2004, 10-15 Permit App: BLD-04-07937 ResidenceSpokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 5211 N CALVIN RD
SPOKANE VALLEY WA 99206
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
LANZCE G DOUGLASS INC
LANZCE G DOUGLASS INC
8510 N CRESTLINE
SPOKANE, WA 99217
LANZCE DOUGLASS INC.
8510 N CRESTLINE
SPOKANE WA 99217
Application #: BLD -04-07937
Lot: Blk: Parcel No:
Phone: (509) 483-6532
Phone:
Lic No:
(509) 483-6532
LANZCGD072P5
Applied:
Issued:
Expires:
Zoning:
10/15/2004
04/13/2005
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
sfr
114058
19
40 X 56
1
2
36
MIN 20
20
20
r-3
5-n
1
80 X 126
no
no
3
3
4
1
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
CROSS CONNECTION DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
ITY OF SPOKANE VALLEY
REVIEWED FOR ODE COMPLIANCE on
FOR SUBMITTAL
CROSS CONNECTION DEVICE O NEVALLEY BUILDING DIVISION
FUEL BURNING APPL <= 100,000 !/ QOM 1
/D/40/0-
GAS
Q/40/0GAS LOG, INSERT, FIREPLACE 1
DRYER 1
FUEL BURNING WATER HEATER 1
GAS PIPING (ea. OUTLET) 3
VENTILATING FANS 4
TYPE II HOOD 1
Building
Planning
tal Due:
431.10
10.00
1,077.75
4.50
18.00
18.00
24.00
6.00
6.00
6.00
6.00
18.00
6.00
15.00
10.00
10.00
10.00
3.00
40.00
1,719.35
0.00
1,719.35
;4ctitcf� 51,C -O
Public Works \L2a) - 09
THIS IS NOT A RECEIPT
errs (f ��
Sno .ne
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Permit #: BLD -04-07937
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued perpit inure to the property owner
7: 7.04-,
Print Name
Staff Initials
Sign. ire
THIS IS NOT A RECEIPT
AUG 03 2003 14:48 FR
TO 4834966
P.01/03
fie-vt,/
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (809)688-0036 Fax: (5688.X37
REQUIRED SITE INFORMATtON
STREET ADDRESS: A.. 574/ 4.0/101/1/
ASSESSOR'S TAX PARCEL NIJAISER(S):
LEGAL DISCRJFTON: Z4197-
15" AAP.
PERMIT DESCRIPTION:
T3100k.Z ell .5ci~v1ter-E3ti.
LNG. PERMIT • pawl. GE IN USE UGRADING
#11:GCATTON riSIG-At D TENANT
reuNuFArnmutri Rohe
ekflita
AIL
OWNER / APPLICANT INFORMATION
a OWNER', ZA/V
PHONE; 6-13 Z- FAX: C-466S-4-1-cl
ADDRESS: -2L /V\ 4(-AIes 1U
53I 4,STA ZIP
'CONTRACTOR: 44-A.,--Zr-6-7 6- _ Or; L. -(...4 -ss ,k --c ARCHITECT:
0
APPUCANT:
PHONE: FAX:
ADDRESS
CITY, STATE, ZIP
PHONE: e--15? FAX r/( --,a. PHONE:
ADDRESS : 3-10
u.,\A -ccrz 7 CITY,,STATE, ZIP
FAX
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE Z--4`PA/ CC -5)017-\°S CONTACT:
1
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHTTO PEAK: Vi
BUILDING DIMENSIONS: LIOVcr,e7
NUMBER OF STORIES:
1
30% SLOPE'S ON PROPERTY: r•-.1---0
OCCUPANCY GROUP:.
