2003, 08-14 Permit App: BLD-03-02234 Residenceplane
4,0000 -Valley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUN/TY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: 509)688-0037
REQUIRED SITE INFORMATION
14803 E Crown
STREET ADDRESS:
ASSESSOR'S TAX PARCEL NUMBER(S): 46354. 9050
LEGALDISCRIPTION: Lt 1, Blk 19 Summerfield
PERMIT DESCRIPTION:
ri BUILDING PERMIT
® RELOCATION
residential construction
O CHANGE IN USE O GRADING O MANUFACTURED HOME
SIGN ® TENANT
F] OTHER
OWNER / APPLICANT INFORMATION
0OWNER: Harley C Douglass IncCI
APPLICANT:
509 487-9792 509 487-1580
PHONE: FAX: PHONE: FAX:
ADDRESS: 8510 N Crestline Ste A Spokane WA ADDRESS:
CITY,STATE, ZIP 99
CITY, STATE, ZIP
CONTRACTOR:_ Harley C Douglass Inc ARCHITECT:
PHONE:
509 487 9792
ADDRESS: same as above
FAX: 509 487-1580 PHONE:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE # HA R LEC D 110 PE
FAX:
CITY, STATE, ZIP
CONTACT:
COST OF PROJECT:
BUILDING HEIGHT TO PEAK: 35
BUILDING DIMENSIONS: 30X60
1 1/2
NUMBER of BEDROOMS: 2
NUMBER OF STORIES:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: Residential
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
1
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT: 1 158
2ND FLOOR SQ FT:
UNFIN BASEMENT: 1 158
FINISHED BASEMENT:
GARAGE: 400
COVERED DECK:
DECK:
i pOJ .ane
11_. •.Valley
I Spokane Valley, WA 99206
LFor Inppections, call 509-t -0054
509-688-0037 - Fax
ti
Mechanical Permit Application
PROJECT 14803 E Crown
ADDRESS:
DESCRIPTION OF WORK
PERMIT
USE: Residential Construction
OWNER Harley C Douglass
X
PHONE(Daytitt�``JJC99t[oritacil_9792
SS ��
MAILING ADDRESS:
8510 N Crestline Ste A
Spokane, WA 99217
(street)
(city/state) (ZIP)
CONTRACT I<:
ancar Mechanical
LICENSE I:
DANCAM102207
MAILING ADDRESS:
311 N Hodges
-
PHONE f:
509 924-9921
Greenacres WA 99016
(street)
(city/state) (ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE;
EXPIRES:
BANKCARD NUMBER:
AUTHOR]ZED SIGNATURE:
DESCRIPTION OF WORK
8 OF UMTS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
X
550
-
4
UNLISTED APPLIANCE (ADDFITONAL FEE)
> 400,000
X
$100
.
5
USED APPLIANCE (WSEC min. AFUE rating)
- or < 400,000
X
i50
•
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
-
7
BOILER/REFRIGERAT1ON
1 - 100M BTU
X
515
-
8
BOILER/REFRIGERATION
701- 500M BTU
'X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001 -1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, CAS INSERT, GAS FIREPLACE
-
1
X
510
-
10.00
13
RANGE
-
X
510
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
1
X
510
•
10.00
16
MISC FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
2
X
fl
-
2.00
18
DUCT SYSTEMS
-
1
' X
510
-
10.00
19
VENTILATING FANS
-
X
510
-
20
AIR HANDLER (DOES NOT Include ducting)
. OR < 10,000CFM
1
X
512
-
12.00
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X .
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE I HOOD
-
X
510
-
25
HEAT PUMP/ATR CONDITIONER
0-3 TON
X
512
-
26
AIR CONDmoNF,R
3-15 TON
X
520
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
+50 TON'
X
560
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
525
-
1ENT Irr
tt1 _
VISAr-r I
I. -025I •TOTAL
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
PERMIT FEE DUE:
EXPIRES:
BANKCARD NUMBER:
AUTHOR]ZED SIGNATURE:
ID OF
1
Plumbing Permit Application
11/U/ L• hL JpLdgUC 2-1.VC1IL1C, JUILC IUO
Spol--,ne Valley, WA 99206
r Inspections' call 509-688-0 +
DU:/-000-1.JUJO - 1 -none
'09-688-0037 - Fax
PROJECT 14803 E Crown
ADDRESS:
DESCRIPTION
PERMIT
USE: Residential Construction
OWNER: Harley C Douglass Inc
X
PHONE (Daytime Contact): 509 487-9792
MAILING ADDRESS:
8510 N Crestline Ste A Spokane,
WA 99217
1
(street) (city/state)
-
(ZIP)
CONTRACTOR: Gold Seal Mech
X
LICENSE s:
GOLDSM 290C4
MAILING ADDRESS:
5524.. East, Boone Spokane, WA
99212
PHONE t:
(street) (city/state)
$6
(LIP) •
PLUMBING FIXTURES
EXPIRES:
lRD NUMBER:
tIZED SIGNATURE:
DESCRIPTION
•
DETAILS
0 OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS •
WATER CLOSET, BIDETS
2
X
$6
-
12.00 —
2
URINALS
X
$6
-
3
TUBS
2
X
$6
-
12.00 —
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
*6
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT•
3
X
$6
-
18.00
6
DISHWASHER
1
X
E6
-
• 6.00^
7
CLOTHES WASHER
X •
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOT IF GAS, SEE MECHANICAL
X .
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
1
X
' $6
-
6.00-
.U012
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, HOSE BIB,
STEAMER PROOFER, CARBONATOR,
SWAMP COOLER
X
$,6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
RP.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMUING FIXTURE
1
X
$6
-
--
6.00
PAYMENT
] CHECK
110111410
VSA
'Ist ~
---..i..."•,.
-
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
❑ ■
TOTAL PERMIT FEE DUE:
EXPIRES:
lRD NUMBER:
tIZED SIGNATURE:
A
40.
4�Rpt '2o3a,35
PLAT BOUNDARY
74.33'
•Z
13' WIDE BORDER
EASEMENT
J
14.1
LIJ
C.)I--z; i�
-�I 100
51 —u_
'T
0 O
h �
1 -
14''
31 ER
EASEMENT
EMEhlT -
ALi< ido s `�,
SWALE ! .40,,/I-7' c6) STA: 18+40.0
:.5�! qq' ..----:---,-. '? ry ' OFFSET: 23.7 L
_. ,,.. . - ___-_:-.7._ -- --- Q' INSTALL TYPE 8
CURB DRYWELL.
RIM -2037.'I5
--- - i-
0)
STA: 18+50
16.5'
INSTALL TYPE 1
CURB INLET
EL=2037.29
_L
goxbO
27+00
CROWN FitG
ROAD
}
SCALE:
LOT 1, BLOCK 19
SUMMERFIELD EAST 4th ADD.
1
ENGINEERS e SURVEYORS
1229 N. HOWARD Si.
SAX lei 328 0423
0093 3x4-5139
101 NADA 110.
LZW1530$ 10 43501
FAX (204, 746-4425
(206 tM-4t