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2005, 04-12 Permit App: 05001164 ResidenceProject Number: 05001164 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: LANZCE G DOUGLASS INC NATURAL GAS Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Setbacks: Front 34 Left: 9 Right: 10 Rear: 20+ Phone: (509) 483-6532 Group Name: Site Information: Project Name: ROW Plat Key: Name: RANGE District: East Parcel Number: 46353.9123 Block: 27 SiteAddress: 14710 E CROWN AVE Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,008 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 7 Owner: Name: LANZCE G DOUGLASS INC Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 45 Review Site Plan Review Released By: Plan Review Released By: Approach / Drainage Released By: Sewer Review Permits: � s CD-Iq)Ln Released By: orELC.th Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001164 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 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 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 Tvae Notes Su 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: 04/12/2005 Project Number: 05001164 Inv: 1 l Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 3 of 4 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 1 1 3 4 1 1 1 Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 Permit Total Fees: $95.00 Plumbing Permit Units 3 4 3 1 1 1 1 1 3 Operator: K_C Printed By: K_C Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF 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 04/12/2005 Project Number: 05001164 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/12/2005 Page 4 of 4 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 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: 04/12/2005 PUG 03 2003 14:48 FR Sokand,e NAR 3 1 2005 D D NJodDoa TO 4834966 P. 01/03 1300 PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)686-0036 Fax: (5091688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: /g710 'roc -v/v ASSESSOR'S TAX PARCEL NUMBER(S):. LEGAL DISCRIPT7ON: L r PERMIT DESCRIPTION-: 13] .DING PE.111111T D CHANGE IN 17SE CI GRADLNG C MANITFACTERED -HOME; RELOCATION El SIGN- El TENANT laOTELER OWNER / APPLICANT INFORMATION ® OWNER: L-A/ki'Z!•6 6 0 Y= L -C --/4&S ..1-,•1 El APPUCANT: PHONE:, ,--•1 7-S3 a_ FAX: 16S -“C/( -% PHONE: FAX: • ADDRESS. - I '> %AA6 %1i i U ADDRESS: 37---0,63(1-t-- l."v4 q c z7,STATE, ZIP II CONTRACTOR: /-,z---'n., C _ Or CC.,---e.,1-.S .s :17: -•%_,c - ARCHITECT: CITY, STATE, ZIP PHONE: I 7-7-2S1-37._ FAX: PHONE: FAX: ADDRESS: A -)j I� C( Pc i Gi Wit-' S:�C � ADDRESS: - C(crZi% C1TY,.STATE,ZIP CITY, STATE, ZIP WA 3T CONTRACTOR LICENSE 4- (91V •moi✓ P017-1 CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: =SLOPES ON PROPERTY: MAIN FLOOR SQ FT: (3 CO BUILDING HEIGHT TO PEAK: \9 OCCUPANCY GROUP: 2ND FLOOR SQ FT: 0 BUILDING DIMENSIONS: 61 )4 Li 9 CONSTRUCTION TYPE: UNF!N BASEMENT: 13 DO 1 NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT: G� NUMBER of BEDROOMS: CRITICALARE4S: ,4 GARAGE: 6616 - FATE: METHOD OFPAYMENT: CASH CHECK 6ANKCARQ4' STAFF: CU WSA EXPIRES; VINO AUTHORIZED SIGNATURE. PROJECT ADDRESS: C. U.f 7 10 CV-OE/WV PERMIT USE: OWNER: �^; "7/7„z-,-,-6.- Doc -=G- 4 3 S --/,,...C. PHONE (Daytime Caniact): MAILING ADDRESS: ti . S3 5—t© (7r25 Cri:&,e S C. e -,4n--- Z 7 t -A -AA - i ( (street) (dty/state) CZ CONTRACTOR:LIG.NSE LAA.; C . i.`C ^vC-6-155 _n. C. is MAILING ADDRESS:. - ti,, '.s10 C ; -'.-S - f ' — s - "-E: u..4,4 PHONE Gi---5 —�5-30- . 