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2005, 04-12 Permit App: 05001163 ResidencePfoject Number: 05001163 Inv: 1 Application Date: 04/12/2005 Page 1 of 4 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 Setbacks: Front 34 Left: 30 Right: 10 Rear: 20+ Site Information: Plat Key: Name: RANGE Contact: LANZCE G DOUGLASS Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Phone: (509) 483-6532 Group Name: Project Name: ROW District: East Parcel Number: 46353.9123 Block: 27 Lot: 8 SiteAddress: 14716 E CROWN AVE Owner: Name: LANZCE G DOUGLASS Address: 8510 N CRESTLINE ST Location:: CSV SPOKANE, WA 99217 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 12,460 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 Released By: Plan Review Released By: 1. f� .1LC 1 - Approach / Drainage Released By: W/j...tt.t.ak Sewer Review QS( QL/L 3 Permits: Released By: Ccrl�cY6C Y i(� �U,i Operator: K_C Printed By: K_C Print Date: 04/12/2005 Project Number: 05001163 Inv: 1 Application Date: 04/12/2005 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 1 NUMBER OF 1 NUMBER OF Fee Amount $25.00 $25.00 Permit Total Fees: $50.00 Building Permit 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 2264 Building Height 19 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,132 $16,980.00 1,132 $16,980.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 660 $12,540.00 660 $12,540.00 RESIDENCE R-3 VB 1,132 $84,537.76 1,132 $84,537.76 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 3,044 $115,857.76 3,044 $115,857.76 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: Fee Amount $1,083.35 $4.50 $433.34 $1,521.19 Operator: K_C Printed By: K_C Print Date: 04/12/2005 Pfoject Number: 05001163 Inv: 1 Application Date: 04/12/2005 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Operator: K_C Mechanical Permit Units 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 Permit Total Fees: Plumbing Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 $95.00 Units Unit Desc 3 NUMBER OF 4 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF I NUMBER OF 3 NUMBER OF Permit Total Fees: Printed By: K_C 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 Ptoject Number: 05001163 Inv: 1 Notes: Application Date: 04/12/2005 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,521.19 $1,521.19 $0.00 $1,521.19 Mechanical Permit $95.00 $95.00 $0.00 $95.00 Plumbing Permit $108.00 $108.00 $0.00 $108.00 1,774.19 $1,774.19 $0.00 $1,774.19 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: KS Printed By: KS Print Date: 04/12/2005 DCCMME n MAR 31 206:; DUULDUN 4✓ty/Jev/ PERMIT APPLICATION WORK SHEET KANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688.4037 REQUIRED SITE INFORMATION STREET ADDRESS: 6" I (-{% I k '61:7rC'b" -err; ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL [ASCRIPTION: a. 13 1 �=C • • PERMET DESCRIPTION.: CI.DING ?ERIVEET • C CHANGE IN USE • ®.GRADING ®RELOCA.TION SIG TENANT MANUFACITRED HOME DeTIEER OWNER / APPLICANT INFORMATION Cl OWNER: L A; 7C- , iD L-LL1SS PHONE: FAX: U`� tc7C%rc ADDRESS: ° t i dt. _ "AA 6 -15-S I ()Al c}'cr Z{�'STATE, ZIP °CONTRACTOR:n-iZC-'C= - PHONE ISS Z FAX: ADDRESS: /L) 7510 Cl 25 TU, f' S:aO�i4✓t i %r - G(C(Zi'7 CITY,.STATEt ZIP WA ST CONTRACTOR UCENSE $i f�/v e CC a�Z X56 APPLICANT: PHONE FAX: ADDRESS: CITY, STATE, ZIP ARCHITECT: PHONE FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 30% SLOPES ON PROPERTY: ti( BUILDING HEIGHTTO PEAK: \ OCCUPANCY GROUP: BUILDING DIMENSIONS: 1-/OyS;a CONSTRUCTION TYPE: NUMBER OF STORIES: I STRUCTURES ON PROPERTY: NUMBER of BEDROOMS: '1 CRITICAL AREAS: .4 DATE: STAFF: METHOD OFPAYMENT: -. EI CASH Q. CHECK —y MAIN FLOOR SQ FT: tI S UNFIN BASEMENT: i l 32 - FINISHED BASEMENT: GARAGE: GSC 2ND FLOOR SQ FT: VISA BANKCARo,f; EXPIRES; VINO AUTHORIZED SIGNATURE. svara-ne _. w 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax Mechanical Permit Application PROJECTPERMIT ADDRESS: e_ i C{ --71(,:, cro WA,/ DESCRIPTION OF WORK USE: OWNER .Citi -ZzC G- Do /4�,. ='ALC. COST PHONE (Daytime Contact): MAILING ADDRESS: iV _ s3s—}0 CresT _(A,€e s x•e.9 FUEL BURNING APPLIANCE - r'!'72/ 7 (fit) (city/state) 525 (ZIP) CONTRACTOR 2 FUEL BURNING APPLIANCE > 100.000 MARLING ADDRESS: -• tit S}O c; S c- ALE_ sem+-"..-E Lt,a• PHONE -) - 3 -C�sr3Z UNLISTED APPLIANCE (ADDTITONAL FEB) Cr Z1-) (s) (city/state) S50 (ZIP) METHOD OF PA El CASH ❑ CHEC ❑ ❑ DATE FJCPD28S BANKCARD NUMBER AUTHORIZED SIGNATURE DESCRIPTION OF WORK tOFUNITS X COST EQUALS AMOUNT I FUEL BURNING APPLIANCE . OR a 100.000 } X 525 , 2 FUEL BURNING APPLIANCE > 100.000 X 519 • 3 UNLISTED APPLIANCE (ADDTITONAL FEB) - OR %40Q400 X S50 - 4 UNLL4iED APPLIANCE (ADDf1TONAL ) > 400.000 X 5100 - 5 USED APPLIANCE (WSEC adA. AFUE rating) .ar<i00.000 X S90 - 8 USED APSISANCE (MSEC min. ARM ruing) > 400.000 X 5100 - 7 BOILER/REFRIGERATION 1-10062 BTU X 515 • 8 BOILER/REPRICERATION 101.500211STU X s2R 9 BOILER/REFRIGERATION SOT .1.000M BTU X 539 - 10 BOILF.R/REFIDGERA'nCIN 1001-1.75061 BTU X 5S7 • I1 BOILER/REFRICERATTON •1750M BTU X S45 - I2 CAS LOG CAS mut GAS FIREPLACE - / X S10 • it 13 RANGE - X 510 - 14 DRYER - X 510 • I5 FUEL BURNING WATER HEATER - / X 510 - _ } G I6 MSC FUEL EURNING APPT- - X 630 - _ 17 GAS PIPING (e,- Outlet) - 3 X 5I - 3 I8 DUCTSYSTEMS - / X 510 - ,•' 0 19 VENTILATING FANS - 4 X SID I .`-0 20 AR HANDLER (DOES NO3 b lt dame • OR s 10.000CSM X Sit - 21 All HANDLER (DOES NOT Include finding) > 10400 CFM X 519 - 3 EVAPORATIVE COOLERS - X 510 = TYPE IMOD - X 550 - 24 TYPEIIHOO - X 510 • 29 HEAT PUMP/Ant CONDITIONER 0-3 TON X 512 75 AIR CONOIT10Na 3-15 TON X SID . 