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2004, 10-15 Permit App: BLD-04-07932 ResidenceAUG 03 2003 14:48 FR R r TO 4834966 P.01/03 PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITYDEVELOPMENT BUILDING DIVISION 1170T East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax (509 3T STREET ADDRESS: Ai 6 S ZICI CA1 V I /L) ASSESSOR'S TAX PARCEL NUM8ER(S): LEGAL DISCRIPTION: ✓ 1G • �i �i • 5142-- APP • PERMIT DESCRIPTION-: G P • Q tMUSE USE " ®GRADING t.°CAi Q» D SIGN TENANT O FAGTCRED "HOME Do - OWNER / APPLICANT INFORMATION ® OWNER: /AA/zee- 6 . Or: APPLICANT: PHONE: 7- MX: (-I ADDRESS: I c -t OZ. M 46 -A/C -S. e IL/1'1 371::)/(2n t l Q,c',STATE,ZIP °CONTRACTOR: n./?LG Cr _ Or; L.; /G 9 SA . CI ARCHITECT' PHONE FAX ADDRE9& CITY, STATE, ZIP PHONE 4 0s-3 Z FAX ADDRESS A-) " 10 C "-..c . Gi, Sr�G��1✓� E u.",A - drer21-% CITY,•STATE, ZIP PHONE FAX ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE Z -4(9/117r Q TZ 'S CONTACT: I PERMIT/BUILDING INFORMATION N COST OF PROJECT: BUILDING HEIGHT TO PEAK: 19 OCCUPANCY GROUP:" BUILDING DIMENSIONS: L O cre7 CONSTRUCTION TYPE: NUMBER OF STORIES: 1 STRUCTURES ON PROPERTY: 30% SLOPES ON PROPERTY: NUMBER of BEDROOMS: •Z METHOD OFPAYMENT:-. " © C1 CASH CHECK BANICCARDAr CRITICAL. AREAS: +4�", MAINFLOORSQFT: II,52 2ND FLOOR SQ FT: 0 UNFIN BASEMENT: 11.3Z - FINISHED BASEMENT: GARAGE: EXPIRES; VINE' AUTHORIZED SIGNATURE Me 11707 East Sprague Avenue, Suite 106 509 -688 -01=16 -Phone Spokane V;iiey, W...4 99206 509-688-0037 - Fax apical Permit Application ADL?RF.SS1 Al. S -Z tq C4 1 v i N DESc7UPTIONQFT4rORK PERICT USE: OWNER: 4:4/V 7-C- — G- Do. `%C:r Ss .__c ~PHONE (Daytime Ccniact): MAILING ADDRESS: A.; - s s'IO Ct'2s; Li n,s 4 er44.A.� (.k...+A - "f 7 Z l 7 (street) (dty/state) •OR<100A00 I (ZIP) CONTRACTOR , 2 FUEL BURNTN APPf1ANCE MAILING ADDRESS:. -• --.--?HONE . c( eS ; e 5 _.-q,,,,,- ."7 u_44. X Z--, -3-`C=5-32- 3 c- C/Z.1--*) (street} (city/state) X (ZIP) METHOD OF PA ❑ CASH ❑ C3iEQC ❑ ❑ DATE EXPIRE& BANKCAAD NUMBER AUTHORIZED SIGNATURE DESc7UPTIONQFT4rORK tOFWJ1TS % COST EQUALS AMOLWT 1 FUEL BURNING APPLIANCE •OR<100A00 I X 515 , 2 FUEL BURNTN APPf1ANCE r 100.000 X 519 • 3 UNLISZ- i} APMSANC6 (ADDTTIONAl. 765) - OR 400402 X 550 - 4 UNuE ED APPLYANIT (ADDl1TONAL 466► r400 000 X 5401 - 5 [LSED APPLIANCE MEM' min. AFL S ming) - a < 400.4QI X S90 - 6 USED AP1UANCE (MEC mut AWE ratite a 40.X0 X 5100 - 7 80It6R1REFR1cRRATION 1-100id STV X SIS 9 BOR."ERlREFRR.'ERATlON 101.500M 5111 X SZ>f - 9 eDD.6R/REFRICERAi1oN 5 2 .1.000M BTU X 539 - 10 MON 1001-1,750M ETD X 537 I1 5OILERt>t> CERATION •17SD .c BTLI x 395 LI U GAS LOC. CAS DelEE . GASFIREPLACE - j X 510 - iG RANGE - X ,•10 - i4 DRYER - X 510 - ISFUELBIIRNING WATERHP.ATER - j X SIO - (U I5 MISC. FL1EI 32IRN1NG APDL - X 570 - 17 GAS M MNG (d. 00100 - 3 X 52 - I$ DLR:: $2STZ M3 - j x 520 - ,0 19 VENTILATING ANS - t./ X SIII • Lir2 21 A0t HANDLER (0005 NOT (muds dour) - OS < 10400CFM X Sit - 21 AIR HANDLER (D065 NOT Indudednding) > 10400 CFM X 519 - 2Z EVAPORATIVECOCILPRS _ X 310 - 23 TYPEIitoOD - X SSI - 2A TYPE 12 WOOD - X 510 25 HEA1PVMP/AIRCOMMMIONsR 0.3 TON X 512 - 26 AIRCONDMSONRI , 