HomeMy WebLinkAbout1991, 03-18 Permit App 91001170 Add Bedroom SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.-.1303ROADWAY AVENUE
SPOKANE WASHINGTON 99260
(509)"456-3675
I certify that I have examined this permit/application,state that the information coPitainedinit 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
0.
PROJECT NUMBER= 91001170 APPLICATION DATE= 03/i 8/91 PAGE= 01
****** THIS IS NOT to PERMIT * *:•* •* +�
PENALTIES WIL.L.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
•
SITE STREET= i i 1 4 S DISHMAN RD PARCE L.4= 2054$ •.04i 9
ADDRESS= SPOKANE WA 99206
PERMIT USE= BEDROOM ADDITION FOR MOBILE HOME
PLAT4= 002378 PLAT NAME= SIESTA MOBILE PARK ADD
CLOCK=. 4 L..OT= 9 ZONE= UR-7 DIST4= F
ARi:::A= FIAT• WIDTH= D1=PTH::= R/W :
a: OF BLDGS= i :„: DWELL...INGS=: i WATER DIST :::
OWNER= GOBEN GENE PHONE::= 509 467 8421
STREET::= 1 1 1 4 S DISHMAN RD
ADDRE..SS== SPOKANE WA 99206
CONTACT NAME::: DICKS AWNING. SERVICE PHONE NUMBER- 509 467 S421
BUILDING; SETBACKS : FRONT : NA LEFT:::: NA RIGHT= 7 REAR= NA
ri** :•htk><•**Yi•fi7a<•'ii****'n '•h:•)i3ik**ai**ii* REVIEW :INFORMATION *******#**•x*aix*x•*' A** •*
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
BUILDING PLAN REVIEW REQUIRED _............ r,, ............ ...'..dq-9l._............._....
BUILDING SETBACK REVIEW REQUIRED ._ R f i Pt& gfrfr/.._....�
. `. rL. il Avr beane„A-0HEAlri ) iST INCREASEIN LOT COVERAGE moo C <4 *r / i_ kAat ,....if
l
#9 **xXk1*x*N*Pk*** **h**p**ri* l* BUIiDING PERMIT x*ri***4 * s ** i*** e*xx****CONTRA( TOG = DICK ' .`:i AWNING SERVICE PHONE.:::=: 509 467 8421
S 1REET =: 7809 N MARKET ST
ADDRESS- SPOKANE WA 99207
NEW::: RE:MODEL..== X ADDITION CHANG;E. OF USE
DWELL. UNJ:T•S::= 1 OCCLJF'.. L_D== t;L_DG HGT= 12 STORI :S=-
BL..DG; W X. D : i ? X 14 SQ FTT. 168 SPRINKLER:- N
RE:Q PARK:i:NG== •4HAND:ICAP::= CRITICAL.. MAT::: N
DESCRIPTION GROUP TYPE St7 FT VALUATION
F(E:.S ADD R ,K VN 168 5544,00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 81 .00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 12,96
PERMIT TYPE: FEE: AMOUNT AMOUNT PAID AMOiUNT OWING
BUILDING PERMIT 98,46 ..00 98,46
98.46 46 ,00 98,46
r'i".n P. ...e'n r'-n V•.is . -..... ..._.,.......
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, "WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: LIS2.O3 c Lti (4 I40 0)25-73 ^ o(ii9
STREET ADDRESS: II ( 4 -DI S mevjsl /-//)o
CITY/STATE/ZIP: ot.PO V ANC_ (AA c q
SUBDIVISION: �1F52)1
BLOCK: Y LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: C,CN e. ()eN PHONE: - -
MAILING ADDRESS: S 1104 ItswilvIAAI 2,4 ,
CITY/STATE/ZIP: ,o kyQ Jc" 99
CONTACT: /'J: C N A-E L Zd J 1 yM✓4-,s/ PHONE: ,5C1q -4. 7 - '2
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: t C1.4 SA S I log r
CONTRACTOR ID1Qt,Cj Ai\IMI Zek✓I + PHONE: ..,.564 -ykr1 -
MAILING ADDRESS: riscy4 tj. yl4 v4r€KC7'
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: X CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: I 21 X ( LI 1 (WIDTH X DEPTH) SQ. FT. : k i7S l�
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
N
i (r.,V�onc., Br., etc
.
Stories —,._Dimensions 3` Xj� '7 U
Total Sq. Ft. G� Valuation
Rooms _/_ Baths Basement Foundation Const.�.�,
Full, part, none) Chimney Fireplace
_.--�/ _ (Kind) (Number
Heat. System r Type f Ro fing Ext. Finish 1'!i4 i Int. Wall Finish
Use of Bldg. 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 RESIDEN Al – COMMERCIAL State License No.
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Ind. Ins. Acct. No.
I REQUIRED
SOU TH
I her by c ify infor n submitted is correct and there are no other structures located on this property except
as shown..
ner or Agent Date
A LAND USE OR S UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street addresR .i 1 i ho �_ 1111'( A. /. , , . 7/ i ✓) A /I – , . _ . .
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
2
Plans Checked
Plans Returned
Plans Picked Up
rn
Plans Mailed
SOU TH
I her by c ify infor n submitted is correct and there are no other structures located on this property except
as shown..
ner or Agent Date
A LAND USE OR S UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street addresR .i 1 i ho �_ 1111'( A. /. , , . 7/ i ✓) A /I – , . _ . .
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