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2003, 08-14 Permit App: BLD-03-02232 ResidenceSp�kiine 40:Ailey PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: 509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 14911 E Crown ASSESSOR'S TAX PARCEL NUMBER(S): 46354.9050 Lt2 BIk18 Summerfield LEGAL DISCRIPTION: PERMIT DESCRIPTION: residential construction rI BUILDING PERMIT ® RELOCATION ® CHANGE IN IJSE ® GRADING ® MANUFACTURED HOME ® SIGN ® TENANT ® OTHER OWNER / APPLICANT INFORMATION DOWNER: Harley C Douglass Inc PHONE: FAX: 487-9792 509 487-1580 PHONE: FAX: ADDRESS: 8510 N Crestline Ste A Spokane WA ADDRESS: ® CITY,STATE, ZIP 99205 CONTRACTOR:_ Harley C Douglass Inc ARCHITECT: ® APPLICANT: PHONE: 509 487 9792 FAX: 509 487-1580 PHONE: ADDRESS: Same as above CITY,. STATE, ZIP WA ST CONTRACTOR LICENSE # H A R LEC D 110 PE CITY, STATE, ZIP FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 30% SLOPES ON PROPERTY: BUILDING HEIGHT TO PEAK: 35 OCCUPANCY GROUP: CONSTRUCTION TYPE: BUILDING DIMENSIONS: 44X38 NUMBER OF STORIES: 2 STRUCTURES ON PROPERTY: 1 FINISHED BASEMENT: NUMBER of BEDROOMS: 3 CRITICAL AREAS: GARAGE: 400 FLANKING SETBACK: CURRENT PROPERTY SIZE: COVERED DECK: FRONT SETBACK: CURRENT PROPERTY USE: DECK: 120 REAR SETBACK: CURRENT SEPTIC USE: LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: Residential MAIN FLOOR SQ FT: 1358 2N0 FLOOR SQ FT: 952 UNFIN BASEMENT: DO Spokane Valley 1 i� ui cast oprague Avenue, Suite 106 Spokane Valley, WA 99206 r Inspections, call 509-688--0 509-688-0036 - 1'lione 509-688-0037 - Fax 1 Plumbing Permit Application PROJECT ADDRESS: 14911 E Crown DESCRIPTION PERMIT USE: Residential Construction OWNER: Harley C Douglass Inc X PHONE (DaytimeContact): 509 487-9792 MAILING ADDRESS: 8510 N Crestline Ste A Spokane, WA 99217 AMOUNT (street) (city/state) (ZIP) CONTRACTOR:, Gold Seal Mech 2 LICENSE /: GOLDSM 290C4 MAILING ADDRESS: 5524_ East. Boone Spokane, WA 99212 PHONE 1: URINALS 2 (street) (city/state) $6 (GIP) PLUMBING FIXTURES EXPIRES: tD NUMBER: ZED SIGNATURE: DESCRIPTION DETAILS 1 OF UNITS X COST EQUALS AMOUNT 1 TOILETS • WATER CLOSET, BIDETS 2 X $6 - 12.00 2 URINALS 2 X X $6 - - 12.00 3 TUBS 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 2 X $6 12.00 5 SINKS LAYS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT 3 X Sb .,1 - 18.00 _ 6 DISHWASHER 1 X 16 - 6.00 7 CLOTHES WASHER 1 X . $6 - 6.00 B GARBAGE DISPOSAL 1 X $6 - 6.00 9 WATER SOF IENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE 1 X ' 56 - 6.00 12 FOUNTAINS, DRINKING X *6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 • - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X *6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CI IEMICAL HOLDING TANK X S6 - 19 MEDICAL GAS Per outlet NITROUS, OXYGEN X $8 - _ 20 MISC. PLUMBING FIXTURE X $6 - PAYhLENT VISA . CHECK ❑ ❑ iVaS _ _::. i SUBTOTAL; PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: EXPIRES: tD NUMBER: ZED SIGNATURE: p(wane .0.sUalley �.._._. ....