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2005, 04-12 Permit App: 05001166 ResidenceProject Number: 05001166 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 NATURAL GAS Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Setbacks: Front 34 Left: 10 Right: 23 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 Lot: 5 SiteAddress: 14609 E CROWN AVE Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,003 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: LANZCE G DOUGLASS Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 45 Review Site Plan Review Released By:(.,V �Lti Plan Review Released By: 6 pciGat_t,u Approach / Drainage Released By: Sewer Review Permits: �,� ' /(,S Released By: , Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001166 Inv: 1 Application Date: 04/12/2005 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC Address: 1402 E MAGNESIUM Phone: (509) 483-6532 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 2264 Building Height 19 Stories 1 Dwelling Units 1 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 This Application: Total Project: Description Grp km Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,132 $16,980.00 1,132 $16,980.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 660 $12,540.00 660 $12,540.00 RESIDENCE R-3 VB 1,132 $84,537.76 1,132 $84,537.76 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 3,044 $115,857.76 3,044 $115,857.76 Units Unit Desc Fee Amount 1 SELECT $1,083.35 1 SELECT $4.50 1 SELECT $433.34 Permit Total Fees: $1,521.19 Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001166 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 CROSS CONNECTION DEVICES 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 Permit Total Fees: Plumbing Permit Units 3 4 3 1 1 1 1 1 3 Operator: K_C Printed By: K_C Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 $95.00 Firm: LANCZE G DOUGLASS, INC Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: (509) 483-6532 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: 05001166 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,521.19 $95.00 $108.00 Invoice Amount $50.00 $1,521.19 $95.00 $108.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,521.19 $95.00 $108.00 $1,774.19 $1,774.19 $0.00 $1,774.19 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: 04/12/2005 L 0 1 1 20E IM PERMIT APPLICATION WORK SHEET KANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)6860036 Fax: (509}688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: !_ - /U e--7 ASSESSOR'S TAX PARCELNUUMBER(S): LEGAL DISCRIPTION: Zr 5 'ice I le- .Sc'/vwl e �<c 6. PERMIT DESCRIPTION: ChltiiLDrNG PERI' Ci CHANGE ITSE ®GRADING C ATANITFACIVIZED HOME 0- OTHER RELOCATION SIGN TENANT OWNER: /AA; Z' C 6 , Dr: CJC--LSS I c ® APPLICANT: PHONE 4 -1S"5" -e"5-3 Z- FAX: r--6-`3-(--i"CC� - PHONE: FA ADDRESS: i -CI, l\AAL hI i UM ADDRE91k s"�� L A ,STATE, ZIP X19 Zi QCONTRAGTORi n ZlG G _ Or; vi-(:4.ss .i .& . ARCHITECT: CITY, STATE, ZIP PHONE: '-NFAX: PHONE: FAX ADDRESS: ,t) SOC'�'9,/ ADDRESS: u t� - C CeZ 7 CITY,.STATE, ZIP WA STCONTRACTOR UCENSE g l /1r 7 C G-5) 0-17-‘e CITY, STATE, ZIP CONTACT: 1 PERMIT/BUILDING INFORMATION COST OF PROJECT: 30% SLOPES ON PROPERTY: BUILDING HEIGHT TO PEAK: ►Ci OCCUPANCY GROUP:. BUILDING DIMENSIONS: L/QYS 2 CONSTRUCTION TYPE: NUMBER OF STORIES: I STRUCTURES ON PROPERTY: CRITICAL AREAS: NUMBER of BEDROOMS: -7 MAIN FLOOR SQ FT: I !3 2N0 FLOOR SQ FT: 0 UNFIN BASEMENT: i 132 - FINISHED BASEMENT: GARAGE: p CASH CHECK VISA BANKCARO ' EXPIRES; VINO AUTHORIZED SIGNATURE. 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036 - Phone 509-688-0037 - Fax 1 hanical Permit Application PROJECT _ ADDR 55: 6-, / q( cYCx,,,....... PEIarIIT cls : OWNER GAA:7,"c= G- 00,_3(:,/,4.s r„ -C. PHONE (Daytime Contact): MAILING ADDRESS: Ai, S3SIC, Cres— -iA,e. EQt7ALS s Pc Aj LA -AA - c7c7Z/ 7 (street) • OR a 100.000 (city/state) (ZIP) CDNTRM-1UR=NS! 7 *: SUE. BURMNC APPCAMI= MAIUNG ADDRESS:. • • /l..'. 3sic c es u GIA e s_ .,...l. i..t.v4, PHONE r ZJ ) (street) - OR ACILU 00 (cltyJstate) (P) METHOD OF PA ❑ CA 4 Q *mac ❑ '•11111111 ❑ DATE EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE DESCRIPTiONOFWO1X san1NlTS X Ct?SD EQt7ALS AMOUNT 1 FUEL BURNING APPLIANCE • OR a 100.000 i X 515 7 2 SUE. BURMNC APPCAMI= > 100010 X 519 3 UNUS7 D APPLIANCE (ADDA5ONAi FEE) - OR ACILU 00 X S50 - UNLiSIEDAPPUANC3{ADDfCICNM.P >�70000 X 5102 - 5 USED APPLIANCE (WSECmIA. AMIE ratan g) . are 400.000 X S50 - 6 USED APPLIANCE msec ft. ARM ruin >4O CO31 - 7 - IOOid BTSi X SSS B MR ON 101 • LOOM 8TU 9 BOII.fiR/REFRfCZBATION 501.1A001VI ETU X 534 - 10 BOLI EW9FERSGS7tATOON 7001-1.7506( BTU X 557 - I1 8OSL8RlRBFR10ERA ICN •17S06t A ISt X S45 12 GAS LAC,. CAS INsErtGASFIIkrethCB - / X 510 - iC% 13 RANGE - X 530 - 14 - X 510 ` DRYER 5 FUEL BLRtN04G WATER HEA2 E8 _- X 16 MLSC. FUEL BURNING APDL - X 570 - 17 GAS P1PIIdG (ea. Outlet) - 3 X 51 - 38 OUCTSYSIEMS - / X 310 • ; (} 14 VENiILAITNGFANS - L% X SIO • Z-1 27 AIC HANDLER (DOES NOT lndwd. ducens) • OR c 10S1000FM X 832 - z3 AYR HANDLER (DO fiS NOT)ndtdedadang) > 10.000 CiM X 519 22 EVA ORA7IYECOOLERS ,. X 520 - 73 TYPEIHOOD X S50 - 2C TYPE LS HOOD - X 510 • - 25 HEAFPUMPJAM CONDIT10NER 03T0N X 512 2; AIRCoWbtlIDNa 3-SSTON X s Z7 AYR CO ON 1430 TON X 525 - 28 AIRCONDTIIONER 30.50 TON X 535 • F 29 A1R CONUTLIGNER +A TON X 560 - 30 LPG5TORAGETANX - X 510 31 WUODORPELLET STOVE/INSERT - X 510 32 WOOD STOVE -FREE STAND ArG - X 525 - KENT 5i18IOTAL- ' - PLUS PROCESSING FM $35.00 TOTAL PERMIT FEE DUE: I ?,_ j -- ❑ CA 4 Q *mac ❑ '•11111111 ❑ DATE EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036 - Phone 509-688-0037 - Fax Plumbing Permit Application PROJECT ADDRESS: 1 U (c‘:/ err; ioV"•-� PERMIT OWNER: _—� t OF UNITS PHONE (Daytime Contact): MAILING ADDRESS: EQUALS AMOL VT (street) (Pity/state) (ZIP) COMM-10K:•�� _ ,Qnl ..._. (2_, is c-G-c,ss -�,,: UC'ENSE #: . - MAILING ADDRESS: s-� Stn,E PHONE 1: U./4- C" Z[ -7 /Li, �S1c7 c res -r—ti (street) (city/state) (ZIP) ' PLUMBING FIXTURES taLHOD OP ATE: OIKC RD NUMSE:R! UTHORIZED SIGNATURE: ** TOTAL PAGE.83 ** DESC UITON DETAILS t OF UNITS X COST EQUALS AMOL VT 1 TOILETS WATER CLOSET, BIDETS _.S- X 56 - 1 2 URINALS X $6 - 3 'UBS 3 X $6 - 4 SHOWERS(PERTRAP) BATH, STALL, ON-S1'1EBUI.T X S6 - 5 SINKS LAYS/BASINS, BAR,FLOOR, KITCHEN, LAUNDRY, =TN, JANITOR, PHOTO, X• RAY. FOOD, PREP/CULINARY/mEAT -, X 56 - 'J 6 DISHWASHER I X $6 • ro 7 CLOTHES WASHER 1 X S6 - Co 5 GARBAGE DISPOSAL ) 1 X S6 - (v 9 WATER SOFTENER X - 10 ELECT. HOT WATER TANK NOTE: IP GAS, SEE MECHANICAL X i6 11 FLOOR DRAINS AREA. CASE, COIL, IRENC7r1. CONDENSATE X 56 - 12 FOUNTAINS, DRINKING X 56 - 13 WATER PJPNG/DRAIN•IN WASTE, VENT, PLUMBBVG REVERSAL INSTALLATION, ALTERATION. REPAIR, REVERSALS X 56 - 14 SEWAGE ELECTOR GRINDER. SUMP P1 X 56 • 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB. STEAMER. PROOFER CARSONATOR,�-7 SWAMP COOLER �7 X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAK= CHECX VALVE, AND R.P.B.PD. FOR: VATS. TANKS. BOILERS X - 17 SPRINKLER SYSTEM ) X 5e , 18 NTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X SS " 19 MEDICAL GAS per =wet NrfROU5. OXYGEN X 56 - 20 MLSC PLUMSNG FIXTURE X S6 - PAYMENT j CHEM i ! ❑ ' _ . SUBTOTAL: PLUS PROCESSING FEE: 535.00 TOTAL PERMIT FEE DUE: 1 3 ATE: OIKC RD NUMSE:R! UTHORIZED SIGNATURE: ** TOTAL PAGE.83 ** 1 r 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. /1000015 ZONE we FLANKING CO1,AilAEN" CROWN AVE. tan is being submitted for the purpose ct This obtaining ailtting 'permit and is a true and correct r ect representation of the proposal. All known property lines/di ens+titsstructures ss have been identit-Aoindicat• ,re wetla odes ofy• 9tical � / signed: Date: 14609 E. CROWN AVE. LOT 5, BLOCK 28 SUMMERFIELD EAST SIXTH ADDITION SCALE: 1"=30' J USKH 1220 N. HOWARD ST. SPOKANE WA 99201 PHONE (509) 328-5139 FAX (509)328-0423 101 THAW ROAD Engineering • Land Surveying LEWISTON,ID 83501 PHONE (208) 746.2661 Planning • Materials Testing FAX (2081746-6825