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2005, 04-12 Permit App: 05001167 ResidenceProject Number: 05001167 lnv: 1 Application Date: 04/12/2005 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front 34 Left: 10 Right: 5 Rear: 20+ Site Information: Plat Key: Name: RANGE Parcel Number: 46353.9123 Contact: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Phone: (509) 483-6532 Group Name: Project Name: ROW District: East Block: 28 Lot: 4 SiteAddress: 14511 E CROWN AVE Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,018 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Approach / Drainage Sewer Review Permits: Owner: Name: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: Depth: 0 Right Of Way (ft): 45 1 Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001167 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 Type: VB Total Area 2600 Building Height 19 Stories 1 Dwelling Units 1 Approach Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc 1 NUMBER OF 1 NUMBER OF Fee Amount $25.00 $25.00 Permit Total Fees: $50.00 Building Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Building Characteristics Description Grp Type Notes BASEMENT U R-3 VB DECK R-3 VB GARAGE U-1 VB RESIDENCE R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW This Application: Sq Ft Valuation 1,300 $19,500.00 120 $1,800.00 696 $13,224.00 1,300 $97,084.00 Total Project: S Ft Valuation $19,500.00 $1,800.00 $13,224.00 $97,084.00 1,300 120 696 1,300 Totals: 3,416 $131,608.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: K_C Printed By: K_C Permit Total Fees: Print Date: 3,416 $131,608.00 Fee Amount $1,172.95 $4.50 $469.18 $1,646.63 04/12/2005 Project Number: 05001167 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 TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Mechanical Permit Units 1 1 3 4 1 1 Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Plumbing Permit Finn: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 $95.00 Units Unit Desc 3 NUMBER OF 4 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Operator: K_C Printed By: K_C Permit Total Fees: Fee Amount $18.00 $24.00 $18.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 $108.00 Print Date: 04/12/2005 Project Number: 05001167 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 Approach $50.00 Building Permit $1,646.63 Mechanical Permit $95.00 Plumbing Permit $108.00 $1,899.63 Invoice Amount Amount Paid $50.00 $0.00 $1,646.63 $0.00 $95.00 $0.00 $108.00 $0.00 $1,899.63 $0.00 Amount Owing $50.00 $1,646.63 $95.00 $108.00 $1,899.63 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 din& AUG 03 2003 14:48 FR EC ELME MAR 3 1 2005 U ijL D O N TO 4834966 F.01/03 ERMIT APPLICATION WORK SHEET BANE VALLEY COMMUNITY DEVELOPMENT 1 BUILDING DIVISION 11707 EastSpr'ague Ave Ste 106 qA 1 