2003, 04-02 Permit App: 03002197 ResidenceProject Number: 03002197 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
Site Information:
Plat Key:
Left: Right: Rear:
Name:
Parcel Number: 46354.9050 Block: 18
SiteAddress: 14903 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: 103
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
1
Contact: DOUGLASS, HARLEY
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 487-9792
Group Name:
Project Name:
Lot: 3
Owner: Name: DOUGLASS, HARLEY
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Hold: ❑
Depth: 152 Right Of Way (ft): 45
strict: H
Review
Site Plan review
1_-Y-204
Released By:
Plan Review
Released By:
Approach / Drainage
Released By:
Flood plain
P � G
Sewer Review5a, 6.40( di 54,1446
�4eleased By:
Operator: JAS
Printed By: JAS
Print Date: 4/2/2003
Project Number: 03002197 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/2/2003 Page 2 of 3
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Building Permit
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
Building Characteristics
Const Category: New Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description gm 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
Type:
Building Height: Stories:
Sprinklers: ❑
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
Totals: 2,830 $107,077.20 2,830 $107,077.20
Units
1
1
1
Contractor: 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
AIR HANDLER
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
1
3
3
1
1
1
Operator: JAS Printed By: JAS
Fee Amount
$935.00
$4.50
$205.70
$1,145.20
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$12.00
$97.00
4/2/2003
Project Number: 03002197 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/2/2003 Page 3 of 3
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Phone: (509) 535-5944
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS .1 NUMBER OF $1 X 00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Permit Total Fees: $90.00
Fee Amount Invoice Amount
$1,145.20 $1,145.20
$97.00 $97.00
$90.00 $90.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,145.20
$97.00
$90.00
$1,332.20 $1,332.20 $0.00
Disclaimer: l 7)
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examine nrods 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 he 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
Project Information II
General Information
_ICATION WORKSHEET
owner
Harley C. Douglass Inc.
509
P on
97
Mailing address
815 E. Rosewood
y
Spokane
Washington
99208
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Site Information
Legal Descoption
LT,
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6-c„.st
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L
Handicap pa Rang
SprinlEler system
Cntica I Ma (trial
Furnace ellicency
I olaI window area .
1
% ol floor area
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License number
Phone
Properly* _ ss
4 OZ
Mailing address
Wa ler
1
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Addition
Remodel -,'N
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Building Information
Dwelling units
1
Occupant load
Building height ...3, 17._
Siones
Budding dimensions •
'1 otal squarilrlage .12:(
21 310 •
Rerrd parking
Handicap pa Rang
SprinlEler system
Cntica I Ma (trial
uare footage breakdown
a in floor
ii32,
Uncovered / deck
/2. 0
Second hour
—.—
Other
Finished basement
p.—.
Floor
Unfinished basement
C) 54'
Door (u —value)
tiarage goo
Furnace ellicency
Contractor Information
Healing and insulation information (R—values)
Heal some
Hal ceiling
vaulted ceding
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u —value)
Window
Furnace ellicency
I olaI window area .
1
% ol floor area
-•
Building contractor
Harley C. Douglass Inc.
Plumbing conlraclor
Gold Seal Mech
License number Phone
HARLECD110PE 509-487-9792
License number Phone
GOLDSM 290C4 509-924-3423
Mailing address
815 E. Rosewood
Mailing address
5524 E Boone
City, stale, zip
Spokane Washington 99208
City, slate, zip
Spokane Washington 99212
0 lber Lender
Healing contractor
Complete Heating
License number Phone
COMPLHS 066 CP 928-9876
License number
Phone
Mailing address
1934 Marshall
Mailing address
Ciiy, Male, zip
Spokane Washington 99207
Oily, stale. zip
,
[1:11.0.1Ecr CONTACT
Harley C. Douglass
PIIONE
509-487-9792
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
Sent By: HARLEY C DOUGLASS;
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Page 2/2
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HARLEY C DOUGLASS INC. tic
8510 N. CRESTLINE 67-
SPOKANE,
rSPOKANE, WA 99217
Oj
EXISTING (AFN 171591C)
20' WIDE EASEMENT
FOR WATERLINE TO
BE VACATED.
SCALE: 1 "=30'
LOT 3, BLOCK 18
SUMMERFIELD EAST 4th ADD.
ENGINEERS Q SURVEYORS
17;0 II. 'pwwAAu ST. 101 TNMN K0.
a 3*2 1 FAX +M 740-322
(5010 3 .3134 lair 710 -21st