2005, 07-18 Permit App: 05002416 ResidenceProject Number: 05002416
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Fron
Site Information:
Plat Key:
Left -
lo
Name:
Right
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
SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46353.4805 Block: 27
SiteAddress: 14620 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,398 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Lot: 5
Owner: Name:
Address:
LANCZE G DOUGLASS, INC.
1402 E MAGNESIUM RD
SPOKANE, WA 99217
Hold: ❑
Depth: 0 Right Of Way (ft): 45
Review C'11
Site Plan Review
g/i los
Released By:
! .Wl �Pr�iMrr'
pr I 34 rvvit\-
faAk dttQA ock
Plan Review
L)
Released By:
an,
Approach / Drainage
Released By:
Landuse/Zoning
Permits:
Released By:
4-4 Sid&
Operator: K_C
Printed By: K_C
Print Date: 07/18/2005
Project Number: 05002416 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005 Page 2 of 4
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 Fee Amount
1 NUMBER OF $25.00
1 NUMBER OF $25.00
Permit Total Fees:
Building Permit
$50.00
Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC
Address: 1402 E MAGNESIUM Phone: (509) 483-6532
SPOKANE, WA 99217
Building Characteristics
Group: R-3 Type: VB
Total Area 2880
Building Height 22
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VB 1,440 $21,600.00 1,440 $21,600.00
DECK R-3 VB 120 $1,800.00 120 $1,800.00
GARAGE U-1 VB 792 $15,048.00 792 $15,048.00
RESIDENCE R-3 VB 1,440 $107,539.20 1,440 $107,539.20
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,792 $145,987.20 3,792 $145,987.20
Units Unit Desc Fee Amount
1 SELECT $1,251.35
1 SELECT $4.50
1 SELECT $500.54
Permit Total Fees: $1,756.39
Operator: K_C Printed By: K_C Print Date: 07/18/2005
Project Number: 05002416 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005 Page 3 of 4
Contractor: LANZCE G DOUGLASS, INC
Address: 1402 E MAGNESIUM Phone: (509) 483-6532
SPOKANE, WA 99217
Mechanical Permit
Firm: LANCZE G DOUGLASS, INC
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
Units
1
1
3
4
1
1
1
Unit Desc Fee Amount
NUMBER OF $10.00
NUMBER OF $12.00
# OF UNITS $3.00
NUMBER OF $40.00
NUMBER OF $10.00
NUMBER OF $10.00
NUMBER OF $10.00
Permit Total Fees: $95.00
Plumbing Permit
Firm: LANCZE G DOUGLASS, INC
Phone: (509) 483-6532
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:
Print Date:
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
07/18/2005
Project Number: 05002416
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/18/2005
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,756.39
$95.00
$108.00
Invoice Amount
$50.00
$1,756.39
$95.00
$108.00
$2,009.39 $2,009.39
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,756.39
$95.00
$108.00
$0.00
$2,009.39
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: 07/18/2005
tan �
jUalle
H 5(
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
hone: (509) 688-0036; Fax; (509) 688-0037
91#IRED!. SIT
L _`it it /AAI
Street Address: �. /4-4.67(7-) Cre)t,t,A-1
FORMATION
Assessor's Tax Parcel Number(s):
Legal Description: Z-7--
PERMIT
-T'PERMIT DESCRIPTION:
Building Permit
Relocation
Taj tL 7 ►1 ems^ FPt [hW 6 i7
II
Change in Use
(l Tenant Improvement
n Grading n Manufactured Home
Fire Safety n Other
OWNER/APPLICANT INFORMATION
Owner: Lr4/06- (3c,Ss
Phone: , cZ Fax:
Address: C=_ /LiC-2- 44 ,q.6 )eciu41
City State Zip Code
(l Contractor: ,qwt�
Phone: Fax:
Address:
City
State
Zip Code
Applicant:
Phone:
Address:
Fax:
City
Architect:
Phone:
State Zip Code
Address:
Fax:
City
WA State Contractor License #: L4,u`zC-C:00-12P5- Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES: _
MAIN FLOOR TO SQ. FTG:
(-44C
2"" FLOOR SQ. FTG:
0
UNFIN BASEMENT SQ. FTG:
14-14-10
FINISHED BASEMENT SQ. FTG:
0
GARAGE SQ. FTG:
.7 ei Z
DECK/COV. PATIO SQ. FTG:
(-2-0
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
3
TOTAL HABITABLE SPACE:
25i5 0
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
4/C.)
