2005, 06-09 Permit App: 05001967 ResidenceProject Number: 05001967 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Date: 06/09/2005 Page 1 of 4
Setbacks: Front 35 Left: 22. Right: 6 Rear: 20+
Site Information:
Plat Key:
Contact: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 487-9792
Group Name:
Project Name: ROW
Name: SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46354.4909 Block: 28
SiteAddress: 14713 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 9
Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Hold: ❑
Area: 10,409 Sq Ft Width: 80 Depth: 129 Right Of Way (ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By: . ete.4,vux),,_
I
Plan Review
Released By: Q lO l L . ! " .11,Q, x 4� 0
4
Approach / Drainage
Released By:
kdd4waJ`
Sewer Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001967 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 2508
Building Height 35
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
BASEMENT U R-3 VB 1,250 $18,750.00 1,250 $18,750.00
DECK R-3 VB 120 $1,800.00 120 $1,800.00
GARAGE U-1 VB 400 $7,600.00 400 $7,600.00
RESIDENCE R-3 VB 1,258 $93,947.44 1,258 $93,947.44
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,028 $122,097.44 3,028 $122,097.44
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,122.55
$4.50
$449.02
Permit Total Fees: $1,576.07
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001967 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
Mechanical Permit
Contractor: DANCAR MECHANICAL INC. Firm: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD Phone: (509) 924-9921
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
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
$85.00
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 . NUMBER OF $12.00
Permit Total Fees: $90.00
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Prbject Number: 05001967 Inv: 1 Application Date: 06/09/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount
Approach $50.00 $50.00
Building Permit $1,576.07 $1,576.07
Mechanical Permit $85.00 $85.00
Plumbing Permit $90.00 $90.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,576.07
$85.00
$90.00
$1,801.07 $1,801.07 $0.00 $1,801.07
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
rte' VIlley
J
JUN U 7 2065
i j ij ►v
STREET ADDRESS: 14713 E . Crown
PERMIT APPLICA �_�1 WORK SHEET
POKANE VALLEY CO, NITYDEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 100
Spokane Valley, WA 99206
Phone: 509)688-0036 Fax: 509)688-0037
E INFORMATION
ASSESSOR'S TAX PARCEL NUMBER(S): 46354.4909
LEGALDISCRIPTION: lot 9 block 28 Summerfield East sixth addition.
PERMIT DESCRIPTION: Residential Construction
I 11J1LDING PERMIT
L7 RELOCATION
[l CHANGE IN USE fl GRADING
[l SIGN fl TENANT
CI MANUFACTURED HOME
(OTHER
owNER:Harley C Douglass Inc
PHONE: 487-9792 FAX: 487-1580
APPLICANT:
PHONE: FAX:
ADDRESS: 8510 N Crestjjrie Ste A Spokane_ 99217ADnRESs:
CITY,STATE, ZIP
CITY, STATE, ZIP
"CONTRACTOR: n ARCIIITECT:
PI IONE: FAX: PIIONE:
ADDRESS: ADDRESS:
CITY, STATE, ZIP CITY, STATE, ZIP
HARLECD 110 PE CONTACT:
FAX:
WA ST CONTRACTOR LICENSE #
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES: 1 1/2
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK: 35'
35
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
39 X 54 CONSTRUCTION TYPE:
3
REAR SETBACK:
22'6"
LEFT SETBAQII: 22'10"
RIGHT SETBACI6: 6'
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
10409 sq ft
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:
UNFIN BASEMENT: 1250
FINISHED BASEMENT:
GARAGE: 40
COVERED DECK:
DECK: 120
130
4000111PF' V a IL I
Plumbing Permit API __a tion
1
PROJECT
ADDRESS: 14713 E. Crown
DESCRIPTION
PERMIT
ME: ResidentialhogiMuction
OWNER: Harley C Douglass Inc
X
PI IONE (Daytime Contact): 4 _
MAILING ADDRESS:
8510 N Crestline Ste A
Spokane, WA 99217
(street)
(city/state) • (ZIP)
CONTRACT3R;
Goidseal Mechanical
2
LICENSE /:
GOLDSM 290C4 .
IAAILING ADDRESS:.
5524 E Boone Spokane, WA
99212
PHONE 1:
535-5944
2
(street)
(city/state) (LII')
PLUMBING FIXTURES
EXPIRES:
RD NUMBER:
IZED SIGNATURE:
DESCRIPTION
•
DETAILS
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
X
$6
*6
-
. '
12.00
2
URINALS
3
TUBS
2
X
$6 .
12.00
4
SI lOWERS (PER 'TRAP)
DATIL STALL, ON-SITE BUILT
2 .
X
$6
. -.
