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2005, 06-09 Permit App: 05001970 ResidenceProject Number: 05001970 Inv: 1 t � Application Date: 06/09/2005 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 - Contact: HARLEY C DOUGLASS INC NATURAL GAS Address: 8510 N CRESTLINE C - S - Z: SPOKANE, WA 99217 Setbacks: Front 37 Left: 12. Right: 10 Rear: 20+ Phone: (509) 487-9792 Group Name: Site Information: Project Name: ROW Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East Parcel Number: 46353.4906 Block: 28 SiteAddress: 14617 E CROWN AVE Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,095 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 6 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 Plan Review Approach / Drainage Released By: 1,, ,, e'�.(,,t Sewer Review Permits: Released By: )L(L( ItttaL G _0 ( Operator: K_C Printed By: K_C Print Date: 06/09/2005 -35-100 Project Number: 05001970 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/09/2005 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 1 NUMBER OF 1 NUMBER OF Fee Amount $25.00 $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 2310 Building Height 35 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sp Ft Valuation Sp Ft Valuation BASEMENT U R-3 VB 952 $14,280.00 952 $14,280.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 500 $9,500.00 500 $9,500.00 RESIDENCE R-3 VB 1,358 $101,415.44 1,358 $101,415.44 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 2,930 $126,995.44 2,930 $126,995.44 Units Unit Desc Fee Amount 1 SELECT $1,144.95 1 SELECT $4.50 1 SELECT $457.98 Permit Total Fees: $1,607.43 Operator: K_C Printed By: K_C Print Date: 06/09/2005 Project Number: 05001970 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/09/2005 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 2 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 $20.00 $10.00 $10.00 $10.00 Permit Total Fees: $75.00 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: 06/09/2005 Project Number: 05001970 Notes: Inv: 1 Application Date: 06/09/2005 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Fee Amount Invoice Amount Approach $50.00 $50.00 Building Permit $1,607.43 $1,607.43 Mechanical Permit $75.00 $75.00 Plumbing Permit $66.00 $66.00 $1,798.43 $1,798.43 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,607.43 $75.00 $66.00 $0.00 $1,798.43 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: 06/09/2005 Spokane ,0,0Valley D ECEIIVE JUN U 7 20G PERMIT APPLICATION WORK SHEET 'OKANE VALLEY COMMUN/TYDEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 hone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 14617 E Crown ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: 46353.4906 Lt 6 Blk 28 Summerfield East 6th Addition PERMIT DESCRIPTION: residential construction M BUILDING PERMIT ®RELOCATION El CHANGE IN USE fl GRADING fl SIGN fl TENANT ® MANUFACTURED TIOM E ® OTHER OWNER / APPLICANT INFORMATION ®OWNER: Harley C Douglass Inc PHONE: FAX: 487-9792 FAX: 509 487-1580 ADDRESS: 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 CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # HA RLECD 110PE WA APPLICANT: PHONE: ADDRESS: FAX: CITY, STATE, ZIP ARCHITECT: PHONE: ADDRESS: CITY, STATE, ZIP FAX: CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: 35 BUILDING DIMENSIONS: 44 X 38 NUMBER OF STORIES: 2 NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: 31' REAR SETBACK: 3 LEFT SETBACK: 1216" RIGI IT SETBACK: 10'-0" 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 1358 OCCUPANCY GROUP: 2ND FLOOR SQ FT: CONSTRUCTION TYPE: Residential UNFIN BASEMENT: 952 STRUCTURES ON PROPERTY: FINISHED BASEMENT: CRITICAL AREAS: GARAGE: -"tr.- 'SOO CURRENT PROPERTY SIZE: COVERED DECK: CURRENT PROPERTY USE: 16, 095DECK: 120 CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: ID OF 4,r_a*A-411.11A, . Valley opui,alie VV A 99206 )r Inspeetions; call 509-6P 4 509-688-0037 - Fax Plumbing Permit Application PROJECT ADDRESS: 14617 E Crown DESCRIPTION PERMIT USE: Residential Construction OWNER; Harley C Douglass Inc X PHONE (Daytime Contact): 509 487-9792 MAILING ADDRESS: 8510 N Crestline Ste A Spokane, WA 99217 1 (street) (city/state) • (ZIP) 2 CONTRACTOR: Gold Seal Mech 56.. LICENSE .1: GOLDSM 290C4 MAILING ADDRESS: • 5524. East, Boone Spokane, WA 99212 PHONE 1: X (street) (city/state) (L111 ' 3 PLUMBING FIXTURES EXPIRES: .RD NUMBER: .12ED SIGNATURE: DESCRIPTION • DETAILS i OF UNITS X COST EQUALS AMOUNT 1 TOILETS • WATER CLOSET, BIDETS 2 X 56.. i_i_. 