1987, 05-04 Permit App 87001210 Garage• SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
_ NORTH 811 JEFFERSON
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 under d the NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this type of work witib complied with whether specified herein or not. The granting of a permitdoes not presume to give authority
to violate or cancel the provisions of any stat or local law regulating construction or the performance of construction.
SIGNATURE 01 ' � DAR7000.
�
OWNER OR AGENT ....
I DAfMY'P: R7(.}{.) i p) /
t}ATE_= () i{j4iE;"r' PAGE::= 0i
xx:n::n:If AFT'L.:ECAT:I:ON :,(..)e.:x.x.
:iTRF. 'i "(= 5 761 4 E:: BROADWAY AVE:: PARCEL w: i "',33 {)1 10
ADDRESS= i;'E EENIACRE:S 1itA 9901 h
DEAACHE::D GARAGE
E'I...AT*=
(300500
PLAT NAME==
CORB:I:N ADL: TO GRE: F.: NACRES
i3L..UCIK==:
L_U7==
ZONE= AGRT DIST"v== G
AREA=
00000000
FiA=
FWIDTI—A "12 L,F.::I''T'H::= 150 Ri41==
' iI BL..I)C;
DWELLINGS=
1
OWNER= LYNCH, .JUI._:CE M
STE:E:E:T
1-7614 E:: BROADWAY AVE
ADDRESS-: irf?IE:1: Nr CIiE : WA 99016
6
CONT ACT NAME.:: OWNER
h:LIIL_D:E.Nt:; SETBACKS: FRit7N'i- Ur:
PHONE-. .'::09 9.1.8 44:?i
F'FICiNE:: NUi1BER=: 509- 928-4421
REAR:=: 66
REV :E E:: W I. N F 0 Et 1 A -,TION
DATE
DI:::PAiR7MEN'T NAME R1:::11:EE::W COMMENTS I:N.'0U :TNI:Y:[AI..S
........... ... .... .... .... .... .... .... ... ..... .... ........ .._ ... .... ... .... ....... ... .... .... .... ._..-
B1. I LD'I:NG & SAFETY PLAfN REVIEW REQUIRED 870.504 A
a.... .... .... _..... .... ._.._ .............. s'�' .7....
_ a� �. ._ _ ... _ .... _ _. _. 5 ...
E NV7R0NME.N I A:.., I-II::..,I...I FI 1.NGE.c:.ra.S'I::. '[N E.tr 1 t_.U,t:.RAGE 0 7 0 iQ G G M
I-A.11I DING PE.RM.E I
C0NTRAd:;-T'UR=: I:71..NEi:R. PHONE=
NEW-= 'x RE:MUDEL_== ADDIT.10N- i:HANGI=: USE==
ICCU1:1 STORIES
DWELL UNITS=: 3. C( ==
BLDG W x D :_ 22 X 32 SG FT== 704
REQ PAR'K1.NC--:x1.1ANDICAPn- 5'E::WER:=: N H'Y'DRANT- N
PROC`r_S'EED BT: MA:SCA,RDO; C101)(711 -FIN
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f°Jl' I —04—' 87 12:04 ID: HEALTH SPO
TEL NO:509-456-471G
MAY-04—'87 11:5B ID:BLDG AND SAFETY —SPCA TEL NO:509-456--4703
#100 P01
#071 P02
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 611 JEFFERSON
SPOKANE, WASHINGTON 99260
(600)466.3676
1 c*rtlty that! havo Examined thls permit end state that the information contained in it and submitted by ma or my agent to oomplie said permit Is: true And
corrsot to addlt(on, I have read and under • no the NOTICE provisions Included herein and agree to comply with same. All provlslona of taws Ind
ordinancssOoverninothis type of work will b: complied with whether specified herein or not. Yheoranting of a permit does not presume to give authority
to violets or woe' the provlllona of any stet or local law regulating oonstruotlon or the psrformanoe of oorietructIon.