12.00
5
'
SINKS
LAVS/BASINS, BAR, FLOOR. KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
.
' 3
X
so
-
18 . 00
6
DISI WASHER
1
X -
-$6
"
• 6.00
7
CLOTHES WASIIERX
.
'
$6
8
GARBAGE DISPOSAL .
•
X
$6-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MEC1 I ANICA L •
X .
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCIL CONDENSATE
1
X
' $6
-
6.00
12
FOUNTAINS, DRINKING
:
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING .
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
.
$6
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-,
15
WATER USING DEVICE
.
ICE AND/OR COFFEE MAKER, I IOSE BIB,
STEAMER, PROOFER, CA RBONATCR,
SWAMP COOLER
X
•
-
.
.
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
•
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
).(
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
...
' PAYMENT
El CHECK D 111111WAVU
114f45tir-41$
—,-.......T
- . . .
•
SUBTOTAL:
PLUS PROCESSING FEE;
$35.00
TOTAL PERMIT FEE DUE;
EXPIRES:
RD NUMBER:
IZED SIGNATURE:
.r/'
■ 41.L.1..J
-Mechanical Permit )Plication
PROJECT
14713 E.Crown Ave—
ADDRESS:USE:
PERMIT
USE:
Residential Construction
OWNER: Harley C Douglass Inc
PIIOt1E (Daytime Contact):
487-9792
MAILING ADDRESS:
8510 N Crestline Ste A Spokane, WA 99217
4AIOUW1
1
(street) (city/state)
(ZIP)
1
CONTRACTOR;
Dancar Mechanical
LICENSE I:
PRONE /:
DANCAM102207_
MAILING ADDRESS:
311 N Hodges
Green Acres
2
WA
,
99016
(street) (city/stale)
(ZJI')
519
TIIOD OF PA
CASH ❑ CI
•
TE; EXPIRES:
AK CARD NUMBER:
I1IORJZED SIGNATURE:
DESCRIPTION OF WORK
I OF UNITS
X
COST
EQUALS
4AIOUW1
1
FUEL BURNING APPLIANCE
• OR < 100,000
1
X
515
-
f5.00
2
FUEL BURNING APPLIANCE
> 100000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
•
X
550,
-
. 4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 100,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
• or < 100,000
X
550
-
5
USED APPLIANCE (WSEC min. AFIIE rating)
> 400,000
X
1100
=
7
BOILER/REFRIGERATION
1 -10014 BTU
X
515
-
5
BOILER/REFRIGERATION
101- 500M BTU
'X
$28
-
9
BOILER/REFRIGERATION
501 -1,000M BTU
X
539
-
10
BOILER/REFIUGERATION
1001 - L750M1 BTU
X .
557
-
11
BOILER/REFRIGERATION
1175014 BTU
X 1
$95 1
-
•
10.00
11
GAS LOG, GAS INSERT, GAS FIREPLACE
-
1
X
S10
13
RANGE
-
X
510
-
11
DRYER
-
X
510
-
-
.1 0 . 0 0
3S
FUEL BURNING WATER NEATER
--
1
X
510
16
MISC. FUEL BURNING APDL.
-
X
510
-
-
1
2.00
17
GAS PIPING (ca. Oullcl)
-
2
X
si
15
DUCT SYSTEMS
-
• X
510
-
19
VENTILATING FANS
-
2
x
510
-
• 20.00
20
AIR HANDLER (DOES NOT Include ducting)
- OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT Include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X •
510
-
23
TYPE 11100D
- \
X
550
-
21
TYPE U HOOD
-
X
510
25
I TEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
• •
26
AIR CONDmONFR
3-15 TON
X
520
-
27
AIRCONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
450 TON'
•X
560
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE- FREE STANDING
-
X
525
HENT
r*
SUUTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
•
TE; EXPIRES:
AK CARD NUMBER:
I1IORJZED SIGNATURE:
/ 1
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.
S' / x S `f 11
.1y 3
•
M
0 p2.16Lt c OOkl OOSJ Inc. I5►
$' 1 0 C /,Ll, f (' �1 - FRONT 3 _. ' FLANKING
�aC.Gt/"`aV1�- C• - QiC I, } COMMENTS
REVIEWED BY
O U T n. V)
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O O O E cu
V O
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F- O C .0 V)
14713 E. CROWN AVE.
LOT 9, BLOCK 28
SUMMERFIELD EAST
SIXTH ADDITION
SCALE: 1 -30'
USKH
1220 N. HOWARD 5T.
SPOKANE, WA 99201
PHONE (509) 328-5139
FAX (509) 328-0423
101 TRAIN ROAD
Engineering • Land Surveying LEWISTON, 1D 83501
Planning . Materials Testing PFA°XN(2028)78)45-68251
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