1989, 08-28 Permit App 89003029 Residence*- .
. — �r�`
SP��KANE����UNTY'D���������OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHING -WN 99260
(509)456-3m75
1 certify that I have examined this perm it and state that the information contained in it and submitted by me or my agent tocompile said permit /otrue and correct. m
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto comply with Same. All provisions ",/u*"
and ordinances governing this type of work willoecomplied with whether specified herein / understand that the issuance of th Is 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 conforma with the provi . sions of any state or local laws regulating construction.
SIGNATURE OF APPILICATION��
OWNER OR AGENT IAII"— nATE
PROJECT NUMBER= 89883829
DATE� 88/28/89 PACE� 8i
APPLICATION
********************************* APPLICATION ******************************
%ITE %TREEi3724 E EVERETT AVE 34644... 1109
ADDRESS:::: %POKANE WA 992116
PERMIT U%E= RE%IDENCE
PLA804158 PLAT NAMI AN%ON EA%T
BLOCK= 2 LOT- 9 ZONE= %FR DI%T�� F
AREA- F/A� F WIDTH� 82 DEPTH� i 3 7 R/W� 58
�
OF BLD�%= � DWELLING%� 1
OWNER� C H D INC PHONE.---: 589 926 5229
%TREET P O BOX 137i7
ADDRE%SPOKANE WA 99213
CONTACT NAME= WEJ CRO%BY PHONE NUMBER== 589 926 5229
BUILDING %ETBACK%: FRONT= 38 LEFT= 28 RIGHT= 7 REAR= 42
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENT% IN/OUT I#ITIAL%
--------------- --------------- ------ ... ... .... .... .... .... ... ....
BUILDINf; & %AFETY PLAN REVIEW REQUIRE 8 C;MW
BUILDING & %AFETY %ETBACK REVIEW REQUIRED 8988 "M
� ��
-------��—�°=,... -- ------... .... --.... .... —
-------------`---------------- ------ ---
COUNTY ENGINEER APPROACH/FLOOD PLAIN/DRAINAC E 890828 �MW
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ENVIRONMENTAL HEALTH NEW OR ADDITIONA WATE R�M
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Spokane-Caunty
DEPARTMENT OF BUILDING & SAFETY
PARCEL NUMBER:
A Division of Public Works
INFORMATION WORKSHEET
STREET ADDRESS: / 3? 2 y Vy e�
CITY/STATE/ZIP: S; (ti •k' > 5 2
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: /j,' R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: 7?p fLUoup.
OWNER' 0 ,/ � , /3, /n ,e PHONE:
MAILING ADDRESS: 0(- Ci . p;w ( 3
CITY/STATE/ZIP: - �a'� �` r i ( 3
CONTACT: �(]e.S ��� )/w PHONE: - X126 - SL2T
SETBACKS: - FRONT: 30 LEFT: a'C RIGHT:_— REAR:
PERMIT USE:
BIIILDING INFORMATION
CONTRACTOR LICENSE NUMBER: l d )f()44k1rw
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW:
DWELL UNITS:
BIIILDING DIMENSIC
REQUIRED PARKING:
REMODEL: ADDITION
OCCUPANT LOAD:
# HANDICAP:
CHANGE OF USE:
BIIILDING HGT: STORIES:
(WIDTH B DEPTH) SQ. FT.:
SEWER (Y/N): HYDRANT:
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP• PARCEL
OWNER: PHONE
MAILING ADDRESS:
(Street)
CONTRACTOR:
LICENSE
PHONE
tate) (2
MAILING ADDRESS: -'
(Street) (City/State) (Zip) '.r
