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2005, 04-12 Permit App: 05001162 ResidenceProject Number: 05001162 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: LANZCE G DOUGLASS INC NATURAL GAS Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Setbacks: Front 36 Left: 10 Right: 9 Rear: 40 Phone: (509) 483-6532 Group Name: Site Information: Project Name: ROW Plat Key: Name: RANGE District: East Parcel Number: 46353.9123 Block: 25 Lot: 1 SiteAddress: 5307 N CALVIN RD Owner: Name: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST Location:: CSV SPOKANE, WA 99217 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 10,109 Sq Ft Width: 80 Depth: 126 Right Of Way (ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: Plan Review Released By: l j v IAL fLC_ Approach / Drainage Released By: (4( Sewer Review Permits: Released By: :Vak Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001162 Inv: 1 Application Date: 04/12/2005 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC Address: 1402 E MAGNESIUM Phone: (509) 483-6532 SPOKANE, WA 99217 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC Address: 1402 E MAGNESIUM Phone: (509) 483-6532 SPOKANE, WA 99217 Building Characteristics Group: R-3 Type: VB Total Area 2600 Building Height 19 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Si Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,300 $19,500.00 1,300 $19,500.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 696 $13,224.00 696 $13,224.00 RESIDENCE R-3 VB 1,300 $97,084.00 1,300 $97,084.00 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 3,416 $131,608.00 3,416 $131,608.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,172.95 $4.50 $469.18 Permit Total Fees: $1,646.63 Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001162 Inv: 1 Application Date: 04/12/2005 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Mechanical Permit Units Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Unit Desc 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 Permit Total Fees: $95.00 Plumbing Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc 3 NUMBER OF 4 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Operator: K_C Printed By: K_C Permit Total Fees: Print Date: Fee Amount $18.00 $24.00 $18.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 $108.00 04/12/2005 Project Number: 05001162 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,646.63 $95.00 $108.00 Invoice Amount $50.00 $1,646.63 $95.00 $108.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,646.63 $95.00 $108.00 $1,899.63 $1,899.63 $0.00 $1,899.63 Page 4 of 4 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: 04/12/2005 AUG 83 2003 14:48 FR TO 4834966 LinECEOW Illiarj 31 2005 UOLDON F.01/03 PERMIT APPLICATION WORK SHEET POKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 Imporimmi REQUIRED SITE INFORMATION STREET ADDRESS: 4/, 530! OA( viv ASSESSOR'S TAX PARCEL NUMBER(S): LEGALDISCRIPTION: G1-1 (k- ZS ��rrter-,��<4-.0 ars% 6c1" ,9p7 PERMIT DESCRIPTION CIS MIZING PERMIT " 1:1 CHANGE IN USE " C GRADING MANUFACTCRED .HOME nenikit RELOfaT1ON ct SIGN CANT OWNER / APPLICANT INFORMATION ® OWNER: /AIV Zc 6 6, Dr (_;(,--ISS-� iv'� APPLICANT' PHONE: 7"_ 7_ FAX: C-1-4•S---FC/(..7-`, �c ADDRESS:r ' 14461_ /V A( 4 f `-) ADDRESS 3-(-2066-L a q, 1s13f,STATE, ZIP °CONTRACTOR: /4-ivZL6= 6 _ ARCHITECT: PHONE: e --S FAX: �-�s '- `=�i�-� PHONE: Fes& ADDRESS: PHONE: FAX: • CITY, STATE, ZIP ADDRESS: L ICJ Cl 2_Si Gi,ti P_ S:7CYi9/1 Cle(Zi -] CITY,.STATE,ZIP WA ST CONTRACTOR UCENSE L?/V ZC&PO -k"S' CONTACT: CITY, STATE, ZIP PERMIT/BUILDING INFORMATION 1 COST OF PROJECT: 30% SLOPES ON PROPERTY:) MAIN FLOOR SO FT:. 13 00 BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2ND FLOOR SQ FT: BUILDING DIMENSIONS: 61 X G CONSTRUCTION TYPE: UNFIN BASEMENT: 13 CIO NUMBER OF STORIES: 1 STRUCTURES ON PROPERTY: NUMBER of BEDROOMS: CRmCALAREAS: �I FINISHED BASEMENT: GARAGE: G DATE: i STAFF:' METNOD OFPAYMENT: CASH CHECK BANKCARD EXPIRES: VINO Cr VISA AUTHORIZED SIGNATURE •Me Spokane , WA 99206 509-688-0037 - Fax anical Permit Application PROJECT ADDRESS: Ai- 5007 C.:;:i 1V i -A../ PERMIT USE: -7 f'"&"- Do ,..x. -..