1992, 03-19 Permit App 92001666 2nd StoryI swear, under penalty of perjury'; that (1),I at%ttle owne3�of�rzeco.
not the owner; written permission from Isaid,o,4ri authorizmglIny ti
j y-W Y t k k M .n =k %� t
of the above responses and those on supporting d9uments'are made
Name ° '7%1 c-q a
. - 1 I�Pi - i'i'�', 3 t?
"' Afi
1
iienedl�r77�lsNC�-�'�'+
State of Washington
County of Spokane
On this day personally appeared before me
to me known to be the individuals) descrbed,:m,an
acknowledged that he/she/they signed the same as h
• purposes therein mentioned. F - �r "z
GIVEN unde„yd; "
NOTAR j PO•NLI i
It %�A tome G �My a poinunenCexx
-- ••". �S! My xw� x
1\\NARY ���
PLANNING DEPARTMEN fi ON41E ,ONLN
THE PLANNING DEPAR APPRO a1 FITS ",ADM Ti?sATIY.Li,
DESCRIBED ABOVE, PURSUANDTTY HE7ANINGGCODOESSPOKANECO
THIS ADMIIISTRATIVEEXCEPTIONIS.SUBJECT OTHEFOLLOWINGCONDTITONSAND C
‘' yuyxj Si y�..p
t 1.•
g .de The applicant shall Comply�witf},all regwrGt[lents�attd re tio„ o nuig,�
2. The applicant, shall comply witl%all regutrementg;o ,the Spok ne' uQ ty; Tgalth D s,
Department regarding, wastewater disposal and on -site water br pub i ,, ter sys
3. The applicant shall comply`with the following additional conditio
THIS ADMINISTRATIVE EXCEPTION $
DATED THIS ' DAY OF
THIS CERTIFICATE MUSTg ACCOMPANx IYOUR t;;
API?LICABi
NOTE: THE APPLICANT OR AN )NFERB&FED PARTY MAY PILE AN APP
ABOVE DATE OF SIGNING. APPEAL MUST BE ACCOMPANIED EYA$100.Q0FEE. APPEAL$
SPOKANE COUNTY PLANNING DEPARTMENT BROADV AY CENI'R$ UJI4 i9 NQI
SPOKANE, WA 99260 (Section 14.412 0417 of,the,Zoning,,Code of Spokan e (.o ty)' k,
SPOKANE COUNTY PLANNINGDEPARTMENT6721i' NOR
* ; ` (509) 456 220
RP-AE App.
Rev.10/91
S . OIKANE,,, (UNTX' ,PLANNING',`DEPARTMENT
PPLICATIONFOR ADMINISTRATIVE EXCEPTION
IIER FHAWIY CK` OF ,PUBLIC' STREET FRONTAGE)
TiOf�7�'—yy•6Iioe
''h`nt isrli��ot owne
2—
State �2 ZIP Code: qe? 20 6 •
r a v
„at.S!'3 �Worlc
erty need written authorization for applyeantato serve as agent.
Ki 4 +r 1x et p
w iw \
Phone> ,
-4nan Township: '-c Ranger (I C/ •
PORT UN I TY PT OF B.S BEG AT NWCOR TH E73. 9:1 T TH ` I :
I.,I 3, SIFT TO WL TH N TO POB EXC •,, C u r FT
bject Par
desenbe m termsof standard from which seeking relief):
✓?i Lr c erc'6% rri5`'7 o`t+'Y ` i'� / n u.4 '747C-1--
/x
y.
s-i d._
tr. Sy s ci l ,,444
1tt h'zre'.1an jj .foperdimerisions and other supportive information.
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 14 5-1 6 3 I o
STREET ADDRESS: 1 ' 622
CITY/STATE/ZIP: jQp kw,r c. '2- :t
/tea
SUBDIVISION: o?ti.�
BLOCK: LOT: ZONE: 010. .,s "'DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: 2- # OF DWELLINGS: ! WATER DISTRICT: 77'oJern
OWNER: l.LAia,c/ 4- Tel mrn .
