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2002, 11-26 Permit App: 02010607 ResidenceProject Number: 02010607 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/26/2002 Page 1 of 2 Project Information: Permit Use: RESIDENCE W/ GARAGE Setbacks: Front Site Information: Left: Right: Rear: ......... .. . . Plat Key: 006306 Name: SUMMERFIELD EAST 04TH ADD Contact: Address: C - S - Z: Phone: Group Name: Project Name: DOUGLASS, HARLEY 8510 N CRESTLINE SPOKANE, WA 99217 (509) 487-9792 District: H Parcel Number: 46354.9050 Block: 17 SiteAddress: 15002 E CROWN AVE SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Area: 10,193 Sq Ft Width: 80 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: 3 Owner: Name: DOUGLASS, HARLEY Address: 8510 N CRESTLINE SPOKANE, WA 99217 Hold: ❑ Depth: 128 Right Of Way (ft): 45 Review Site Plan Review Approach / Drainage Released By: a. tt) COX OA tinike 12:7- C Permits: Contractor: HARLEY C DOUGLASS INC Address: 8510 N CRESTLINE SPOKANE, WA 99217 Const Category: New Nbr Of Dwellings: BldgWxD: y Req Parking: Operator: CKF Building Permit 1/f727FJZ Firm: HARLEY C DOUGLASS INC Phone: (509) 487-9792 Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Printed By: CKF Type: Building Height: Sprinklers: ❑ Critical Materials: ❑ Print Date: Stories: 11/26/2002 Project Number: 02010607 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/26/2002 Page 2 of 2 Mechanical Permit Contractor: COMPLETE HEATING & SHEET Firm: COMPLETE HEATING & SHEET Address: PO BOX 3934 SPOKANE, WA 99220 Phone: (509) 533-9528 Plumbing Permit Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE Phone: (509) 535-5944 SPOKANE, WA 99212 Notes: Payment Summary 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: CKF Printed By: CKF Print Date: 11/26/2002 Contractor Information II .ICATION WORKSHEET ' General Information 1OO2 e C/zoc.1/4“-i. Parcel number 020 106(17 Owner Harley C. Douglass Inc. Phone 509-487-9792 Mailing address 815 E. Rosewood City Spokane Slain Washington Lip 99208 Site Information Legal Description _ Li- 3 8611 /q Sui22 //2,e,Ce. 41 72:: el 154- 1(20,164 Addition Remodel -Buildinp 'total square footage Pro rt sae -Water 1./i"' ,e -,'t4 ,,or, * Sprinkler system Niinir ol: LlweUmp Furnace ellicency . • ..*'s ,., •:$:. : ... ''''''''''''''' ,''' V" ::::-: - " '' '' ' - ' ' ,,''''''' 4..*VriAgitesi:x. ... ,r":.... '''''.:41;?;'' '. "4.WiNft .4.. --:.• ,:,...,::%,,,. '' 4:+! +.,:•:C.**,!,,,:f:::,} ' '''''... W: AeligkaPON40 , ' Y ::: '1,:,::::::,,,,$v*:.:44X.X,X:i ...4.''''5/, Project Information Permit Use . Nevi Addition Remodel Lisa oge oil use i Building Information Dwelling unU Occupant load &siding height. - -)- Stones / Building imensions - 'total square footage Rett'd parking Handicap pa riang Sprinkler system Lr' 'heal Material footage breakdown Main irorei Uncovered Icov.red deck Second Boor .--. Other Finished basemen, „--. Floor 3o Unfinished basement Door (u -value) barge -, Furnace ellicency Heating and insulation information (R -values) Heat source G..5 Hat cedinfe) Vaulted ceiling AbovegnAts wall / ‘)• Below grade wall Floor 3o Slab on grade Door (u -value) Window Furnace ellicency l (Rat window area . _ % °Moor area Budding contractor Harley C. Douglass Inc. Pli-imbing contractor Gold Seal Mesh 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, state, zip Spokane Washington 99208 City, state, zip Spokane Washinetan 9_9212 Healing coniractor Complete Heating Other / Lender License number COMPLHS 066 CP Phone 928-9876 License number Phone Mailing address 1934 Marshall Mailing address City, slain, zip _ Spokane Washington 99207 City, stain, zip . ... PROJEcr CONTACT Harley C. Douglass PHONE 509-487-9792 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 ADDRESS 1500 2 E . Gre-ou • ... --ZpNf (A a•-• • . ROAD WIDTH FRONT FLANKING iscog,,,J tr- oRD ((rX tUaNir tilt ISVH ariamuanrins T xporm `C CLOT 'AS altfht9.111 OtS1 Sid0A3/11:1113 S'LlggAlieN3 Mffl .OUL 31VS HARLEY C DOUGLASS INC. 8510 N. CRESTLINE SPOKANE, WA 99211 0 Id V843 ANVONCI0fg told •IMMIIIIIM•1••••••1•06• NOW MON se -0" x -q0)_611 6c/r 4/1 f- 3 1418 >11VMcd s s3w-1r1n ei0J 1N3W3SV3 3aim ,ot d_t\IPI3SV3 .% 830N09 .301M IVMS .00-09 AVM JO J_H9Ia -a am fl*J,u_ 00117c This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct OVOLI NMOLIO representation of the proposal. All known property linesidiraerraionsrcura-lineeretvweavee aadmeasemera have been id n . Also indicatatetattgiViadditlVld bodies of wa r eep slopes or other critical MOIL Date: a5ed =NO .111111•11111611•11 SWIM P{A'"•-v..4 1'0 LI C) NI i..) CA cx :t • X 0. N !OB9I-L817605 !ssvional 0 A31HVH :A0 ;ues