-/Ass -A...C.: PHONE (DaYlirne C°niact): MAILING ADOR!59: /t) .- S s-10 cr-es-1-e_iAie_ s pc, eAlA,--- . 1 (street) (d /state) 1 CONTRACTOR 4,44.,A.; ZZ — ' ' ' C., 7 - .0 4 - : FUEL EVENING APPLIANCE MAILINC ADDRESS• - ,_ S7O r -s-,--- ( A -e.•5 ' ,"-e..- L.ti ?HO , . C? Zi) (street) (city/state) (ZIP) METHOD Or-- PA cao DATE: BANKC.ARD NUMBER: AUTHOR:MILD SIGNATURE: DF4cZJPTIONOYWQP.2. 1 07 COSD 1 EQIL4ZS i AMOUNT 1 CE • c 1 1 X 525 - .0 4 - 2 FUEL EVENING APPLIANCE > X 519 f 3 LIM= APPLIANCE (ADOMONAL 0) - OR 4QQ X 5S2 - 1 >i X 511 5 L APPLIANCE MA AF1JE rengJ or 4 4G3. X ESC ' 6 USED APPLEANCE(WSECildh. ARSE rating) 400402 X S200 • 7 BOLUSR/REFRESERATION 1 - DOLE ETU X 52.5 8 N 102. 9 BotouvREFRI=RATION .1 nu 10 BOLLER/REPIRMERATION 102/ - L750/4 BTU 12 BO ERria2PRIoffRATION .179714 WIU X SES 12 OAS • CS ;(7 13 RANGE X 510 - 4 olLYER - X 510 . SFB2JRNINCWATERHEAIU - X sw - 10 16 MEL X 520- 17 GAS MD.= (ea. Oudot) - 3 1 - IS DUCT SYSTEMS - / X 510 19 VENT24GPA1$ - 4240 20 MR LER N 4 .. < la X 23 ALR HANDLER MORS NOr butude damn > 10.000 C7M X 519 • = RAT1vE COOLERS - X 510 - 24HOOD X 510 25 PUite/AIR CON1XTION TON 26 AIR CONDITIoNER 3-1 TON X 515 - 23 A211 CONOMONER ,36•50 TON X 515 ' 15 AR OLTIONER -W TON X 360 • T X 520 • .510 . 12 OoD STOW -JIM STAND X 525 - EURTOTAL: .i' - P1.115 PROCESSING FEB 535.00 TOTAL:PERMIT FEE DUE i 7,3 — DATE: BANKC.ARD NUMBER: AUTHOR:MILD SIGNATURE: IgrHOEI ATE1 SpoaxieValley,WA 99206 509-48:0037 - Fax Plumbing Permit Application ADDR•- 5 DESCRIPTION &Lit/fry . x OWNER. EQUALS AMOUNT ?HONE); TO1tT5 WATER CLOSEEIDEIE :3 X 56 (street) (ci /state) (LP) -7------- C--- DC C-6-C4ss 1-,A rga3N, SE I: - CONTRALI UR: Z--2/1-1 MAILING ADDRESS: Ai. `;',S-7 -.PHONE -1 -s- • tt6 t; X UAAI-- Z I -7 S 4 SIIOWERS (?E11RA.)ATH.STALL O't.5EIE3U1LT AKCMD NUMBER: UTI-/ORTzED SIGNATURE ** TOTAL PAGE. 03 >o< DESCRIPTION - _ DETAILS .--- QFLIMIS x CDST EQUALS AMOUNT 1 TO1tT5 WATER CLOSEEIDEIE :3 X 56 - 2 MINA X 56 - X - S 4 SIIOWERS (?E11RA.)ATH.STALL O't.5EIE3U1LT 5 $INKS LAWBASZINS, BAR, FLOOR. KITCHEN, LAUNDRY, tmurf, JANITOR, PHOTO, X- RAY, FOOD, PREP/CITUNARY/MEAT 56 ' 6 0151-IWASI-IEK X 56 7 CLOTHES WASHER1 X $ GARBAGE D L 1 X 56 - (a 9 WATER FTENER X 56 —1 10 ELECT. HOT WATTAN NOTE: W GAS. SEE M5ANICAL X 56 1 FLOOR DRAINS AREA, CASE. COIL, TRENC7rI, CONDENSATE j X 56 - 72 FOUNTAZIE, DRINKING X 56 - 13 WATER pGING/DRArr.r.m wAsra, vENT, ri.vmsiNG REVERSAL 1NSTA,LLATION, ALTERATION, REPAIR, REVERSALS X 56 14 GRINDER. SUMP SEWAGE ETEL :UR 15 WAT U4G PV1� X 56' \ 10E AND/OR Lurk biz MAKER. HOSE 1313. ?ROOPCOATD SWAMP COOLU 6 CR CONNECGON DEYI� A VALVE. R.P.E.P.D. PDX VA1E, ANKS,IKJEERS X - 77 71B SPRINKLER SYSTEM X 525• 11.71011•TORS GREASE TRAP, SAND TRAP, CHEMICAL H X 56 ' 19 MEIISCAL GAS putict N/TROLIS, QXYG2 X 56 . 20 MC. PLUMBING tJRR X 56 - •PAYMENT CrMC. 11111111111111 Y1S4 — SUBTOTAL: PLUS PROCESSING FEE: $35.00 M MEM TOTAL ratmrr FEE DUE: 3 AKCMD NUMBER: UTI-/ORTzED SIGNATURE ** TOTAL PAGE. 03 >o< - SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD, ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UNDISTURBED AND MAINTAINED BY THE HOME CONTRACTOR AND HOME OWNER. ADORES ZONE ROAD W101,4 FRONT COMMENTS REVIEWED SY w z 20' SET43ACK 10' WIDE UTILITY '0,' EASEMENT Q W mz_ 13' WIDE F— BORDER n. EASEMENT V) 2y' i2c` 5' SETBACK LINL 126.14' O' This site plan is being submitted for the pi.posi al dibtaining a building permit and is a true and ddrlsat representation of Mie ptd/dttid. * 1111U N Nese/dimensions. curb Ni . sMalrlltr have been entitled. % 1111111111110. bodies /� areas. Signe Date* WS z 11 5307 N. CALVIN RD. LOT 1, BLOCK 25 SUMMERFIELD EAST SIXTH ADDITION SCALE: 1 "=30' USKH 12.20 N. HOWARD ST. SPOKANS WA 99201 PHONE (509)328.5139 FAX (509) 328-0423 101 TRAIN ROAD Engineering • Land Surveying LEWISTON, ID 83501 PHONE (208) 746-2661 Planning • Materials Testing FAX (208)746-6825