2006, 04-07 Permit App: 06001136 ResidenceProject Number: 06001136 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2006 Page 1 of 3
Project Information:
Permit Use: single fam residence, gas heat, on sewer
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Contact: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
C - S - Z: SPOKANE, WA 99217-7718
Phone: (509) 487-9792
Group Name:
Project Name:
District:
Parcel Number: 46353.5218
Block:
SiteAddress: 14202 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: mmi�..,,,,i irx.;•ad"a e mss .,r
Lot:
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By
Originally Released:
Driveway/Approach
4/6/2006 By: amblake
Role ed
Y:
Originally Released:
Landuse/Zoning/HE Conditions
4/4/2006 By: amblake
Released By:
Sewer Review
Permits:
Originally Released:
4/3/2006 By: amblake
Released By:
Operator: AMB
Originally Released: 4/7/2006 By: amblake
Printed By: AMB
Print Date:
4/7/2006
Project Number: 06001136 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2006 Page 2 of 3
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Item Description
APPROACH -CONST IN ROW
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Description Grp Type Notes
1&2 FAMILY R-3 VB
BASEMENT U R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Approach
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
1,492 $128,864.04 1,492 $128,864.04
1,403 $21,045.00 1,403 $21,045.00
120 $1,800.00 120 $1,800.00
768 $14,592.00 768 $14,592.00
Totals: 3,783 $166,301.04 3,783 $166,301.04
Units
1
1
1
Contractor: COMPLETE HEATING & SHEET
Address: PO BOX 3934
SPOKANE, WA 99220
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
AIR HANDLER <=10,000 CFM
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,368.95
$4.50
$547.58
Permit Total Fees: $1,921.03
Mechanical Permit
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$50.00
$10.00
$12.00
$119.00
Print Date: 4/7/2006
Project Number: 06001136 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2006
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Page 3 of 3
Firm: GOLD SEAL MECHANICAL INC
Phone:
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$50.00
$1,921.03
$119.00
$72.00
Permit Total Fees:
Invoice Amount
$50.00
$1,921.03
$119.00
$72.00
(509) 535-5944
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$72.00
Amount Owing
$50.00
$1,921.03
$119.00
$72.00
$2,162.03 $2,162.03
$0.00
$2,162.03
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: AMB Printed By: AMB Print Date: 4/7/2006
Project Number: 06001136 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/3/2006 Page 1 of 2
Project Information:
Permit Use: single fam residence, gas heat, on sewer
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
C - S - Z: SPOKANE, WA 99217-7718
Phone: (509) 487-9792
Group Name:
Project Name:
Awarmovemova
Plat Key: Name:
Parcel Number: 46353.5218 Block:
SiteAddress: 14202 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,y,,.,,„ „
District:
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Driveway/Approach
Released By:
a duse/Zoning/HE Con
Sewer Review
Flan
Aci
4
111014
Rel
y:
1111111111111
a
Released 13y:
Permits:.A ....,.....,.
Operator: AMB Printed By: AMB
Print Date: 4/3/2006
Project Number: 06001136 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/3/2006 Page 2 of 2
Approach
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Phone: (509) 487-9792
Building Permit
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Mechanical Permit
Contractor: COMPLETE HEATING & SHEET Firm: COMPLETE HEATING & SHEET
Address: PO BOX 3934 Phone: (509) 533-9528
SPOKANE, WA 99220
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
Notes: i.m.W. ieK :W.:1OWP,
Payment Summary: ',.tv 4 r !V .X,144,
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: AMB Printed By: AMB Print Date: 4/3/2006
Spokane
4.00 -Valley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Residential Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:
Fel New Construction n Accessory Bldg
n Addition/Remodel n Deck
n Other:
SITE ADDRESS % 4202 E Crow)N AJP.ta €40,,e
-
ASSESSORS PARCEL NO:L1Q353
�. 521 E
LEGAL DESCRIPTION:f �j LIS 1u res i' u
Building Owner:
DIMENSIONS:
SIZI��I )C, LP"
Name: 4a4 J C ®ott Ia5S 2c•
TOTAL HABIT BL . PACE
X07
Address: gs-i O N cue s..1. -h,02_
2"" FLOOR SQ. FTG:
City: ,6P0 kQ K!Z State: aiR Zip:ggc (
7
Phone: 5-01 - `/ g 7 - 9 79 Z Fax: 5--0.7_ 487_ / 5 $o
Contractor
Contractor Lic No: NARL.Eto flop Date: /431
Contact Person
Name: t/Ar It3 d ou jq 5S
Phone: 5b9- 417- 9079 z
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
SIZI��I )C, LP"
Name:flax,/( C IJ (as 2c .
TOTAL HABIT BL . PACE
X07
Address: gSI0 N %' 'es i ►�
2"" FLOOR SQ. FTG:
City: 514
l4 k State: Am_ Zip:9g? t 7
Phone:s-b_L18.1_1792_ Fax: 569 -,/57 -?79
2 -
Contractor
Contractor Lic No: NARL.Eto flop Date: /431
DECK/COV. PATIO SQ. FTG:
/20 c t�
City Business Lic. No:
# OF BEDROOMS:
3
Cost of Project: $
**************The following MUST be complete: (write N/A if not app )
licable**********************
HEIGHT TO PEAK:
DIMENSIONS:
SIZI��I )C, LP"
# OF STORIES: 2.
TOTAL HABIT BL . PACE
X07
MAIN FLOOR TS—Q.
FTG: /0/SO/
1 1 J L
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
/,/03 p
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:r�
�`J (t0
DECK/COV. PATIO SQ. FTG:
/20 c t�
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
Res ickMuLl
HEAT SOURCE:C�4 S
SEWER OR SEPTIC?
S evJ er
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
0 Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
Community Development
Mechanical Permit Application ❑ Commercial
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
SITE ADDRESS:
P/202 ' 6 Croton flim- •
PERMIT NUMBER:
PERMIT FEE:
Residential
33 LIS - i-14-5 Rµn
Building Owner
Name: {per C ASS .TrtC• Phone: 50q-,/87.9792, Fax: SDQ-1g7- Isl. 0
'/
Address: 8s(0 N c Qi A e City' QnR State: (jA zip: 99?17
Contractor
/
Name: ComoleAt1_ tali 5/m
!
Phone: co_s33-952$' Fax: SOC? -533-032`%
City: AAA ,e_ State: LoA Zip: 9922.0
J
Address: Po Bay 393'}
License No: Com.N. f/S oso 8T City Bus(aess Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK
X OF UNITS
X
COST
a
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
/2.00
2
FUEL BURNING APPLIANCE
Mora 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
=
8
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
l
X
$10.00
=
/ 0 ' 0 0
L
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
/0.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
X
*1.00
=
• t7 0
18
DUCT SYSTEMS
%
X
$10.00
=
/0. 00
19
VENTILATING FANS
Jt-
X
$10.00
=
$0. to
20
AIR HANDLER (DOES NOT Include ducting)
Equal 10 or less than 10,000 CFM
/
X
$12.00
=
/off. 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
=
1a-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
*12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR -RESIDENCE .
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
e
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC EXPIRES:
CARD p: VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUT}IORIZED SIGNATURE:
REVISED 8/76/es
Permit Center
SNIkane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Plumbing Permit Application
Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: /111202. 6". Crown AN,.
3 L18 -,11444-5
Building Owner
Name: 1_1(kr C., aSS 14"1/4C.
Phone: 509_ qv _ .37,1 z.
Fax: 50 _tig7-(5-86
Address: (-g 5/0 IQ Cre54--ri
city: 5f6kcue% e.
State: zol\ Zip:
Contractor
Name: azt,i1 StpA ftlecka.n1Ca
phone: .6.--0 , s 5s -_57q y
Fax: s-69 _ 53 s-_ 735.7
Address: 552/4 E Boo ne.
City: giob),stme_
State: (4) A Zip:
License No: erOLb SM 290 C4-
City Business Lic:
Contact
Name:
Phone:
2
3
4
5
DESCRIPTION OF WORK
TOILETS
# OF UNITS X
COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
x
$6.00
URINALS
TUBS
$6.00
2
x
$6.00
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON-SITE BUILT
$6.00
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
43
x
$6.00
a. 0
6
7
8
DISHWASHER
/
x
$6.00
c'. oo
CLOTHES WASHER
1
x
$6.00
•0
GARBAGE DISPOSAL
x
$6.00
9
10
11
12
13
14
15
16
WATER SOFTENER
x
16.00
ELECTRIC HOT WATER TANK
FLOOR DRAINS
NOTE: IF GAS, SEE MECHANICAL
16.00
AREA, CASE, COIL, TRENCH,
CONDENSATE
x
$6.00
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
x
16.00
56.00
WATER PIPING/DRAIN-IN WASTE,
VENT, PWMBING, REVERSAL
SEWAGE EJECTOR
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
16.00
GRINDER, SUMP PUMP
x
16.00
WATER USING DEVICE
17
18
19
20
21
22
CROSS CONNECTION DEVICE
INTERCEPTORS
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
$6.00
$6,00
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
$6.00
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
$6.00
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAIJSYS
56.00
520.00
4 op
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
515.00
OCASH 0 CHECK 0 VISA 0 MC
Card#
AUTIIORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
E35.00
TOTAL PERMIT FEE DUE:
PLANNING DEPT. APPROVED
BY:
DATE
PROPERTY
LINE
PROPERTY
LINE
10UTILITY
EASEMENT
11' WIDE
BORDER
EASEMENT
w
OWN AVE.
9.5' WI
BORD
EAS ENT
1 0 UTILITY
ASEMENT
99.---
29.5,_ 5
0
1 k
C/)
20' SETBACK LINE
90. .' f1TS
ExNaEs 06/22/
u pZ Uold 5 11.1._1._
S -� ,E.,8
9-05s"Q h:
S-ibL
9%€5 x►�9�g5
14.02 E. CROWN AVENUE
:iT. SCALE:
LOT 18, BLOCK 3
HUNTER'S RUN
USKH
1220 ; OWARD ST.N
SPOKA WA 99201
PHONE (5, )) 329-5139
FAX (509) 928-0423
101 TRAIN ROAD
Engineering . Land Surveying LEWISTON 10 83501
PHONE (209) 748-2801Planning Materials Testing
FAX (208) 746-8825
/