EWERR ON-SITE SEPTIC
SYSTEM?
RUG 03 2003 14:48 FR
1Va
TO 4834966 P.03/03
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
509 -688 -0037 -Fax
Spokane Valley, WA 99206
Plumbing Permit Application
PROTECT'
ADDRESS: C�--- ( qe, :7
Cr -CAA -AY /
PERMIT
USE
OWNER:MPHONE
X
COST
(Daytime Contact):
MAILING ADDRESS_
1
TOILETS
WATER CLOSET, BIDETS
(street)
X
(city/state)
• (ZIP)
CONTRACTOR
2
URINALS
LIcal. 5E '
MAILING ADDRESS:
86
- .s Y�Sc i 6
PHONE 1;
3
U.44-
-rZt -7
/1/, ?S7C) cr
r _i,i
(street)
-
(city/state)
(ZIT) '
PLUMBING FDCTURES
CETHOD O1
CASH
ATE:
ANKCARD NUMBER:
UTHORIZE D SIGNATURE:
** TOTAL PAGE.03 **
DESCRIPTION
DETAILS
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
56
-
Y eg
2
URINALS
X
86
-
3
TUBS
3
x
PS
-
l g
4
SHOWERS (PER TRAP)
BATH,SrALL,ON-9fIEBUILT
X
56
-
5
SIN16
LAVS/BASINS, BAR, FLOOR KITCHEN,
I-41.INDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CUL/NARY/MEAT
�7
J
X
56
-
VE
6
DISHWASHER
i
X
86
-
7
CLOTHES WASHER
1
X
56
•
Co
8
GARBAGE DISPOSAL
1
X
86
-
(d
9
WATERSOFTENER
X
56
-
10
ELECT. HOT WATER TANK
NOTE: IP GAS, SEE MECHANICAL
X
56
-
11
FLOOR DRAINS
AREA, CASE, COL, TRENCH, CONDENSATE
I
X
56
-
12
FOUNTAINS, DRINKING
X
56
-
13
WATER PIPING/DRAIN-IN
WAS -M VENC PLUMBING
REVERSAL,
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56
-
IS
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROMM CARBONATOR,
SWAM? COOLER
X
S6
-
16
CROSS CONNECTION DEVICE
VACUUM 6REAKER, CHECK VALVE, AND
R.P.B.PD. FOR: VATS, TANKS, BOILERS
X
86
-
17
SPRINKLER SYSTEM
1
X
825
18
INTERCEPTORS '
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
SS
19
MEDICAL GAS peroutiet
NITROUS, OXYGEN
X
S6
20
M15C. PLUMBING FOCITJRE
X
56
-
PAYMENT
• 1121411I
.410i
•
SUBTOTAL:
PLUS PROCESSING FEE:
535.00
TOTAL PERMIT FEB DUE:
t 3
ANKCARD NUMBER:
UTHORIZE D SIGNATURE:
** TOTAL PAGE.03 **
AUG 03 2003 14 48 FR
S; ; 5
1..J
TO 4834966
P.02/83
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
Mechanical Permit Application
16.
PROJECT
ADDRESS: , (L( C.:, -2,C) C r- w/`/
per
USE:
OWNER: G4A.;-zc_e 6-- DC LX., -1 S5 -,-;„,....c
PHONE (Daytime Contact):
MAILING ADDRESS:
Ai . S S 10 cr-es Li A.;€-
S .-i9n-&— tut -
(city/state)
Zi --2
(ZEP)
()
CONTRACTOR IU z6— . G- 00 v C --LASS 21_2\ %c
LICENSE 1:
1
MAILING ADDRESS:...