SIUNATURE OF
OWNER OR AGENT
APPLICATION /G6
AT l r
r�f,O J .. NUMrt1117s, roo c>
DATE" 05/04/B7 PAGE" 01
***** **go asp( oo&>:E aai*A** 4k44*r4APPLICATION , #•a{•*at94i49444440a4itl:•*ai*x34•r4a(•x•uFk3t*0•4u
SxTf'. STREET" 1761}4/�1l 1w(iAI)WAYAVE
/�AV
ADY)l�r1i�:,'S:(. (,YFtil:i,linNACrl:l: S WA 99()1 4
PERMIT USE" DETACHED GARAGE
PARCEI...*6::, 10553...0110
gPLATIn." (')(!:(').; (')() PLAT NyA `MI:y:-._ r.��I.I�,z�t:rNE ADD /t�-.) (; L:I,., yNrat{RE�'
`!iL..00K= LO 1" ZONE. AGR 11.1.�.4�Tt= fd
t1` /r ly:�'rri:MA�m t)�)0000) (�� DWELLINGS"
` y I: /Allil �' W:l: 'rF�:::; 212 E TH:::: 150 R/W:I, t5()
0 t.! I'� �f I.�. r) `Y ,,7' L'S' 2 I01 r) W E E.. I... 3. N (.Y S Il:i 1
OWNER" i•..YNCI1, JIUE...3'fi M
STIwl•:,ET= 17614 L BROAX)WAY AVE
ADDRESS" > REi:!NACRE,C WA 99016
PHONE" 509 928 442i
CONTACT NAME" OWNER PHONE NUMBSR= `, 09-9;.'.f:l....4421
BUILDING SETBACKS: CK,' : FRONT::: 06 LEFT:::: 12 RJ(YI••IT= REAP::": 6
**ik.kitx x****x6xkx**.n..1t..11..t,.)(g*§ REVIEW INFORMATION *x•nx.0**04940,**tc **f4i4.6*14f4***
DATE
DEPARTMENT NAME REVIEW (::(HIMENT IN/OUT INITIALS
BUILDING SAFETY P1...AN REVIEW REQUIRED rl:':D 970504 GGM
I.'NVIRONM:NTAI... I.1L::AI..TH INCREASE IN LOT COVERAGE
870504 GGM
11.
4i•*f(•***44400K*x*•rcx*ai**at0400(****** ?!UIi..,D:rN(r PERMIT •t4**)4at•>ti)4ar4444aOit•ksc {xttfii444f444fi4400as
CONTRACTOR= OWNER
N'W= X
DDWIi;:1...1.., UN:I:•T Em
REC4 PA KKING::••
prr(!(.;1:_S"S'E;D BY: MA,SCARDC1,
REMODEL::::
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X 32 S(,t F"rm 04
*HANI)xCAI"'::r.
GODOLFIN
PI"IONEhll
ADDITION.
BLDG f•IC:T"
CHANGE USE::::
STC1Fi:I:LS.0
SEWER" N HYDRANT" N
44 b4 *4 t4 3[ * * * * * n x oc a(• * o ol. * * t4 yi •u• t4 x N * * * ;K * * * THANK Y C) Ll ae 4 * * tt at ,M, •14 * .k..yt. •14 ,1t• tt• iF )k * >ti4 * ?4 ti 4k ff• 4f 74 4(• tE • 94• f(• #f 4
******************************************************************************
INFORMATION WORKSHEET
******************************************************************************
* C�
ASS 3 01 1*
* PARCEL NUMBER: *
*
*
* STREET ADDRESS: *
* *
* CITY/STATE/ZIP: *
* �`D .� Gr . ► Pc N 110 or i.,; riZ vF LT Z i3 K.,
* SUBDIVISION:)�'lN p
*
*
* BLOCK: LOT: ZONE: DISTRICT : *
01
* LOT AREA: F/A: WIDTH: _-x'- DEPTH:' R/W: `C' *
* *
* 1 WATER DISTRICT: *
# OF BUILDINGS: 2 # OF DWELLINGS: *
* OWNER: ‘ cA- 3 7.r J\Ai , e. VA- . V C.L._ PHONE : SG G - %,2 8" - -/` c- / *
* QJ
* MAILING ADDRESS: L . I n:, I- ( )/ G Act L� *
* *
* CITY/STATE/ZIP: 0 C-e' 4,16_�•r2.$) � / 9G / . *
* CONTACT: j ', e _ C�'-, PHONE: ";� - j - '474- r'
* SETBACKS: - FRONT: /5(2 LEFT : 12- RIGHT: - REAR: is 6' *
*
* PERMIT USE: P C` � 6 %� tv,� l 2� %( 3 *
*
*
***********************************************************************I******
* BUILDING INFORMATION *
*
*
* CONTRACTOR LICENSE NUMBER:
*
* CONTRACTOR: Ow 0E✓1/ PHONE: - - *
*
* MAILING ADDRESS:
*
*
* 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: SEWER (Y/N): HYDRANT: *
******************************************************************************
-,w***********4***** ***********x***********XX****4Y***t.*********F ********
* VOILE FCNE INFCRNATICN *
* CONTR LIC4:
*
* CONTRACTOR: FHCNE:
* ----
* MAILING ACCRESS:
*
*
* PREVICLS ADDRESS: *
* LOCATION:__—___ PARCEL NLNeEP:
STREET:
*
* CITY/STATE/ZIP: o
*
* MAKE: NCDEL:
* SEPIALk:_ tiIOTF:__-- LENG1F•
4*******t:tttttt*ttttt*tx**************************************************t**
* RELCCATICN INFCRPATICr *
4 CONTR L1C#:
* CONTRACTOR:
* MAILING AJCRE SS:
*
* PREVIOUS ACDPESS:
*
LLCATICI:
* STREET:
FFCNE:
4
4
PARCEL NUNeeER:
* CITY/STATE/ZIP:
*
t
4*******4**:tttt*tttX*********************4********44*4***4******** *******4**
* 4
* CONTR LICE:
*
* CONTRACTOR: FFCNE: — —
* MAILING ADDRESS: *
* SCUARE FOOTAGE:___ POLE FEIGHT:______
* 4
* 4
***************.s******************►*******************************a **********
* OEt'CLI T ICN INFCRNAT IC1\
* CONTR LICK: i' *
* *
* CONTRACTOR: FHCNE: — —
* MAILING ADDRESS: *
*
*
4 NUNBER CF BUILDINGS:
BUILDING SCI,ARE FOCTAGE:
SIGN [NFCRNATICN
*
*
* *
-s4.40*ss******x******************************************************x***4******
;sss{ts;tttt
*
• CONTR LICE:
*
• CONIRACTCR:
PLUMBING INFCRMATION
t
* NAMING ACCFESS:
**a*****t***:t*4**x******t*****.*******x**x**************a4*****tar****as******
* MELI-AN ICAL INFCRMATIGN
*
F F C N E=---- -- - *
t**4*******txttt*4444*********************************4*xt*tzt*:tt4***t:ta****
PFCNE:____ __
• CONTR L1C4:
* CONTRACTOR:
*
* MAILING ACCRESS:
* ELECTRIC:_GAS:
CIL:___
CCAL:_WCGD:—__ SCLAR:—__ FEtT
a
*
*
*********************************************************************************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
w)CCSTCVE/INSERT
GAS WATER HEATER
GAS hTG EQUIP<10C,000)BTU
GAS hTG EQUIP+100,000 BTU
GAS PIPING — # OF UNITS
hEATPUt'P 1-100M eTU
HEATPUMP 101-500t' BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-1750M BTU
HEATPUMP +1,750M BTU
REFRIG 1-100M BTU
REFRIG 101-500K BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER 0-3 HP
AIR CONCITICNER 3-15 hP
AIR CCNDITICNER 15-3C HP
AIR CCNCITICKER 30-50 HP
AIR CONDITI•GNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTI-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM
ALMBER CF
YES OR NG
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOCP SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLE;
SEWAGE EJ•ECTCR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUMBER OF
YES OR NG
1
-
1
-
` , -,
1
t
,
j
I
I
�
I