2005, 06-09 Permit App: 05001968 ResidenceProject Number: 05001968 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/09/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 33.5 Left: 17 Right: 6 Rear: 20+
Site Information:
Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East
Contact: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 487-9792
Group Name:
Project Name: ROW
Parcel Number: 46355.4907 Block: 28
SiteAddress: 14701 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 10,049 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 7
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:
Plan Review
Released By: is �J2A atruit..,�
Approach / Drainage
Released By: t.Q 4,,L,Le_ot
Sewer Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001968 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
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
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 Su Ft Valuation Su 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 506 $9,614.00 506 $9,614.00
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: 2,936 $127,109.44 2,936 $127,109.44
Units Unit Desc Fee Amount
1 SELECT $1,150.55
1 SELECT $4.50
1 SELECT $460.22
Permit Total Fees: $1,615.27
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001968 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
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
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001968 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/09/2005 Page 4 of 4
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,615.27 $1,615.27 $0.00 $1,615.27
Mechanical Permit 875.00 $75.00 $0.00 $75.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,806.27 $1,806.27 $0.00 $1,806.27
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
$ohne
,.000Valley(�EcEo��D
IN
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
99707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: 14701 E. Crown Ave.
ASSESSOR'S TAX PARCEL NUMBER(S): 46355 .4907
LEGALDISCRIPTION: Int 7, block 28 Summerfield East Sixth Addition
PERMIT DESCRIPTION:
6 BUILDING PERMIT
®RELOCATION
Residential Construction
O CHANGE IN USE - fl GRADING El MANUFACTURED HOME
SIGN ['TENANT
I] OTHER
OWNER / APPLICANT INFORMATION
® OWNER:
Harley C Douglass Inc
PHONE: 509 487-9792
® APPLICANT:
509 487-1580
FAX: PHONE:
FAX:
ADDRESS: 8510 N Crestline Ste A Spokane WA ADDRESS:
CITY,STATE, ZIP 99
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
COST OF PROJECT:
ARCHITECT:
CITY, STATE, ZIP
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS: 44 X
NUMBER OF STORIES:
30% SLOPES ON PROPERTY:
MAIN FLOOR SQ FT:
35 OCCUPANCY GROUP: 2ND FLOOR SQ FT:
38 CONSTRUCTION TYPE: Residential UNFIN BASEMENT:
2
NUMBER of BEDROOMS: 3
FLANKING SETBACK:
FRONT SETBACK: 33' 6"
STRUCTURES ON PROPERTY: FINIS D BASEM
CRITICAL AREAS:
CURRENT PROPERTY SIZE:/6 G
CURRENT PROPERTY USE:
REAR SETBACK: 60' CURRENT SEPTIC USE:
LEFT SETBACK: 17' CURRENT WELL USE:
RIGI IT SETBACK: 6' IMPERVIOUS SURFACE AREA:
•
GARAGES
COVERED DECK:
DECK: 120
ID OF
1:14—k.s. *XII 11 Xt.,
.000:Valley
opuhutte v atiey, %NA. 99206
)r Inspections, call 509-6F 4
509-688-0037 - Fax
Plumbing Permit Application
1
PROJECT
ADDRESS: 14701 E. CrowrusE:
PERMIT
Residential Construction
OWNER: Harley C Douglass Inc
PHONE (Daytime Contact):
509 487-9792
MAILING ADDRESS:
8510 N Crestline Ste A S •okane, WA 99217
.
(street) (city/state) - (ZIP)
1
CONTRACTOR: Gold Seal Mech
LICENSE i: GOLDSM 290C4
MAILING ADDRESS:
5524. East. Boone Spokane, WA 99212
PHONE 1:
56
-
12.0(
(street) (city/state) (ZIP) '
URINALS
PLUMBING FIXTURES
EXPIRES:
RD NUMBER
IZED SIGNATURE:
DESCRIPTION
DETAILS
i OFLINITS
X
COST
EQUALS
AMOEINT
1
TOILETS
WATER CLOSET, BIDETS
2
X
56
-
12.0(
2
URINALS
X
56
-
3
TUBS
2
x
0
-
T2.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2
X
56
.