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (5091688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 1` / 615-7 / CYO tern-, ASSESSOR'S TAX PARCEL. NUIWBER(S): 7-6 LEGAL DISCRIPTION: /4- L-4 — y� L) PERMIT DESCRIPTION: CIBLTILDDIG PERMIT CI RELOCATION DOW. GE IN USE_ - CI-GRA.D11 0%G �TENANT MANI FAC1 ED HOME i OWNER / APPLICANT INFORMATION CWNER IAA/ z C 71(-c.:(-"-61ss PHONE: LIS- 3"-S3 FAX: G LI CI Ci�c ADDRESS: r 1" Sri '-t- CONTRACTOR: G✓ n ZGL= t AAG h t Ltil £ c ZCI ,STATE, ZIP C- _ 0r) c C—LASS 17,-c -c PHONE Z --1S mos 3 Z FAX: ® APPLICANT: PHONE: FAX: • ADDRESS © ARCHITECT: CITY, STATE, ZIP PHONE FAX: ADDRESS: 't' ADDRESS: - GIq-3 % CTTY,.STATE,ZIP WA 3T CONTRACTOR LICENSE 7- ?/V 2C (------P0-17-‘°5— CONTACT: CITY, STATE, ZIP PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: 1� BUILDING DIMENSIONS: b I X NUMBER OF STORIES: NUMBER of BEDROOMS: METHOD OF PA YMENT' D CASH CHECK 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRM CAL AREAS: MAIN FLOOR SQ FT:.,13 DO 2NDFLOOR SQFT: n UNFIN BASEMENT: (3 00 FINISHED BASEMENT: GARAGE: 66.1 6 BANKCARD AUTHOR/ZED SIQNATURE.• EXPIRES: VIN# L.J1.xn 4[LL Spokane Valley, WA 99206 41000ValleY Mechanical Permit Application 509-688-0037 - Fax 1 PROTECT Dom: �, !LI51 1 Crui'i1/ P,sr USE: OWNER l�4A; -7 „..-_,.F. - G-- Do L=. /4.5S S/,,,c, PHONE (Daytime Conmct): MAILING ADDRE- /ii - 5-1Q C'reS -1:1,2 s -- e_r4.t lA-•A - -1 i Z ( -2 (street) (dty/stata) (ZIP) CONTRACTOR I.IC.NSE t: G.,4,1; z,zc . Com- 1 L.; L ---(_Asa,= i,,,•C, . OR 4100.000 MAILING ADDRE. '. ' - PHONE 1--)--3---(-_--_-5-32- 4)' .s --ie c( -es -7z- f A..e_ s i.4.., --E u.a• 4GiZi ) (street) (city/state) (ZIl') METHOD OP PA QCASH aEcKmum❑� ; DAA JOCPDtE,S: BANKCARD NtJ ER AUTHOR1ZFrD SIGNATURE TOTAL PERMIT FEE DUE `.1 j — DESCRIPTION OF WORK a OF UNiiS I 1 COST EQUALS AMOLFNT I FUEL BURNING APPLIANCE . OR 4100.000 j X 513 - t 5 2 FTI¢ BURMNC APPLIANCR > 100A00 X 319 3 UNLSTED APPLFMICai (ADDIIRONAL FEb) - OR a x00.000 I X S50 - 4 [IFIi.IS'IT;D APPIIAlVCS (ADOLIT(AVAL F[07 > .400.000 X Sim - 5 USED APPLIANCE (WSECtNa. AMIE raring) . or a 400.000 X S90 - 6 USED APPLIANCE (MEG min. AFUErating) >400.000 X SI00 • 7 BOILER/REFRIGERATION I-1001(BTU } X 315 5 f BOILEIVREP1t ERATION 101- LOOK BTU I X s18 T - 5 fBOILER/REFRIGERATION MI•1.00METU X 339 - 10 BOILER/REFRICERATZON 1001-1.750M 1i1Vj X 557 - 31 BOEL0R/R1 tIGERAT70N .1750Id BTU X 395 - 12 GAS LAG, CAS INSERT[ GAS ERL7t.ACE { - / X 510 - , , 13 RANGE - X 510 - 14 DRYER - X 310 - 15 -16 FUEL BURNING WATER BEATER - / f X 310 -- j0 MSC FUEL BURNING APDL. - X 510 - 17 CAS PIPING (ea- OWN) - 3 X 51 - } 18 DUCT STSTEI1S - / X 310 -- ; r- 19 VENTRATINGFANS - [ / X SSD - LO 20 AIR HANDLER (DOES NOT hxFuda dacslns) - 0124 10.020CFM X 312 - 21 AIR HANDLER (DOES NOT Indudedciing) > 10=0 CM X 319 :2 EVAPORATIVE QJOLFRS - X 510 - 73 TYPE 