1993, 09-23 Permit App 93008778 Residence, Garage:‘,PROJECT NUMBER= 93008778 APPLICATION ( DATE= 09/23/93 ) PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18316 E BROADWAY AVE PARCEL#= 55184.1001
ADDRESS= GREENACRES WA 99016
PERMIT USE= RESIDENCE W/GARAGE - GAS
PLAT#= 005315 PLAT NAME= SP-795-92
BLOCK= LOT= ZONE= UR-3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= 84 DEPTH= 140 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= MITHOUG, FRED A
STREET= 24211 E STRINGHAM RD
ADDRESS= ROCKFORD WA 99030
PHONE= 509 291 4035
CONTACT NAME= FRED MITHOUG PHONE NUMBER= 509 291 4035
BUILDING SETBACKS: FRONT= 49 LEFT= 15 RIGHT= 20 REAR= 65
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
of u,1w .S�ht s �
q �/
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE o9/V gar)
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER 44/ ?/. %3
1917
COMMENTS:
v r" - AL ` e 4
******************************* BUILDING PERMIT *******************************
CONTRACTOR= MITHOUG CONSTRUCTION
STREET= 24211 E STRINGHAM RD
ADDRESS= ROCKFORD WA 99030
PHONE= 509 291 4035
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 36 X 50 SQ FT= 2605 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 93008778 APPLICATION DATE= 09/23/93 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1298 14278.00
GARAGE M-1 VN 462 3696.00
RESIDENCE R-3 VN 1307 70578.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 590.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 106.20
RADON MONITOR 1 12.57
SALES TAX 1 1.01
******************************* MECHANICAL PERMIT ****************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
PHONE=
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 3 3.00
VENTILATING FANS 3 30.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
PHONE=
QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
FLOOR DRAINS 1 6.00
WATER USING DEVICES 3 18.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 714.28 .00 714.28
MECHANICAL PRMT 65.00 .00 65.00
PLUMBING PERMIT 78.00 .00 78.00
857.28
.00 857.28
PROJECT NUMBER= 93008778 APPLICATION DATE= 09/23/93 PAGE= 03
*******************************************************************************
* PLAT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
LOWEST BLDG ELEVATION OPENING: SLOPE 3oIN 10'
FUTURE ACQUISITION SETBACK OF 25'
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
LGeneral Information 1
Parcel number
Owner
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Mailing address
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Site Information
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Project Information
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Dwellings
Buildings
Permit Use
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Dwelling units
Occupant load
Building height
Stones
Building dimensions
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Req'd parking
Handicap parking
Spnnkler system
Critical Matenal
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Contractor Information
Heating and insulation information (R—values)
Heat source
Hat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace efi c�cency
1"otal window area
% of lloor area
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License number Phone
License number
Phone
Ma [ling address
Mailing address
City, state, zip
Z ity, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
REGISTERED AS PROVIDED BY LAW AS A:
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nITHDUG CONSTRUCTION
E 24211 STRINGHAM RD
ROCKED RD WA 99030
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