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2005, 06-14 Permit App: 05002018 ResidenceProject Number: 05002018 Inv: 1 Application Date: 06/14/2005 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: HARLEY C DOUGLASS INC NATURAL GAS Address: 8510 N CRESTLINE C - S - Z: SPOKANE, WA 99217 Setbacks: Front 40 Left: 6 Right: 39 Rear: 34 Phone: (509) 487-9792 Group Name: Site Information: Project Name: ROW Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East Parcel Number: 46353.4602 Block: 25 SiteAddress: 5313 N CALVIN RD Location:: CSV Zoning: UR -3.5 Water District: Area: 13,842 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 2 Owner: Name: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 38 Review Site Plan Review Plan Review Released By: Ck_ 1 M atter^ 4 Approach / Drainage Released By: U,44,1,4—bk , Sewer Review Permits: Released By: Operator: K_C Printed By: K_C Print Date: 06/14/2005 Project Number: 05002018 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/14/2005 Page 2 of 4 Approach Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE #A Phone: (509) 487-9792 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: HARLEY C DOUGLASS INC Finn: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE #A Phone: (509) 487-9792 SPOKANE, WA 99217 Building Characteristics Group: R-3 Type: VB Total Area 2895 Building Height 35 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sci Ft Valuation BASEMENT U R-3 VB 1,403 $21,045.00 1,403 $21,045.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 782 $14,858.00 782 $14,858.00 RESIDENCE R-3 VB 1,491 $111,347.88 1,491 $111,347.88 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 3,796 $149,050.88 3,796 $149,050.88 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $1,273.75 $4.50 $509.50 Permit Total Fees: $1,787.75 Operator: K_C Printed By: K_C Print Date: 06/14/2005 Project Number: 05002018 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/14/2005 Page 3 of 4 Contractor: DANCAR MECHANICAL INC. Address: 311 N HODGES RD GREENACRES, WA 99016 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Contractor: Address: Mechanical Permit Units 1 1 3 4 1 1 1 GOLD SEAL MECHANICAL INC 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Firm: DANCAR MECHANICAL INC. Phone: (509) 924-9921 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Plumbing Permit Units 3 4 1 3 1 1 1 2 Operator: K_C Printed By: K_C Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 $95.00 Firm: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $6.00 $18.00 $6.00 $6.00 $6.00 $12.00 $96.00 Print Date: 06/14/2005 Project Number: 05002018 Notes: Inv: 1 Application Date: 06/14/2005 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 $50.00 $1,787.75 $95.00 $96.00 Invoice Amount $50.00 $1,787.75 $95.00 $96.00 $2,028.75 $2,028.75 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,787.75 $95.00 $96.00 $0.00 $2,028.75 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: 06/14/2005 Spokane' 4400,Valiey o Eg.'EOVE JUN X19 2065 D ED CI DOH U PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT- BUILDING EVELOPMENTBUILD/NG DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: 509)688-0037 REQUIRED SITE INFORMATION STREETADDRESS: 5313 N CAlvin ASSESSOR'S TAX PARCEL NUMBER(S):_ 46353.4602 LEGALDISCRIPTION: Lt 2 Blk 25 I Summerfield East 6th Addition PERMIT DESCRIPTION: El DING PERMIT RELOCATION residential construction ® CHANGE IN USE ®GRADING U MANUFACTURED HOME Fj SIGN ® TENANT ° OTHER OWNER / APPLICANT INFORMATION ®OWNER: Harley C Douglass Inc0 PHONE: FAX: 487-9792 509 1187-1580 ADDRESS: 8510 N Crestline Ste A Spokane WA CITY,STATE, ZIP 99" 0 CONTRACTOR: Harley C Douglass Inc PHONE: 509 487 9792 FAX: 509 487-1580 ADDRESS: same as above CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # HA RLECD 110PE COST OF PROJECT: APPLICANT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS:_ CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION BUILDING HEIGHT TO PEAK: 35 BUILDING DIMENSIONS:__30X60 NUMBER OF STORIES: 1 1/2 NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: 49' REAR SETBACK: 34' LEFT SETBACK: 6' 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: Residential STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: CURRENT SEPTIC USE: CURRENT WELL USE: RIGI IT SETBACK:__ 391 IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT: 1491 .25 2° FLOOR SQ FT: UNFIN BASEMENT: 1403 FINISHED BASEMENT: GARAGE: 782 COVERED DECK: DECK: 120 OF kVU 11 Valley S ,ale Valley, WA 99206 X09-688-0037 - Fax I r inspections; calf. 509-688 1 thing I ennit Application PROJECT ADDRESS: 5313 N Calvin PERMIT USE: Residential Construction OWNER: Harley C boUglass Inc PHONE (DaytlrneContact): 509 487-9792 MAILING ADDRESS: 8510 N Crestline Ste A Spokane, WA 99217 COST (street) (city/state) (ZIP) CONTRACTOR:, Gold Seal Mech u LICENSE 1: GOLDSM 29008 tMIAILING ADDRESS: 5524 -East. Boone Spokane, WA 99212 PHONE 1: $6 - 12.00 (street) (dty/state) (ZIP) PLUMBING FIXTURES ;1) NUMBER: EXPIRES: ZED SIGNATURE: DESCRIPTION DETAILS 1 OF UNITS X COST EQUALS AMOUNT _ 1 TOILETS • WATER CLOSET, BIDETS 2 X $6 - 12.00 2 URINALS X $6 - _ 3 TUBS 2 X 0 . - 12.00 4 SI IOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X 66 S SINKS LAVS(BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT 3 X $6 - '1 8 .00 6 DISHWASHER 1 X • E6 - - 6.00 7 CLOTT IES WASHER X • $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL • X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCII, CONDENSATE 1 X ' $6 - _ 6.00— 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X 66 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE . ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 • - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CI IEMICAL HOLDING TANK . X 66 - 19 MEDICAL GAS Per outlet NITROUS, OXYGEN X $6 - — 20 MISC. PLUMBING FIXTURE 1 X $6 - 6.00 —1 PAYMENT A CHECK ❑ ❑ ,?R's 1 . SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: ;1) NUMBER: EXPIRES: ZED SIGNATURE: Spokane Valley, WA 99206 509-688-0037 - Fax Fot Inspectionscall 50. -0054 IVtecliaitical Permit Application PROJECT _ ADDRESS: . 5313' N Calvin PERMIT USE: Residential Construction OWNER: Harley C t ouglass PIIONE (Day1t on t): 9792 MAILING ADDRESS: 8510 N Crestlihe Ste A Spokane, WA 99217 (street) (city/state) (ZIP) CONTRACT R: i�ahcar Mechanical LICENSE l: DANCAM102207 PHONE l: • 509 924-9921 MAILING ADDRESS: • 311 N Hodges Greenacres WA 99016 (street) (city/stake) (ZIP) METHOD OF PA ❑ CASII ❑ CI DATE: EXPIRES: BANKCAIU) NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK • I OF !WITS X COST EQUALS AAfOunr 1 FUEL BURNING APPLIANCE - OR < 100,000 1 X 515 - 15.00 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 • X 550 4 UNLSTED APPLIANCE (ADDITIONAL FEE) > 100,000 X 5100 5 USED APPLIANCE (WSEC min. AFUE rating) - or < /00,000 X 150 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X *800 - 7 BOILER/REFRIGERATION l -10014 BW X 515 - / BOILER/REFRIGERATION 101 . 500M BTU 'X 128 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39 - 10 BOR.ER/REFRIGEFUTION 1001-1,750M BN X . 157 - 11 BOILER/REFRIGERATION 11750M BTU 1 X 595 12 GAS LOG, GAS INSERT, GAS FIREPLACE - 1 X $10 - 10.06- 0.0(- 13 83 RANGE - X 110 - II DRYER - X 110 - 15 FUEL BURNING WATER IIEATER - 1 X . 510- 1 0.00 16 &RSC FUEL BURNING.APPL, - X 510 - 17 GAS PIPING (es. Oullet) - 2 X *1 - 2.00 18 DUCT SYSTEMS - 1 ' X $10 - 10.00 19 VENTILATING FANS - X 110 -• 20 AIR I IANDLER (DOES NOT Include ducting) - OR < 10,000CFM X 112 - 12.00 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 119 - • 22 EVAPORATIVE COOLERS • . - X 410 - 23 TYPE I 1100 - X 550 - 24 TYPE E 11000 - X $10 - 25 I IEAT PUMP/AIR CONDITIONER 0-3 TON X $12 26 AIR CONDITIONER 3-I5 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X *35 - 29 AIR CONDITIONER +50 TON' X 460 - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X 510 - 32 WOOD STOVE - FREE STANDING - X 525 - HENT l-visA ..- 44 -Is e l SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCAIU) NUMBER: AUTHORIZED SIGNATURE: O 01 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. \i \ 6 -qt-n) s ► � t � 3` 9" " v ►RLEY C DOUGLASS 8510 N. CRESTLINE SPOKANE, WA 99211'9 17+00 4 CROWN AVE. ADDRESS ZONE ROAD WIDTH FRONTCOMMENTS REVIEWED 8Y 3.22'IL»1 =5.20'1411 ORD -SEMEN 13' VIDE o 0 BORDER EASE ENT 5' SETBAO o1 0 O 26. 8 1 /i CALVIN RD. aktqlSplit 1 1 5313 N. CALVIN RD. LOT 2, BLOCK 25 SUMMERFIELD EAST SIXTH ADDITION SCALE: 1"=30' USKH 1220 N. HOWARD ST. SPOKANE, WA 99201 PHONE (509) 3285139 FAX (509) 328-0423 101 THAIN ROAD Engineering . Land Surveying LEWISTON, ID 63501 PHONE (208) 746-2661 Planning . Materials Testing FAX (208) 746-6825