'HOOD - X 550 - 24 TYPE II FIC/012_ X 510 - 25 HAT PUMP/ALR CONDITIONER. ION9t O,3 TON X 312 - 26 AIR CONO1TIDNa IIS TON X sin - 27 AIR CDNDITIONF1 15.30 TON X 525 - 2 AIRCONDITIONER 30.50TON I X Si5 - AIRCbNDR7oNER 41 TON X 360 - 30 ii.pG STORAGE TANK - X 510 - 31 WOOD ORPELLET STOVE/INSERT - X 510 32 WNOODSTOVE -FR57?STANDING - X 315 - - SVSTOTAL- ''S - eLEINI r�r• PLUS PROCESSING FTE 535.00 QCASH aEcKmum❑� ; DAA JOCPDtE,S: BANKCARD NtJ ER AUTHOR1ZFrD SIGNATURE TOTAL PERMIT FEE DUE `.1 j — ETIROD OP ]GASH ��/tialle I Spokane Valley, WA 99206 vaacty Plumbing Permit Application 509-688-0037 - Fax 1 PRojECr ADDRESS: e"--- i Li s f I Ca, / PERMIT UM OWNER:M t OF UNITS X PHONE (Daytime Contact): MAILING ADDRES.& AMOUNT 1 (street) `, WATER CLOSET, BIDETS (city/state) (Z7) CONTRAC.tvx:. Z--41/13 ,Q/U ZC L - £c c- -e4ss i, -k.._• UCSNSE a: MAILING ADORES: /(1,- S -7f) Cr -i - -- sfWin. PHONE t: wa4- C'Zf 7 (street) (city/state) (LIP) • PLUMBING FIXTURES aPIRE•ES: ANKC I D NUMBER =OR/ZED SIGNATURE': ** TOTAL PAGE. 03 ** DESCRIPTION DETAILS t OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS - X 56 \ 5;• 2 URINALS X J s6 - 3 TUBS .3 x g - 15 4 SHOWERS (PER TRAP) BATH. STALL, ON•SITEBUILT X 56 - 5 SIMS LAV5JBASITIS, RAR,FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X•- RAY, FOOD, PREP/CULINARY/MEAT X 56 - `qr 6 DISHWASIIR % X 56 - 7 CLOTHES WASHER 1 X 56 •( Co 8 GARBAGE DISPOSAL J _ X 56 • (c� 9 WATERSOFTENER X S6 - 10 =CI. HOT WATER TANK NOTE: IP GAS. SEE MECHANICAL X 56 ' II FLOOR DRAINS AREA, CASE.COM, TENCH, CONDENSATE 1 X 56 •4j 12 FOUNTAINS, DRINKENIG X 56 • 33 WATER PIPING/DRAIN-IN WAST$ VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X S6 - 14 SEWAGE EjELiuR GRINDER. SUMP PUMP X 56 is WATER USING DEVICE ICS AND/OR COFFEE MAKER. HOSE BIH. STEAMER. PROOPEK CARBONATOR. SWAMP COOLER X 56 • 16 CROSS CONNECTION DEVICE VACUUM BREAKER. CHECK VALVE. AND R.P.Ii.P.D. FOR: VATS. TAMS, BOILERS X 56 - 17 SPRINKLER SYSTEM ! X 525 • 18 ZNTERCEIPcRS ' GREASE TRAP, SAND TRAP,CHEMICAL HOLDING TANK X 56 T 29 MEDICAL GAS per whet NrIROUS. OXYGEN X 56 20 MSC PLUMBING FIXTURE X 56 • PAYMENTlitell Ci•zCK ❑ ❑ _ i SUBTOTAL PLUS PROCESSING FEE: $35.00 i TOTAL PERMIT FEE DUE: 3 aPIRE•ES: ANKC I D NUMBER =OR/ZED SIGNATURE': ** TOTAL PAGE. 03 ** 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 submitted for the purpose of obtaining a building pew and is a true and correct <<-►'r«+septation Of the poppet.rasiopoppet.MI. AN known Property .curb n,i, entified• 601. Suinru Date:17.4 AOII1p►� • 1 f 00 1�IpMlj nev1E'r. j Ip 14511 E. CROWN AVE. LOT 4, BLOCK 28 SUMMERFIELD EAST SIXTH ADDITION SCALE: 0' USKH 1220 M HOWARD ST. SPOKANE WA 99201 PHONE (509)328.5138 FAX (509) 328-0423 101 TRAIN ROAD Engineering • Land Surveying LEWISTON,ID 83501 PHONE 746-2661 Planning • Materials Testing FAX (208)746-6825