4 ciz i - (B ) (city/state) (Z3P) METHOD OF PA El CAS a C 0 0 - DATE! EXPtRE5: 9ANKCARD NUMBER AUTHORIZED SIGNATURE % CST �EQ!L4LS AMOUNT DESFWi1RX tUFT7ldii� 1 BURNING CE -OR<tODC00 i X sty 2 FUEL Bt7RNING APPLIANCE > 700.000 X 519 3 UNL10T2D APPLIANCE (ADDMONAL FEE) - OR ‹400.000 X 550 1 UNIISLEDAPMIANt (ADDPI1 4M1.5GE) >100A00 X # SIDI .. 5 USEDAPPUANC (WSECndn.AFUEr.d<,6I-Q‹400.000 X 1 ssa 6 USED AM -LANCE (WSEC mtn, AFUE rums) > 400.000 X 5700 - 7 X 525 33CN t - lona BTt) H 801I.ERIREFRICFZtA27ON 103 500(�i ST) X X ��, 599 9 Boa.ER/REFMCERATION 501. IAOOM BTU 10 BOILER/REERICERATTDN 1001-1.7501( irry X 557 II BO1LSR/SEFRIGERA11CN +t7501IWJ x 555 12 GAS LOC, CAS GASF2REPIACE - / X 1 510 - i 13 RANGE - X 510 - 14 DRYER - X 510 - 15 FUEL 8TIRNtNG WATERHEATER - / x sic - !0 6 MARC FUEL sURNINGAPPS- - X 510 - 17 GAS PIP/NC (m Outlet) - _.. X S1 - 3 18 DUCT SY5T9rSS - / X 510 - f 19 VENTIIATOVGFANS - 20 AIRHANDLER (DOESN•4=11/trj -OR<10,00oCFM X 532 - 21 AIR IiANDLER (DOES NOT Include cdin > 10,000 CFM X 529 - 21 EVAPORA22YE cooLERS - X 570 23 TYPE I1400D - X 550 24 'TYPE II HOOD - X 510 - 25 HEAT PUttINAIR CDNIRT1ONER 03 TON X 512 I - AIRCONOI2iONRt , 3_15 TON X - :7 ALR CONDTIi0NEl T 15 30 mN x S25 - 28 AIR CONDITIONER 30- TON X 535 - 29 AIR CONQZI5ONER 40 TON X 30 LPG5117RAGETANIC - - X 520 - 51 woo D OR isms? )V0l2NSEXT - 32 WOODSTC7VE- FREE STANDING - X 525 - rPLUS r _ ` SUBTOTAL- 4 PROCESSING FEE 535.01 TOTAL FEIth4I T FEE DUE L j El CAS a C 0 0 - DATE! EXPtRE5: 9ANKCARD NUMBER AUTHORIZED SIGNATURE ISpokane Valley, WA 99206 • Plumbing Permit Application TROD 01' J CA 1 ATE 509-48-0037 - Fax I PROJECT ADDRESS: - / - -po Cf e s A/ DESCR P'i?ON PERMIT U OWNER _---N X COST PHONE (Daytime Contact): MAILING ADDRES& 1 TOILETS WATER CLOSET, mans (street) X (city/state) (ZIP) CONTRACTOR .ucCEivvSE z-___.47/1) -7 '— L -- Dc c_6_64ss -�,�. �: MAILING ADDRESS: 4j SIO Cc 5-7z_/A.siCA7(1 56 PHONE t: l (l4- c•Zt 7 (street) TUBS (city/state) (ZIP)) ' PLUMBING FIXTURES i. DESCR P'i?ON DETAILS ; OF MITIS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, mans .,5 X 56 - 1 2 uR2NAL5 X 56 - 3 TUBS x R. - l S 4 SHOWERS (PER TRAP) BATH, STALL, ON3LIEBUILT I X 56 - 5 SEWS LAVS/BASINS, SA2, PtOOA. =HEN, LAUNDRY, UTILITY, JANTI OR, PHOTO, X--, RAY, FOOD, PREP/CT UNARY/MEAT `� X 56 - `� 6 DISHWASHER ! X 56 - ;o 7 CLOTHES WASHER / X S6 - C, $ GARBAGE DISPOSAL 1 X $5 - (v 91 WATER SOFTENER X $6 10 ELECT. HOT WATER !JO'I'E: IP GAS, SEE MECHANICAL X 56 - 11 I2 FLOOR DRAINS AREA, CASE, COII,TRENCH, CONDENSATE X 56 - (v FOUNTAINS, DRINKING )( 56 13 WATER PIPING/DRAIN-IN WAsrE. VSNT.YLUMBING REVERSAL IAISrALLATION, ALTERATION, REPAIR, REVERSALS X 56 14 SEWAGE EIECIOR GRINDER, SUMP PUMP X 56 15 WATER 1.05LNG DEVICE ICE AND/OR COFFEE MAKER. HOSE BIB, STEAMER. PROOFER. CARBONATOR. SWAMP COOLER X S6 i I6 iCROSS CONNECTION DEVICE VACUUM BREAI:ER. C ECC VALVE AND R.P.S.PD. FOR: VATS, TANKS, $OILERS X 56 - 17 SPRINKLER SYSTEM 1 X 525 - 18 INTERQEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDINC TANK X $5 - 19 MEDICAL GAS perwdet N/TROUE OXYGEN X 56 - 2D MSC PLUMBING FIXTL'n X $6 - PAYMENTMOM ryry1/154' 3 CHECi _ -� F' SUBTOTAL: PLUS PROCESSING FEE $35.00 9 m TOTAL. PERMIT FEE DUE 1 3 y ANKCARD NUMSER UrIORIZED SIGNATURE ** TOTAL PAGE. 33 ** 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. \ SES 14' WIDE 110' WI D E UTILITY EASEMENT ih, BORDER i=� EASEMENT IY evZ' ti CO w GOA' / 20' SETBACK LINE 80.00' i 14710 E. CROWN AVE. LOT 7, BLOCK 27 SUMMERFIELD EAST SIXTH ADDITION SCALE: 1"±30'. USKH 1220 N. HOWARD ST. SPOKANE, WA 99201 PHONE (509) 3285139 FAX (509) 328-0423 101 7HAIN ROAD Engineering . Land Surveying LEWISTON, ID 83501 PHONE Planning . Materials Testing FAX �71 46-6825