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
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Parcel number
Owner
Harley C. Douglass Inc.
Mailing address
815 E. Rosewood
y
Spokane
Site Information
ac
Washington
99208 AR
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Critical Matenal
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Fropetiy size
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Other / Lender
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License number
COMPLHS 066 CP
Phone
928-9876
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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
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PROJECT CONTACT
Harley C. Douglass
PHONE
509-487-9792
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675