2004, 07-19 Permit App: BLD-04-07094 ResidenceSpokane
..Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 5222 N CALVIN RD
SPOKANE VALLEY WA 99216
Description: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
HARLEY C. DOUGLASS, INC
HARLEY C. DOUGLASS, INC
8510 N CRESTLINE ST
SPOKANE, WA 99217-
HARLEY C DOUGLASS INC
8510 N CRESTLINE
SPOKANE WA 99217
Lot: Bik: Parcel No:
Phone:
Phone:
Lic No:
Application #: BLD -04-07094
(509) 487-9792
HARLECD11OPE
Applied:
Issued:
Expires:
Zoning:
07/19/2004
01/15/2005
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
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
MISC PLUMBING FIXTURE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
TYPE II HOOD
sfr
114056
35
52 X 40
2
3
37
50
10
10
r-3
5-w
NA
177.5 X 82.17
RESIDENCE
no
no
3
3
2
4
1
1
2
1
1
1
1
1
3
1
3
1
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
MISCELLANEOUS PLUMBING FIXTURE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
AIR HANDLER <= 10,000 CFM
Total Calculated:
ipts:
431.10
10.00
1,077.75
4.50
18.00
18.00
12.00
24.00
6.00
6.00
12.00
6.00
15.00
10.00
10.00
10.00
3.00
10.00
30.00
12.00
1,725.35
0.00
THIS IS NOT A RECEIPT
Spokane
11ey
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Application #: BLD -04-07094
THIS IS NOT A RECEIPT
ey
STREET ADDRESS;
PERMIT APPLIC A !_ JN_WORK _SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: 509)688-0036 Fax: 509)688-0037
REQUIRED SITE INFORMATION
5222 N Calvin
ASSESSOR'S TAX PARCEL NUMBER(S);
Blk Su
LEGAL DISCRIPTION:
46353.4401
merfield East 5th Addition
PERMIT DESCRIPTION: Residential Construction ECE
EitIll-LOING PERMIT
n RELOCATION
IJCUANGE IN USE 11 GRADING
flSIGN n TENANT
OWNER 1 APP
ICANT INFORMAT
" OWNER: Harley C Douglass Inc
PIIONE: 487-9792 FAX; ‚187j580
D
IN4gir11,41E ajtjfh IV! if,
IERJUL U LW"
n APPLICANT:
PHONE;
ADDRESS; 8510 N Crestrine_ ate A Spokane 99217ADoREss:
CITY,STATE, ZIP
CONTRACTOR:
PI IONE:
ADDRESS;
FAX:
CI
ARCIIITECT:
teLl
PI IONE:
ADDRESS-.
FAX:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE a HA RLECD 110PE CONTACT:
PERMIT/BUILDING INFORMATION
CITY, STATE, ZIP
/11PRPTY,„,S TATE, ZIP
PW/S14:
COST OF PROJECT: 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 1176
35
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP: 2N0 FLOOR SQ FT: 36
BUILDING DIMENSIONS: 52 X 10 CONSTRUCTION TYPE: LINFIN BASEMENT:_ 816 25 _
NUMBER OF STORIES:
NUMBER of BEDROOMS: 3
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK: LQ27
LEFT SETBACK: /4)
RIGHT SETBACK:
2
STRUCTURES ON PROPERTY: 1 FINISHED BASEMENT_
CRITICAL AREAS: GARAGE: 400
CURRENT PROPERTY SIZE: /7- /5 COVERED DECK:
CURRENT PROPERTY USE: DECK: 120
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
echanicai Permit
pplic1tio><i
PROJECT
ADDRESS: 5222 N Calvin
PERMIT
USE: Residential Construction
OWNER: Harley C Douglass Inc
PiIONE(Daytime Cuitacl):
487-9792
MAILING ADDRESS;
8510 N Crestline Ste A Spokane, WA 99217
EQ[I,4LS
AhtOIINT
(street) (city/state)
(ZIP)
- OR < 100,000
CONTRACTOR: Dancar Mechanical
LICENSE 4:
DANCAM102207
MAILING ADDRESS:
311 N dodges
Green Acres
PRONE /:
2
FUEL BURNING APPLIANCE
> 100,000
WA
99016
(street) (city/stale)
(ZIP)
3
HOD OF PA
'4s1i ❑ CIIECK ❑MIR=❑ "i
•
EXPIRES:
:CARD NUMBER: •
IORIZED SIGNATURE:
DESCRIPTION OF IVOKK
5 OF i[MTS
X
COST
EQ[I,4LS
AhtOIINT
i
FUE1. BURNING APPLIANCE
- OR < 100,000
1
X
$15
-
1 5.00
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400
X
550.
