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2005, 04-12 Permit App: 05001165 Residence
Project Number: 05001165 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: LANZCE G DOUGLASS INC NATURAL GAS Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Setbacks: Front 34 Left: 10 Right: 35 Rear: 20+ Phone: (509) 483-6532 Group Name: Site Information: Project Name: ROW Plat Key: Name: RANGE District: East Parcel Number: 46353.9123 Block: 28 SiteAddress: 14507 E CROWN AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 10,891 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 3 Owner: Name: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 45 Review Site Plan Review Plan Review Released By: Approach / Drainage Released By: Liaux_e,( Sewer Review Z 65— ) Permits: Released By: //711 ��2tG Li as -10 Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001165 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 2 of 4 Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Group: R-3 Total Area Building Height Stories Dwelling Units Description BASEMENT U DECK GARAGE RESIDENCE Type: VB 2100 20 1 1 Approach Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Building Characteristics Grp Type Notes R-3 VB R-3 VB U-1 VB R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW This Application: Total Project: Su Ft Valuation Su Ft Valuation 1,050 $15,750.00 1,050 $15,750.00 120 $1,800.00 120 $1,800.00 792 $15,048.00 792 $15,048.00 1,050 $78,414.00 1,050 $78,414.00 Totals: 3,012 $111,012.00 3,012 $111,012.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: K_C Printed By: K_C Permit Total Fees: Fee Amount $1,060.95 $4.50 $424.38 $1,489.83 Print Date: 04/12/2005 Project Number: 05001165 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 3 of 4 Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Contractor: LANZCE G DOUGLASS, INC Address: 1402 E MAGNESIUM SPOKANE, WA 99217 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Mechanical Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 Permit Total Fees: $95.00 Plumbing Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc 3 NUMBER OF 4 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Operator: K_C Printed By: K_C Fee Amount $18.00 $24.00 $18.00 $6.00 $6.00 $6.00 $6.00 $12.00 Permit Total Fees: $96.00 Print Date: 04/12/2005 Project Number: 05001165 Inv: 1 Application Date: 04/12/2005 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Approach $50.00 $50.00 Building Permit $1,489.83 $1,489.83 Mechanical Permit $95.00 $95.00 Plumbing Permit $96.00 $96.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,489.83 $95.00 $96.00 $1,730.83 $1,730.83 $0.00 $1,730.83 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: K_C Printed By: K_C Print Date: 04/12/2005 RUG 03 200: 14:48 FR D E C IE \I C MAR 31 2005 TO 4834966 H.01/0.5 /05-n s I r7 - PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT 1 BUILDING DIVISION 19707 East Sprague Ave Ste 106 173 Ufl_.DHN Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509 688-0037 REQUIRED- SITE INFORMATION STREET ADDRESS: e, l t4- , 7 cm ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DI$CRIPTION: ‘--T 3 ( 'TZ SGi1 flt ' Cc k-ei PERMIT DESCRIPTION; CIRU D1NG PST rIRELOCATh • ci4 fiANGE IN USE ®.GRADING D MANUFACIrRED HOME Et SIGN QTENANT Et OAR 1 OWNER / APPLICANT INFORMATION ® OWNER: l4Arze.-G 6 DD Lk -I SS C3 APPLICANT: PHONE: LI "-1,53 - FAX: e -I "" 9 ADDRESS: cre' s i W,4 _ ,ITY,STATE, ZIP CITY, STATE, ZIP PHONE FAX: S ADDRES I CONTRACTOR: 44ZC G On, 1%C–G4sS,i r�.' . ARCHITECT: PHONE: Z-12 ,-05 3 Z FAX: ---73._ `-IGIC- PHONE: FAX: ADDRESS: i - Sj IC' g�•i Lt%& SpCOL A-6: ADDRESS: u.,, ! - a(c(Zt 7 CITY,.STATE, ZIP WA ST CONTRACTOR LICENSE ti 4A-, ZG & 00-7 Z P5 CONTACT: CITY, STATE, ZIP PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: 3X NUMBER OF STORIES: NUMBER of BEDROOMS: 2 - 30% SLOPES ON PROPERTY: '— MAIN FLOOR SQ FT: /O ) OCCUPANCY GROUP: 2N0 FLOOR SQ FT: CD CONSTRUCTION TYPE: - UNFIN BASEMENT: /C�--C) STRUCTURES ON PROPERTY: CRITICAL AREAS: FINISHED BASEMENT: C) GARAGE: %'1 7-- DATE: STAFF: METHOD OFPAYMENT: . CASH CI CHECK VISA BANICCAR iI EXPIRES,' VIN# AUTHORIZED SIGNATURE. AUG 03 2003 14:48 FR opmane Plumbing Permit Application TO 4834966 F. 03/03 11707 East Sprague Avenue, Suite 106 509-68&0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT PERMIT USE: DETAILS ADDRESS: / C -I S CU% 02".P OWNER: PHONE (Daytime Contact); EQUALS MAILING ADDRESS: T (Street) (City/state) (ZIP) — WATER CLOSET, BIDETS CONTRACTOR .G /LICENSE U zc- Cr- Do ass 1,^A• A: 4A N G -ID 0i z i',S $6 MAILING ADDRESS: PHONE t: 2 LAM- - C. zi 7 q S-70 Ct' Ufrt)t" s.ict:3i'194 (street) (city/state) (ZIP) • $6 PLUMBING FIXTURES zETHOD OP ]CASH SATE ANKCARD NUMBER UhIORIZED SIGNATURE.: ** TOTAL PAGE.03 ** DESCRIPTION DETAILS It OF UNITS X COST EQUALS AMOIlM 1 TO/LETS WATER CLOSET, BIDETS 3 X $6 2 URINALS X $6 3 TUBS X $6 SHOWERS (PER TRAP) BATH, STALL ON-SITE BUILT X $6 SINKS LAYS/BASINS, BAR FLOOR KITCHEN, LAUNDRY, LRILIT'Y, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT / j_ [-�( X $6 DISHWASHER i X 96 CLOTHES WASHER i X $6 (� GARBAGE DISPOSAL I X $6 �s 9 WATER SOFTENER X $6 10 ELECT. PIOT WATER TANK NOTE: 117 GAS, SEE MECHANICAL X 96 FLOOR DRAINS AREA, CASE, COIL, TRENCFL CONDENSATE X 86 FOUNTAINS, DRINKING X 13 WATER PIPING/DRAIN-IN WASTE, VI NT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR REVERSALS X 96 14 SEWAGE EJECTOR GRINDER, SUMP Nita X 96 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.PD. FOR: VATS, TAMS, BOILERS X 96 17 SPRINKLER SYSTEM 111 X X X $25 86 $6 II 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NTIROUS, OXYGEN 19 MEDICAL GAS • - outlet 20 MSC. PLUMBING FIXTURE -� X 96 PAYMENT 3 CHECK •� _ _ ,_ 1 SUBTOTAL: PLUS PROCESSING FEE $35.00 0 =Mt ■ • TOTAL PERMIT FEE DUE: ANKCARD NUMBER UhIORIZED SIGNATURE.: ** TOTAL PAGE.03 ** AUG 03 2003 14:48 FR sooltrne j! T uti TO 4834966 P.02/03 I 11707 East Sprague Avenue, Suite 106 509-688--0035 - Phone 509-658-0037 - Fax Spokane Valley, WA 99206 Mechanical Permit Application PROJECT ADDRESS:_ j(-1 90-7 C/e-)C.t'it/ DESCRIPTION OF WORK PERMIT USE: OWNER GAn: site fir- D©: ,-G4 S :,..,..,c, EQUAJ..S _______LT, PHONE (Daytime Contact): MAILING ADDRESS: Ai . 