E'.
MAILING ADDRESS: G //2i.-)`y groo�-i�{.'"'
CITY/STATE/ZIP: `lppka"e_ '1y
PHONE: h V� `-r - - ? - (f� '_
CONTACT: shag 1 or ra'tt►'t "7''-''yoe PHONE: 'Tog - "a - Fr e 3
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: fj-do/ 0 ti-
1
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: )( ADDITION: CHANGE OF USE:
DWELL UNITS: I OCCUPANT LOAD: BUILDING HGT: STORIES:
,1 .4 4)/4/ = 46-4 e,‘ _ X = rev --
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
7AfZ PA L —
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:_
o773
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric
Forced air gas
Flat ceilings R
Vaulted ceilings R
Above grade walls R
Below grade walls R
Floor R
Slab on grade R
-/ Electric baseboard or wall mount
Heat pump
Doors U
Windows U i
Glazing area
Total floor area
of heated space
Furnace efficiency rating
Propane
Other:
%:
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor: "t17- - •2..5-e XS
Second floor: m
Basement - Finished:
Unfinished:
Garage:
Carport:
Decks:
Additional Areas:
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1 3039.0OADWAY AVENUE
SrOKANr, 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 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
PROJECT i' LlMl-i-.tE:'.:::: 9.'.')E)1666
tort
APPLICATION IiA 1'E::::= ,•t..:y: I 9r` } .:.. f�'r`,�•;I::
•R*k*3i7{ THIS IS NOT r' PERMIT **-ii*•'r:*
PE:NAE...r'IE:;t W:i:I...i... It: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE "TRE:E" C==
Af)DRE :S
PERMIT I..JSE:::=
41.
E'I...AT:q:::
AR E. A==
OWNE:I
TREE r =
ADDRESS=
11302 E )3R(:)ADWAY AVE E ARCE=:1...:II:_:: 1 654 ?.-- 1 isa:a
SP(.iKANE. WA 99206
RESIDENCE ADCDCTON •' 2Nri STORY OF EXISTING HOME.
001852 PLAT NAME:::
00000000 F A=
:: DWELLINGS::.
1JE•`pc)E<TI.JNI TY (-rr. 1 -•''1 4:71: NCs ., 1 43-7
ZONE= UR 3,5 DISTO=
F WIDTHWIDTH= E)I:::E'-f'1••1==
WATER DIST ::_
M.JNRoE:, MIC',HAE:i.. & TAMMY
11302 E BROADWAY AVE
SPOKANE WA 99206
CONTACT NAME::=:: MICH•IAEI... i`'1UNROE
BUILDING SETBACKS:E...RONT= 58 LEFT' NA
PHONE;:. 509 927 2183
PHONE NUMBER;::; 509 927
I" IGHT=:: NA REAR NA
.,,:* )c .j;. ..k. * y,,..k• * it * * a: * * * * ;;..y...k..,* .J4 * is:• * 3i Yi 3i• •ii REVIEW INFORMATION 3r 3i )i• * fi.:r<.. 3i• 3i •ii i;. )i yi..N..k * .k..k..M..p, .u..};;
DEPARTMENT
REVIEW IE:i:LJ COMMENTS
1-`1...Ai'N REVIEW :CEW REQUIRED
SETBACK REVIEW REQUIRED
ENERGY PLAN
INCREASE IN
REVIEW REQUIRED
LOT COVEE_OGE. RaC ........ .. ...... ge . •
-3 - 3 — 9 a • file -
* )i' 3t 3t *' 3i• )i 3 m )i- )i• D )t -k- A )t )i- id- •)' ii 3i r- ri- •tr * ii- ii• ;t ii• Jr ii k,1. .E. E .. E N 1. PERMIT i„ ;l : 4(' r.• 9k it * •iG -k ;k ;E
APPROVAL COMMENTS
CONTRACTOR= (.)Wi'JE:.F. 1:.,HCiUE:.=
NE::ICI=
DIdF::i...L.. UNIT :=
BLD(:'; w :: D
I:; [ Cr PARI<: I NC;==
R:E:i"i r:DE l...•
1 4� 000UF' I...D==
16 16 Sf
:E-IAND:E: c::Aram:=:
DESCRIPTION
T:I:C)N
I:E.S ADD
2ND ADD 2F
GROUP
E,-3
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
+I. x:ft:f HC;1::: 24
9(36 SPRINKLER= N
CRITICAL tiAT= N
TYPE EQ FT
VN •;,.:
VN (;a t�,
QUANTITY
10496,00
14600,00
FEE AMOUNT
4,50
it �.