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY:
NUMBER of BEDROOMS: 7 CRITICAL AREAS:
MAIN FLOOR SQ FT: 1_13
2N0 FLOOR SCI FT:
UNRN E3ASEMENT: 1 '3Z --
FINISHED BASEMENT: C)
GARAGE
METH° OF PA
CASH
CHECK
8ANKCARD et erPIRES: VINO
AUTHORIZED SIGNATURE:
I��alle3'
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
Spokane Valley, WA 99206
•
Mechanical Permit Application
PROJECT
ADDRESS: Ai. 5211 0,411% (/Q
PERMIT
USE
OWNER: L A -Zc:c G- DoLx.:.LAss =„.,C:
PHONE (Daytime Contact):
MAILING ADDRESS:
k , s s - to (res
c,i :A,€ s -c e..."4. LA -AA -
r -'7-7Z/--2
(sem)
(dty/state)
(ZIP)
CONTRACTOR
_ jc
LICENSEs:
SSS
•
MAILING ADDRESS:. '
tip- gs7o CCS-7"-L---1A-e- s c.9
PHONE
ass-3--crs
FUEL BU2NRJG APPLIANCE
_52-
• •
4 Z..1--)
(street)
(city/state)
(ZIP)
MErHoD OF PA'
❑ CASH 0
DATE: bcPDRE&
BANKGARD NUMBER
AUTHORIZT31 SIGNATURE
DESCRIPTION OF WORK
It OF UNITS
X
COST
EQUALS
AMOUNT
I
FUEL BURNING APPLIANCE
. OR 4100.000
1
X
SSS
•
, c-
2
2
FUEL BU2NRJG APPLIANCE
> 102.000
X
519
•
3
UNLSTEDAPPLIANCE (ADDIDONALFEE)
-ORc400.000
x
550
-
4
UNLISTED APPLIANCE (ADDSIIONAL FEE)
> 400.
X
S1m
5
USED APPUANJ (MEC:MA AFUE rating) . ee a 400.800
X
550 -
6
USED APPLIANCE (WSECma% ARE ratlng)' > 400,X0
X
5100 .
7
BOILER/REFRIGERATION 1-100M BTU
X
515
8 BOILER/REFRICFitA110N
101.500M BTU
501.1.000M BTU
X
X
s2B_ -
534
9 BOII.ER(RFFRICERAIION
10 BOILER/REPRIGERATrON 1001-1.750M 9TU
X
$S7 •
11 BOILER/REFRIGERATION .1750M BTU
X
595 -
12 CAS LOG CAS MEET. GAS FIREKaCE -
/
X
$10 •
i ,
]3 RANCE -
X
510 -
14 DRYER -
X
S10 -
15 FUEL BURNING WATER HEATER -
(
X
En -
I0
16 MEM FUEL, BURNING APDL. -
X
S20 -
17 CPS PIPING (ea- Outl4t) - _
��
X
51 -
18 DUO' SYSTEMS -
/
X
510 -.
( t
19 VENTILATING FANS -
i, f,
X
no •
I 0
20 AIR HANDLER (DOES NOT Include dUC5ng) • OR c 10A00CFM
X
512 -
21 ADR HANDLER (DOES NOT Mud*dnding) > 12000 CP/el
X
$19 -
22 EVAPORATIVE COOLERS -
X
510 -
23 TYPE IHOOD _
X
550 -
24 `TYPE A HOOD -
X
510
25 NEAT MAIN= CONDITIONER 0-3TON
X
512•
26 AIR CONDITIDN$R 3-15 TON
X
= •
27 AIRCONDCIIONER 15.30TON
x
525 -
25 AiRCONDi110NER 30.50 TON
X
Si5 •
24 AIR CONDITIONER 40 TON
X
560 •
30 LPG STORAGE TANK -
X
510•
31 WOOD OR PELLET STOW/INSERT -
X
510 -
_
32 WOOD STOVE -FRE STANDING -
X
575 -
id:ENT
rile_v -MiEli-
SUSrOTAL:
PLUS PROCESSING FEL
535.00
TOTAL PERMIT FEMME: j 75_7
DATE: bcPDRE&
BANKGARD NUMBER
AUTHORIZT31 SIGNATURE
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
Spokane Valley, WA 99206
Plumbing Permit Application
PROTECT
ADDRESS: N . $ 211 at ) v vv
PERM/T
USE
DETAILS
OWNER:.
