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2005, 07-19 Permit App: 05002433 ResidenceProject Number: 05002433 Inv: 1 Application Date: 07/19/2005 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 Site Information: Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East ght: ear: 31 Contact: LANCZE G DOUGLASS, INC. Address: 1402 E MAGNESIUM RD C - S - Z: SPOKANE, WA 99217 Phone: (509) 483-6532 Group Name: Project Name: ROW Parcel Number: 46353.4804 Block: 27 SiteAddress: 14612 E CROWN AVE Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,119 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 4 Owner: Name: LANCZE G DOUGLASS, INC. Address: 1402 E MAGNESIUM RD SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 45 Review igj Site Plan Review jUh,k,tt sibees Released By: Plan Review Frail Released By: Approach / Drainage Released By: 024414,Lf4,A Sewer Review Permits: Released By: Operator: K_C Printed By: K_C Print Date: 07/19/2005 Project Number: 05002433 Inv: 1 l Application Date: 07/19/2005 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 Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE 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 Phone: (509) 483-6532 Building Characteristics This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Su Ft Valuation BASEMENT U R-3 VB 1,300 $19,500.00 1,300 $19,500.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 696 $13,224.00 696 $13,224.00 RESIDENCE R-3 VB 1,300 $97,084.00 1,300 $97,084.00 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 3,416 $131,608.00 3,416 $131,608.00 Units Unit Desc Fee Amount 1 SELECT $1,172.95 1 SELECT $4.50 1 SELECT $469.18 Permit Total Fees: $1,646.63 Operator: K_C Printed By: K_C Print Date: 07/19/2005 Project Number: 05002433 Inv: I , Application Date: 07/19/2005 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 Units Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 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 Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 $95.00 Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Units Unit Desc Fee Amount 3 NUMBER OF $18.00 4 NUMBER OF $24.00 3 NUMBER OF $18.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 3 NUMBER OF $18.00 Operator: K_C Printed By: K_C Permit Total Fees: Print Date: $108.00 07/19/2005 Project Number: 05002433 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 07/19/2005 Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,646.63 $95.00 $108.00 Invoice Amount $50.00 $1,646.63 $95.00 $108.