12.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
3
X
56
-,--
-
•
18.00
6
DISHWASHER
1
X
36
-
- 6.00
7
CLOTHES WASHER1
-
X *
56
6.00
8
GARBAGE DISPOSAL
X
56
-
9
WATER SOFTENER
X
56
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL -
, X *
56
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
' $6
-
12
FOUNTAINS, DRINKINGX
•
56
-
13
WATER PIPING/DRAIN-IN
WAS t e., 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,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER •
X
56 •
••
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
.
17
SPRINKLER SYS i 04
X
525
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAF', CtIEMICAL
HOLDING TANK .
-
• X
$6
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
56
-
20
MISC, PLUMBING FIXTURE
X
56
-
PAYMENT
A CHECK
•
IVei
........r.
.
SUBTOTAL:
•
PLUS PROCESSING FEE:
$35.00
•
.
TOTAL PERMIT FEE DUE;
EXPIRES:
RD NUMBER
IZED SIGNATURE:
..;00Valley
vvtl y42UO
For Inspections, call 5r 9-0054
509-688-0037 - Fax
Mechanical Permit Application
1
PROJECT
ADDRESS: 14701 E. Crown Ave.
PERMIT Residental Construction
USE:
OWNER: Harley C Douglass
PHONE (Dayliryn 50,11 i_9792
44
MAILING ADDRESS:
8510 N Crestline Ste A Spokane, WA 99217
(street) (city/sl ale) (ZIP)
CONiRACTBancar Mechanical
LICENSE i: DANCAM102207
MAILING ADDRESS:
311 N Hodges Greenacres
PHONE 6:
509 924-9921
WA 99016
(street) (city/state) (ZIP)
METIIOD OF PA
❑ CASH ❑ CHECK ❑ ❑ l 1
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF IVORK
8 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
. OR < 100,000
X
615
-
2
FUEL BURNING APPLIANCE
> 100,000
X
619
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
X
650.
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
6100
. -
5
USED APPLIANCE (WSEC min. ARM rating)
• or < 400,000
X
650
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
6100
-
7
sot LER/REFRIGERATION
1 - 100M BTU
X
615
-
8
BOILER/REFRIGERATION
101- 500M BTU1
' X
628
-
9
BOILER/REFRIGERATION
501 -1,000M BTU
X
639
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X .
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
695
' -
12
GAS LOC, GAS INSERT, GAS FIREPLACE .
-
1
X
610
-
10.00
13
RANGE
-
X
610
-
14
DRYER
-
X
610
-
15
FUEL BURNING WATER HEATER
-
1
X
610
-
10. 0
16
MISC FUEL BURNING ADPL.
-
X
610
-
17
GAS PIPING (ea. Outlet)
--
2
X
61
-
2 00
18
DUCT SYSTEMS
--
1
' X
610
-
10.00
19
VENTILATING FANS
-
X
510
-•
20
AIR HANDLER (DOES NOT Include ducting)
• OR< 10,000C -FM
X
612
-
21
AIR HANDLER (DOES NOT Include ducting)
> 10,000 CFM
X
619
-
22
EVAPORATIVE COOLERS
-
X
610
-
23
TYPE 111000
-
X
550
-
24
TYPE U 1100D
-
X
610
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
-
26
AIR CONDmONFR
3-15 TON
X
620
-
27
AIR CONDITIONER
15-30 TON
X
625
-
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
+50 TON'
X
S60
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR'PELLET STOVE/INSERT
-
X
610
-
32
W000 STOVE - FREE STANDING
-
X
525•
-
WENT-
tj
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
❑ CASH ❑ CHECK ❑ ❑ l 1
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.
15Sq C.eve
Cc4.z
S6'-ot'2 31 -o `1
G7' 8"
14' WIDE
BORDE
E _..►�I�►
lig (1.15, Q Oo z51f)s� l.�G
$047 0 0(0.4 CA.I✓�
5ectbnt Lsro 94L1�-
ADORE
ZONE
ROAD WIDTH
(F CAihvvU
COMMENTS (
REVIEWED SY • .1L k.4r'tA
14701 E. CROWN AVE.
LOT 7, BLOCK 28
SUMMERFIELD EAST
SIXTH ADDITION
SCALE: 1 "=30'
USKH
1220 N. HOWARD ST.
SPOKANE, WA 99201
PHONE (509) 328-5139
FAX (509) 328-0423
101 THAW ROAD
Engineering • Land Survaying LEWISTON ID 83501
Planning • Materials Testing PHONE FAX (20 )746-68251
10,0'4