2006, 04-07 Permit App: 06001137 ResidenceProject Number: 06001137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: single family residence, gas heat, on sewer
Date: 4/7/2006 Page 1 of 3
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
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: 46353.5213 Block:
SiteAddress: 14306 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Lot:
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 4/6/2006 By: amblake
Originally Released: 4/4/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 4/3/2006 By: KKENDAL
Released By:
Originally Released: 4/7/2006 By: amblake
Operator: AMB Printed By: AMB
Print Date: 4/7/2006
Project Number: 06001137 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 gm Type
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
Notes
Approach
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
This Application:
So Ft Valuation
1,492 $128,864.04
1,403 $21,045.00
120 $1,800.00
768 $14,592.00
Totals: 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<=100,00OBTU
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
AIR HANDLER <=10,000 CFM
Unit Desc
SELECT
SELECT
SELECT
Total Project:
So Ft Valuation
1,492 $128,864.04
1,403 $21,045.00
120 $1,800.00
768 $14,592.00
3,783 $166,301.04
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
1
1
1
3
5
1
1
Operator: AMB Printed By: AMB
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$50.00
$10.00
$12.00
$107.00
4/7/2006
Project Number: 06001137 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
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
3
2
1
1
1
1
1
Fee Amount
$50.00
$1,921.03
$107.00
$72.00
Plumbing Permit
Page 3 of 3
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
NUMBER OF
Permit Total Fees:
Invoice Amount
$50.00
$1,921.03
$107.00
$72.00
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
$107.00
$72.00
$2,150.03 $2,150.03
$0.00
$2,150.03
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: 06001137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: single family residence, gas heat, on sewer
Date: 4/3/2006 Page 1 of 2
Setbacks: Front
Site Information:
Plat Key:
Parcel Number: 46353.5213 Block: Lot: 11..
SiteAddress: 14306 E CROWN AVE
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:
*W715.73hAtf6WMSV214,'
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
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
Sewer Review
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Operator: AMB Printed By: AMB
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Print Date: 4/3/2006
Project Number: 06001137 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
— — — — — 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: Q ,-V«M., ,ZA
Payment Summary: 5 ; ..0 .ma `•: �w zinc .a,a.�FU
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
Sp`morkane 11707 E Sprague Ave, Suite 106
.000 -valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Residential Construction
Permit Application
PERMIT NUMBER: fh37
PERMIT FEE:
N1 New Construction 11 Accessory Bldg
[1] Addition/Remodel Deck
Li Other:
SITE ADDRESS / 430(0 E Ccir A.
•
ASSESSORS PARCEL NO: 4(0353• a t3
LEGAL DESCRIPTION: 13 3 Li 3 /4/414-(4-- q4A-P$
Building Owner:
„ ___, _ _ __ - _ _ .
DIMENSIONS:
(o 6 53' (0 "
z' " x
Name: detrit, C bottlasS
•
Address: gs--1 0 A
2Nu FLOOR SQ. FTG:
City: ,spoka
State: tut; Zip:9q( -7
Phone: 5-09 _ Li g 7 ... 9 7,3 2._
Fax:5--oevits7-fsgo
Contact Person
Name: ,1/vj-I,e. 1:0•4•Jjet ss
Phone: 519- ile7- 979z.
Describe the scope of work in detail:
Contractor:
„ ___, _ _ __ - _ _ .
DIMENSIONS:
(o 6 53' (0 "
z' " x
Name:
I C 60-10.(a65 Ytte.
TOTAL HABIT BLE SPkCfe-
Address: gs70 A) cres4h,..4_
2Nu FLOOR SQ. FTG:
City: ,5100 6State: &A_ Zip:cm?, 7
Phone: col _II gs7._ 1792_ Fax: 5-0q _ 4( g 7_5.79
2_
Contractor Lic No:/./AezEci5 1 i O Ajp Date: hq3 i
DECK/COV. PATIO SQ. FTG:
/20 a K-
City Business Lic. No:
# OF BEDROOMS:
3
Cost of Project: $
************** (write N/A if not a licable **********************
____ _____
HEIGHT TO PEAK:
-
35
„ ___, _ _ __ - _ _ .
DIMENSIONS:
(o 6 53' (0 "
z' " x
# OF STORIES: 0)
A
TOTAL HABIT BLE SPkCfe-
MAIN FLOOR TO SQ.
FTG:
/Y.StrZric,72.-
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
/ 03 OP---
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ;AFa?