--, ... ,l UvIU7 bbb UUjb t''h0111 � Spokane Valley, WA 99206 509 -688 -0037 -Fax For I•ns,p9ctions, call 509-E -0054 Mechanical. Permit Application PROJECT ADDRESS: 14911 E Crown DESCRIPTION OF WORK PERMIT USE: Residential Construction OWNER Harley C Douglass X PHONE (Daytitt6onttttl_9792 440, MAILING ADDRESS: 8510 N Crestline Ste A Spokane `1NA 99217 (ZIP) (street) (city/state) co• rrrRACTDancar Mechanical X LICENSE /: DANCAM102207 MAILING ADDRESS: 311 N Hodges Greenacres PHONE 9: 509 924-9921 WA 99016 (street) (city/state) (ZIP) METHOD OF PA ❑ CASH ❑ CHECK 0 1111111MIM❑ a DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 1 OF UMTS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR < 400,000 • X 550 - ! UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 • - 5 USED APPLIANCE (WSEC min. AFUE rating) • or <400,000 X 550 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - 7 BOILER/REFRIGERATION 1-100M BTU X 515 - 1 BOILER/REFRIGERATION 101- 500M BTU 'X 528 - 9 BOILER/REFRIGERATION 501. 1,000M BTU X 539 - 10 BORER/REFRIGERATION 1001 -1,750M BTU X 557 - 11 BOILER/REFRIGERATION +1750M BTU X 595 12 GAS LOG, GAS INSERT, GAS FEREPLACE . - 1 X 510 - 1 0 . V 0 13 RANGE - 1 X 510 - 10.00 14 DRYER - 1 X 510 • 10.00 15 FUEL BURNING WATER HEATER -- 1 X 510 - 10 , 00 16 MISC FUEL BURNING APPL. - X 510 - — 17 GAS PIPING (ea. Outlet) ^- 3 X 51 - 3.00 11 DUCT SYSTEMS - 1 • X 510 - 10.00 19 VENTILATING FANS - 3 X 510 i - 30.00 - 20 AIR HANDLER (DOES NOT Include ducting) • OR < 10,000CFM 1 X 512 - 12.00 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 - 22 EVAPORATIVE COOLERS - X 510 - 23 TYPE MOOD - X 550 - 24 TYPE II HOOD - X 510 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 26 AIR CONDITIONER }15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X 525 28 AIR CONDITIONER 30-50 TON X 535 - 29 AIR CONDITIONER *50 TON' X 560 - 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X 510 - 32 WOOD STOVE - FREE STANDING - X 525 - HENTPLUS ,— iti�35P; ^�_ ? SUBTOTAL: PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK 0 1111111MIM❑ a DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: 0 a (I 0 (V 0 0 0 0 0 a 0 0 r-� 0 LJ w w r 0 r -- CO qac Za�$zv 3jf00 CROWN ROAD 14' WIDE BORDER EASEMENT 10' WIDE EASEMENT FOR UTILITIES 10' WIDE EASEMENT FOR WATERMAIN UO 68.48' MIMI MM. PLAT BOUNDARY SCALE: 1 "=30' APPROVED B LOT 6, BLOCK 17 SUMMERFIELD EAST 4th ADD. ENGINEERS o SURVEYORS 1220 N. HOWARD ST. SPOKANEW90201 FAX (309) 32A (509) 328-5139 101 THAW RD. LENRTON, 10 83301 FAX (208) 748-6823 (208) 746-2861 ,1?/('' i f�;-7✓ 9306 «i..d rrg. • LOT 3 I 4)Fti� 4) APPRc$'ED BY, EXISTING (AFN 171591C;) 20' WIDE EASEMENT FOR WATERLINE TO --t j BE VACATED. / 10' WIDE E FOR UTILIT 14' BORDJ - EASEMENT - 1 .re1/c. w5 � ,/ o LOT 1 •T -9p SCALE: 1 "= 30' LOT 2, BLOCK 18 SUMMERFIELD EAST 4th ADD. i \ MW ENGINEERS ca SURVEYORS 1240 $. MOWARD St 3►OKA/11. WA 11201 FAX (S01 320-0423 (301) 321-2131 101 1114111 RD. WEWn70N W 1310, FAX (20*) 741-0123 (201) 741-4511 1