2-ISTON X 520 27 AIR COMMONER, 15-30TDN X 526 .2 AIR CONDi110NER 30.50 TON X 5S5 - 29 AIR COND2AONER -50 TON X 560 - 3Q LPGSTORAGETANX - X 510 31 WOOD ORP!LL6i5TOVFlINSERT - X 510 - 32 WOODSTOVE -FREESTAWING - X 529 - -. SUBTOTAL: '53�a — PLUS PROCESSING PEE $35.00 TOTAL PERMIT FEE DUE ❑ CASH ❑ C3iEQC ❑ ❑ DATE EXPIRE& BANKCAAD NUMBER AUTHORIZED SIGNATURE 11707 East Sprague Avenue, Saute 106 Spokane Valley, T �A 99206 509-688-0036 - Phone 509-688-0037 - Fax Plumbing Permit Application i}xolacr ,ADDRESS: N, 52 19 C i V N DETAILS PERMIT USE: QWNER _ _ COST PHONE (D:ytia a Cantnet): MAILING ADDRESS: TOILEi5 WATEII CLOSET BIDETS -5 (s et) X (dty/state) (ZIP) CANTRA(-lois:, ,,42ti C--- Lc c -«s LICENSE 1: MAILING ADDRESS: AJ,*(;'S-70' *(;'S70' Ccs s— C.A>l, G'c 1 6 PHONE 1: 56 L, 4- C`7ZI 7 (street) TUBS (thy/state) (ZIP) ' PLUMBING FIXTURES ETHOD 0 3 CASH SATE: ANKCiRD NUMBE UTHORTZED SIGNATURE TOTAL PAGE.03 ** DESCR PT74N DETAILS 1 OF uNrrs X COST EQ1LALS AMOUNT 1 TOILEi5 WATEII CLOSET BIDETS -5 X $6 - 1 2 tIR2NAL5 X 56 - 3 TUBS X 4 SHOWERS {P ER 7RAP) BATH, 5TALL, ON-SIIE3UILT X 56 - 5 SINKS LAYS/BASINS, EAR, FLOOR. KITCHEN. LAUNDRY,UIIIITY. JANITOR, PHOTO. X• RAY. FOOD. MEP/CULINARY/MEAT X 56 - `'J �7 6 D I X 56 • ;o 7 CLOTHES WASHER 1 X s6 - C2 8 GARBAGE DISPOSAL 1 X 56 - fv 9 WATER SOFTENER X 56 - 10 ELECT. HOT WATER TANK NOTE: IP CAS, SE6 MECHANICAL X 56 - 11 FLOOR DRAINS AREA, CASE COIL, TRENCH, CONDENSATE ' X 56 - 12 FOUNTA/NS, DRINKING X 56 - 13 WATER PIPINC/DRARWBY WASTE. VENC PLUMBING REVERSAL INSTALLATION, AL N. REPAIR REVERSALS �� X 56 14 GRINDER. SUMP PUMP X 56 - SEWAGE MEL AUR 15 WATER USING DEVICE X 56 KE AND/OR Lyn. biz MAKER, HOSE B. STEAMER, PROOYER, CARBONATOR SWAM? COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.F.B.PD. FOR: VATS, TANKS, BOILERS X - I� SFR NKLERSYSTEM X 525 - 15 WTERCEi'TORS GREAS8II?AZ+,sArrDTR.aP.cFiElruCAL HOLDING TANK X 56 19 MEDICAL GAS per outlet NITROUS, OXYGEN X 56 - 2A MSC, PLUMBING FIXTURE X 56 - PAYMENT �.�/ ] CHECK CI SUBTOTAL PLUS PROCESSING FEE: $35.00 I. TOTAL PERMIT FEE DUE: 1 3 SATE: ANKCiRD NUMBE UTHORTZED SIGNATURE TOTAL PAGE.03 ** Pt LIS Permits 1#111.1 Use Systein MEM DIgSitelnfo Status Active Parcel Number ,4653.404 Site Address City SPOKANE Size 5219 N CALVIN RD Name LANZCE G DOUGLASS. INC Address 8510 P1 CRESTLINE LegisiDesitip` ikon SUMN-LERFtELD'D EAST 5TH ADD 4 BLK 24 WA :99217- .520215_ 114006 14616 _11514 14720 • ...5102714607 0.14307 11504 1 14621 14711 .,i512 • ''-, 1471-7 • ul rri „I 1.620'' 14112 14608 1 14622 14615.' . 14 1 4 I ti f A ill ip,..AILL...1rji E A IA j18. ittigm Ka I m Tuesday, Nov 09, 2004 11:22 AM p 0 "ODE COMPLIANCE EVOltDit4G DivisiON NOV 09 2004 1118 FR Larace G.. Douglass.. Inc - ADDRESS ZONE ROAD VAD FRONT COMMENTS REVIEWED BY House Plan: Bedrooms: Baths: Elevanon: TO 4834966 P.02/02 315 E. Rosewood. Ave_. Spokane WA 99208-507 Address: As. 5Z‘ct Lem!: LOT BLOCK Deveforimeut.: sulvnerpaU..O €qS7s-402 Scale: 1" 20' Ina IND plan Is being submitted Iry dllalakg a buildinp .it„ allisasratalicl" • _,Iso • Massidimer.!. • :Am) • •••-- Ism boo], -11,111.10 bodies ut w.11. steer Signed: 4 ** TOTAL PAGE.02 **