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,646.63 $95.00 $108.00 $1,899.63 $1,899.63 $0.00 $1,899.63 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: 07/19/2005 AUG 03 2003 14:48 FR TO 4834955 CQ. Q P.01/03 t13C-C, PERM1 'APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITYDEVELOPMENT , BUILDING DIVISION � 117QPEast Sprague Ave Ste 105 U 11 L U ti IJ'�'� Spolrane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 14C,I2_ c'irOwAv ASSESSOR'S TAX PARCEL,, NUMASER(S): LEGAL DISCRIPTION: r (� 'wo PERMfT DESCRIPTION: CIALTILDLNG PERMIT Ci CHANGE IN USE - 0 -GRADING ®RELOCATION SIGN TENANT MVIANUFNCTCRED HOME CHEER / APPLICANT INFORMATION 13 OWNER: L4/1; Z!G 6 , Y1r: APPLICANT: PHONE: &513 C._ FAX: LIS -S -4-1-C/ .PHONE FAX ADDRESS: i 4.4 at. IARC h n f U ADDRESS: GZT ,STATE, ZIP CITY, STATE. ZIP CONTRACTOR:,'!LZCC= 6- _ Or; l -r 4sS ,tib . ARCHITECT: PHONE: j 67< 3 Z FAX: �-?S 5- `=moi« PHONE: ADDRESS: L. iCJ Cf �ci Gi,L� SDCe.-,9,A ADDRESS: 1 _AA- - C• ' -at -7 CI Y,.STATE, ZIP FAX: CITY, STATE, ZIP WA sr CONTRACTOR LICENSE # L / JpC%-1 L S CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: t BUILDING HEiGI-4TTO PEAK: 1OCCUPANCY GROUP: 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: Goo 2N0 FLOOR SQ FT: 0 BUILDING DIMENSIONS: I x 41 CONSTRUCTION TYPE: UNFiN BASEMENT: 13 CYO NUMBER OF STORIES: 1 STRUCTURES ON PROPERTY: NUMBER of BEDROOMS: CRmCALAREAS: DATE: STAFF: METHOD OFPAYMENT: _. 0 Q CASH CHECK FINISHED BASEMENT: GARAGE: 6G I BANKCARI ; AUTHORIZED SIGNATURE. Cr VISA_ EXPIRES: V/N# =HOD OF ....*Valley Plumbing Permit Application 6"..1 Spokane Valley, WA 99206 509-688-0037 - Fax rRoyEcr Azarwqs: 6- , RA 6( 2_ie.-) L..e__,„„...\..„ PERmrr USE xOFLThT12S OWNER: COST EQAMOWT PHONE (Daytm Contact); 1 NLAILING ADDRES& WATECET,1DETZ ..:-. X (Street) • (city/state) (ZIP) NTRALIUR; Y1-; -7.—^=-Z. :------- LI-, 0 (--.6-64s , ON k . W - ' ..5-4.,./(2/1.67 PHONE 1; RATH. STALL. ON-SITE BUILT MAILC A : 570 crrs-r-r-i k...A.44- S6 m (street) \I______ ( te) SHOWERS (MR TRAP) ATF.: ANKCARD NUMB u-rmoRrzED SIGNATURE: ** TOTAL PAGE.03 ** xOFLThT12S X COST EQAMOWT 1 OTLETS WATECET,1DETZ ..:-. X 56 • \ c-,-;) 2 DRINA X W - 3 TI./05.13 RATH. STALL. ON-SITE BUILT T X S6 m • \I______ 4 SHOWERS (MR TRAP) LAvS/BAsINS, 5AR,FLOOR. 1411CHEN, LAUNDRY, MUM, JANITOR, PHOTO, X. RAY, FOOD. PREP/CULLNARYfmEAT --3 6 DISHWASHER i 56 - r ..a• 7 CLOTHES WASHER J X 66 (.. D X 56 - X 56 . 10 CT.WATRTAN NOGASE(AN1CAL... 11 FLOOR DRA5 AREA.CASE COIL MEN CONDENSAT% 1 X 56 - 72 FOUNTAINS DRINIONG X 56 - 13 WATER PIPINO/DRAIN-rN AWE. vENT, MIMING REVERSAL INSTALLATION, ALTERATION. REPAIR REVERSALS X 14 SEWAGE EJECTOR GRINDER sump PtJ X 56 - 15 WATER MING DRITICI X" IcE AND/OR Um. bb MAKER, HOSE MI STEAMER. PROOFER CAEBONATOR, SWAMCOOLER 6 CR CO N DEVICE VACUUM BREAKER. CHECK VAL,ve, AisTD FOR VATE.ZAN1� X 56 - 2? X 525• 18 ENTERarrroRs CREASE TRAP, S NDTEAP. aCAL HOLDING TANK X 55 • 19 ICLGA5put N1TROUS. OXYG X 56 - X 56• PAYMENT C4EO ---- VISA -PROCESSING STJBTOTAL FEL 535.00 0- TOTAL PERMITEE PtJE• t 3 ATF.: ANKCARD NUMB u-rmoRrzED SIGNATURE: ** TOTAL PAGE.03 ** 4.cc� -;: p ague-AVEitu-6, butte 106 509.688-0036 - Phone i�jola Spokane Valley, WA 99206 509.688-0037 - Fax • Mechanical Permit Application PROTECT ADDR- : C (l_.1(of Z C (W/\/ DESCRIPTION OFWORK P�3ZhffT USE . OWNE_tt Li4n.;-z: -c G. Dc ! FUEL BURNING APPLIANCE FHONE (Da ptialt: Cit). MAILING ADDRESS: - ss S 1O Cres -(1 .s Pc,Ci�7 Z / 7 (street} (dfy/state) (ZIP} CONTRACIVR AJ X 519 - LI NSE x: UNLISTED APPLIANCE {ADDTRONAL FES} MAILING ADDRESS:. -• /12- ASIC cr- e_s GLk e u PHONE Gi3-'C.5-3 - G "Zr? (sem) (city/state) (Z ) NOT. HOD OP PA Q CASH ❑ t ECC ❑AMU❑ - DATE: EXPIRE'S: BANKCASRD NUNBER: AUTHORIZES) SIGNATURE: DESCRIPTION OFWORK 1 QF U2J1T$ % COST 1 EQUALS AMOtWT I FUEL BURNING APPLIANCE • OR OM= 1 X SSS • ..5 2 FUR BUitNSNC APPLLANi� l00 C00 X 519 - 3 UNLISTED APPLIANCE {ADDTRONAL FES} - OR 4400.000 X 550 4 UNLISTED APPLIANCE (ADDISSQVAL P68) > 4=00 X 5I1 5 L>Z D APPfIANCS {NiSEG min. AFL% min) .ore 400000 X 990 - @ USEt7 APPUANC:? (WSECmin. AAIF. nstng) > 4000.0O0 X SIX 7 BOULS8/REFRZGERATION 1-100YI SIV X 515 9 ROILER/REPRIGERATION 101 • SOOt`( BTU X 5� 9 • 1.000M BTU X 534 - 10 60tH it1SE€RSGSitA2SGW 1001-1750bt SIV X . 537 11 BO!LSR/YEFRICi+RATION •1T.UM BTL1 _ X 545 12 GAS LOG, GAS INSERT. GAS FIREPLACE - 11111=111 X ! 510 510 _ DRYER - X STa FUEL SURNINC WATER HEATER - X 510 - 10 m23C. FUEL, statru NG APP[. 11111111.© 520- GAS PIPING (a Oudot) - 18 Doers:sTEM9 - 19 VENTILAT1NGPANS - � - I z--ir7 , 20 A R HAtVDLER (DOES Na 4u ont) - OR s 10 U1Q S t X Ste 21 A1R FiAINOt ER {DOSS NOT Indude dnciag) ' SQAOO G M X 519 - 12 EVAPORATNE COOLERS - X 510 - Td T1'PE I FLOOD 111111111111© 550 IA 1I HOOD - x 510 - 25 HEAT PUMP1AtttCONDRiONS>t 0S TON X sit - 26 AIR CONDITIDNER 3.15 TO X ILII z7 MR CDNDrrtaNER 1S3t) TON x 5:5 :s AIR CYINot1IONU ` 36 5p TT)hI X 335 - 29 AIR CONDmONER 30 TON X 560 - _ 30 LPC =RAGE SANK - X 510 Q WOOD ORPSLLSTsTOVEIINSERT - X 510 WOOOSTOV0-FSEESSANDIING - X 325 11111111111111111111.11111 STJBTOTAL• ' -" MIS PROCESSING FEB wt 535.i7Q TOTAL PERMIT FEE DUE: ; �J Q CASH ❑ t ECC ❑AMU❑ - DATE: EXPIRE'S: BANKCASRD NUNBER: AUTHORIZES) SIGNATURE: OLN0 SWALES—WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD, ALONG ALL LOT FRONTAGS. THESE SWALES SHALL REMAIN UNDISTURBED AND MAINTAINED BY THE HOME CONTRACTOF AND HOME OWNER otig submitted for the purpose of H permit and 1:3 a true and the proposa/. All known property Curb lines, strures and Correct ctueasements .-ohfied. Also inclicatecl rstare wetlands, er, eep slopes or other critical areas. i 2 E. CROWN AVE. LOT 4, BLOCK 27 SUMMERFIELD EAST SIXTH ADDITION PCI /P1',1 "qVc1 91AnJA0 elOOld GaLINFI o° 1,=23M /IOLVAftin ,....(1100)auxo,411.23 • 101771AIMM4D Enolneering Land Surveying env/racer, to c).ear Plavrq atf,rialn. Testing FPgringr.42:= 99L oZc,6 LO:ST SOK/3T/80