X
PHONE (Daytime Contact):
EQUALS
AMOUNT
MAILING ADDRESS:
=LETS
WATER CLOSET, EIDE=
(street) `c,'
(city/state) (ZIP)
56
CONiZtAi .Iv G,Q/V 7wtr (----
DC C.c-L,S 1 n 4I
-4°N. SE 4;
'
MAILING ADDRESS:
Al.- cs7O CC Z -i/1.-
s., n,E-
PHONE t:
X
L(A4- C" Z[ -7
-
(street)
(city/state) ('LIP) '
3
PLUMBING FD(TURES
EETHOD 0
] CASH.
ATE
ANKCARD NUMBER:
UTHORJZED SIGNATURE:
** TOTAL PAGE.03 **
DESCRIPTION
DETAILS
1 OF MITIS
X
COST
EQUALS
AMOUNT
1
=LETS
WATER CLOSET, EIDE=
3
X
56
-
2
URINALS
X
56
-
3
TLYD3
:3
X
56
-
\ �}
4
SHOWERS (PER TRAP)
BATH, STALL ON-STIEBUILT
X
56
-
5
_
SINKS
LAVS)DASIVS, BAR, }t 0OR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X•
RAY, FOOD, PREP/COLINARY/MEAT
X
56
-
`q
Y
6
DISHWASHER
1
X
56
-
v
7
CLOTHES WASHER
j
X
8
CARBAGE DISPOSAL
1
X
9
WATERSOETENER
x
56
-
10
ELECT. HOT WATER TANK
NOTE: IP GAS, SEE MECHANICAL
X
56
-
11
FLOOR DRAINS
AREA, CAM, COIL, TRENCH, CONDENSATE
i
X
56
-
12
FOUNTAINS, DRINKING
X
56
-
13
WATER PIPINCIDRAIN•W
WASTE, USM, PLUMBING
REVERSAL.
I STALLATION, ALTERATION, REPAIR,
RI -VERSALS
X
56
-
14
SEWAGE EJECTOR
GRINDER. SUMP PUMP
X
56
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER HOSE BIB.
STEAMER. PROOFER. CARBONATnR
SWAMPCOOLER
X
56
-
i CS
16
CROSS CONNECTION DEVICE
VACUUM BREAKER. CBE= VALVE, AND
R3.B.PD. FOR: VATS, TANKS, BOILERS
X
86
-
17
SPRINKLER SYSTEM
1
X
525
-
18
INTERCEPTORS
GREASR TRAP, SAND TRAP, CHEMICAL
HOLDIVG TANK
X
56
-
19
MEDICAL, GAS pas -outlet
NITROUS OXYGEN
X
S6
-
70
MISC. PLUMBING FUTURE
X
S6
-
PAYMENTill_
ti
CHECK I-2❑ 'NEWF.
STJBTOTAL.
PLUS PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE
3
ATE
ANKCARD NUMBER:
UTHORJZED SIGNATURE:
** TOTAL PAGE.03 **
rlimits'Li 41
Status ;Active
Parcel Number 3463534503
Site Address
City `SPOKANE
5211 M CALVIN 111)
Go To Stie•N
Name LANZCE G DOUGLASS. INC
Address 8510 N CRESTLINE
City -Stale -Zip SPOKANE WA 99217-
Countsy.
SUMMERFIELD EAST 5TH ADD LT 3 BLK 24
5325
5115
5021
501
16
-,'"'5.2,13210.:
,52010214516 ..14615 ..11706 47201
.+ i''i t ' 146007 ..5116
114 5044 I 14621 ' 11711 "••.14723 � 11
'.146^J • "I ,47,7
L 1 ..511
FF .Y6z14r 1z 14724
14606 1 14622 .14718 ,' ,
5010 ., 14616 •
5017"
h soot ,,,
5019
01'
0s 5
"'4903
14425
Tuesday, Nov 09, 2004 11:21 AM
i
TO 4834966
NOV 09 2004 11:18 FR
P.01/02
Lanzce G. DouV2ss. Inc. 815 E Rosewood. Ave.. Spokane WA 99208-:7507
Address: itt 5211 ) V IA)
Le2a1: LOT3 SCOCK
Devel'oprrnent 51.0YriarFeicv e
Scale: ---- 20'
House
Bedrooms:
Baths:
Ele_vation: