2006, 04-07 Permit App: 06001132 ResidenceProject Number: 06001132 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 FAMILY RESIDENCE, GAS HEAT ON
SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
rierame
DOUGLASS, HARLEY C INC
8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
(509) 487-9792
District:
Parcel Number: 46353.5214
Block:
SiteAddress: 14228 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:
Lot:
Owner: Name: HARLEY C DOUGLASS, INC.
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Originally Released:
Driveway/Approach
4/6/2006 By: amblake
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
4/4/2006 By: amblake
Released By:
Originally Released:
Sewer Review
4/3/2006 By: KKENDAL
Released By:
Originally Released: 4/7/2006 By: amblake
Permits .7:-rv.:,.w- :;.r..:;,wv..-mow. >:.. 6(wb,... :b-, ^4.>f �, ..r.
Operator: AMB
Printed By: AMB
Print Date:
4/7/2006
Project Number: 06001132 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
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,296 $111,935.52 1,296 $111,935.52
855 $12,825.00 855 $12,825.00
192 $2,880.00 192 $2,880.00
800 $15,200.00 800 $15,200.00
Totals: 3,143 $142,840.52 3,143 $142,840.52
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
VENTILATING FANS
GAS LOG OR GAS INSERT
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,234.55
$4.50
$493.82
Permit Total Fees: $1,732.87
Mechanical Permit
Units
1
1
1
2
4
1
Operator: AMB Printed By: AMB
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$2.00
$40.00
$10.00
$ 84.00
4/7/2006
Project Number: 06001132 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2006 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
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$50.00
$1,732.87
$ 84.00
$ 84.00
Permit Total Fees:
Invoice Amount
$50.00
$1,732.87
$84.00
$ 84.00
$1,950.87 $1,950.87
Fee Amount
$12.00
$18.00
$12.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$ 84.00
Amount Owing
$50.00
$1,732.87
$84.00
$84.00
$0.00 $1,950.87
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: 06001132 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information: i0g`{"001,04A1'
Permit Use: SINGLE FAMILY RESIDENCE, GAS HEAT ON Contact: DOUGLASS, HARLEY C INC
SEWER Address: 8510 N CRESTLINE ST
C - S - Z: SPOKANE, WA 99217-7718
Date: 4/3/2006 Page 1 of 2
Setbacks: Front
Site Information:
Plat Key: Name: Ran
Left: Right: Rear:
Parcel Number: 46353.5214
Block:
SiteAddress: 14228 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: wanctoeve
Review
Building Plan Review
Phone: (509) 487-9792
Group Name:
Project Name:
-,:,(4.„
\.%
Lot: 1+
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
District:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Driveway/Approach
Llteleased By:
Landuse/Zoning/HE Conditions
Sewer Review
Released By.
Permits: .:... ..
Operator: AMB Printed By: AMB
..., .,. ,.: m t�s1-:.X13!:.PiesP.�: _,e-33%.0340Xat,'rPK0,.‘1.221,e A'. iYY�r J.:�S M.' Wriat'r.V,
Print Date: 4/3/2006
Project Number: 06001132 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: HARLEY C DOUGLASS INC Film: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Date: 4/3/2006 Page 2 of 2
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:
Payment Summary: t4.464,1,4".
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: AMB Printed By: AMB
Print Date: 4/3/2006
Permit Center
Stitiliane 11707 E Sprague Ave, Suite 106
(S5p0o9k)a6n8e8-V0a0
131e6YIFWAXA: (9590290)6688_0037
Community Development Iii_t_ww•ffi9kang_Yiln.P.YArg
Residential Construction
Permit Application
ki
1 1
PERMIT NUMBER: 1 1•Z,—
PERMIT FEE:
New Construction
Addition/Remodel
n Other:
1 1
Accessory Bldg
Deck
SITE ADDRESS 4„ue E Cr 1.1511 A 1 -•
ASSESSORS PARCEL NO: 1-4353. 53214
LEGAL DESCRIPTION: L q 6314-1,4,n4trs OAIN
Building Owner:
NSI S:
y Lio
2MFLOOR SQ. FTG:
t
Name: d
C
MUM:
ictSS 3--ttc- •
MAIN FLOOR TO SQ.
FTG:
I 31t8-7 2-%
Address: gsio Ai Cue 5
,
Plione:s-b oi _Li g 7,.. ,379 2._ Fax:57_?,
City: 3pokajtjz
State: opt
Zip:9co_17
Phone:5-09 _ il
g 7 ... ci 7cl 2-
Fax:
Contact Person
55
Phone: 5bq 979z_
Name:
Describe the scope of work in detail:
Contractor;
NSI S:
y Lio
2MFLOOR SQ. FTG:
t
Name: d
C
TOTAL HABIT
IMPERVIO
AREA:
L
Address: gs-ho /0 eresf i
MAIN FLOOR TO SQ.
