2005, 05-12 Permit App: 05001557 DuplexProject Number: 05001557 Inv: 1
Application
Date: 05/12/2005 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DUPLEX W/ATTACHED GARAGES -
ELECTRIC
Contact: COYLE, DAN J
Address: PO BOX 412
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Fron Le f (;n- Right Phone: (509) 290-0925
Group Name:
Site Information: Project Name: ROW
t
Plat Key:
Name: RANGE
District: Sout
Parcel Number: 45333.9163 Block:
SiteAddress: 4115 S BOWDISH RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: COYLE, DAN J
Address: PO BOX 412
SPOKANE VALLEY, WA 99037
Hold: ❑
Area: .56 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 2
Review Information:
Review
Site Plan Review
Released B
Plan Review
Released By:
4( 04.�
A C
Approach / Drainage
Released By:
Flood plain
Sewer Review
Released By:
os -Fyn
Released By:
Operator: K_C Printed By: K_C
Print Date: 05/12/2005
Project Number: 05001557
Inv: 1
Application
Date: 05/12/2005 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits: ,
Contractor: OWNER
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: OWNER
Group: R-3 Type: VB
Total Area 1800
Building Height 21
Stories 1
Dwelling Units 2
Units
1
1
Approach
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
Permit Total Fees:
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Fee Amount
$25.00
$25.00
$50.00
DescriptionGrp Type Notes
GARAGE 1.1-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application: Total Project:
Sq Ft Valuation So Ft Valuation
880 $16,720.00 880 $16,720.00
1,800 $134,424.00 1,800 $134,424.00
Totals: 2,680 $151,144.00 2,680 $151,144.00
Units Unit Desc
1 SELECT
1 SELECT
I SELECT
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$1,284.95
$4.50
$513.98
$1,803.43
Print Date: 05/12/2005
Project Number: 05001557
Inv: 1
Application
Date: 05/12/2005 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Mechanical Permit
Units
2
4
6
2
2
2
Units
4
6
4
2
2
2
2
4
Operator: K_C Printed By: K_C
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$20.00
$4.00
560.00
$20.00
$20.00
$20.00
$144.00
Firm: UNKNOWN
Phone: (000) 000-0000
Unit Desc Fee Amount
NUMBER OF $24.00
NUMBER OF $36.00
NUMBER OF $24.00
NUMBER OF $12.00
NUMBER OF 512.00
NUMBER OF $12.00
NUMBER OF $12.00
NUMBER OF $24.00
Permit Total Fees:
Print Date:
$156.00
05/12/2005
Project Number: 05001557 Inv: 1
Notes •
Application
Date: 05/12/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary•
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$50.00
$1,803.43
$144.00
$156.00
$50.00
$1,803.43
$144.00
$156.00
$2,153.43 $2,153.43
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,803.43
$144.00
$156.00
$0.00 :$2,153.43
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances. -
Signature:
Operator: K_C Printed By: K_C Print Date: 05/12/2005
SPOKANE COUNTY WATER DISTRICT # 3
NEW SERVICE ORDER
Iwo#
' 1640
NAME
DATE
5/10/05
ORDER RECIEVED BY
G. Deacon
ID
WSA#
MAP#
421
2
103
PRED LLC
SERVICE ADDRESS
4115 S Bowdish
BILLING ADDRESS
see below
BY ORDER OF CONTRACTOR
SERVICE SIZE
1
METER SIZE
1
AMOUNT DUE
WATER SERVICE
BY ORDER OF OWNER
LIVING UNIT
2
FIRE LINE SYLE
0
Initials / Date Showing
Reciept of Letter
Describing Commercial
CONNECTION FEE
1 $2,225.00
SERVICE TYPE
'MULTI FAMILY
METER FEE
$0.00 1 $0.00
RECORD OF PAYMENT
PAVEMENT
1 $500.00
FIRE LINE
$0.00
Paid 05/10/05 Ck# 1004 1" Commercial water service $2,225.00 Pavement
replacement $500.00 Biling Address: 6616 E Main Spokane WA 99212 Contact
person Dan Coyle 290-0925
METER MAKE
METER SIZE
METER NUMBER
START READ
DATE SET
INITIALS
FRONT 0,0 r FLANKING Mai-
'
REVIEWED BY
SErcAcks nior To ,IIMp SCALGz
C c -r ,42E AS iN D (c.4rr1j
//
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