A; ti:i .: > 3
)i i»i .li. ;�..�..:,,..;;.:ni �i• •iC• 3i• �Ai �it•'ii 3{. 3t .N: }�i -Mr )t .jl..it'it'ii-'»: 3l- i�} -it )k ji• MECHANICAL PERMIT 4i• j( )i• •R• )t )l' 3i 4n; jl,• •D7'Fir * tNi 3iil• iU •Pr 3G )i•'P:.,:
C:: (: N T F: r`7 ?: 'r' O R == UNKNOWN
S R E:.T=:: UNKNOWN
ADDRESS= UNKNOWN WA
'i( ii: •h? il• i:i
UNKNOWN
ITEM DESCRIPTION
GAS WATER HEATER
GAS HTG . 1 I I , I r:i, , f:i • ,•'.} i 7-; •- t
GAS PIPING
.11..,,..,1..:yk t..1,.:nr '1r 9'.• i•: ye. 9t..},, 3i. p..y..r..,...p. ,�..u. �.; 3i i.. j. i i"t .i.
QUANTITY
PI••Ii'3i',IE:=::
FEE F:4ii••13iNT
r :;'i;J i li't%`• 1 i'fi;. L;.t1<_ lftl,iid
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 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
PROJECT •T NUMBER - 92001666
APPLICATION DATE- ::;
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT O
BUILDING PERMIT 309,53 5.^, "};:, "z.{
PLUMBING PERMIT 113.00 .00 ; t t :,
r'r<i:JCE SED BY: JOl N I...AR 'ON
PRINTED BY: .lrlf•HN 1..ARSI i,l
,kvi• 3G 9l• )i• ii •H•• •ii• ii•ri• tit * * # •ri•: * * hi b:• ii•'rt• 34•:•• ft k• •ii•: •N• •;i• THANK : _
YOU L. i •ri it. },..k, r' y;..y;. y,, .fi .A..N..p: ** •b: •hi :n:. *.},} .ji; :„:• :�: •iii *,
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SP9! E, WASHINGTON 99260
(509) 456-3675
1 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 acid understand the INSPECTION REOUIREMENTS/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
ETU ,.JECT NUMBER:::: 9':1001666 APPLICATION
DAT{r.' 0 6/1'9/92 PAGE - ei
miiEa<iaii'i :n: THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING i.IfF'K 1,J:C(F'I(iIIT A PERMIT
SITE STREET:,, 113E'2! i BROADWAY AVE
ADDRESS= SPOKANE WA 9'r GOc:
iFiil:I:T USE:::::
RESIDENCE ADD:I:TCJ(i
P'L.,AT":=: 001892 PLAT NAME::::
BL OCK= LOT::::
AREr"=: 000000I:'/A:::
:": OF EIL_DG.=: DWELLINGS:::
OWNER= MUNFRO[:, MICHAEL F. TAiiMY
STREET= 11302 i::: BROADWAY AVE
ADDRESS= SPOKANE: WA 99206
CONTACT NAME:::= J1 T C:I-Ii1El... t11!i,LRC:If
BUILDING SETBACKS: FRONT= 5 LEFTNA
F AR,C'L-.T.,":::: 1 6943.-01 04
?ND) STORY OF EXISTING G HOME
OPPI: RTJINITY(TR.i- i4'2INC,14,a-39
WIDTi = DEPTH== R/W=
PHONE 50 9 927 8183
PHCThII;: P.JI„JHFtE:R= 509 927 8183
TIGHT== NA REAR::: NA
•)i}H61*..y..i3Eir3Enixii.i':.*r.pii@=n:iEi.:*Ex `n:.}!.hi.E REVIEW INFORMATION .x.)cii:IleM*iE?r: 7i iE qr,. h'ii hiiEiE****iE***1E#
DEPARTMENT
•
BUILDING
BUILDING
BUILDING .
