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2005, 04-12 Permit App: 05001161 ResidenceProject Number: 05001161 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 Proiect Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front 33 Left: 29 Right: 5 Rear: 20+ Site Information: Plat Key: Name: RANGE Contact: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Phone: (509) 483-6532 Group Name: Project Name: ROW District: East Parcel Number: 46353.9123 SiteAddress: 5316 N CALVIN RD Location:: CSV Zoning: UR -3.5 Water District: Block: 27 Lot: 2 Urban Residential 3.5 Area: 12,657 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 38 Review Site Plan Review Released By: 1 Plan Review Released By: C 411.4 Approach / Drainage Released By: Sewer Review Permits: Released By: Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001161 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 Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Group: R-3 Type: VB Total Area 2264 Building Height 19 Stories 1 Dwelling Units 1 Approach Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Fee Amount $25.00 $25.00 $50.00 Building Characteristics Description Grp Type BASEMENT U R-3 VB DECK R-3 VB GARAGE U-1 VB RESIDENCE R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Notes This Application: Sp Ft Valuation 1,132 $16,980.00 120 $1,800.00 660 $12,540.00 1,132 $84,537.76 Totals: 3,044 $115,857.76 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: K_C Printed By: K_C Permit Total Fees: Print Date: Total Project: Su Ft Valuation 1,132 $16,980.00 120 $1,800.00 660 $12,540.00 1,132 $84,537.76 3,044 $115,857.76 Fee Amount $1,083.35 $4.50 $433.34 $1,521.19 04/12/2005 Project Number: 05001161 Inv: 1 t 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 Unit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 s 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: 05001161 Notes: Inv: 1 ! . Application Date: 04/12/2005 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 $1,521.19 $95.00 $108.00 Invoice Amount $50.00 $1,521.19 $95.00 $108.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,521.19 $95.00 $108.00 $1,774.19 $1,774.19 $0.00 $1,774.19 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 .00 Valley D ECS_EOWE yi) DPERMIT APPLICATION WORK SHEET OKANE VALLEY COMMUNITY PT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-4037 MLOHN REQUIRED SITE INFORMATION STREET ADDRESS: 5'; / ASSESSOR'S TAX PARCEL,. NUMASER(S): �i-//YYl'�G�Y'•F'�'i LEGAL DISCRIPTION: < T PERMIT DESCRIPTION-: T D NG PERS " 13 CilANGE IN iTSE " ® GRADING MAN UFACTCRED .aOME ®RELOCATION SIGN DAFT El(MEEt Aim OWNER / APPLICANT INFORMATION Cl OWNER: 1,4"1 7-(-2-6-- C DC; C2<' -L15 S J - APPUCANT: PHONE L-1 5"-L-=53 FAX: CL -4 S-4"-- �%�c • PHONE F ADDRESS: i MI G-%i&S 1 U/Y) ADDRESS ,STATE, ZIP CITY, STATE, ZIP °CONTRACTOR: ! &WTHOD 0 PluinbirigPe 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036 - Phone 509-688-0037 - Fax Application RorEcr ADDTMQS: ,- "1 PERMIT . COST EQUALS OWNER. M 1 MN1E13 o Cantact); MAIUNG ADD ‘c - A1.5 (street) X (city/state) (ZIP) CON/RALi-ux; :-A/1) -7---!