2005, 06-09 Permit App: 05001969 ResidenceProject Number: 05001969 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 37 Left: 7 Right: 22. 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: 46355.4806 Block: 27
SiteAddress: 14704 E CROWN AVE
Location:: CSV
Lot: 6
Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,024 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Released By: 6L
kamno-ko
Approach / Drainage
Released By: a.4AAA
Sewer Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001969 Inv:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/09/2005 Page 2 of 4
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Group: R-3
Total Area
Building Height
Stories
Dwelling Units 1
Type: VB
2310
35
2
Description Grp Type
BASEMENT U R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Approach
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Building Characteristics
Notes
This Application:
Sq Ft Valuation
952 $14,280.00
120 $1,800.00
506 $9,614.00
1,358 $101,415.44
Totals: 2,936 $127,109.44
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: KC Printed By: KC
Permit Total Fees:
Print Date:
Total Project:
Sq Ft Valuation
952 $14,280.00
120 $1,800.00
506 $9,614.00
1,358 $101,415.44
2,936 $127,109.44
Fee Amount
$1,150.55
$4.50
$460.22
$1,615.27
06/09/2005
Project Number: 05001969 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<=100,00OBTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Mechanical Permit
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
Fee Amount
$10.00
$12.00
$3.00
$20.00
$10.00
$10.00
$10.00
$75.00
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $66.00
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001969 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 $75.00 $75.00 $0.00 $75.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,806.27 $1,80627 $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
Sj 0 ane ri:
4;0004MiiJty o ECEUVE
JUN a72065
[DUMDUM
RMIT APPLICATION WORK SHEET
KANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
19707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
one: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
14704 E Crown Ave.
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
46355 4806
lot 6, block 27 Summerfield East Sixth Addition
PERMIT DESCRIPTION.;esidential Construction
BUILDING PERMIT
RELOCATION
Cl CHANGE IN IJSE f GRADING
fl SIGN fl'TENANT
® MANUI'ACTURI?D IIOR1l;
OTHER
OWNER / APPLICANT INFORMATION
CI OWNER:
Harley C Douglass Inc
PHONE: 509 487-9792 FAX: 509 487-1580
ADDRESS: 8510 N Crestline Ste A Spokane WA
CITY,STATE, ZIP 99El
2. l -,
CONTRACTOR: Harley C Douglass Inc `U
PIIONE: 509 1187 9792 FAX: 509 487-1580
ADDRESS: same as above
CITY,. STATE, ZIP
WA ST CONTRACTOR LICENSE # FI A R LEC D 110 PE
APPLICANT:
PHONE:
FAX:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK: 35
BUILDING DIMENSIONS: 44 X 38
2
NUMBER OF STORIES:
NUMBER of BEDROOMS:
3
FLANKING SETBACK:
FRONT SETBACK: 37
REAR SETBACK: 30'
LEFT SETBACK: 7'
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: Residential
STRUCTURES ON PROPERTY:
CRITICAL AREAS: GARAGE:
CURRENT PROPERTY SIZE:) COVERED DECK:
CURRENT PROPERTY USE: DECK: 120
CURRENT SEPTIC USE:
CURRENT WELL USE:
MAIN FLOOR SQ FT:
135
2ND FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
22' 6"
RIGI IT SETBACK: IMPERVIOUS SURFACE AREA:
Valley
V V.4.00
For Inspections, call 5r 3-0054
509-688,0037 - Fax
'Mechanical Permit Application
PROJECT
ADDRESS: 14704 E. Crown
PERMIT
Residential Construction
USE:
0 R:rley C Douglass
PHONE (Daytit6ogirli)L 9792
MAILING ADDRESS:
8510 N Crestline Ste A Spokane,
WA 99217
(Z.IP)
(street) (city/state)
CONTRACTBR
A ricar Mechanical
LICENSE I :
DANCAM102207
PHONE 1:
509 924-9921
MATI INC ADDRESS:
. .
311 N Hodges Greenacres
WA 99016
(street) (city/state) (ZIP) .
MET110D OP PA
cAsii 0 oleo( 0 1111111101111 0 I
•
DATE: EXPIRES:
I3ANKCARD NUMBER:
AUTI1ORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQ1144 S
A •
1
FUEL BURNING APPLIANCE
• OR < 103,
.
X
915-
2
FUEL BURNING APPLIANCE
>100000-$19
-, OR <400,
X
'
550,
,..
-
3
UNLISTED APPLIANCE (ADDITIONAL FE
-,--
I
UNLISTED APPLIANCE (AVDMONAL FEE)
>400,000
X
9100
-
5
SED APPLIANCE (WSEC min. AFUE rating) -I
- or <400,000
X
9
,-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
1100
-
OILER/REFRIGERATION
1 - 100M BTU
X
915
-
BOILER/REFRIGERATION
101 - 500M BTU
' X
928
-
9
0 I ER/REFRIGERATION
501 - 1,000M B11.1
X
939
..