iF)EALTHDIST
REVIEW COMMENT
PLAN REVIEW REQUIRED
SETBACK rRE::'vi:IE:W REQUIRED
E:i1E:R(.,Y PLAIN RE::' I:F._4J REQUIRED
INCREASE IN LOT COVERAGE
..
dE•)E iE ii�ii•iE iE iE i�Ni. iE gE.H.ir:ii.r. iE i�p .pi dr iiir qc ii fi; er: 9E d?s:i ii�h BUILDING 1''I::. Fi I'I (.
C:IJ ,J.TRACTOR:=: OWNER
NE.:W=
DWELL IU pi I T S=
BI...DG W X D _::
REQ PARKING-:
REMOTYF:I...=::
OCC:I.IP.. L..D::::
4Fir'ti1i) I:!J(iF'=::
DESCRIPTION GROUP TYPE
RES ADD) R--;+ 'dN
2.ND) ADD'r R.... • VO
ITEM DESCRIPTION
RESIDENTIAL 'Vr'il_.(.Ji>7
STATE:: SURCHARGE
HARGE
COUNTY SURCHARGE
()N
986
AP'PF:flVFAi.. cra1f-1IENTS
'y�-b•.,c -__.. -- 3--36 4) -t alli
-rr—
iE hi....) 3Eii iEif iE ii#iEii9h:iEiE3iEiEiEiE*#
RHONE
Ar;D r. Tzfir,:::: >; CHANGE OF USE=
Bi..DG HGT= 24 STCIRIES:=
SPRINKLER N
C':r4ITIC::Ai... MAT== N
r? r..T.
r' ) 0
QUANTITY
r1T:LTY
VALUATION
10176,00
14600, ii<;
FEE: AMOUNT
298,50
4.90
1' 46,53
3E1E.X ii33i3i•:•iiiihEdi. ii.:n:9E ii*3Eiii•Eii i ig Afl4 hiieiE4Ed, i-1E:C(i ril`i.r cr-1 I._
CONTRACTOR= UNKT!C)TiiN
S 1[F F(:T=:: UNKNOWN
ADJ:)RE:SSS=:: UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
GAS WATER HEATER
I-; A S HTG I::: c)I_I I P < l ra,-a , 000 ;> T' _nI
GAS PIPING
i(ff. iE iE iE ii ii.90.E.4 iE ii :p}.)c.),},A *.)f. iE )r;
i'c:E)`3*)•aE I'I..Ui'i al.N(
PERri:I:T' iEtri..;,;.h.i..x4E.x.4E4(r+ar:**)*ieic*iE•iEx**)E**
QUANTITY FEE AMOUNT
1 10,00
1 12.00
2.00
PERMIT 3944?.:Mii..p.4•,ac44;t:p,)%iE444ifle iE}:HiEiE#ifiFiE*!
I:1: TriAGTOR= UNKNOWN
STREET:::: UNKNOWN
i ADDRF' S= UNKNOWN !AA IJiJI!ilt".l
:L`TEi'i J)E:;CIRI51.I00
PI ZONE =
ii t Aii(llii!T
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