27 AIR CONDITIONER 15-90 TON X 525 • 28 AIR CONDITIONER 30-53 TON X255 • 29 AIR CONOnmONER .40 TON X � 560 • 30 L.PC STORAGE TAN IC - X L 510 • 51 WOOD OR PELLET STDvvV 15ERr - X 510 - 32 WOOD STOVE -FREE STANDING - X 515 - LENT ileTOTAL S2TETOTAL 'S -" PLUS PROCESSING PEE $35.00 PERMIT FEE DIM i 7,; — El CASH ❑ CHEC ❑ ❑ DATE FJCPD28S BANKCARD NUMBER AUTHORIZED SIGNATURE WISPIle Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036 - Phan 509-688-0037 - Fax 1 PROJECT ADDRESS: e_ Kt _7 Kc, Cc/e:w' ., PERMIT Use OWNER: _---. ; OF UNITS X PHONE (Daytime Contact); MAILING ADDRESS: AMOUNT 1 (street) . j. (city/state) (ZIP) CONTRACTOR:. 7,....---.- ,Qiv _LICENSE C . Dc c-�-4sS - is MAILING ADDRESS: kr c'S7,D cr z..4 .s C/(in-E PHONE 1: t..A4- C-2-71 -7 (street) 56 (city/state) (ZIP) ' PLUMBING FIXTURES 4:ETHOD OP ] CASH ATE ANKCARD NUMBER: umoRIZED SIGNATURE: ** TOTAL PAGE. 03 ** DEScRIPTTON DETAILS ; OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS -.5 X 56 - \ , 2 URINALS X 56 - 3 TUBS X $6 - .__- 4 SHOWERS (PER TRAP) BATH, STALL ON-S1IE BUILT X 56 - 5 _ SINKS tAVS?BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO. X- RAY, FOOD. PREP/CULINARY/MEAT - X 56 - \ 6 DLSHWASIiER 1 X $6 - 7 CLOTHES WASHER ? X 56 8 GARBAGE DISPOSAL j X 56 - (o 9 WATER SOFTENER �— X 56 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 56 11 FLOOR DRAINS AREA. CASE. COI, TRENCH. CONDENSATE X 56• 122 FOUNTAINS, DRINKING X 56 - 13 WATER PIPINC/DRAIN•A1 WASTE. VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR REVERSALS X 56 - 14 SEWAGE EJECTOR GRINDER SUMP PUMP X 56 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB. STEAMER. FROOPEi . CARBONATOR. SWAMP COOLER X 56 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, Q5ECIC VALVE, AND R.P.B.PD. FOR: VATS, TANKS. EOM= X 56 - 77 SPRINKLER SYSTEM 1 X 525 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 - 19 MEDICAL GAS per outlet NNTROUS, OXYGEN X 56 - T 20 MISC. PLUMBING MIL:RE X 56 - PAYMENT ] CHECK ❑ ❑ to SUBTOTAL PLUS PROCESSING FEE: 535.00 TOTAL PERMIT FEE DUE k 3 , ATE ANKCARD NUMBER: umoRIZED SIGNATURE: ** TOTAL PAGE. 03 ** SWALES WERE CONSTRUCTED ALONG THE ENTIRE LENGTH OF THE ROAD, ALONG ALL LOT FRONTA iS. THESE SWALES SHALL REMAIN UNDISTURBED 4NRiniiiii$ it JMDIi di ° eaOME CONTRACTOR AND HOME OWNER. This site ply permit and is a true nd a building pe Alt known pr pe obtain ng ants representations, the proposal. ures and easem curb lines. structures are wetlands. lbOdi imensions, areas. �� (� . have been Iden 'led• Also Ind they c V bodies 01 �� "�� 0 tni� Signed: Date: ADDRESS .T $ ZONE ROAD WIDTH . S F FONT -•- COMMENTS REVIEWED r O J E� U LJ (n LO 11 10' WIDE UTILITY !o' _EASEMENT_ 14' WIDE BORDER EASEMENT L 2 0' i SETBACK LINE _y/ 79.82' i 14716 E. CROWN AVE. \ y LOT 8, BLOCK 27 SUMMERFIELD EAST SIXTH ADDITION SCALE: 30' USKH Engineering • Land Surveying Planning • Materials Testing 1220 N. HOWARD ST. SPOKANE, WA 99201 PHONE (509) 328-5139 FAX (509) 328-0423 101 THAIN ROAD LEWISTON, ID 83501 PHONE (208) 746-2661 FAX (208) 746-6825