2001, 10-17 Permit App: 01009195 ResidenceProject Number: 01009195 Inv: 1
Application
Date: 10/17/2001
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/GARAGE - F A GAS Contact
Address:
C - S - Z.
Setbacks: Front 20 Left: 10 Right: 7 Rear 30 Phone.
Group Name.
Project Name:
Site Information:
Page 1 of 3
DOUGLASS, LANJCE
815 E ROSEWOOD AVE
SPOKANE, WA 99208-5507
(509) 483-6532
Plat Key: 005862 Name: SHELLEY LAKE District- F
Parcel Number: 45242.1518
Block: 5 Lot: 18
SitcAddress: 518 S HOMESTEAD LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District.
Arca: 7,700 Sq Ft
Urban Residential 3.5
Owner: Name: DOUGLASS, LANZCE
Address: 815 E ROSEWOOD AVE
SPOKANE, WA 99208-5507
Hold' ❑
Width: 70 Depth: 110 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released
ByL-12,
Plan Review
Released -Br '.:L
Approach / Drainage
Released 13V
Sewer Review
Released
./.lrrIM a _LI
Permits: .. ..
Operator: MKC Printed By: MKC
Print Date: 10/17/2001
Project Number: 01009195 Inv: 1
Application
Date: 10/17/20111 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: LANZCE G DOUGLASS, INC Firm: LANZCE G DOUGLASS, INC
Address: 8510 N CRESTLINE Phone: (509) 483-6532
SPOKANE, WA 99217
Building Characteristics
Const Category: New Group: 11-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 18
Bldg W x D: 56 x 24 Building Sq Ft: 1872 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Type Notes SU Ft Valuation
BASEMENT U R-3 VN 936 $10,820.16
GARAGE U-1 VN 480 $5,760.00
RESIDENCE R-3 VN 936 $58,032.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 2,352 $74,612.16
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD
GREENACRES, WA 99016
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER.
GAS LOG OR GAS INSERT
HOOD -TYPE II
Stories: 1
Total Project:
Sq Ft Valuation
936 $10,820.16
480 $5,760.00
936 $58,032.00
2,352 $74,612.16
Fee Amount
$736.25
$4.50
$161.98
Permit Total Fees: $902.73
Mechanical Permit
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: MKC Printed By: MKC
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
10/17/2001
Project Number: 01009195 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Date: 10/17/2001 Page 3 of 3
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
TOILETSBIDETS 2 NUMBER OF 512.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF 56.00
GARBAGE DISPOSAL I NUMBER OF 56.00
CLOTHES WASHER 1 NUMBER OF 56.00
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $84.00
Notes:
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES
PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3
THROUGH 10 & L 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4
BLOCK 5 - LOTS 2 THROUGH
6 & 19 BLOCK 6 - LOTS 1 THROUGH 10
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$902.73
$95.00
$84.00
$902.73
$95.00
$84.00
$1,081.73 $1,081.73
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$902.73
$95.00
$84.00
$0.00 $1,081.73
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 hype of work will be
complied with. Subsequent issuance of a permit shall not he contrued to he 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 ur ordinances.
Signature:
Operator: MKC Printed By: MKC Pnnt Date: 10/17/2001
Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
in: 936 Split
2
Address: i `� %• -r�� �T�
Legal: LOT j8 BLOCK .�
Development: $/ t !%
Scale: 1" =
,Jui-ctSS L"lg d'<1.164
,.
ZONE .ij
ROAD WIDTH 30'
FRONT AY F * NKING
COMMENTS
REVIEWED BY