2005, 06-09 Permit App: 05001965 ResidenceProject Number: 05001965 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 35 Left: 15 Right: 16 Rear: 20+
Site Information:
Contact: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 487-9792
Group Name:
Project Name: ROW
Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46354.4910 Block: 28 Lot: 10
SiteAddress: 14721 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 10,338 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Hold:
Depth: 0 Right Of Way (ft): 45
*s.
Released By:
Plan Review
Approach / Drainage
Released By:
Released By:
Sewer Review
Permits:
If -Released By:
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001965 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Date: 06/09/2005 Page 2 of 4
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
2508
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
Operator: K_C
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: Total Project:
Su Ft Valuation Sq Ft Valuation
1,250 $18,750.00 1,250 $18,750.00
120 $1,800.00 120 $1,800.00
400 $7,600.00 400 $7,600.00
1,258 $93,947.44 1,258 $93,947.44
Totals: 3,028 $122,097.44 3,028 $122,097.44
Units Unit Desc Fee Amount
1 SELECT $1,122.55
1 SELECT $4.50
I SELECT $449.02
Printed By: K_C
Permit Total Fees:
$1,576.07
Print Date: 06/09/2005
Project Number: 05001965 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
Contractor:
Address:
Mechanical Permit
Units
1
1
3
3
1
1
1
GOLD SEAL MECHANICAL INC
5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
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
$30.00
$10.00
$10.00
$10.00
Permit Total Fees: $85.00
Plumbing Permit
Units
3
4
3
1
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
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$12.00
$90.00
Operator: K_C Printed By: K_C Print Date: 06/09/2005
Project Number: 05001965 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
Approach $50.00 $50.00 $0.00
Building Permit $1,576.07 $1,576.07 $0.00
Mechanical Permit $85.00 $85.00 $0.00
Plumbing Permit $90.00 $90.00 $0.00
$0.00
$1,801.07
$1,801.07
Amount Owing
$50.00
$1,576.07
$85.00
$90.00
$1,801.07
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 06/09/2005
v I i Icy.
D
20f5
UOLOON
ptRMIT AIPLlcA )N WoRR MELT
SPOkAJUE VALLEF't:a . NIMI'DEVELOPMENr
BUILDINo DIVISION
11707 East Sprague Ave Sl a 100
Spokane Valley, WA 99206
Phone' 509 688-0036 P'ak: 509)688-0067
REQUIRED SITE INFORMATION
STREET ADDRESS: 14721 E Crown
ASSESSOR'S TAX PARCEL NUMHER(S): 46354.4910
LEOALblscfIPTIoN: Lt 10 Blk 28 Summerfield East 6th Addition
PERMIT DESCRIPTION: Residential Construction
IMIIIILHING PERMIT
ti ftELC1CA1'I[IN
tl CHANGE IN USE • n GRADING
LIMN tJ TENANT
L�I MANIIitA CTUREI) HOME
LIMIER
OWNER / APPLIoANT INFORMATION
OWNER: Harley C Douglass Inc
P11011E: 487-9792 FAX: 487-1580
APPLICANT:
PI IONS: FAX:
ADDRESS: 8510 N CrestlThe Ste A Spokane_ 99217AnDREss:
CITY,S FATE, ZIP
ctJNfRAcrof:
PIIoNE:
EI ARCHITECT:
FAX: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
HARLECD :110 PE
Olt y, STATE, ZIP
WA ST CONTRACTOR LICENSE #
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PIRMIT/t3UILtj$NG INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
35
BUILDING DIMENSIONS: 39 X 54
NUMBER OF STORIES: 1 1/2
NUMBER of BEDROOMS: 3
FLANKING SETBACK:
FRONT SETBACK: 35'
REAR SETBACK:
32'
LEFT SETBACK: 35'
RIGIIT SETBACK: 39''
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT: 1258-1
2tIn FLOOR SQ F T:
UNFIN BASEMENT: _MO
FINISHED BASEMENT:
GARAGE: 400
COVERED DECK:
DECK: 120
D0
Plumbing l' i` t1ll A171 ,'atiofl
• :
PROJECT
ADD1ttss: 14721 E Crown •
PERMIT
USE:
PHONE (Daytime Contact): 48% 11191
DETAILS
OWNER: Ilarley C DOUgiass inc
MAILING AI )DRESS:
8510 N Crestline Ste A Spokane, WA 99217
COST
(street) (city/stale) (ZIP)
AMOUNT
lb
CONT Aoici°Sea) Mechanical
LICENSE l: GOLDSM 290C4
WATElt CLOSET, BIDETS
MAILINGAL)DRESS: '
5524 E Boone Spokane, WA 99212 '
PIIONE f:
535-5944
$6
$6
12,00
(street) (dty/slate) (Zn') •
•
PLUMBING FIXTURES
111) NUMBER:
IZGD SIGNATURE:
EXPIRES:
DESCRIPTION
DETAILS
$ OF AMTS
X
COST
EQt1AL$
AMOUNT
i
TOILETS
WATElt CLOSET, BIDETS
2
X
X
$6
$6
12,00
2
URINALS
3
IUDs
2
X
$6.
-
12.00
1
5
SI TOWERS (PER TRAP)
DATI1, STALL, ON-SITE BUILT
2
X
$6
•
. 1 2.00
SINKS
IAVS/BASINS, BAR, FLOOR, KIT CIIEN,
LAUNDRY, UTILITY, JANITOR, PIIOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
• 3
X
$6
•
M
•
18.00
6
DISIIWASIIER
1
X
16
•
• 6.00
7
CLOTI IES WASI IER
X
$6
-
11
GARBAGE DISPOSAL
X
16
-
9
10
NATER SOFTENER •
X
$6
ELECT.) I01 WATER TANK
NO1E:IF GAS, SEE MECI IANICAL
. X
t;6
`
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCI I, CONDENSATE
1
X
' $6
-
6 . 00
12
12
FOUNTAINS, DRINKING
,
X
$6
WATER PIPIIIG/DRAIN-IN
WASTE, VEI•IT, PLUMBING.
