2005, 06-14 Permit App: 05002019 ResidenceProject Number: 05002019 Inv:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Date: 06/14/2005 Page 1 of 4
Setbacks: Front 39 Left: 6 Right: 10 Rear: 36
Site Information:
Plat Key:
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
Parcel Number: 46353.4702 Block: 26 Lot: 2
SiteAddress: 5407 N CALVIN RD
Location:: CSV
District: East
Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: E
Area: 10,225 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
[Released By:
Released By:
11
V V "
Sewer Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 06/14/2005
Project Number: 05002019 Inv: 1
Application
Date: 06/14/2005 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Group: R-3
Total Area
Building Height
Stories
Dwelling Units
Description
BASEMENT U
DECK
GARAGE
RESIDENCE
Type: VB
2895
35
2
1
R-3
R-3
U-1
R-3
Approach
Firrn: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Building Characteristics
Type
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,403 $21,045.00 1,403 $21,045.00
120 $1,800.00 120 $1,800.00
782 $14,858.00 782 $14,858.00
1,491 $111,347.88 1,491 $111,347.88
Totals: 3,796 $149,050.88 3,796 $149,050.88
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$1,273.75
$4.50
$509.50
$1,787.75
Print Date: 06/14/2005
Project Number: 05002019 Inv: 1
Application
Date: 06/14/2005 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD
GREENACRES, WA 99016
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Mechanical Permit
Units
1
1
3
4
1
1
1
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
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:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Plumbing Permit — —
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBEROF
2 NUMBER OF
Operator: K_C Printed By: K_C
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 Nurnber: 05002019 Inv: 1
Notes:
Application
Date: 06/14/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,787.75 $1,787.75 $0.00 $1,787.75
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$2,028.75 $2,028.75 $0.00 $2,028.75
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
►���.iulictl Ie
.0,00Vgi11
ECIEOWE
JUN U 9 2065
I! L I1V
r
PERMIT APPLICATION WORT( SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILD/NG DIVISION
1170 7 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: 509)688-0036 Fax: 509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: 5407 N Colvin
ASSESSOR'S TAX PARCEL NUMBER(S):46353.4702
LEGALDISCRIPTION: Lt 2 BIk__26J Summerfield East 6th Addition
PERMIT DESCRIPTION:
el BUILDING PERIt'IIT
11 RELOCATION
residential construction
fl CHANGE IN USE El GRADING El MANUFACTURED 11OML,
[l SIGN f] TENANT
fl OTHER
OWNER / APPLICANT INFORMATION
hj OWNER: Marley C Douglass Inc
fl
509 487-9792 509 487-1580
PHONE: FAX:
ADDRESS: 8510 N Crestline Ste A Spokane WA
CITY,STATE, ZIP 9921
°CONTRACTOR:_ Harley C Douglass Inc �l
PHONE: 509 487 9792 FAX: 509 487-1580
ADDRESS: saine as above
WA ST CONTRACTOR LICENSE #__
CITY, STATE, ZIP
IIARLECD 110PE
APPLICANT:
P1IONE:
ADDRESS:
CITY, STATE, ZIP
FAX:
ARCIIITECT:
PI LONE:
ADDRESS:
FAX:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK: 35
BUILDING DIMENSIONS: 30X60
NUMBER OF STORIES: 1 1/2
NUMBER of BEDROOMS:
FLANKING SETBACK:
a
FRONT SETBACK: 39
REAR SETBACK: 36'
LEFT SETBACK: 6'
30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 1491.25
OCCUPANCY GROUP:
CONSTRUCTION TYPE: Residential
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE: .
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
1
RIG' IT SETBACK: 10 IMPERVIOUS SURFACE AREA:
2rlo FLOOR SQ FT:
UNFIN BASEMENT: 1403
FINISHED BASEMENT:
GARAGE: /SA.
COVERED DECK:-----------
DECK: 120
le si 'alley, V9 /-3. 9920b 'ii./9-688-0037 - Fax
r Inspecti,ons , ai1 509-688
• Plumbing Permit Application
OP
PROJECT
ADDRESS: 5407 N_Calvin
DESCRIPTION
DETAILS
PERMIT
USE:
Residential Construction
OWNER: Ilarley C Dou9Iass Inc
Spokane, WA
(city/tale)
PHONE (Daytime
99217
•
1KENs8 i:
Contact): 509 1187-9792
(ZIP)
MAII ING ADDRESS:
8510 N Crestline Ste A
(sheet)
CONTRACTOR:, Gold Seal Mech
-
GOLDSM 290C11
_ _
MAILING ADDRESS:
55211 East. Boone Spokane, WA
99212
PHONE 1:
12.00
2
3
4
5
URINALS
(street)
(city/state)
$6
-
(ZIP) '
PLUMBING FIXTURES
I NI HABER:
:ED SIGNATURE:
EXPIRES:
DESCRIPTION
DETAILS
I OF UNITS
X
COST
EQUALS
AMO I INT
1
TOILETS •
WATER CLOSET, BIDETS
2
X
$4 '
..
12.00
2
3
4
5
URINALS
X
$6
-
TUBS
2
X
16
-
12 . 00
SI [MYERS (PER TRAP)
BA111, STALL, ON-SITE BUILT
X
$6
. •••
SINKS
LAVS/BASINS, BAR, FLOOR, KITCIIEN,
LAUNDRY, UTILITY, JANITOR, PIIOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
3
X
$6
..
18.00
6
1)151 MASI IER
1
X
$6
-
- 6.00--
7
CLOTHES WASI IER
X
$6
""
8
GARBAGE DISPOSAL
X
46
-.
9
WATER SOFTENER
X
$6
-
10
ELECT. I fOT WATER TANK
NOTE: IF GAS, SEE MECI1ANICAL -
. X
$6
--
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCI I, CONDENSATE
1
X
' $6
6.00
12
13
FOUNTAINS, DRINKING
1
X
$6
-
WATER PIPIITG/DRAIN-IN
WASTE, VENT, PLUMBING .
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
•
*6
- •
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
15
WATER USING DEVICE
.
ICE AND/OIL COFFEE MAKER, 110SE BIB,
STEAMER, P ROOFER, CARBONATOR,
SWAMP COOLER
X
86
•
-
.
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CI !ECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
16
17
SPRINKLER SYSTEM
X
$25
-
18
19
INTERCEPTORS
GREASE 'TRAP, SAND TRAP, CI1EMICAL
I IOLDING TANK .
•
X
$6
-
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
_
20
I\ IISC. PLUMING FIXTURE
1
X
$6
-
6.00
PAYMENT
1 CI
. /5.4 •
!ECK El
. ....-:!..7„;
MIS -
•,-31.3.7.. . .
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
.
TOTAL PERMIT FEE DUE:
I NI HABER:
:ED SIGNATURE:
EXPIRES:
+•24
Valley
Mechanical Permit Application
opunatte valley, VVI 99206
For Inspections, call 50.
509-688-0037 - Fax
-0054
PROJECT '
ADDRESS: 5407 N Calvin
PERMIT
USE: Residential Construction
OWNER: Harley C Douglass
PHONE (Daylittenittl'J,1_9792
4U /
WA 99217
(ZIP)
MAILING ADDRESS:
8510 N Crestline Ste A Spokane.
(street) (cily/stale)
co. 'RAD%ancar Mechanical
LICENSE 1: D/NCAM102207
PHONE 8:
509 924-9921
MAILING ADDRESS:
•
311 N Hodges Greenacres
WA 99016
(street) (city/state) (ZIP) .
METHOD OF PA
0 CASH( CHECK QMINN 0 I 1
DATE:
EXPIRES:
BANKCARD NUMBER:
AUIIIORIZED SIGNATURE:
DESCRIPTION OF WORK
6 OF UNITS
X
COST
EQUALS
-
AMOUNT
1s.00
1
FUEL BURNING APPLIANCE
- OR <IOQ000
. r
X_
X
515
2
FUEL BURNING APPLIANCE
> 100,000
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 100,000
•
X
550_
-
. 1
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,1300
X
5100
• -
5
USED APPLIANCE (WSEC min. AFUE rating)
- us < /00,000
X
550
-
6
7
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X1
X
5100
-
BOILER/REFRIGERATION
1•I00M BTU
515
-
6
BOILER/REFRIGERATION
101 - 500M BTU
'X
128
-
9
BOILER/REFRIGERATION
501 - 10001%11M/ 1
X
539
10
0OILER/REFRIGEItAT1ON
1001 - 1,750M BTU
X ,
557
-
11
BOILER/REFRIGERATION
11750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
1
X
510
-
10.0F
13
RANGE
--
1
X
510
-
14
DRYER
-
X
510
15
FUEL BURNING WATER I (EATER
-
1
X
510
-
. 10.00
16
MISC. FUEL BURNING.APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
2
X
51
-
2.00 -
18
DUCT SYSTEMS
-
1
' X
510
-
10.00
19
20
VENTILATING FANS
-
X
510
-
AIR HANDLER (DOES NOT Include ducting)
- OR < 10,000CFM
1
X
512
-
12.00-
21
AIR I UNDLER (DOES NOT Include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
1YPE MOOD
-
X
550
-
21
TYPE Il HOOD
-
X
510
-
25
I TEAT PUMP/AIR CANDmoNER
0-3 TON
X
512
-
26
AIR CONDmON4R
3-15 TON
X
120
t -
27
AIR CONDmONER
15-30 TON
X
525
-
28
AIRCONDtTIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
450 TON •
X
560
-
30
IPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLETSTOVE/1NSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
52-7
-
1IEN.T
ixa ti�25fl3J,
SUBTOTAL:
FLUS PROCESSING EEE:
$35.00
TOTAL PERMIT FEE DUE:
0 CASH( CHECK QMINN 0 I 1
DATE:
EXPIRES:
BANKCARD NUMBER:
AUIIIORIZED SIGNATURE:
SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD,
ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UN•ISTURBE
AND MAINTAINED BY THE HOME CONTRACTOR AIA00' •• ►'■'i
J2
0
0
0
Iy41 Sol; t
HARLEY C DOUGLASS INC.
8510 N. CRESTLINE
SPOKANE, WA 99217
130.9
SFTRACK I
NE
A Le -
13' WIDE
- BORDER
EASE MENT
ZONE Le_I
ROAD WIDTH
FRONT.__•, FLANKING _1i -
COMMENTS
REVIEWED BY Lu t w>
10
UT
EAS
ENT
H
L�
u
SETBACK _ I INF _ I
126.71- - -
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 known property
Tines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of w- er, steep slopes other critical areas.
Signed
Dat:
5407 N. CALVIN RD.
LOT 2, BLOCK 26
SUMMERFIELD EAST
SIXTH ADDITION
SCALE:
0'
USKH
Engineering • Land Surveying
Planning • Materiels Testing
1220 N. HOWARD ST.
SPOKANE, WA 99201
PHONE (509) 328-5139
FAX (509) 328-0423
101 TRAIN ROAD
LEWISTON, ID 83501
PHONE (208) 748-2681
FAX (208) 748-6825