53S-10 Cc C.:-i.eve 5 LA -AA - C7 Z/ -7 .. (street) UNLISTED APPLIANCE (ADDITIONAL FEE) (city/state) (l) CONTRACTOR . - 4 LICENSE : a 000,000 MAILING ADDRESS:..,. 4.) sic Ci es; G -IA-•_ _...-3 w4. PHONE s: GIS " S" 0- 5 crZI -) (street) (City/state) 490 (ZIP) METHOD OF PA p CASH O CHECK p 0 DATE FO[PIR�?S BANKCARD NUMBER: AUTHORIZ'PD SIGNATURE: DESCRIPTION OF WORK .OR a 100,000 a' OF TWITS / X X X _ COST 523 519 EQUAJ..S _______LT, AMOUNT I FUEi BURNING APPL2ANC6 2 FUEL BURNING APPLIANCE > 100,000 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR a 400,000 X 550 - 4 tlt4LLSIED APPL1ANV (ADIXRONAL F66) a 000,000 X ;100 5 )TEED APPIIANCS {W51C ndn AFUE fig) . cre 400000 X 490 — 6 USED APPLIANCE (WSECRUA AFVE tatln3) a 402.000 X 5100 - 7 BOILES/REFR14'ERA71ON 1- WOW B•N X 525 • 6 BOILER/REFRIGERATION 101 • =MOTU X 528 9 9Oa /R2*RIGERATION 501.1 00M BTU X - 10 BOUCER/REFR1GI RATwN 1001-1,750M F17J X . 557 i • 1I 501LER/REFRICE AIION +1750M ETU X S95 - 12 GASLCG,GASINSEIia GA$11REPLACE — J X 510 13 RANCE - X 510 14 DRYER - X 510 - 15 PVEL BURN NG wATER HEATER - J X 510 - i• 0 26 Marc FUELBURNING AIRL - X 510 17 GAS PIPING (el. Duds!) - 3 X 51 - . IB DUCTsOSmMS - - • OR c 10,003014 / L/' x X X 510 510 512 - - !Q 14 VENTILATWGFANS 20 A!R HANDLER (DOES NOT Mud, ducting) 21 ALIt HANDLER (DOLS NOT Include ducting) a 10,020 OM X 519 - 22 EvAPORAT2VE (DOLEAS - X 510 - 73 TYPEIHOOD X S50 - 24 'TYPE0MOOD -- X 510 25 NEAT PUMP/AIX CONDmONER 0-3 TON X s12 - 29 AIR COW) ER 3-15 TON X 520• _ Z7 A1RCONpi11ONSR iS307ON X 525 • 25 AIR CONDITIONER 30.50 TON +30 TON X %` X S35 360 - 29 AIR CONDmONER LPG 5TORAOE TANK X 510 • 91 WOOD OR PELLETSIOVEIINSERT - X ' 510 32 WWDSTOVE - FREE STAND ING - X 525 - KENT _ _ r 9 SUBTOTAL: Sg PWS PROCESSING EE: 535.00 TOTAL PERMIT FEE V U Ez 1 ' 2 ,___ ._._ p CASH O CHECK p 0 DATE FO[PIR�?S BANKCARD NUMBER: AUTHORIZ'PD SIGNATURE: SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD, ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UNDISTURBED AND MAINTAINED BY THE HOME CONTRACTOR AND HOME OWNER. This site plan is being suhrnitted for the purpose of obtaininc a buil :n.'' pow, , r r and correct represertation ut u N 5, Al! k,,tiAn property lines/dirtensions.curt: ...ies struCtur&, 1 teasements have been identified. Also incrrcatri.t bodies of wa = r e sto Signed:. soNE A aoo�es jM ' L+ F Q►�l y� sONowioHMONT L L common ammo).YC%11� � 4 — /� 14507 E. CROWN AVE. J SCALE: 1"=30' LOT 3, BLOCK 28 SUMMERFIELD EAST SIXTH ADDITION USKH Engineering • Land Surveying Planning . Materials Testing 1220 N. HOWARD St SPOKANE WA 99201. PHONE (509)328-5139 FAK 509)3285139FAX (509) 328-0423 101 THAN ROAD LEWISTON, ID 83501 PHONE (208) 7462661 FAX (208) 746.6825