-
.1
UNLISTED APPLIANCE (ADDmONAI. FEE)
> 400,000
X
__,.X
5100
-
S
6
USED APPLIANCE (IVSEC ndn. AERIE rat,n%)
- or 4 400,000
115ED APPLIANCE (WSEC min. AFUE talk%)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1 - 100M 8111
X
115
-
8
BOILER/REFRIGERATION
101 • 500M BTI(
`X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M 8311
X
339
-
10
0OILER/REFRIGERATION
1001 - 1,750M BT11
X
$57
-
11
BOILER/REFRIGERATION
•1750M BTU
X
$95
. -
-
1 0 . Uu
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
1
X
$10
13
RANGE
-
X
510
-
1{
DRYER
-
X
510
-
15FIJEI.BURNING
WATER ((EATER
-
1
X
$10
-
. 10.00
16
MISC. FUEL BURNING APPL.
-
1
X
$10
-
10.00
17
GAS PIPING (ea. Oudel)
-
3
X
' X
51
510
-
-
3.00
10.01--
18
DUC1'SYSTEMS
-
1
19
VENTILATING FANS
-
4
X
510
-
40.00
20
AIR HANDLER (DOES NOT Include duclnE)
- 0R < 10,000CFM
1
X
512
-
12 00
21
AIR HANDLER (DOES NOT Include ducing)
EVAPORATIVE COOLERS
> 10,000 CFM
-
X
X
519
510
-
22
23
TYPE [ 1tOOD
-
X
5S0
-
2i
TYPE 11 11001)
-
X
510
-
25
1 TEAT PUMP/AIR CONDITIONER
0.3 TON
X
312
- •
26
AIR CONDITIONF,R
3-15 TON
X
320
-
27
AIR CONDITIONER
15.30 TON
X
$25
-
28
AIR CONDITIONER
3050 TON
X
$35
-
29
A[RCONDITIONER
sSOTON•
X
360
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
W000 STOVE - FREE STANDING
-
X
$25
-
MEN.(,
', `'
SUBTOTAL;
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
'4s1i ❑ CIIECK ❑MIR=❑ "i
•
EXPIRES:
:CARD NUMBER: •
IORIZED SIGNATURE:
OP
Plumbing Permit. Application
PROJECc
ADDRESS: 5222 N Calvin
DESCRIPTION
DETAILS
PERMIT
USE: Residential Construction
OWNER: Harley C Douglass Inc
. . .
Pi IONE (Daytime Contact); '
MAD Il IG• ADDRESS:
8510 N Crestline Ste A
AMOUNT
Spokane, WA 99217
(street)
WATER 1.0 ET, BIDETS
(6IY/state) - (ZIP)
CONTRA Ort
Go cl Seal Mechanical
$6
*6
-
-
LICENSE I:
GOLDSM 290C4
MAILING ADDRESS:
5524 E f3oone Spokane,
WA
99212
PI IONE 1:
53.9j4
(sired)
X
(city/state) (ZIP) '
PLUMBING FIXTURES
.13 NUMBER:
ZED SIGNATURE: .
DESCRIPTION
DETAILS
1 OF I KITS
X
COST
E IIALS
AMOUNT
1
TOILETS
WATER 1.0 ET, BIDETS
3
X
X
$6
*6
-
-
18 AIL_
2
3
URINAIS
TUBE
3
X
*6.
-
18.00
4
5
5110WERS (PER TRAP)
DATIL STALL, ON-EFIE BURT
2
X
$6
-
12.00
SINKS
LAVE/BASINS, BAR, FLOOR, PTO IEN,
-ALINDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/IvIEAT
4
. .
X
*6
-
24.00
6
7
1E1 IFYASI IER
1
X
46
.
' 6 00
.
CLOTHES WASIIER
.
X •
$6
-
8
9
GARBAGE DISPOSAL
X
$6
-
WATER SOFTEN R
X
$6
-
0
ELECT. 110T WATER TANK
NOTE; IF GAS, SEE MECI I A N1CA I.
X
$6
-
1
FLOOR DRAINS
AREA, CASE, COIL, TRENCI I, CONDENSATE
X
$6
-
12
FOUNTAINS, [MIMING
X
46
-
13
WATER PIPING/DRAIN-IN
WAS ', VENT, PLIJMUING
REVERSAL
INSTALLA11ON, ALTERATION, R,
LEVERSALS
X
•
*6
-
14
SEWAGEEJECrOR
GRINDER, SUMP PUMP
• X
$6
-
15
WATER USING DEVICE
•
ICE AND/OR COFFEE MAKER, I IOSE BI13,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
16 •
-
16
CROSS CONNECTION DEVICEVACUUM
BREAKER, CIIECK VALVE, AND
.P.B.P.D. FOR; VATS, TANKS, BOILERS
X
$6
-
17
SLKINKI.ER SYSTEM
X
*25
18
CEPTORS
EASE TRAP, SAND TRAP, CHEMICAL
lioun-NG TANK
X$6
19
AIEDICAL GAS per outlet
t4ISC. PI .UMBING FIXTURE
NITROUS, OXYGEN
1
X
X
$6
$6
-
-
6.00
2 0
PAYMENT
ilfaitiii 04PLUS
1 CI [ECK n Cl .. . .
SUBTOTAL:
PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
.13 NUMBER:
ZED SIGNATURE: .
S1ie\"'`
,,00sUalley
Call 21 Hours before inspection _aired
Phone' 509.688-0036. Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION
Location of property 5222 N Calvin 46353.4401
(Address/Parcel #, if available)
Applicant Name Harley C Douglass Inc
Address 8510 N Crestline Ste A Spokane Phone 487-9792
99217
Contractor's Name Harley C Dougalss Inc
Address 8510 N Crestline Ste A 99217 Phone 487-9792
Contractor's Reg# HARLECD 110PE
Expires
PROJECT DESCRIPTION (Provide site sketch)
x
Residential Driveway
I Existing Curb & Gutter
Culvert Installation
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
1 Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Inspection Fee$
hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Signature
Fees Paid$ Date nit
Excerpts from Spokane , Standards (3.24, and details A8 ai ea):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project Into the road right of way, sidewalk, or pathway.
Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without hacking onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage Inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% In urban
area, or 2% in rural areas. Driveway grades shall not exceed t0% within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
t:
TAS
Technical Assistance Services
Garden Court !loading, 222 W Mission Avenue, Suite 235, Spokane, WA 99201 (509) 325-4476 FAX (509) 325-4587
03/07/03
Project: Single Family Residence
Total Area: 2028 sq.ft.
Address:
5222 N Calvin
(1212" Split")
Contractor/Phone: Harley C. Douglass, Inc.! 487-9792
Heating Type: Gas
PROJECT COMPLIES with TABLE 5-1/ TARGET COMPONENT VALUES FOR
GROUP R OCCUPANCY, 2000 Washington State Energy Code --07/01/02
Amendments.
ALLOWABLE HEAT LOSS (Btu/h/deg.F)
Glazing: 15% 2028 sq.ft.. 304.2 @ U .40 = 121.7
Doors: 21 sq.ft. @ U .20 = 4.2
Ceiling (Attic): 1181 sq.ft. R38 @ U .031 = 36.6
Walls (.2028 gross sq.ft.): 1705 sq.ft. R19 @ U .062 = 105.7
Floor: 10 sq.ft. R30 @ U .029 = .3
BG Walls (3.5' depth): 518 sq.ft. R19 @ U .041 = 21.2
148 1.f. @ F -value .64 = 94.7
TOTAL UA ALLOWABLE 384.40
PROPOSED HEAT LOSS (Btu/h/deg.F)
Glazing (10.9%):197 sq.ft.Vinyl @ .50 U*
21 sq.ft mtl insul full light @ U .38 .
35 sq.ft. vinyl patio @ U .49*
Doors: 21 sq.ft. mtl insul Panel @ .17 U
Ceiling: 799 sq.ft. 6:12 STD @ .029 U
382 sq.ft. 6:12/3:12 STD scissor @ U .031
Walls: 156 sq.ft. R19 INT horiz. siding @ .058 U
1646 sq.ft. R19 INT T1-11 @ .061 U
98.5
8.0
17.2
3.6
23.2
11.8
9.0
100.4
Floor: 10 sq.ft. R30 @ .029 U
BG Walls (3.5' depth): 518 sq.ft. R11 @ .062 U
148 1.f. @ F -value .63
.3
32.1
93.2
* Window Products NFRC values
TOTAL PROPOSED HEAT LOSS = 397.3
397.3 Btu/h < 402.5 Btu/h -- Project complies w/ Table 5.1
Edward R. Fields
Technical Assistance Services
Spokane
Permit #
Completion Date
ley
Inspections performed 10 days after
scheduled completion to schedule call
(509)688-0195 or Fax (509)688-0037. Any re-
inspection will incur an additional $25.00
charge.
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
ROW Construction Permit
ROW 04-533
Location of Property
5222 N CALVIN RD
Comments
Issue Date 7/19/2004 Account #
Issued by Ddompier
Project Description
driveway
Construction Utility
❑ ❑
CONSTRUCT NEW DRIVEWAY
Applicant
Contractor Name
Harlan Douglass Inc.
Address
815 E
Spokane
CRN #
Rosewood
WA 99208 -
Bond Origination Date Bond $
Permit Fee
$25.00
Inspection Fee
$25.00
Individual Name
Contractor Phone #
509-489-4260
Account #
Total Fees Collected
$50.0
Permittee Signature Approved
Date 7/off eo/
7
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Credit Card #
Name of Holder
Expiration Date
Signature
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (signed)
PERMIT MUST BE KEPT ON SITE
Date
RECEIVED
_1_ 2 0 2004
SPOKANE. VALLEY
DLPAR WENT OF
HARLEY C DOUGLASS INC.
8510 N. CRESTLINE
SPOKANE, WA 99217
o‘, 2?7.
L4 •
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