Loading...
2002, 10-29 Permit App: 02009647 ResidenceProject Number: 020096-17 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/29/2002 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 36 Left: 5 Right: 32. Rear: 27 Site Information: Plat Key: 006306 Nanie: SUMMERFIELD EAST 4TH ADD Contact: DOUGLASS, LANZCE Address: 8510 N CRESTLINE C - S - Z: SPOKANE, WA 99217 Phone: (509) 483-6532 Group Name: Project Name: District: H Parcel Number: 46354.9050 Block: 20 SiteAddress: 5223 N BURNS RD SPOKANE, WA USA 99216 Location:: SPO Lot: 3 Owner: Name: DOUGLASS, LANZCE Address: 8510 N CRESTLINE SPOKANE, WA 99217 Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Hold: ❑ Area: 11,779 Sq Ft Width: 86 Depth: 118 Right Of Way (ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review FR—eleased By: Approach / Drainage 0a 4.15c4)10( 02 "St.e) as- Flood S Flood plain o41VSw t1 Sewer Review Operator: JAS Printed By: JAS Released By: Released By: Print Date: 10/29/2002 Project Number: 020096-17 Inv: I Permits: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/29/2002 Contractor: LANZCE G DOUGLASS, INC Address: 851() N CRESTLINE SPOKANE, WA 99217 Building Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Building Characteristics Const Category: New Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Description Grp Type Notes BASEMENT U R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Sprinklers: 11 Critical Materials: This Application: Stories: Total Project: Sq Ft Valuation Sq Ft Valuation 1,045 $12,853.50 1,045 $12,853.50 120 $939.60 120 $939.60 792 $9.504.00 792 $9,504.00 L045 $68.970.00 1.045 $68,970.00 Totals: 3,002 $92,267.10 3,002 $92.267.10 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 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 1 3 4 1 1 Operator: JAS Printed By: JAS Fee Amount $848.75 $4.50 $186.73 $1,039.98 Firm: DANCAR MECHANICAL INC. Phone: (509) 924-9921 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $85.00 10/29/2002 Page 2of3 Project Number: 02009647 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/29/2002 Page 3 of 3 Contractor: GOLD SEAL MECHANICAL INC Plumbing Permit Firm: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE Phone: (509) 535-5944 SPOKANE, WA 99212 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER CROSS CONNECTION DEVICES WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Units 2 3 1 1 1 1 1 3 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount Invoice Amount $1,039.98 $85.01) $78.00 $1,039.98 $85.00 $78.00 Fee Amount $12.00 $18.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $78.00 Amount Owing $1,039.98 $85.00 $78.00 $1,202.98 $1,202.98 $0.00 $1,202.98 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: JAS Printed By: JAS Print Date: 10/29/2002 APPLICATION INFORMATION What Is the JOB SI tE address? ASSESSOR'S tax parcel number? 4. ZS -.22Z DurvuS Legal description as it appears on the property deed LOT ? BLOCK Z© >r'U✓j /pi3O/'9- OWNER or OCCUPANT Phone Lanzce G. Douglass, Inc. 509-483-6532 Mailing address City, state Zip '815 E. Rosewood Ave. Spokane, WA 99208-5507 Who should we contact regarding this project? Phone Lanzce G. Douglass 509-483-6532 What work Is being done under this permit? Single F ami1 �;'� Ione ; ,,. . ,, :..•., .. napeotor district Property size .... „ Right of way width r Water district SEE A`i'TACHED_ENERGY CALCULATIONS t Building 936 split vulgar side Building height # of stories es 1 Contractor Lanzce G. Douglass, Inc. Dimensions —55/52 TOTAL SQUARE FOOTAGE ,1-g-}-t—ZO/O WA State Contractor license # LANZCGD072P5 Main floor area mfr IONS Unfinished basement area 6- 1p46-- Mailing address 815 E. Rosewood Ave. 2nd floor area 0 Finished basement area 0 ArchitecUEngineer Independent Home Designs Garage area 7Lj2 Size of decks, etc. 120 Oover30rr What is the heat source) fnrr•Pr1 air gas What is the cost of your project) Manufactured Home . Sign Width: Length: Make: What is the square footage of the sign face? How high is the sign? Year: Installer Contractor We State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler Tent _ _ Paint booth Fire Alarm Fireworks display _ _ _ VALUE Contractor Contractor WA Slate Contractor license # WA State Contractor license # Mailing address Mailing address Fuel Storage Tanks Swimming Pool (Circle one) Above -ground Underground Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address Spokane Co•.rnty does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities, rI R 'ee 05: aeraN L_;,!: v UTILITIES DIVISION N. Bruce Rawls, P.E., Utilities Director A DIVISION OF THE PUBLIC WORKS DEPARTMENT Gary Oberg, Director GENERAL. FACILJTIES CHARGE (GFC) PAYMENT OPTION SELECTION RECORD 4_ PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Date: f Plat Name: Lot No(s): Block No(s): ZQ pt,L) ,4D - Site Address(es): t%V V2•t.,- /q-pDress P ei--- Parcel No(s): 146,55—e4 • .5C) /../9rvzcE G - , Owner Name: OR Builder Name: ?��-- PRJNT Owner's Name PRINT Builder's Name Payment Option Selected (Check One): 1. ( ) GFC payment received at issuance of Sewer Connection Permit by Division of Utilities 2. ( ) GFC to be .paid at closing, at the GFC rate in effect at the time of closing. 114, 3. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account. Complete one of the following statements. a. Owner's Statement: I, understand that 1 will be billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added to my monthly sewer service charges. b. Builder's Statement 1, understand that because I am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as billing commences. Special Conditions: ( ) No ( ) Yes - See Reverse Side of Form Spokane County, GFC Payment Option Form Division of Utilities Revised 03/06/00 1026 W. Broadway • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 324-3166 spokone—dz 10/14/2002 07:43:52 AM STA: 25+80.0 OFFSET: 27.2 R INSTALL TYPE 1 CATCH BASIN RIM=2036.1 IE OUT=2033.7 26k°° �p,D <_. a_ G ROWS CURB 1.9111•-? • , ,-1nF_WALASEMENI — ES— — °F WAY R��NT 14' WIDE BORDER EASEMENT 27+00 --, 1 2C 115.97 C LOT 2 Z !r?g sLibmitted for thepurpose at ui .g permit and is a true and correct ;,erration of the proposal. All known property T :: ii -pensions, curb lines, structures and easements identified. Also indicated are wetlands, ,; ;er, steep slopes or other critical areas. 13' WIDE BORDER EASEMENT LOT 3, BLOCK 20 SUMMERFIELD EAST 4th ADD. ec 00 1' - W \ RIGHT OF WAY TYPE IB CURB STA: 17+25 16.5' L INSTALL TYPE 1 CURB INLET EL=2036. 66 SCALE: 1 "=30' RIGHT OF WAY • ENGINEERS © SURVEYORS 1220 N. HOWARD Sr. SPOKANE. WA 99201 FAX (509) 328-0423 (509) 328-5139 101 THARH RD. LEW1STOM. ID 83501 FAX (208) 746-6825 (208) 746-2661