MECHANICAL WORKSHEET/FEE SCHEDULE r
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT - _- - - _- _- - - _- -_ - -
GAS WATER HEATER _ _ _ _ -
HEATING EQUIPMENT +100,000 BTU- _ _ _
HEATING EQUIPMENT +100,0BTU _ _ _ _
GAS PIPING (1 - 4 OUTLETS) . _ _
GAS PIEING (5 OR MORE. EACH:) --_ _ _
REFRIG 1 -IDDM BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU_ _ _ _ _ _
REFRIG 501-1,000M BTU - _ _ _ ._+._ _ _
REFRIG 1,001-1,750M BTU _ _ _
REFRIG +1,750M BTU - �� _ _-
HEAT POMP 6 AIR CONDITIONER O-3 TONS _
HEAT PUMP 5 AIR CONDITIONER 3-15 TONS _
HEAT PUMP 6 AIR CONDITIONER 1-9-30 TONS _
HEAT PUMP i AIR CONDITIONER 30-50 TONS _
HEAT PUMP S AIR CONDITIONER +50 TONS _ _
VENTILATING FANS _ _ _ _ _ _
EVAPORATIVE COOLERS
TYPE I HOOD (PER 12' OR 12'_ PTN. OF HOOD)
EES DRYER - - - - - - - - - - - -
TYPE II HOOD- -
RANGE _ __ _ _____ _ __
RANG - -
GAS LOG ____ _-____ _ ___ _
MISCELLANEOUS (NOT COVERED EISEWHERR)_ _
UNLISTED GAS APPLIANCE <400,000 BTU
UNLISTED GAS APPLIANCE >400,000 BTU_ -_ -
USED APPLIANCE <400,000 BTU _ _ _ _ _
USED APPLIANCE >400;000 BTU_ _ _ _ _ _ _
AIR HANDLER <10,000 CFM
AIR HANDLER >10,000 CFM _ _ _ _ _ _ _ _
x$10.00 =
x 25.00
x.10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 =
X 12.00 =
x 20.00 =
x 25.00 =
x 35.00 =
X 60.00 =
x 10.00 =
x 10.00 =
x 50.00 =
x 10.00 =
X 10.00 = x 10.00 =
X 10.00 =
x 10.00 =
X 50.00 =
x100.00 =
x 50.00 =
x100.00 =
x .00 =
x 15.1200 =
$6.00 =�
SINKS
-IX
_Ix
6.00 =�
SHOWERS
�
=�
BATH TUBS
x
6.00 =�
,
KITCHEN SINKS
)_� �_�x
6.00.=�
DISH WASHERS
)X
6.00
GARBAGE DISPOSAL
)x
6.00 =�
,
CLOTHES WASHER
x
6.00 =�
,
UTILITY SINKS
x
6.00 =�
ELECTRIC WATER HEATERS
Ix
6.00 =�
FLOOR DRAINS
IX
6.00 =�
FLOOR SINKS
)x
6.00 =�
BAR SINKS
)x
6.00 =�
/vz
y o
NOTE: MINIMUM PERMIT yEE IS $35.00
SUBTOTAL
$
6.00 =�
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: FEEADUEERMIT
Ix
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
STREET ADDRESS
Information Worksheet
PARCEL NUMBER:
PHOI4E NUMBER:
ADDRESS:
(Street) (City/State) (Zip)
OR: LICENSE NUMBER:
PHONE NUMBER:
ADDRESS:
(Street) (City/state) (Zip)
a
PLUMBING
DESCRIPTION
WORKSHEET/FEE SCHEDULE
NUMBER OF.I X EACH
) FIXTURES IFIXTURE = AMOUNT
TOILETS
$6.00 =�
SINKS
-IX
_Ix
6.00 =�
SHOWERS
x6.00
=�
BATH TUBS
x
6.00 =�
,
KITCHEN SINKS
)_� �_�x
6.00.=�
DISH WASHERS
)X
6.00
GARBAGE DISPOSAL
)x
6.00 =�
,
CLOTHES WASHER
x
6.00 =�
,
UTILITY SINKS
x
6.00 =�
ELECTRIC WATER HEATERS
Ix
6.00 =�
FLOOR DRAINS
IX
6.00 =�
FLOOR SINKS
)x
6.00 =�
BAR SINKS
)x
6.00 =�
ROOF DRAINS'
Ix
6.00 =�
LAWN SPRINKLER
Ix
6.00 =�
SEWAGE EJECTOR
Ix
6.00 =�
WATER SOFTENER
IX
6.00 =�
URINAL
)
)x
6.00 =�
DRINKING FOUNTAIN
)x
6.00 =�
SUBTOTAL I $
PLUS: PROCESSING FEE+ $ 25.00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE $
SIGNATURE
Spokane County oJSafety
West 103BrawayAneSpkane, WA 9260 (509
) 456-3675
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Spokane County Road Engineer