6 "---1-2.00 2 URINALS X $6 - 3 TUBS 2 x 56 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SETE BUILT 2 . X *6 . - 12.00 5 SINKS LAVS/f3ASINS, BAR, FLOOR, KITCHEN, LAUNDRY, [num, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT 3 X 56 -.--- - • 18.00 6 DISF [WASHER 1 X L $6 .. - 6 .00 7 CLOTIIES WASHER • 1 X ' 56 - 6.00 8 GARBAGE DISPOSAL . X 56 - 9 WATER SOFIENER • X $6 - 10 ELECT. HOT WATER TANK t4OTE: IF GAS, SEE MECHANICAL • , X * $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X ' *6 .. 12 FOUNTAINS,DRINKING, . X 56 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP • X 56 - 15 WATER USING DEVICE . ICE AND/OR COFFEE MAKER, HOSE BIB, s i hAMER, PROOFER, CARBONATOR, SWAMI' COOLER • X $6 • - . 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X 525 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CI IEMICAL FIOLDING TANK X 56 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X 56 - 70 MISC. PLUMBING FIXTURE X 56 - PAYMENT . • A CI IE.CK IA:. • ---,-:::.:. WS .. i • SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: EXPIRES: .RD NUMBER: .12ED SIGNATURE: Valley 71.1.10 509-688-0037 - Fax For I;nspectipns, call. 5r 3-0054 -Mechanical Permit Application PROJECT ADDRESS: 14617 E Crown DESCRIPTION OF WORK PERMTT' . usE: Residential Construction OWNER: Harley C Douglass X PHONE{Daytirtonttl_ 4 7 MAILING ADDRESS: 8510 N Crestline Ste A Spokane, WA 99217 (street) (city/stale) (ZIP) coIJTRACTUQR: ancar Mechanical LICENSES: DANCAM102207 MAIL)NG ADDRESS: 311 N Hodges Greenacres PHONE 1: 509 924-9921 WA 99016 (street) (city/state) (ZIJ') M ETLI OI) OP PA ❑ CASH 0 CHECK 0 C!1 3 • DATE: BANKCARD NUMBER: At1TIIORJZED SIGNATURE: EXPIRES: DESCRIPTION OF WORK I OF UNITS X COST EQUALS $MOIIM' 1 FUEL BURNING APPLIANCE .011<1C0,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 •X 550. - 1 UNLISTED APPLIANCE (ADDETIONAL FEE) > 400,000 X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or < 400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - 7 BOILER/REFRIGERATTON 1- 100M BTUr 101 - 500M BTU 1 X 'X 515 528 - - 5 BOILER/REFRIGERATION 9 BOILER/REFRIGERATION 501 - 1,000M BTU ` X 539 - IO BOILER/REFRIGERATION 1001 - 1,75oM BTU X . 557 - 11 BOILER/REFRIGERATION +1750M BTU X 595 . - 12 GAS LOC, GAS INSERT, GAS FIREPLACE - 1 X 510- 10.00 13 RANGE - X 510 - 11 DRYER - X 510 - 15 a FUEL BURNING WATER HEATER 1 X 510 - 10.00 16 MISC FUEL BURNING ADPL. - X 510 - 17 GAS PIPING (ea. Oullet) - 2 X 51 - 2.00 15 DUCT SYSTEMS - 1 ' X 510- 10.00 19 VENTILATING FANS - X 510 - 20 AIR IIANDLER (DOES NOT Include ducting) . ORA I0,000CFM X 512 - 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 - 22 EVAPORATIVE COOLERS - X 510 - 23 TYPE I HOOD - X sso - 24 TYPE R 1100D - X 510 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 - 26 AIR CONDTIIONF,R 3-15 TON X 520 - 17 AIR CONDmONER 15-30 TON X 525 - 28 AIR CONDITIONER 30-50 TON X 535 - 29 AIR CONDITIONER *50 TON' X 560 - 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/1NSERT - X 510 - 31 WOOD STOVE - FREE STANDING - X 525 1ENT i 35 SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: ❑ CASH 0 CHECK 0 C!1 3 • DATE: BANKCARD NUMBER: At1TIIORJZED SIGNATURE: EXPIRES: • 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. It 3co /l ;ft • 5p Iii-. 3 so' x ,I ti I an.W1 0 OOki S14C.J. ,- d CROWN gCtb 5(akC4nv G. q). 1�- AVE 231-00 ADDRESS I LQ 19 e),in IJYL ZONE L ROAD WIDTH FRONT 1'1 ` FLANKING COMMENTS REVIEWED BY 14617 E. CROWN J LOT 6, BLOCK 28 SUMMERFIELD EAST SIXTH ADDITION C SCALE: 1 "=30' USKH 1220 N. HOWARD ST. SPOKANE WA 99201 PHONE (509) 328-5139 FAX (509) 328-0423 • 101 THAIN ROAD Engineering • Land Surveying LEWISTON, ID 83501 PHONE Planning • Materials Testing FAX (2088)7 1 46-6825