-4--'-- C.. - Do (--G-6-ss -7,AILICZN. SE 1 ; MAILING ADD : ', `;'S---70 ccs4/t- s4-e./Cirt,6-- PHONE t: #L1srAu.. N T W.4- -2,--1 7 (street) (city/state) (ZIP) ' PLUMBING FIXTURES ATE: ANKCARD NUMBE31.: LITHORIZJED SIGNATURE: ** TOTAL PAGE.03 ** DPScPJFTTON =las A OF UNDO X COST EQUALS AMOUNT 1 MN1E13 WATER=SET. MEM z.S X 66 . ‘c - A1.5 X 66 X 71SHOWERS #L1srAu.. N T SINKS LeonnAsNa BAR, RAO& KII0-11N, LAUNDRY, IITILITY, JANITOR, PHOTO, X- RAY, FOOD. ITU/CULINARY/MEAT -...3 X SS - 7 CWTflES WASHBR J X 56 - 8 GARBAGE DERMAL J X 66 - wAnm SMTD4M X 66 - 10 wATta TANK NOTAS.EEMEAN1CAL X 56 , 11 TOUTADR1NCIMMIMEND1.11[113111 DRAfl3S AREA. CASE COII, TRENCH. CONDENSATE- - 13 A • WAsit WM., rummaw REVERSAL ON, ON. REVERSALS X 66 - 14 SEWA�ETECrOR GRINDER. UMP PU X 56• A ics AND/OR coFEE miLiza. HOSE Ba SIMNEL FMOTEL CUMOMMMIt SWAMP COOLER 16 cCSSCONNELL N DEVIE VACUUM BREAKER CM= VW.% AND R.7.8.P.D. FOR: VATS. TANKS, ISOMERS X - 17 SPRINKLER SYSTEM 1 X S2 • 18 INTERCEPTORS ' 0118ASUITA4 TRAP, CHEMICAL H0WThCTANP X 56 - 15 MEDICAL GAS pudct N!TROUS QXYG2 X 56• 20 MISC. PLUMENG FIXTURE X 56 - ',PAYMENT -- D (MEC( =NM 0 SUBTOTAL: PLUS PROCESSING FEE: M.00 TOTAL PERMIT FEB DLTE: ATE: ANKCARD NUMBE31.: LITHORIZJED SIGNATURE: ** TOTAL PAGE.03 ** 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone 509-688-0037 - Fax Spokane Valley, WA 99206 apical Permit Application PROJECT' ADDRESS: Ai 57A e - Ci2-)t // J r/4Ss :=A.C. PERMIT USE PHONE (Daytime Contact): OWNER: Gp/z.•z,- (�- IAC MAILING ADDRESS: /(1 '" I © r2S Li ,"\-,e. s • 4'u t - r^ Z T . OR a 100000 (s'h'eet) (city/state) SLS (ZIT') CONTRACTOR / �^� G.A.ti LSC �{ . C-� �t5 .5 n: > 100 000 LICENSE X MAILING ADDRESS:- • • /U `S1 C C r eS G I &e s iC�y..*-E-. (.. L,i4 PHONE - OR a X00400 • Ci.• GIZ 1 - (street} (city/state) UNIISIEDAPPLSANCE(ADDITTOHA1. ) (ZIP) METHOD OF PA Q D NOFWOPJC IOxIIN1T 1 % [OST EQUALS AMOWJD z FUEL BURNING APPS.IANC& . OR a 100000 I X SLS I 1 FUEL, BURNING APPLIANCE > 100 000 X 519 1 3 UNLISTFD APPLIANCE (ADDITIONAL FES) - OR a X00400 X 550 i UNIISIEDAPPLSANCE(ADDITTOHA1. ) >4O1.O X 5100 5 UP= APPLIANCE (WSEC tin. APL'S raring) . a a t00 00D X L•0 ' 6 USED APPIIANCX (WSEC, UI. AMIE ndng) > 401000 X SIX 7 SOILISEUREFEIGERAT1ON 1-IBTU X SSS - 9 lEOILERlREFRICSRATTON 101.500M ETU X 578 - 9 (BOILENRFFRIGFSiATLON 505.1. M ETU X S39 - 10 BOILER/REFRICERATTON 1001-1.7506( BTU X 557 - I2 SOL L5RJS1iFR1GERATION -1750M BTIT X 595 12 GASLOG.CASINSLRf GASFIlIEP7.4tn - / X 510 iG 13 RANGE - X 510 - N DRYER - X 510 i5 FUEL ELTRNING WATER BEATER - / X 520 I6 MISC. FUEL ELIRNINGAPP(. - X 570 - 17 CAS PINING (m. Oudot) - 3 X • 51 3 28 DUCT3YSTII.SS - - i X 510 - O 19 VS;NTII.AZAC7ANS - +->t^ X SIO - Gid 20 AIR HANDL ER(DOM NOT Induct .dualist .Og<10AOOCFM X 512 Zl AIR HANDLER (DOES NOT Include It) > 10400 CFM X 519 22 EVAPORATNE COOLERS - X 310 • 23 21T>!i IIi04D X 550 - 24 TM U P(OOD - X 510 • 25 HEAT PUNIP/AIR CONDITIONER 0.3 TON X 512 w Al CONO1Tx 1Npt 3•ISTON X sza ' 'J ARRCONDIi1ONfi1( i330TON X 525 - 23 AIR CONDITIONER 30+50T 7IV X 535 - 29 AIR CONDITIONER 30 TON X S60 - 3ti LFG5TORAGETAN1 - X 550 - 31 WOOD OR DT - X SID 32 WOOD STOW - FREE STAND/NG - X 575 - SUBTOTAL • S PLUS PROCESSING FM $35.00 TOTAL PERMIT FEE DUI: 1 2:3 — vial a Qizcx ❑ ❑ DATE E70PRR� BANKCARD NUMBER AUTHORIZED SIGNATURE 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. This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All kno property lines) •� • • IIM , r .. tas , � , �Sasements have hien ands, bodies o/, critical areas. Signed' CALVIN RD. ZONE ROAD FRONT COMME N A=108'07'5 R=20.00' L=37.75' 32 T=27.59' S S 10' WIDE UTIL cel _ :KENT mz \01 \O J 14508 E. CROW AV LOT 2, BLOCK 27 SUMMERFIELD EAST SIXTH ADDITION SCALE: 1"-=-30' l USKH 1220 N. HOWARD ST. SPOKANE, WA 99201 PHONE (509) 3283139 FAX (509) 329-0423 101 THAIN ROAD Engineering • Land Surveying LEWISTON, ID 83501 PHONE Planning • Materials Testing FAX (208)746-6825