/L- <3 Si 0 cr es; G-(Ae_
s �.,,-€ u..+4.
PHONE 2:
z-q
-3---C�5+3Z
FtJEL BURNING AP?LIANCE
4Chi7
(s)
(city/state)
(ZIP)
METHOD OF PA
❑CASH
0
DATE EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
_
s arum's
% COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
. OR 5IM.000
1
X 515
-
I .c-
2
2
FtJEL BURNING AP?LIANCE
> 100.000
X 519
3
uNLISTED APPLL4NCE (ADOTIIQNAL FES)
- OR c 100,000
X 550
-
4
UNLLSIFE APPLIANCE (ADDITIONAL FBS)
> 100,000
X 5100
.
5
USED APPLIANCE (WSEC min. AFUE rating)
. or < 400,000
X 550
-
6
USED APPLIANCE (MEC min. AFUE rating)
> X00,000
X 5100
•
7
BOILER/REFRIGERATION
1-10(Bd BTU
X 515
•
8
BOILSWREFRICERAT1ON
101.500M BTU
X STH
-
9
HOILER/REFR5GERATION
50I .1,000M BTU
X 539
-
10
BOILER/REEBIGERAITON
1001-1,750M HTV
X 557
-
II
8OIL0RIREiRICERATION
.1750M BTU
X 595
-
12
GAS LOC, CAS INSERT, GAS FIREPLACE
-
/
X 510
•
10
13
RANGE
-
X 910
-
14
DRYER
-
X 510
-
15
FUEL BURNING WATER HEATER
-
/
X 510
-
/0
I6
MSC FUEL =NWG APDL.
-
X 510
-
17
CAS PIPING (ea. Outlet)
-
3
X 51
-
.?i
18
DUCT SYSTEMS
-
/
X 510
-
ICJ
_ 19
VENTILATING PANS
-
4
x SIO
-
Li%
70
Am HANDLER (DOCS NOT Inducts ducting)
- OR c 10ApOCFM
X 512
-
Zl
AIR HANDLER (DOSS NOT Inducts d. d ng)
)‘ 10.000 CFM
X 519
•
22
EVAPORATIVE COOLERS
-
X 510
•
23 tT�YPE
114000
-
X y50
-
M 1TYPE
II HOOD
-
X 510
-
25
NETS PUMP/AIR CONDMONER
0-3 TON
X 512
26
AIR COND1TIONI R
345 TON
X 520
•
Z7
AIR COND[L1ONOR
L5-30 TON
X S25 f
•
26
AIRCONDrIIONER
30.50 TON
X 535
-
29
AIR CONDITIONER
+50 TON
X 560
-
30
L.PG5TORAGETANK
-
X 510
•
35
WOOD OR PELLETSTOVE/INSIRT
-
X 510
-
32
WOOD STOVE - FREE STANDING
-
X 525
-
dENT
— —=MI
`
SUBTOTAL
gc3 —
PLUS PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE 17,3 ` -
DATE EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
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.
PoflS
ennn.
j-2" —sfirFTE_OK UNE
10 WIDE 7cTI141: WIDE
IP' UTILITY BORDER
EASEMENT EASEMENT
"Pd for the purpose of
a true and correct
;II known property
's and easements
i.t1 are wetlands,
r, es or Ot,i.'r critical area,,
ate:
14620 E. CROWN AVE,
LOT 5, BLOCK 27.
SUMMERFIELD EAST
SIXTH ADDITION
EA/a) 39Vd 9NIdA0 WO1A CaLINFI
SCALE: 30'
Engineering Land Surveying
Planning - Materials Tasting
rn••••••••-•
TWO N, NO1,V4tity err.
. aPOKANE, t4 WW,
~cure ai4 :ICON,' JO
) ZUNI
Of MAIN ROV.,-•
LeWSSITIAL ID 4.1.10 f
!WOW! tray 740-2667
?AX olov
9S%08ZEGO9 LO:SI SO3/OT/20