FTG:
I 31t8-7 2-%
City: Stale: 5r6 kalui.. State: Am_
Zip:99? (7
Plione:s-b oi _Li g 7,.. ,379 2._ Fax:57_?,
7 a_
Contractor Lic No:/lAeLEcA no &p Date:
ic,1/3 i
City Business Lic. No:
Cost of Project: $
************** N/A if not a Heal& **********************
HEIGHT TO PEAK:
35-
NSI S:
y Lio
2MFLOOR SQ. FTG:
t
...
i OF STORIES: 1
oz.
UNFIN BASEMENT SQ. FTG:
C 1,(5 < 'S —S—
TOTAL HABIT
IMPERVIO
AREA:
LE SPACE:
2--i.s—i
S SURFACE
MAIN FLOOR TO SQ.
FTG:
I 31t8-7 2-%
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
0(2
C NSTRUCTIO TYPE:
e5icle,A.-liciA
DECK/COV. PATIO SQ. FTG:
1076- /9
HEAT SOURCE:
aitS
30% SLOPES ON
PROPERTY:
SE ER OR SEPTIC?
# OF BEDROOMS:
0
The permilee 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, slate 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:
D Cash
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
1::1 Check
D Mastercard
Expires:
Date
VISA
VIN#:
Permit Center
Ile 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.orq
Mechanical Permit Application 0 Commercial
.rts/tIl ley
PERMIT NUMBER:
PERMIT FEE:
El Residential
SITE ADDRESS: / i E 1.r0On
[apt 810,13 flk,yiets
Building Owner
Name: darie„.4 C A�ctss .IKC.
/
Phone: S0q-,7g7 97
,/
Fax: HCl-7g%-/SgO
Address: 8s'ia 50C1-e5-�"!;Ai
City: kQAJL
State: &JA Zip: 994)17
Contractor
Name: COmn1eje i'Pr� 4 S/11.::.
Phone: SDR -S33 -9S2$'
Fax:...s-p 3--032'
9-53
v
Address: Po 8r, 3931
City: oka,n.e.
State: wA Zip: /
�yq/2-16
License No: CDM ft. ds 06-0 e -
City Bus nese Lie:
Contact
Name:
Phone:
OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
X
812.00
/Zoo
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
8100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or Tess 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
835.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
810.00
/0 •6b
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
/0•bD
16
MISC. FUEL BURNING APPLIANCE
X
17
GAS PIPING (each outlet)
2.
X
$10.00
$1.00
2.00
18
DUCT SYSTEMS
X
19
VENTILATING FANS
X
$10.00
$10.00
/0 .00
q0. o0
20
AIR HANDLER (DOES NOT Include ducting)
Equal to or Tess than 10,000 CFM
X
$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
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
26
AIR CONDITIONER
3-15 TON
X
$10.00
$12.00
$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
810.00
32
WOOD STOVE - FREE STANDING
X
33
REPAIR & ADDITIONS
X
34
VENTILATION SYSTEMS
X
$25.00
$15.00
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
37
INCINERATOR - COMMERCIAL
X
$19.00
$22.00
_
METHOD OF PAYMENT:
❑CASH ❑ CHECK 0 VISA 0 MC
CARD It
AUT/IORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcy.org
Plumbing Permit Application ❑ Commercial
SFPEADDRESS: /i1ZZS E `^
A
PERMIT NUMBER:
PERMIT FEE:
® Residential
LIy83 fhu„`tersi�.,,
Building Owner
Name:Ort G Attu (o
IV
Phone:Spg_ g$'7 -979Z.
City: 5p6k4 v‘ e
Fax: Sb9_1g7-/S8b
State:. (.3t Zip: 994) i7
Address: 25/0 N Ge riir-4-
Contractor
nn ff � r1
Name: bicl Jexk /,1E'Lt�+hicw�
Phone: sp9 5'S S9'/Y
Fax: $0`3 Sas-i3S?
Address: 6-5 2,1 6 B06111e-
City: b)S CirlR
State: w A Zip: 994,1 /
License No: �t OLt) s M 2. 9 G Cil-
City Business Lie:
Contact
Name:
Phone:
1
2
3
4
5
DESCRIPTION OF WORK
TOILETS
URINALS
TUBS
SHOWERS (PER TRAP)
# OF UNITS X
COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
$6.00
$6.00
/2.00
SINKS
BATH, STALL, ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
6
7
8
9
10
11
12
13
14
15
16
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECTRIC HOT WATER TANK
FLOOR DRAINS
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH,
CONDENSATE
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$20.00
SEWAGE EJECTOR
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
WATER USING DEVICE
17
18
19
20
21
22
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE INTERCEPTOR
GRINDER, SUMP PUMP
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
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS, OXYGEN
METHOD OF PAYMENT:
DCASH ❑ CHECK 0 VISA ❑ MC
Card#
I2.oa
/2.00
/8.e0
4.00
(p . 00
.0 o
4.00
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
X $15.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: