2005, 06-14 Permit App: 05002024 ResidenceProject Number: 05002024
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/14/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: HARLEY C DOUGLASS INC
NATURAL GAS Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Setbacks: Front 36 Left: 22 Right: 9 Rear: 28 Phone: (509) 487-9792
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46353.4803 Block: 27
SiteAddress: 14516 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 10,227 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 3
Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Hold: ❑
Depth: 0 Right Of Way (ft): 45
Review
Site Plan Review
Released By: htavvv,
Plan Review
Released By: Vv at),(A.4,Li
Approach / Drainage
Released By: at
Sewer Review
Permits:
Released By:
- 3513
Operator: K_C Printed By: K_C Print Date: 06/14/2005
Project Number: 05002024 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/14/2005 Page 2 of 4
Approach
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Units Unit Desc Fee Amount
1 NUMBER OF $25.00
1 NUMBER OF $25.00
Permit Total Fees: $50.00
Building Permit
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Building Characteristics
Group: R-3 Type: VB
Total Area 2124
Building Height 35
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Tvpe Notes Su Ft Valuation Su Ft Valuation
BASEMENT U R-3 VB 975 $14,625.00 975 $14,625.00
DECK R-3 VB 120 $1,800.00 120 $1,800.00
GARAGE U-1 VB 475 $9,025.00 475 $9,025.00
RESIDENCE R-3 VB 1,149 $85,807.32 1,149 $85,807.32
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,719 $111,257.32 2,719 $111,257.32
Units Unit Desc Fee Amount
1 SELECT $1,060.95
1 SELECT $4.50
1 SELECT $424.38
Permit Total Fees: $1,489.83
Operator: K_C Printed By: K_C Print Date: 06/14/2005
Project Number: 05002024 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/14/2005 Page 3 of 4
Contractor: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD
GREENACRES, WA 99016
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Mechanical Permit
Units
1
1
3
3
1
1
1
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
Permit Total Fees: $85.00
Plumbing Permit
Units
2
3
2
1
1
2
Operator: K_C Printed By: K_C
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$12.00
$66.00
Print Date: 06/14/2005
Project Number: 05002024
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/14/2005
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,489.83
$85.00
$66.00
Invoice Amount
$50.00
$1,489.83
$85.00
$66.00
$1,690.83 $1,690.83
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,489.83
$85.00
$66.00
$0.00 $1,690.83
Page 4 of 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: K_C Printed By: K_C
Print Date: 06/14/2005
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILD/NG DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: 509 688-0036 Fax: 509)688-0037
REQUIRED SITE INFORMATION
1
STREET ADDRESS: 14516 E Crown
ASSESSOR'S TAX PARCEL NUMBERISI: 46353.4803
LEGALDISCRIPTION: 1 t 3 BIk 27 Summerfield East 6th Addition
PERMIT DESCRIPTION:
rilil11I,1)LNG PERMIT
RELOCATION
Building
13 CHANGE IN USE ['GRADING
13 SIGN El TENANT
®MANUFACTURED HOME
OTHER
OWNER / APPLICANT INFORMATION
®OWNER: Ilarley C Douglass Inc
PHONE: 509 487-9792
509 487-1580
FAX:
ADmREss: 8510 N Crestline Ste A Spokane
CITY,STATE, ZIP 9
CONTRACTOR:___ Harley C Douglass Inc
PHONE: 509 487 9792 FAX: 509 487-1580
ADDRESS: same as above
WA ST CONTRACTOR LICENSE
COST OF PROJECT:
CITY,. STATE, ZIP
HARLECD 119PE
13
WA
APPLICANT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT:
PHONE:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
FAX:
PERMIT/BUILDING INFORMATION
BUILDING IIEIGIIT TO PEAK:
BUILDING DIMENSIONS:40 X
NUMBER OF STORIES: 1
35
28
NUMBER of BEDROOMS:
FLANKING SETBACK:
3
FRONT SETBACK: 21'
REAR SETBACK:
28'
LEFT SETBACK: 22'
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
RIG111 SETBACK: 21' IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT: 1149 . 5
2H0 FLOOR SQ FT:
UNFIN BASEMENT: 975
FINISHED BASEMENT:
GARAGE: 475
COVERED DECK:
120
DECK:
Project Address:
Owner: Harley C
Mailing Address:
99217
Contractor: Gold
5944
Mailing Address:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Cali (509) 688-0054
15416 E Crown
Douglass Inc
8510 N Crestline
City
Seal Mechanical
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: Residential Building
Phone (Daytime Contact):
Spokane WA
State
License #: GOLDSM 290C4
Zip Code
Phone #: 535 -
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
$6.00
=
12.00
2
URINALS
X
$6.00
=
3
TUBS
2
X
$6.00
=
12.00
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
=
18.00
6
DISHWASHER
1
X
$6.00
=
6.00
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
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
=
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
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
DATE EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
Project Address: 14516 E Crown
Owner: Harley C Douglass Inc
Mailing Address: 8510 N Crestline
99217
Contractor: Dancar Mechnical
Mailing Address: 311 N Hodges
99016
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: Residential Construction
Phone (Daytime Contact):
Spokane WA
City
License #: DANCAM102207
Green Acres
Cit
State Zip Code
Phone #: 599-9921
WA
State
Zip Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$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
1
X
$10.00
=
10.00
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
2
X
$1.00
=
2.00
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
3
X
$10.00
=
30.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less 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
$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:
DATE:
CASH CHECK 0 VISA MC
['WASH
SUBTOTAL
PROCESSING FEE
$35.00
SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD,
ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UNDISTURBED
d �o o c @ PAD MAINTAINED BY THE HOME CONTRACTOR AND HOME OWNER.
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COMMENTS NT. FLANKING VI
EWEWEO SY
s
I Z oo rel ; t- Zr +&j
HARLEY C DOUGLASS INC.
8510 N. CRESTLINE
SPOKANE, WA 99217
J
14516 E. CROWN AVE.
J
LOT 3, BLOCK 27
SUMMERFIELD EAST
SIXTH ADDITION
SCALE: 1"----30'
USKH
1220 N, HOWARD ST.
SPOKANE, WA 99201
PHONE (509) 328-5130
FAX (509) 328-0423
101 TRAIN ROAD
Engineering • Land Surveying LEWISTON, ID 83501
PHONE
Planning • Materinls Testing FAX (208)87 1
6-5825