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
lib
-
11
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
15
WATER USING DEVICE
.
ICE AND/OR COFFEE MAKER, 11OSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER .
X
.
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CIIECK VALVE, AND
R-P.U.P.D. FOR: VATS, TANKS, BOILERS
X
17
SPRINKLER SYSTEM
X
$25
le
INTERCEPTORS
GREASE TRAP, SAND TRAP, CIIEMICAL
HOLDING TANK .
. X
;6
19
MEDICAL GAS per bullet
NITROUS, OXYGEN
X
X
16
16
-
20
MISC. PLUMBING FIXTURE
' PAYMENT
l] CIIECK
• 0.0,..51p,';.
D ❑ •_.. .. }
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
111) NUMBER:
IZGD SIGNATURE:
EXPIRES:
iiiro"0 ♦r
Medial -deal I'enni
•
1
PROJECT
AbbRtss:111721 E Crown
PERMIT
tlSEt
PSIONE (Daytime Contact):
1107-9792
( R: Harley C Douglass Inc •
MAILING ADDRESS:
0510 N Crestline Ste A Spokane, WA 99217
cost
EQUALS
(street) (city/stale)
(ZIP)
FUEL BURNING APPLIANCE
cotttlACJOR: Dancar Mechanical
LICENSE I:
DANCAM102207
MAILING ADDRESS:.
311 N Hodges
PRONE 1:
•
15-4 DO
Green Act -es
WA
•
99016
(sired) (city/stale)
(ZIP)
•
anon OU' PA
CASI I U
1-E:
AKCARD NUMBER: •
1110RIZED SIGNATURE:
EXPIRES:
DESCRIPTION til'WORK
1 Of UMTS
$
cost
EQUALS
AAcotIwr
I
FUEL BURNING APPLIANCE
- OR < 103,000
. j
X
515
•
15-4 DO
2
FUEL BURNING APPLIANCE
> 100,000
X
119
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
•
X
$50,
-
'
' 1
UNLISTED APPLIANCE (AbDmONAt. FEE)
> 100,000
X
$100
. -
S
USED ArrLIANCE (WSEC Mtn. AFUE rating)
- or <100,000
X
550
-
1
USED APPLIANCE (IVSEC min. AFUE Whig)
> 100.000
X
SIM
-
7
I
o
BOILER/REFRIGERATION
1 - 10061 BTU
X
515
-
BOILER/REFRIGERATION
101- 500M BTU
'X
12e
-
BOILER/REFRIGERATION
501-1,000M BTU
X
$39
-
10
001LER/0EFR2GEIIATION
1001 - 1,750M BTU
X ,
557
11
BOILER/RFPNGERATION
11750M BTU
X
595
1u. UU
11
GA5 LOG, GAS INSERT, GAS FIREPLACE ,
-
1
x
810
-
H
RANGE
-
X
$10
-
II
DRYER
-
.X
510
-
,
.10.00
IS
FUEL BURNING WATER IIEATER
-
1
X
510
-
16
MISC. FUEL BURNING.APPL.
-
X
$10
-
2.00
17
GAS PIPING (u. Outlet)
-
2
X
51
11
DUCT SYSTEMS
-
' X
$10
-
13
VENTILATING FANS
-
2
X
s10
-
• 20.00
20
Alli HANDLER (DOES NOT Induct( ducting)
• OR < 10,000CFM
X
511
21
AIR I IANDLER (DOES N0T (nclud/ ducting)
> 10,000 CFM
X
819
-
22
EVAPORATIVE COOLERS
- .
x'
810
- -
23
PITO 1 Imola
- ,
x
ss0
-
21
TYPE II 1100D
-
X
510
25
I TEAT 1'mm/AIR CONOMONER
03 TON
X 1-
112
520
- •
-
•
26
AIRCOND1110NER
31STON
X
27
AIR CONDITIONER
15.30 TON
X
825
-
20
AIR CONDITIONER
30.501011
X
535
29
AIR CONDITIONER
+50 TON'
•
X
860
-
30
LrG STORAGE TANK
-
X
510
- .
31
WOOD OR PELLET STOVE/INSERT
-
X
110
-
32
WOOD STOVE - FREE STANDING
-
X
525
-
•
IEN"T
5p rt
.
SUBTOTAL;
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE IJIJE:
CASI I U
1-E:
AKCARD NUMBER: •
1110RIZED SIGNATURE:
EXPIRES:
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.
Tyy311
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193 -2
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fD O A 0
Pa..,:
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7 m cp W m
DJ O. 7 CD O
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39,
-v26
9.31', S68'37'28"W
HP E Olidi,,sa jhc
4 . $ S O Ca. e41-1.7" r.
5bp4k.4,,n4 VS 4L 14 -
14721 E. CROWN AVE.
ADDRESS
ZONE
ROAD WIDTH L{S
FRONT FLANKING
COMMENTS
REVIEWED SY
LOT 10, BLOCK 28
SUMMERFIELD EAST
SIXTII ADDITION
SCALE: 1 =301
use
1220 N. HOWAnn ST.
SPOKANE, WA 99201
PHONE (509) 328-5109
FAX (509) 329-0423
101 i1IAIN BOAC,
Engineering • Land Sbrveying LEWISWON,10 83501
PHONE (200) 746-2661
Planning • Materials Testing FAX (209) 7468925