1989, 05-17 Permit App 89001060 ResidenceSPOKANE COUNTY DEPARTMENT -OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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 A any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT
P'ROJEC:T NUMBER= 89001 060 I?ATE= 04/28/89 PAGE= 01
AP'P'LICATION
x##>£*#xacxxxxx##xxxxxxxx APPLICATIONxxxxx#*xxxxxxxxxx***x.
SITE STRE::ET= 1304 E E:VE::RE:.TT AVE: PARCELO= 34644-1106
ADDRESS= ,SPOKANE WA 99:16
PERMIT USE= RESIDENCE
PLATO= 00400 PLAT NAME= SAN,SON EAST
BLOCK= 6 L.OT== 2 ZONE= SFR DIST= F.
AREA:=. F/A= F WIDTH= 54 DEPTH= 206 R/W= 50
OF BLDGS= i ; DWELLINGS= 1
OWNER= C HD INC
STREET= P 0 BOX 13717
ADDRESS- SPOKANE WA 99213
CONTACT NAME= WE S CROSBY
BUILDING SETBACKS: FRONT= 40 LEFT= 7
PHONE= :509 926 5229
PHONE NUMBER= 509 926 5229
RIGHT= 14 REAR= NA
REVIEW INFORMATION xxxxxf xx#x�x•ttxxx•x���x•xxxxx
DEPARTMENT NAME REVIEW COMMENTSDATE
CN/OUT INITIALS
BUILDING & ,SAFETY PLAN REVIEW REQUIRED 890428 GMW
._._------- - --------- %
BUILDING & SAFETY SETBACK REVIEW REQUIRED
E390428 GMW
— _• ----------- ---- —
BUILDING & SAFETY ENERGY PLAN REVIEW REQUIRED 890.4 6 GMW
N_w.k�-_....------------------ 5iz: -.._.
COUNTY ENGINEER NEW COUNTY ROAD APPROACH 890P28 GMW
6a_7 ... .... .... ... _ -ry
- ._...... ........... �J�. ............. ...._...........
ENVIRONMENTAL F1F_AI...'T'I•I NEW OR ADD:['T'I(:1NA1... WASTE WATER E390+'?
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:._._..._._.........._....................._._._. .... y �f
paLn 5/L�189 5i�i�
� Ilr�S
PARCEL NUMBER:
INFORMATION WORKSHEET
41 & iso -//D �,
STREET ADDRESS: a, 1 -5 ,7/y e v ��
CITY/STATE/ZIP: ��� -- /
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH:_ DEPTH: R/W:
# OF BUILDINGS:_ # OF DWELLINGS: WATER DISTRICT:
OWNER: C Ff /J .,.c PHONE: SSS - i 76 - 5 Z -Z`/
MAILING ADDRESS: Q �//.//jam( /// ,3
CITY/STATE/ZIP: 5Qp C �n -kc (NN -i 2 / 7
CONTACT: / (_cp,L (= kaX� 1�9 PHONE: S Z z
SETBACKS: - FRONT: hlO LEFT:_7 RIGHT: REAR:
PERMIT USE: i,,
•,►,k*r*s*f*s***,t**,t,t**,t*,►�+t,t,t,t,t*�**a,t,t,t,t,t+►**,k*,t,t,t,k,t,t****,►,t ,t ,t ,t ,tr*+t +t ,t ,t t,t ,t*�8,t*,t
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE: —
PHONE: —
NEW:( REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING MGT: STORIES:)
BUILDING DIMENSIONS: K (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
11lk� t,'F- tie h_
l 4 i O UFR
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: COAL:
ENERGY CODE: WSEC: NWEC:
APPROACH: PRESCRIPTIVE:
WOOD: SOLAR: HEAT PUMP
UTILITY: SGC:
POINT: COMPONENT: SYSTEMS:
*r,►*,►,r+ts,t,t**r+ta*r,r,►,r,►,►***rr*r***,t,taw+t**r*t,t**r***,t***,t****,t**r*,t**+rs**�***•
MECHANICAL FEES
c
ITEM DESCRIPTION GL)1l�UMBER OF
PROCESSING FEE YES OR NO
DUCTWORK SYSTEM�c/0-
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - # OF UNITS �—
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM
PLUMBING FEES
ITEM DESCRIPTION
NUMBER OF
PROCESSING FEE
YES OR NO
TOILETS
SINKS
2
SHOWERS
BATH TUBS
/
KITCHENSINKS
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
�—
UTILITY SINKS
ELECTRIC WATER HEATERS
%
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
.y
(APPROVED As NOTED
Spokane County Road Engineer
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9 YOU CANNOT INSTALL THIS SYEM ACCORDINO�V&I/ PF'11
TO THIS APPROVED PLAN, YOU MU T CALL THE OFiI
AT (509) 456.6040 PRIOR TO INSTALLATION.
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