-7
DECK/COV. PATIO SQ. FTG:
/20 a K-
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
Re;de",-1-i&A
HEAT SOURCE .
aPt S
SEWER OR SEPTIC?
setz
The permitee 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
El Check
O Mastercard
Expires:
Date
o VISA
VIN#:
Md ley
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Mechanical Permit Application
SITE ADDRESS: /430k, E CrowA Attt •
Building Owner
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial El Residential
Name: gar I C -�r
Address: e� R55 .INC•
8,5/0X! Gest.. ;‘,..e.
Contractor
U3 63 7rsR
Name: COMP�e�e �ea iAt `F 5/4114\C •
APo Blit- 3934
License No: COM fl -/JS 05-0 al"
Contact
Name:
Phone: 574_v87_ z. Fax: S6q_1g7-/S80
City:...,c515,0Lkap
State: AJA
Zip: 992 17
Phone: Sol -S33 -952g
City: Sookane.
City Bus nese Lic:
Fax: 5-09-533-0329
State: coA
Zip: 99220
Phone:
1
2
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
# OF UNITS
X
COST
a
Equal to or less than 100,000
1
X
$12.00
TOTAL AMOUNT
More than 100,000
3
4
5
6
7
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less Than 400,000
X
X
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
More than 400,000
X
Equal 10 or Tess than 400,000
X
$15.00
$50.00
/2.00
$100.00
More than 400,000
X
1 - 100M BTU
8
BOILER/REFRIGERATION
101 - 500M BTU
9
10
BOILER/REFRIGERATION
BOILER/REFRIGERATION
501 - 1,000M BTU
X
X
X
$50.00
$100.00
1,001 - 1,750M BTU
11
12
13
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
More than 1,750M BTU
X
X
X
14
DRYER
15
16
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
1
X
X
X
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
3-
19
20
21
VENTILATING FANS
1
X
X
X
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$10.00
$10.00
$10.00
X
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess than 10,000 CFM
X
22
23
AIR HANDLER (DOES NOT Include ducting)
EVAPORATIVE COOLERS
TYPE 11-1000
Greater than 10,000 CFM
X
$1.00
/0.00
$10.00
$10.00
$12.00
$15.00
.3.00
/O. 00
50.0o
42.00
X
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
3-15 TON
27
AIR CONDITIONER
15-30 TON
28
AIR CONDITIONER
30-50 TON
29
30
AIR CONDITIONER
More than.50 TON
X
X
X
X
X
X
X
LPG STORAGE TANK
31
WOOD OR PELLET STOVE/INSERT
32
33
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
X
X
X
34
35
36
37
VENTILATION SYSTEMS
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
X
X
INCINERATOR - COMMERCIAL
X
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
X
$10.00
$50.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
$15.00
$12.00
$12.00
$19.00
$22.00
a
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Sj�Iue
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
PERMIT NUMBER:
PERMIT FEE:
Commercial V1 Residential
SITE ADDRESS: PAN" E. Crele)h Ate •
L/3 g 3 44q -s a"
Building Owner
Namc: C t) S .
Phone: so 9. LIT7 _ 97 ci z.
Fax: Sly?, 4 g7- i 5 SO
Address: cla 510 kj cre5A
city: 5p6ka e_.
State: (34\ Zip: 9,9 cl i 7
Contractor
Name: Gz, a 3, MeCka i..) Cr&
Phone: 5-(y/ _ s 3S--57,/,/
Fax: 50 - 53s_ 73 5- 7
Address: 552'-! E 'Bop ne-
City: gp 6)( ja
State: co A Zip: 990) f.a
License No: _4:)Lt:) sfri 2 90C4-
City Business Lie:
Contact
Name:
Phone:
—
DESCRIPTION OF WORK
# OF UNITS
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
2-
56.00
/2, 0 0
2
URINALS
$6.00
3
TUBS
2
$6.00
/2 .o 0
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
x
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
x
$6.00
6
DISHWASHER
x
$6.00
6, 00
7
CLOTHES WASHER
x
56.00
8
GARBAGE DISPOSAL
x
$6.00
b. 00
9
WATER SOFTENER
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
56.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
56.00
6.60
12
ROOF DRAINS/OVERFLOW DRAINS
x
56.00
13
FOUNTAINS, DRINKING
56.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
x
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
56.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
56.00
19
20
21
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
$6.00
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
x
56.00
520.00
4.00
22
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
MASH LJ CHECK 1:1 VISA 0 MC
Card#
AUTIIORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
515.00
SUBTOTAL -
x
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: