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2005, 06-14 Permit App: 05002021 Residence
Proj eat Number: 05002021 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/14/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front l'0, 1 Left: Site Information: Plat Key: Right: Rear: Contact: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE C - S - Z: SPOKANE, WA 99217 Phone: (509) 487-9792 Group Name: Project Name: ROW Name: SUMMERFIELD EAST 06TH ADD District: East Parcel Number: 46353.4901 Block: 28 SiteAddress: 5404 N CALVIN RD Location:: CSV Zoning: UR -3.5 Water District: Area: 11,847 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 1 Owner: Name: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 45 Review Site Plan Review Released By: .tiv (Ittovilit,1( Plan Review Released By: r v am,o4A,v Approach / Drainage Released By: Sewer Review Permits: Operator: K_C Printed By: K_C Print Date: 06/14/2005 Projeot Number: 05002021 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 Fee Amount 1 NUMBER OF $25.00 1 NUMBER OF $25.00 Permit Total Fees: Building Permit $50.00 Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE #A SPOKANE, WA 99217 Group: R-3 Type: VB Total Area 2028 Building Height 35 Stories 2 Dwelling Units 1 Phone: (509) 487-9792 Building Characteristics This Application: Total Project: Description Grp Type Notes SQ Ft Valuation SQ Ft Valuation 2ND FLOOR R-3 VB 36 $2,688.48 36 $2,688.48 BASEMENT U R-3 VB 816 $12,240.00 816 $12,240.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 678 $12,882.00 678 $12,882.00 RESIDENCE R-3 VB 1,176 $87,823.68 1,176 $87,823.68 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 2,826 $117,434.16 2,826 $117,434.16 Units Unit Desc Fee Amount 1 SELECT $1,094.55 1 SELECT $4.50 1 SELECT $437.82 Permit Total Fees: $1,536.87 Operator: K_C Printed By: K_C Print Date: 06/14/2005 Project Number: 05002021 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 3 1 1 1 GOLD SEAL MECHANICAL INC 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER 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 Fee Amount $10.00 $12.00 $3.00 $30.00 $10.00 $10.00 $10.00 Permit Total Fees: $85.00 Plumbing Permit Units 3 4 1 3 1 1 2 Operator: K_C Printed By: K_C 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 Permit Total Fees: Fee Amount $18.00 $24.00 $6.00 $18.00 $6.00 $6.00 $12.00 $90.00 Print Date: 06/14/2005 Projeot Number: 05002021 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/14/2005 Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,536.87 $85.00 $90.00 Invoice Amount $50.00 $1,536.87 $85.00 $90.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,536.87 $85.00 $90.00 $1,761.87 $1,761.87 $0.00 $1,761.87 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 yang ECEIIVE JUN e 9 2O65 [PERMIT APPLICA_ WORK SHEET TiKANE VALLEY COAM4 h /TI' DEVELOPMENT BUILDING DIVISION 1 /707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 ne: 509)688-0036 Fax.: 509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 5404 N Calvin ASSESSOR'S TAX PARCEL NUMBER(S): 46353.4901 LEGALDISCRIPTION: Lt 1 Blk 28 Summerfield East 6th Addition PERMIT bESCRIPTION: MIUILDING PERMl'1' 11 RELOCATION Residential Construction ® CIIANGE IN USE GRADING ® MANUFACTURED HOME EI SIGN © TENANT fl OTHER OWNER / APPLICANT INFORMATION LIOWNER: Ilarley C Douglass Inc n APPLICANT: PIIONE: 487-9792 FAX: 487-1580 PIIONE: FAX: ADDRESS: 8510 N Crestline Ste A Spokane_ 99217ADDRESS: CITY,STATE, ZIP CITY, STATE, ZIP "CONTRACTOR: El ARCIIITECT: PIIONE: FAX: PIIONE: FAX: ADDRESS:_ ADDRESS: CITY, STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE 11 CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: 35 BUILDING DIMENSIONS: 53 x 40 NUMBER OF STORIES: NUMBER of BEDROOMS: 3 FLANKING SETBACK: FRONT SETBACK: 64' REAR SETBACK: 22' LEFT SETBACK: 38' 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 1 176 OCCUPANCY GROUP: 214° FLOOR SQ FT: CONSTRUCTION TYPE: UNFIN BASEMENT: 816.25 36 STRUCTURES ON PROPERTY: FINISHED BASEMENT: CRITICAL AREAS: GARAGE: 678 CURRENT PROPERTY SIZE: COVERED DECK: CURRENT PROPERTY USE: DECK: 120 CURRENT SEPTIC USE: CURRENT WELL USE: 12 RIGHT SETBACK: IMPERVIOUS SURFACE AREA: PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: 5404 N Calvin Owner: Harley C Douglass Inc Mailing Address: 8510 N Crestline 99217 City Contractor: Gold Seal Mechanical 5944 Mailing Address: Zip Code Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Residential Building Phone (Daytime Contact): Spokane WA State License #: GOLDSM 290C4 Zip Code Phone #: 535 - City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 3 X $6.00 = 18.00 2 URINALS X $6.00 = 3 TUBS 3 X $6.00 = 18.00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 2 X $6.00 = 12.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 4 X $6.00 = 24.00 6 DISHWASHER 1 X $6.00 = 6.00 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6 00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6 00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD DATE. EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: 4,01tI MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: 5404 N Calvin Owner: Harley C Douglass Inc Mailing Address: 8510 N Crestline 99217 Contractor: Dancar Mechnical Mailing Address: 311 N Hodges 99016 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Residential Construction Phone (Daytime Contact): Spokane WA City License #: DANCAM102207 Green Acres Cit State Zip Code Phone #: 599-9921 WA State Zro Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 = 12.00 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE 1 X $10.00 = 10.00 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER 1 X $10.00 = 10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 3 X $1.00 = 3.00 18 DUCT SYSTEMS 1 X $10.00 = 10.00 19 VENTILATING FANS 3 X $10.00 = 30.00 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM 1 X $12.00 = 12.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10 00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.O0 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: DATE ❑CASH 0 CHECK 0 VISA 0 MC . SUBTOTAL PROCESSING FEE $35.00 v co 0) co SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF TI -IE ROAD, ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UNDISTURBED AND MAINTAINED BY THE HOME CONTRACTOR AND 1HO;; OWNEF�. 1 361 X I531'0 .I -I o0mc� a fcD y W y a, ay 7 w cwID ID m �° 7 7 w p, wH. O Q w a OCD 7 c 0f 0 O. w . ID CDC 3 CO ID CD v a Q `D'0 7 �° ', > iv -, ur O O 3 C 01°13.. co . u, H w 3 a w m m(7, -a =wo O. 0 x 7 O CD 0 ID 7 7 a 0 3 o y v ow`D y c A O •seeie 18011113 18U10 10 'spuepaM an ADDRESS ZONE ,UZ ROAD WIDTH 3 FRC NT ?)1 fLAN COMMENTS REVIEWED BY 100.57' ILII 3LEVL. HARLEY C DOUGLASS INC. 8510 N. CRESTLINE SPOKANE, WA 99217 5404 N. CALVIN RD. LOT 1, BLOCK 28 SUMMERFIELD EAST SIXTH ADDITION SCALE: 1"=30' USKH 1220 N HOWARD ST. SPOKANE., WA 99201 PHONE (509) 328-5130 FAX (509) 328-0423 101 THAW ROAD Engineering . Land Surveying LEWISTON, ID 83501 Planning • Materials 'Testing PHONE (208)746-265 9 FAX (208)746 6825 04/21/2005 09:35 509328042- ADDRESS -5- USKH INC ZONE 'ROAD WIDTH 3 FRONT "14C COMMENTS 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. N 11 I Us 6 X > — 100.57' 6 I » " r5' SETBACK LINE1 Lc/ WIDE DER T7 - plan is being submitted for t g a building permit and is a tr rep,trntation of the proposal, All k lin# dimensions, curb ine tures trave been identified. Also Indicated _pies of ter, t p slopes or oth ft $Signed: Date: 5404 N. CALVIN RD. LOT 1, BLOCK 28 SUMMERFIELD EAST SIXTH ADDITION e purpose of e and own prrop,ly and easel are wet io . • critical Hat) CaNylov il.SSit CeAcc..e. (-A c, • SCALE: i"=30' Engineering • Land surveying Plannit1 • Materials Testing Wad At HOWARD DT. 19PPKANA WA lesIztel• twoive awn au•on't FAN moo) a2t.0,2 yet MA+ ROAD PHNf12:11111134° 111 PAX (M 74e.41W5