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2003, 04-02 Permit App: 03002201 ResidenceProject Number: 03002201 Inv: 1 Application Date: 4/2/2003 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Contact: DOUGLASS, HARLEY Address: 8510 N CRESTLINE C - S - Z: SPOKANE, WA 99217 Phone: (509) 487-9792 Group Name: Site Information: Project Name: Plat Key: Name: G Parcel Number: 46354.9050 Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 38 Left: 24 Right: 6 Rear: 53 SiteAddress: 14815 E CROWN AVE SPOKANE, WA USA 99216 Location:: SPO District: II Owner: Name: DOUGLASS, HARLEY Address: 8510 N CRESTLINE SPOKANE, WA 99217 Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Hold: 0 Area: .00 Acres Width: 85 Depth: 132 Right Of Way (ft): 45 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Page 1 of 3 Review Site Plak.) n Review 1. rIcj_ Released By: Plan Review Released By: 1 Approach / Drainage Sewer Review Operator: JAS Printed By: JAS Print Date: 4/2/2003 Project Number: 03002201 Inv: 1 Permits: Application Date: 4/2/2003 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor Address: HARLEY C DOUGLASS INC 8510 N CRESTLINE #A SPOKANE, WA 99217 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Building Permit Page 2of3 Firm: HARLEY C DOUGLASS INC Phone: (509) 487-9792 Building Characteristics Group: Type: Occupant Load: Building Height: Stories: Building Sq Ft: Sprinklers: ❑ Handicap Parking: Critical Materials: This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 952 $11,709.60 952 $11,709.60 120 $939.60 120 $939.60 400 $4,800.00 400 $4,800.00 1,358 $89,628.00 1,358 $89,628.00 Description Grp Type Notes BASEMENT U R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: Totals: 2,830 $107,077.20 2,830 $107,077.20 Units 1 1 1 COMPLETE HEATING & SHEET Address: PO BOX 3934 SPOKANE, WA 99220 Item Description GAS WATER HEATER GAS APPLIANCE<=100.000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Fee Amount $935.00 $4.50 $205.70 Permit Total Fees: $1,145.20 Mechanical Permit Units 1 1 3 3 1 1 Operator: JAS Printed By: JAS Firm: COMPLETE HEATING & SHEET Phone: (509) 533-9528 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 $30.00 $10.00 $10.00 $75.00 4/2/2003 Project Number: 03002201 Inv: I Application Date: 4/2/2003 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETS/B1DETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: Payment Summary Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 2 2 2 1 1 1 1 2 Fcc Amount $1,145.20 $75.00 $90.00 Page 3 of 3 Firm: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Unit Desc NUMBER OF NLfViBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $1,145.20 $75.00 $90.00 Fee Amount $12.00 $1R.00 $12.00 $12.00 $6.00 $6.00 $6.00 $6.00 $12.00 Amount Paid $0.00 $0.00 $0.00 $90.00 Amount Owing $1,145.20 $75.00 $90.00 $1,310.20 $1,310.20 $0.00 $1,310.20 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: 4/2/2003 '1At ACATION WORKSHEET General Information I Sd,S. t °b 3 r°13 1 cc -r Parcel number Owner Harley C. Douglass Inc. Mailing address 815 E. Rosewood y Spokane Site Information ac Washington 99208 AR 1 200 °DFENF0 Legal Descnption- 5 il t tc 1 e Svvys.vvN tv"-tf3 GA d 6-4 4 i— 'mi ...ri Change of use 1 '1 Mal square Menge 2 i b10.00 Keq'd parking . map pa rlang 5pnnlcler syslein Critical Matenal • • Fropetiy size 0 4 • Er Other / Lender Wiles Mara , License number COMPLHS 066 CP Phone 928-9876 License nuniher t 410P Niimber oli- Dwelijnp Laulduip 0 *, *i k.:: ,...• ..,: ki ::::: ...x:,.... .:...— WiAigi* " n'''. .:::,,, •A**". :::: *i': * ft ':;•• ii*MiNiaM•g: ki:-. .$$$ 1, Project Information Permit Use New e Addinon Remodel Change of use 1 Building Information Dwelling units Occupant load Budding belga 3S lones Z Buildu4dipensions . q Yv3 0 '1 Mal square Menge 2 i b10.00 Keq'd parking . map pa rlang 5pnnlcler syslein Critical Matenal SquareDkiar 4" breakdown a* n t oo 51, 6 g Uncovered icOvered deck /2 0 Second Boor a — 0 --"" Other Finished basement .--' 0 — Floor Unfinished basement 952 Door (u—value) Lf amp 4/00 Furnace ellicency LContractor Information Heating and insulation information (R—valucs) 1 Heat source Hal ceiling Vaulloiceding Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace ellicency 1 oral window area . WarS t.i n 1 % ol Boor area Budding Contractor Harley C. Douglass Inc. Plumbing contractor Gold Seal Mech I.. number Phone GOLDSM 290C4 509-924-3423 ( License number Phone HARLECD110PE 509-487-9792 Mailing address 815 E. Rosewood Mailing address 5524 E Boone City, stale, zip Spokane Washington 99212 City, sum, zip Spokane Washington 99208 Heating contracior Complete Heating Other / Lender License number COMPLHS 066 CP Phone 928-9876 License nuniher Phone Mailing address 1934 Marshall Mailing address City, stale, zip Spokane Washington 99207 --7 Oily, sia le, zip • PROJECT CONTACT Harley C. Douglass PHONE 509-487-9792 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675