2001, 08-28 Permit 98007267 Temp Cert of Occupancy-VoidPv#
Dept
Vendor Contact/Tel
LGFS PAYMENT DOCUMENT
SPOKANE COUNPY AUDITOR
MCP TO: BILL TO:
Confirm Order
Change Order #
Bid ID
Blanket#
RC#
VI#
FOB:
ACCTG. PERIOD:
COMMENTS_
COMM LN#
DESCRIPTION
PO DATE:
DELIVERY DATE:
ENTERED BY•
BLDG/ROOM:
WAREHOUSE:
BUYER
PURCHASING fIRRCTOR•
COMMODITY NO
REF ACCT LINE
QUANTITY
UNIT
UNIT PRICE
TOTAL PRICE
$4.50 X 100%
$63.72 X 80%
TOTAL REFUND
- 5920 E. 9TH .'AVE - OJECT CANCELED - 80% REFUND
Sys
LM 100
$ 4.50
+50.97
$55.47
LINE NO.
FUND
AGCY
ORO
SB ORG
ACT
OBI
SB OBI
REV SRC
SB REV
RPT CAT
BS ACCT
IOB NO.
PAY THIS AMOUNT
P/F 1
RECEIVING CERTIFICATION
Materials noted in quantity J have been
received in good condition or contracted for.
SIGNED
TITLE
DATE
PAYMENT CERTIFICATION
I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
materials have been furnished, services rendered or labor performed as described herein or contracted for, that the claim is
a just, due and unpaid obligation against Spokane County or fund agency indicated above, that 1 am authorized to authenticate
and certify to said claim.
SIGNED TITLE
DATE
TRAVEL CERTIFICATION
1 hereby certify under penalty of perjury that this
is a true and correct claim for necessary expenses
incurred by me and that no payment has been received
by me on account thereof.
SIGNED TITLE
DATE PAGE
DEPARTMENT 2
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY • SPoKANE, WA 99260-0050
(509) 456-3675
SITE ADDRESS:
PARCEL NUMBER:
SUBDIVISION:
LOT
INSPECTOR:
WATER DIST:
OWNER:
PHONE:
ADDRESS:
SITE INFORMATION
5920 E 9TH AVE
SPOKANE WA 99212
35243.0729
CENTRAL PARK ADD
BLOCK:
DAVE SILVA
SPOKANE, CITY OF
HICKS, MITCHELL
509 535 7817
5920 E 9TH AVE
SPOKANE WA 99212
BUILDING PERMIT
CONTRACTOR
OWNER
LICENSE #:
BUILDING ADDITION
DIM.= 14 X yt�RIE,�
SD FT = �
DECK R-3 VN 464
TOTAL VALUE: $2,320.00
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
54.00
4.50
9.72
TOTAL PERMIT FEE $68.22
•
ZONE: UR-3.5
;„li r�� `•
PAYMENT SUMMARY
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
10/14/94 00012204
TOTAL FEES AMOUNT PAID
$68.22 $68.22
$68.22
AMOUNT OWING
$.00
PROJECT INFORMATION
PROJECT NUMBER: 94010241 ISSUE DATE: 10/14/94
PERMIT USE: ENLARGING DECK
APPLICANT: HICKS, MITCHELL
PHONE: 509 535 7817
ADDRESS: 5920 E 9TH AVE
SPOKANE WA 99212
CONTACT: MITCHELL J HICKS
SETBACKS -> FRONT: NA LEFT: 6
LENDER NAME:
PHONE:
ADDRESS:
2
PERMIT(S)
NOTES
PHONE: 509 535 7817
RIGHT: NA REAR: 69
ISSUED PERMIT
BY: DAWN DOMPIER
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes
and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's
expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1 FOOTING - when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway
right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much
as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback
provisions lies solely with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification
or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require
its relocation at the owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a manufactured home is
required to be inspected prior to the installation of skirting.)
3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site
plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access,
on -site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must
be completed prior to final approval of a building or issuance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be
inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES:
• Road cuts for utilities or drives, County Engineer's Office • Sewer connection, County Utilities Department
456-3600 456-3604
or State Department of Transportation or City Public Works Department
456-3000 625-6300
• On -site waste disposal system, Spokane County Health District • Electrical wiring, State Department of Labor and Industries
324-1560 324-2640
• Construction in a flood plain, County Engineer's Office
456-3600
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit if not commenced or is stopped
for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration.
At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within
one year of the date of expiration for one-half the original fee, subject to certain limitations —please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit,
please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. At such requests should be
directed to the Department of Buildings at the address found on the face of this permit.
CI 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
OWNER OR AGENT
APPLICATION
DATE