2002, 10-29 Permit App: 02009638 ResidenceProject Number: 02009638 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/29/2002
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 32.5 Left: 7 Right: 36 Rear: 35
Site Information:
Plat Key: 006306 Name: SUMMERFIELD EAST 4TH ADD
Contact: DOUGLASS, LANZCE
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 483-6532
Group Name:
Project Name:
District: H
Parcel Number: 46354.9050 Block: 17
SiteAddress: 14810 E CROWN RD
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 001 TRENTW OOD
Area: 13,362 Sq Ft Width: 105
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 10
Owner: Name:
Address:
DOUGLASS, LANZCE
8510 N CRESTLINE
SPOKANE, WA 99217
Hold: ❑
Depth: 127 Right Of Way (ft): 45
Page 1 of 3
Review
Site Plan Review
Released
Plan Review
Released By: "6,12- // �� Z
Approach / Drainage Released By:
0 '... e AA, is 0 1
Flood plain
o aJSct, its 5
Sewer Review/0 _94,0
Operator: JAS Printed By: JAS
Print Date:
10/29/2002
Project Number: 02009638 Inv: 1
Perniits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/29/2002 Page 2 of 3
Contractor: LANZCE G DOUGLASS, INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Building Permit
Finn: LANCZE G DOUGLASS, INC
Phone: (509) 483-6532
Building Characteristics
Const Category: New Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: s Building Sq Ft:
Req Parking: Handicap Parking:
Description
BASEMENT U
DECK
GARAGE
RESIDENCE
Grp
R-3
R-3
U-1
R-3
Type Notes
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,148 $14,120.40 1,148 $14,120.40
120 $939.60 120 $939.60
792 $9,504.00 792 $9,504.00
1,148 $75,768.00 1,148 $75,768.00
Totals: 3,208 $100,332.0(1 3,208 $100,332.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
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
Permit Total Fees:
Mechanical Permit
Units
1
1
3
4
1
1
Operator: JAS Printed By: JAS
Fee Amount
$900.00
$4.50
$198.00
$1,102.50
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$85.00
10/29/2002
Project Number: 02009638 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/29/2002 Page 3 of 3
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units
2
3
1
1
1
1
1
3
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1.102.5() $1.102.5()
$85.00 $85.00
$78.00 $78.00
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$78.00
Amount Owing
$1,102.50
$85.00
$78.00
$1,265.50 $1.265.50
$0.00 $1,265.50
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: JAS Printed By: JAS Print Date: 10/29/2002
APPLICATION INFORMATION
What is the JOB SHE address? ASSESSOR'S tax parcel number?
L\S 1 CD r rowAy
Legal description as it appears on the property
LOT /0 BLOCK J---2
deed
OC,erina-e---Fsev1--f e",4-/
/2 •
OWNER or OCCUPANT Phone
Lanzce G. Douglass, Inc. 509-483-6532
Mailing address City, state Zip
815 E. Rosewood Ave. Spokane, WA 99208-5507
Who should we contact regarding this project? Phone
Lanzce G. Douglass 509-483-6532
What work is being done under this permit?
Single Family .
Lone : -Inspector
district
Property size .
ight of way width
Water district
• . .
***SEL ATTACHED
ENERGY CALCULATIONS***
Building . . • '. .. .. . .
936 split w/gai. side
Building height
# of stories
1
Contractor
Lanzce G. Douglass. Inc.
Dimensions
-5-6*24 tfQx 5
TOTAL SQUARE FOOTAGE
j.43--9-1,19,,
WA State Contractor license #
LANZCGD072P5
Main Iloor area
-9-3-6- 11 q 3
2nd floor area
00
Unfinished basement area
—9-3-6 14S
Finished base nent area
-gize of decks, etc,
120 Oover30"
Mailing address
815 E. Rosewood Ave.
Architect/Engineer
Independent Home Designs
Garage area
.48G" 772,
whet is the heat source?
fnrrpd ijj
What is the cost of your project?
Manufactured Home .
Sign.
VVidth:
Length:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
-Relocation 1 ,
Fire Safety i- *
Previous address ,
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA Stale Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel'Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA Slate Contractor license #
Mailing address
Mailing address
Spokane Co.mty does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
NPL' Ge '0 tr-N l.:YI i
S P O K A N E __ ' y, ,; �_tt C O LJ N T Y"
UTILrr s DIVISION
N. Bruce Rawls, P.E., Utilises Director
A DIVISION OF THE PUBLIC WORKS DEPART- ENT
Gary Oberg, Director
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLE4SE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
Date: /6>
Plat Name: lid/i'" .:"' _! "� s 7` Lot No(s): ICD Block No(s): 1 -7
vrT1f AD()
Site Address(es):
Owner Name:
10 ( trO c.Uni
PRINT Owner's Name
Parcel No(s): 14,?j.5-4 •crOSZ:D
-vzcEG.4,�z��S
OR Builder Name:
PRINT Builder's Name
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. { ') GFC to be.paid at closing, at the GFC rate in effect at the time of dosing. Yom►
3.
(
) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements.
a. Owner's Statement: I understand that 1 will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added
to my monthly sewer service charges.
b. Builder's Statement 1, understand that because I
am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for
payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential
buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as
billing commences.
Special Conditions: ( ) No ( ) Yes — See Reverse Side of Form
Spokane County, GFC Payment Option Form
Division of Utilities Revised 03/06/00
1025 W. Broadway • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 324-3166
RIGHT OF WAY
ROAD
28+00
� 2 b 3� •� I �.
STA: 28+30
OFFSET: 27.2 R
INSTALL TYPE A
DRYWELL.
RIM=2036.45
0
w
85.47'
SWALE
N
1=
0
0
0
1n
oo
LO
Oci
0
N
0
0
d
0
CP
Engr—Plot \dWg \67930010
0
w
E
E
0
U)
ip
0
Cn
RIGHT OF WAY
SIDEWALK
STA: 17+25
16.5' R
INSTALL TYPE 1
CURB INLET
EL=2036.66
RIGHT OF WAY
BURNS ROAD
0
0
+
w
J
0
14' WIDE
— BORDER
EASEMENT
This site plan is being submitted for thepurpose o
obtairing a building permit and is a true and correc, 13' WIDE
representation of the proposal. All known property BORDER
Tines/dimensions, curb lines. structures and easementsEASEMENT
have been identified. Also indicated are wetlands,
bodiep of water, steep slopes or other critical areas.
105.47'
10' WIDE
EASEMENT
FOR UTILITIES
Signed:
Date:
10' WIDE
%o EASEMENT
FOR UTILITIES
0
U 1
1 `
N
LOT 9
LOT 11
SCALE: 1 "=30'
LOT 10, BLOCK 17
SUMMERFIELD EAST 4th ADD.
— . 1 >•�
ENGINEERS o SURVEYORS
1220 N. HOWARD ST.
WA 99201
FAX (509E) 328-0423
(509) 328-5139
101 THAIN RD.
LEW1STON. 1044
0 83501
FAX (208) 746-6825
(206) 746-2861