWN
LOT= i ZONE= UR -7 DISTO=
F:' / A e F WIDTH= 100 DE:F'TI-1---:
O DWELLINGS= i WATER DIST
rtURQEJ]:ST, ROBERT F='!' ONE'=
12'70 N C;ORT:t:IN RD '
(rsr:::F NACRE:::> WA 99016
CONTACT T NAME= MARK JENSE- N
BUILDING SETBACKS: FRONT=- 30
3*3t•Hat 3**3t 3f•3i- 3.-3E33i•3t*3-*a 3* 3t 3t 3t 3t3t 3t 3t## 3i- 3t
DEPARTMENT
BUILDING
BUILDING
T•UI1...D:i:NG
X I:::NGI.NE:::E:1.
1-'1EAL..THD:I: ST
* ii•3t3t3t3t3t3i 3t3i•3i
REVIEW COMMENTS
96 R/EAC:. 40
PHONE NUMBER:::: 509 926
L.EFT:.. 30 RIGHT= 30 REAR= 32
RE:VIEW INEOF='MA IO)J XXXXXX-x-xx3(XX*X-3i-xxxXX
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
PRE—RELOCATION INSPECTION
APPROACH/FLOOD 1::'I...A:I: N/DRAINAGE
NEW OR ADD]:TIONAL.. WASTE WATER
*3* 3. 3i- 3i 3i• 3t 3t 3i- 3 • 3t * 3t 3t k 3t• 3( 3i 3t•
CONTRACTOR=
STREET=
ADDRESS=
BUILDING
,JE NSE::N CONSTRUCTION
1006 5 WRIGHT BLV
LIBERTY LAKE Wt -1 99019
NEW= X
DWELL UNITS=
BLDG W X I) ::::
REQ PARKING=
1
REMODEL=
OCCUP. L..D:-.
X SQ FT=:
4 HAND ]. CAC•'=::
PERM
APPROVAL COMMENT.!7;
Nfiz
APPRDV&t y/ /_�?-
T .y.; :. at 3t
1.`..ICyf,kt: ,, 50'i 92 .'124
ADDITION=
rtL..DC:: 1-iGT w
SPRINKLER= N
CR:ITICAE... MAT= N
CHANGE OF USF":
STORIES
3i•k3t3@3t3t3t*3t3t3t*at3t3(3t*3t3t3t3t3t3t3t3t3t3t3t3t3t3t RELOCATION PERMIT •x3t3t•x3(*H3tx'xxxXxxxXHxxxx-.!(-X
CONTRACTOR:::: .JEN S EN CONSTRUCT ]:ON
STREET= 1006 S WRIGHT EtL..V
ADDRESS= LIBERTY LAKE WA 99019
PHONE-- 509 92: 7124
PREVIOUS ADDRESS:
STREET= 18818 E: APPI_.1-WAY AVE:::
ADDRESS=:: GREE•::NACRE5 WA 990-16
ITEM DESCRIPTION QUANTITY FFE AMOUNT
RELOCATION INSPECTION r` 50.00
3t3t3t3t#;3t•x3t3t*3r3i•3t3e3tata•:•3t3t3.3t-H3t3i.3t3t3{.3H3t3i3i PAYi1E':NT SUMMARY 3tK3t*). 3t3*3i-3(xx3(3i3*x y'. a: 'ri 3'•x: H*3c3i3t3tiii>i
PAYMENT DATE
06/30/9?
TOTAL ToF
RECEIPT*
506 i
,00
TOTAL F'AID
PAYMENT AMOUNT
50.00
50.00
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING - 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. Typically, side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines 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 its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - 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
depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such
as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements,
parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
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 for utilities or drives, State or County Engineer's Office
456-369,0
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations — please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
X
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: o) (1) C ioczt i U�
CITY/STATE/ZIP: CO (, ) q . 96 / (
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: ',' DEPTH: 967 R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:e ioara/
OWNER: Ac -Di- u'Y (2��'f PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: MVV k_ P_ 7K-etk P IA_ PHONE:
SETBACKS: - FRONT: 3 n LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: �(�S�j�L.__
CONTRACTOR:
7J I
-``P lkS P C 43,4-0V i w, jeAc _ PHONE: - - lla c7
MAILING ADDRESS: /1066 `('c' (_,)Y 670. �,� L�CPc-2 tf- z `J
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
M
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump _ Other:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area %:
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement - Finished:
Unfinished:
Garage:
Carport:
Decks:
Additional Areas:
LENDER/BOND HOLDER:
ADDRESS:
CONTACT:
PHONE:
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