0
BO . G N
I -Lisok
957
.
11
BOILER/REFRIGERATION
I1750M BTU
X
995
' -
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
1
X
$10
-
0.00
13
RANGE
-
X
910
-
---I
11
DRYER
X
910
-
15
FUEL BURNING WATER {MATER
1
X
910
.•
10.00
16
MISC FUEL BURNING APPL.
-
X
910
-
11
GAS RING (ea. Oullel)
-
2
X
si
-
2 OK_
10.00
19
DUCT SYSTEMS
-
1
' X
$10
-
9
VEUTILATING FANS
-
X
910
20
AIR IIANDLER (DOES NOT Include ducting)
.. OR<10,000CF
X
912
.
28
AIR t IANDLER (DOES NOT Maude ductinf)
> 10,000 CFM
X
919
.
22
EVAPORATIVE COOLERS
-
X
910
-
23
TIP 111000
-
X
950
-
24
1 D
-
X
910
.,
25
IIEATI'UMr/AIRCONDmONER
TON
X
- •
26
AIR CONDMONER
3-15 TON
X
920
-
27AIRC0NI.1ffl0UER
30 TON
X
925
.
28
AIR CON ONER
311-50 TON
X
$35
-
29
AIR COND 10 ER
i TON'
•
X
960
-
30
LPG STORAGE TANK
-
31
D OR PELLET STOVE/1NSERT
X
910
-
32
WOOD STOVE - FREE STANDING
-
MENT
V •
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
cAsii 0 oleo( 0 1111111101111 0 I
•
DATE: EXPIRES:
I3ANKCARD NUMBER:
AUTI1ORIZED SIGNATURE:
1D OF
` Va.I1ey
I opundiie valley, 1YA 992Ub 509-688-0037 - Fax
)r Inspections, call 509-6P 4
Plumbing Permit Application
PROJECT
ADDRESS: 14704 E. Crown Ave.
DESCRIPTION
PERMIT
USE:
Residential Construction
OWNER: Harley C Douglass Inc
COST
EQUALS
PHONE (DaytimeContact): 509 1187-9792
MAILING ADDRESS:
8510 N Crestline Ste A
Spokane,
(city/state)
WA 99217
•
- (ZIP)
(street)
CONTRACroR:1 Gold Seal Mech
_ 12.0(
-
-'6`T2.00_
LICENSE I:
URINALS
GOLDSM 290C4
MAILING ADDRESS:
5524-_Jast, Boone Spokane, WA
99212
PI IONE 8:
3
1-uus
2
(street)
(city/state)
-
4
(ZIP)
PLUMBING FIXTURES
EXPIRES:
,RD NUMBER:
1ZED SIGNATURE:
DESCRIPTION
•
DETAILS
l OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
' ' $6-
_ 12.0(
-
-'6`T2.00_
2
URINALS
X
$6
3
1-uus
2
X
i6.
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2 -
X
66
*12.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
3
X
$6
-
8.00
6
DISHWASHER
1
X
$6
- 6.00
7
CLOT)IES WASIIER
X .
$6/
-
6.00
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOF1ENER
X
$6
-
10
ELECT. IIOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL -
X .
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
. $6
-
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT', PLUMBING.
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
-
*6
-
19
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
15
WATER USING DEVICE
.
ICE AND/OR COFFEE MAKER, HOSE BIB,
SIhAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
S6 •
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CI IEMICAL-
HOLDING TANK .
X
;6
-
19
I.LEPICAL GAS per oullel
NITROUS, OXYGEN
X
$6
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
A CIIECK [1 ❑
.
-- =`
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
EXPIRES:
,RD NUMBER:
1ZED SIGNATURE:
SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD,
ALONG ALL LOT FRONTAGES. THESE SWALES SHALL REMAIN UNDISTURBED
AND MAINTAINED BY THE HOME CONTRACTOR AND HOME OWNER.
ADDRESS
ZONE L(,,1
ROAD WIDTH
FRONT .2h' FLANKING
014A -
COMMENTS,/
REVIEWED BY I
U!
(2S6 -zk^,-1 0605
cP COI S r O l Sr pa 0�-91"H
10'
UTILI
EASE
u6'til CD0 j I Phi Zri
,1 ..y$ia si-1;41C
Sift `c % A c,
„81/J.
6erx,S
> n3� h tSq• I
14704 E. CROWN AVE.
l �
LOT 6, BLOCK 27
SUMMERFIELD EAST
SIXTH ADDITION
SCALE: 1 "=30'
use
1220 N. HOWARD ST.
SPOKANE WA 99201
PHONE (509) 328-5139
FAX (509) 328-0423
101 T KAIN ROAD
Engineering • Land Surveying LEW1sroN, 10 833501
PHONE (208) 746-2661
Planning • Materials Testing FAX (208)746-6825
0
C
U)