2003, 04-02 Permit App: 03002199 ResidenceProject Number: 03002199 Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/2/2003 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 38 Left: 12 Right: 24 Rear: 62
Site Information:
Plat Key:
Name:
Parcel Number: 46354.9050
Block: 18
SiteAddress: 14821 E CROWN AVE
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 001 TRENTWOOD
Area: ;,658.00 Acres Width: 106 Depth: 152 Right Of Way (ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Contact: DOUGLASS, HARLEY
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 487-9792
Group Name:
Project Name:
LLd
Lot: 4
Owner: Name: DOUGLASS, HARLEY
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Hold: Lill
Review
Site Plan eview
rGi4U./W__
Released By:
Approach / Drainage
Released By:
Flood plain
Released By:
Sewer Review
Released By:
Operator: JAS Printed By: JAS
Print Date: 4/2/2003
Project Number: 03002199
Permits:
Inv: 1
Application
Date: 4/2/2003
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Building Permit
Page 2 of 3
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: 0
This Application: Total Project:
Notes Sei Ft Valuation Sq Ft Valuation
782 $9,618.60 782 $9,618.60
120 $939.60 120 $939.60
400 $4,800.00 400 $4,800.00
1,350 $89,100.00 1.350 $89,100.00
Description Type
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:
Address:
Totals: 2,652 $104,458.20 2,652 $104.458.20
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
COMPLETE HEATING & SHEET
PO BOX 3934
SPOKANE, WA 99220
Item Description
GAS WA l'ER 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
3
1
1
Fee Amount
$920.00
$4.50
$202.40
$1,126.90
Firm: COMPLETE HEATING & SHEET
Phone:
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
(509) 533-9528
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$75.00
Operator: JAS Printed By: JAS Print Date: 4/2/2003
Project Number: 03002199 Inv: 1
Application
Date: 4/2/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GOLD SEAL MECHANICAL INC
Plumbing Permit
Finn: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
STNKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
2
1
1
1
1
2
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
$1,126.90 $1,126.90
$75.00 $75.00
$78.00 $78.00
Fee Amount
$12.0(1
SIR 00
$12.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$78.00
Amount Owing
$1,126.90
$75.00
$78.00
$1,279.90 $1,279.90
$0.00 $1,279.90
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
Contractor Information
1. •
11 _ICATION VVORKSHEL I
General Information I
-Owner
Harley C. Douglass Inc.
Mailing address
815 E. Rosewood
-Csiy
Spokane
Slate
Washington
• Lip
99208
Site Information
Legal Description
e4s+- 4/ .7----‘1
Addition
Remodel-
ges Chanof use
i
TOlai square 100i
Z 132.
l(eq'd parking
Property size
I .‘i 0 1
Sprinkler rysteni
Wiier ldutrict
T/itc.ill T1X-S 0 0 Q
Number ot;
Uwellinp -Ituddittp
% ol Boor area
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L Project Information
Permit Use
-1
-Nevi
Addition
Remodel-
ges Chanof use
i
Building Information
Dwelling units
Occupant load
Building height 3..s.,
Siones 2..
Building dimensions it il •
Co* ii 0 (0
TOlai square 100i
Z 132.
l(eq'd parking
Handicap pa Hang
Sprinkler rysteni
Ix' shoal Matenal
Squarc footage brcakdowo
Main Boor
13c0
Uncovered /covered deck
ILO
Second Boor
-.' 0
Other
Finished basement
... 0
Floor
uniinishijia6mEt
Door (u -value)
liarage
.„ Li OD
,
Healing and With lion information (R-va Ines)
Heat source
Ha/ceiling
Vaulled-ceiling
Above grade waU
Below grade wall
Floor
Slab on ',rade
Door (u -value)
Window
Furnace ellicency
'Mal window area .
vo ar-J ki 0
% ol Boor area
Budding contractor
Harley C. Douglass Inc.
Plumbing contractor
Gold Seal Mech
.
License number
HARLECD110PE
Phone
509-487-9792
License number
GOLDSM 290C4
Phone
509-924-3423
Mailing address
815 E. Rosewood
Mailing address
5524 E Boone
Oily. siaie, zip
Spokane Washington
99208
Cisy, male, zip
Spokane Waahingtan19212
I foaling contractor
Complete Heating
Other Louder
boon= number
COMPLHS 066 CP
Phone
928-9876
License number
Phone
Mailing address
1934 Marshall
-Coy.
Mailing address
siaic, zip
Spokane Washington
-1
99207
City. SISIC. zip
...
PROJECT CONTACT
Harley C. Douglass
P1 JONE
509-487-9792
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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20' WIDE EASEMENT
FOR WATERLINE TO
BE VACATED.
29+0
HARLEY C DOUGLASS INC.
8510 N. CRESTLINE
SPOKANE, WA 99217
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SCALE: 1"=30'
RIC/yr
ROAD
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LOT 4, BLOCK 18
SUMMERFIELD EAST 4th ADD.
ENGINEERS o SURVEYORS
1220 H. HOWARD ST.
SPOKANE, WA 99201
FAX (509) 326-0423
(509) 326-5139
101 THAIN RD.
LEWISTON ID 63501
FAX (205) 746-6625
((206 746-2661