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2003, 08-14 Permit App: BLD-03-02236 ResidenceL:JPuitime .0004Valley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILD/NG DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: 509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 14918 E Crown ASSESSOR'S TAX PARCEL NUMBER(S): 46354. JL� Lt5 Blk 17 Summerfield LEGAL DISCRIPTION: PERMIT DESCRIPTION: el BUILDING PERMIT ® RELOCATION residential construction O CHANGE IN IJSE ® GRADING ® MANUFACTURED 110119E f SIGN II TENANT ® OTHER OWNER / APPLICANT INFORMATION ®OWNER: Harley C Douglass Inc ®CONTRACTOR: Harley C Douglass Inc PHONE: 509 487 9792 FAX: 509 487-1580 ADDRESS: same as above PHONE: 509 487-9792 FAX: 509 487-1580 ADDRESS: 8510 N Crestline Ste A Spokane WA CITY,STATE, ZIP 99217 CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # HA RLECD 110PE APPLICANT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: 35 BUILDING DIMENSIONS:_ 44X38 NUMBER OF STORIES: 2 NUMBER of BEDROOMS: 3 FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 1358 OCCUPANCY GROUP: 2No FLOOR SQ FT: CONSTRUCTION TYPE: UNFIN BASEMENT: Residential STRUCTURES ON PROPERTY: 1 FINISHED BASEMENT: CRITICAL AREAS: GARAGE: 400 CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: DECK: 120 CURRENT SEPTIC USE: CURRENT WELL USE: 952 COVERED DECK: RIGI-IT SETBACK: IMPERVIOUS SURFACE AREA: vevcs.ca■Lc. V allCy, YVIAx v.'Luo 509-686-0037 - Fax [For inspections, call 509-E -0054 Mechanical Permit Application PROJECT 14918 E Crown ADDRESS: DESCRIPTION OF WORK PERMIT USE: Residential Cons ruction 0 Harley C Douglass Spokane, PHONE ayttingot4tHL9792 WA 99217 M* AILING ADDRESS: 8510 N Crestline Ste A (street) (city/state) (ZIP) CONTRACT3Rancar Mechanical • OR < 100,000 LICENSEI: DANCAM102207 PHONE 4: 509 924-9921 AILING ADDRESS: 311 N Hodges Greenacres WA 99016 (street) (city/state) (ZIP) METHOD OF PA CASH fJC • • • DATE: EXPIRES: BANKCARDNUMBEM AUTI IORI ZED SIGNATURE: DESCRIPTION OF WORK 4 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X 515 . 2 FUEL. BURNING APPLIANCE a 103,000 X 519 . 3 UNLISTED APPLIANCE (ADDITIONAL FEE) •• OR <400,000 ' X 550 - t NLLSTED 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) > 403,030 )( 5100 - . 7 BOILER/REFRIGERATION 1 - 100M BTU X 515 . 6 BOILER/REFRIGERATION 101 - 500M BTU :x $28 . 9 BOILER/II FRIGERATION 501 - 1,000M BTU X 539 . 10 BOILER/REFRIGERATION 1001- 1,750M BTU X . 557 - 11 BOILER/REFRIGERATION +1750M BTU X 595 ' .. 12 GAS LOG, GAS INSERT, GAS FIREPLACE - 1 X 510 - 10.00 13 RANGE - 1 X 510 - 10.00 14 DRYER - 1 X $10 - 10.00 15 F EL WINING WATER HEATER - X 510 . 10.00 16 MISC. FUEL BURNING APPL. . - X 510 . 17 GAS PIPING (ea. Outlet) - 3 X Si - 3.00 — 18 DUCT SYSTEMS - 1 ' X 510 . 10.00 - 19 VENTILATING FANS - 3 X 510 . 30.00 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,C00CEM 1 X 512 - 12.00 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 .. 22 EVAPORATIVE COOLERS - X 510 .. 23 TYPE 111000 - X 550 -. 24 TYPE 1111000 -X 510 . 25 !MAT PUMP/AIR CONDITIONER 0-3 TON X 26 AIR CONDMONER 3-15 TON X 520 . 27 AIR CONDITIONER 15-30 TON X 525 -, 28 AIR CONDITIONER 30-50 TON X 535 . 29 A R 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 - vIENT rglit-. - SUBTOTAL: PLUS PROCESSING FEE: $35.00 . TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARDNUMBEM AUTI IORI ZED SIGNATURE: DD 0 ►`,��«ii��i i I po1<ane valley, WA 99206 Mii.ley Inspections, nspections, call 509-688-0 Plumbing Permit Application 509-688-[1037 - 1 tx 1 PROJECT 14918 E Crown ADDRESS: DESCRIPTION • DETAILS PLR1v1IT USE: Residential Construction OWNER: Harley C Douglass Inc EQUALS AMOUNT PHONE (Daytime Contact): 509 487-9792 MAILING ADDRESS: 8510 N Crestline Ste A Spokane, WA 99217 2 (street) (city/state) - • (ZIP) CONTRACTOR:, Gold Seal Mech LICENSE 1: GOLDSM 290C4 MAILING ADDRESS; 5524 East. Boone Spokane, WA 99212 PRONE 1: 2 X *6 - (street) (city/state) SHOWERS (PER TRAP) BATH, STALL, ON -SI'T'E BUILT (�') PLUMBING FIXTURES EXPIRES: ARD NUMBER: R1 ZED SIGNATURE: DESCRIPTION • DETAILS I OF (WITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS 2 X ;6 - 12.00 2 URINALS X - — 3 TUBS 2 X *6 - 12.00 4 SHOWERS (PER TRAP) BATH, STALL, ON -SI'T'E BUILT 2 X $6 _ 00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT• X $6 - 18.00 6 DISIIWASHER 1 X $6- - 6.00 7 CLOTHES WASHER 1 X $6 - 6.00 B GARBAGE DISPOSAL 1 X %6 - 6.00 9 WATER SOFTENER X *6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE 1 X . $6 - 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 S6 - 15 WATER USING DEVICE . ICE AND/OR COFFEE MAKER, HOSE BIB, S1IAMER, PROOFER, CARBONATOR, SWAMP COOLER X i6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X ;25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X *6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FDaIJRE X f6 - PAYMENT CI IECK D ❑ Ost=d --- SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE; EXPIRES: ARD NUMBER: R1 ZED SIGNATURE: f^ RIGH___ T OF ,WAY __� 32+00 STA: 32+00 20.0' R INSTALL TYPE 1 CURB INLET EL=2037.03 14' WIDE BORDER EASEMEN T APPROVED .BY PLAT BOUNDARY CROWN ROAD 1 33+00 TYPE B CUR RIGHT OF WAY SIDEWALK v1$ 1 BUILDING S TSAC, 10' WIDE EASEMENT FOR UTILITIES 0_ Qa to 7198' „0-‘75-x0:9 -CM OP OOP. 0.111111 4111•11111111•1111111111111=1.4= SCALE: 1"=30' LOT 5, BLOCK 17 SUMMERFIELD EAST 4th ADD. ENGINEERS o SURVEYORS 1220 N. HOWARD ST. SPOANE, WA 111201 FAX K(550a) 326-0423 (SOA) 320-3134 101 T1wS RD. 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