2006, 04-11 Permit App: 06001140 ResidenceProject Number: 06001140 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/2006 Page 1 of 3
Project Information:
Permit Use: single fam residence, gas heat, on sewer
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: 46353.5211
Block:
SiteAddress: 14410 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: 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
Originally Released:
Driveway/Approach
4/10/2006 By: TMELBOU
Originally Released:
Landuse/Zoning/HE Conditions
4/10/2006 By: amblake
Released By:
Sewer Review
Permits:
Originally Released:
4/10/2006 By: Mharnois
Released By:
Originally Released: 4/11/2006 By: amblake
Operator: AMB Printed By: AMB
Print Date: 4/11/2006
Project Number: 06001140 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/2006 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 L 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
Contractor:
Address:
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:
Su Ft Valuation
1,387 $119,795.19
950 $14,250.00
80 $1,200.00
756 $14,364.00
Total Project:
Su Ft Valuation
1,387 $119,795.19
950 $14,250.00
80 $1,200.00
756 $14,364.00
Totals: 3,173 $149,609.19 3,173 $149,609.19
Units
1
1
1
COMPLETE HEATING & SHEET
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
AIR HANDLER <=10,000 CFM
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,273.75
$4.50
$509.50
$1,787.75
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$2.00
$40.00
$10.00
$12.00
$96.00
4/11/2006
Project Number: 06001140 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/2006
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary: MINIONEWW
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
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$50.00
$1,787.75
$96.00
$84.00
Permit Total Fees:
Invoice Amount
$50.00
$1,787.75
$96.00
$84.00
(509) 535-5944
Fee Amount
$12.00
$24.00
$6.00
$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
$1,787.75
$96.00
$84.00
$2,017.75 $2,017.75
$0.00
$2,017.75
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: AMB Printed By: AMB
Print Date: 4/11/2006
Project Number: 06001140 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 Phone: (509) 487-9792
SPOKANE, WA 99217
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
Payment Summary:
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
S okane 11707 E Sprague Ave, Suite 106
+,00.0ValleJ Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Residential Construction
Permit Application
PERMIT NUMBER: (!LID
PERMIT FEE:
New Construction ❑ Accessory Bldg
(1 Addition/Remodel Deck
n Other:
SITE ADDRESS / y/o E Crowy‘ !TV'e
ASSESSORS PARCEL NO: IU JV J. 52 t
LEGAL DESCRIPTION: L 11 83 dlo eu-v1
Building Owner:
Name: Iar,cAs C tout(ass Trt.c-
Address: 8s)0 Al Cresn,_
City: 61)o kat, State: opt Zip:99a-1 -7
Phone: 5-09 - 4 - 9 79 2 Fax: coq_ 487- / S g t7
Contact Person
Name: l t oust
Phone: 5b9- 4 7- 979
Q 5S
Describe the scope of work in detail:
Contractor:
DIMEN NS:
Name: War I C b (asS Lc.
TOTAL HABITAB SPA
Address: $S10/0 CreSf'I i x-�
2Nu FLOOR SQ. FTG:
City: .5101564,0_State: /th Zip:gq
17
Phone:s-b , _Le g7- 979 Z Fax:5-09'8'7-5,79 Z
GARAGES G:
-75.0L
Contractor Lic No: NARLEez 110 PE p Date: h43 I
CONjSTRU1CTION TYPE:
1 25idCh--1-ie �
City Business Lic. No:
SEWE OR SEPTIC?
36ze'
Cost of Project: $
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMEN NS:
# OF STORIES:
TOTAL HABITAB SPA
MAIN FLOOR TO SQ.
FTG: /3r7
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
(1,5- 9st•
DECK/COV. PAT SQ. FTG:
1U
IMPERVIOUS SURFACE
AREA:
30% SLOPES ON
PROPERTY:
FINISHED BASEMENT
SQ. FTG:
GARAGES G:
-75.0L
# OF BEDROOMS:
3
CONjSTRU1CTION TYPE:
1 25idCh--1-ie �
HEAT SOURCE:,,
a-43
SEWE OR SEPTIC?
36ze'
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
❑ Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
Spill aim
.0000 Mli ley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
0 Commercial jZ Residential
SITE ADDRESS: / LN1O 6 OA -0W n
L /33 ik r4ts
Building Owner
Name:/404.
furl C lass Inc.
soR-5/87-9a9z
Fax:
.Sa9-i$7-/s8o
Address: $s/t1 %moi,¢ 14.e
City: am_
State: ejA zip: 99a17
Contractor
Name: Corn mat i_,Pgr'trlS� `)- ski .Zt‘e.
Phone: SOq'S.33-952$"
Fax: 5-0_533-03Z�
Address: po 86� 393�F �J
T
City: �p n,e.
State: LA Zip: 619220
License No: CDM f,.././s 050 8 T
City Bus ness Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
/
X
$12.00
/a.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
4
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess than 400,000
More than 400,000
X
X
$50.00
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less 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
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
x
$10.00
/6.cc
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
/0.60
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
a
X
$1.00
0(.0o
18
DUCT SYSTEMS
/
x
$10.00
/0.00
19
VENTILATING FANS
4
X
$10.00
'/D .Do
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess than 10,000 CFM
X
$12.00
41.o0
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE 111000
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
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
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Pennit Center
Spokane 11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Plumbing Permit Application
.000 Valley
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: /1 4141/0 E CrOLJYL AVe.
La 83 ftcteriets �Lw
Building Owner
Name: /4cr1.e. C 1,ouajASS
ltAC,
Phone: 5oq--tg/7-9797-
Fax: sp9_4g7-/6.80
Address: (aS/) Gesf- 5-141 ,..e._
City:
�p6k4��-
State: Zip:
cJq 99a I 7
Contractor
Name: Gt,,d Se.,,,k IJI„I„,„,,icc&
Phone: s09_5S-59c/Lf
Fax: 5-6,9_53$--%355
Address: 55 214 EOO ne.
City: SObl_ _
I�
State: w A Zip: 99„1/,,)
License No: &.OLt sr -1 290C4-
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
/a, o0
3
TUBS
a
X
$6.00
/D, 0o
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
oo
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
4
X
$6.00
00
6
DISHWASHER
X
$6.00
6.00
7
CLOTHES WASHER
/
X
$6.00
(o• 60
8
GARBAGE DISPOSAL
/
X
$6.00
%• oo
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
21
PRIVATE SEWAGE DISPOSAUSYS
S/r;AN -kr
/
X
$6.00
6•bo
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
DCASH ❑ CHECK 0 VISA 0 MC
Card#
AUTI IORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
$15.00
SUBTOTAL
X
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: