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2002, 07-10 Permit App: 02005696 ResidenceProject Number: 02005696 Inv: 1 4ptication Date: 7/10/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS Contact: LANZCE DOUGLASS INC Address: 8510 N CRESTLINE C - S - Z: SPOKANE WA 99217-7718 Setbacks: Front 20 Left: 6 Right: 6 Rear: 40 Phone: (509) 483-6532 Group Name: Site Information: Project Name: Plat Key: 005862 Name: SHELLEY LAKE District: F Parcel Number: 45242.1701 Block: 7 SiteAddress: 406 S MOORE LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: 1 Owner: Name: DOUGLASS, LANZCE Address: 815 E ROSEWOOD AVE SPOKANE, WA 99208-5507 Hold: 111 Area: 8,049 Sq Ft Width: 70 Depth: 114 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: 7".es a- 6t-ve- Puck) r Plan Review ai•ib rat Released Bv: 10-.S Oi 01. - PPfttokrioN VEsreo b -2E3-02, Special Reviews Release&By. diflA ta A 141.43141111,w.e' virgAi Approach / Drainage Ove - Released Bv: .. .. 644 Released By: 1 raistvtrAd -caw tAruncs APTew A L. 02- 501 Operator: RMB Printed By: RMB Print Date: 7/10/2002 Project Number: 02005696 Permits: Cont Inv: 1 Appiitation Date: 7/10/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit or: UNKNOWN dress: UNKNOWN UNKNOWN, WA UNKNOW Cate ' o : N Nbr Of Dwellings: Bldg W x D: 56 Req Parking: Description BASEMENT U GARAGE RESIDENCE Building Permit Firm: UNKNOWN Phone: (000) 000-0000 ng Characteristics Group: R-3 Type: VN 1 Occupant Load: x 24 Building Sq Ft: 0 Handicap Parking: R-3 U-1 R-3 Type Notes VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE 0 Building Height: 17 1872 Sprinklers: L1 0 Critical Materials: 0 This Application: Sq Ft Valuation 936 $11,512.80 792 $9,504.00 936 $61,776.00 Totals: 2,664 $82,792.80 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 Stories: 1 Total Project: Sq Ft Valuation 936 $11,512.80 792 $9,504.00 936 $61,776.00 2,664 $82,792.80 Fee Amount $786.25 $4.50 $172.98 Permit Total Fees: $963.73 Mechanical Permit Firm: DANCAR MECHANICAL INC. Phone: (509) 924-9921 Units 1 1 2 5 1 Operator: RMB Printed By: RMB Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $2.00 $50.00 $10.00 $84.00 7/10/2002 Project Number: 02005696 Inv: 1 Application Date: 7/10/2002 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: Address: GOLD SEAL MECHANICAL INC 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Plumbing Permit Units 3 4 1 2 1 1 1 1 3 Page 3 of 3 Firm: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $6.00 $12.00 $6.00 $6.1)0 $6.00 $6.00 $6.00 $18.00 $108.00 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 & 1, 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 $963.73 $963.73 $84.00 $84.00 $108.00 $108.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $963.73 $84.00 $108.00 $1,155.73 $1,155.73 $0.00 $1,155.73 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 type of work will be complied with. Subsequent issuance of a permit shall not be contrued 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: RMB Printed By: RMB Print Date: 7/10/2002 Lanzce G. House Pian: Bedrooms: Baths: Elevation: Douglass, Inc. 936 Split 2 815 E. Roo wood Ave., Spokane WA 99208-5507 ; 07 Address: Leaal: LOT ( BLOCK i Development:�' Scale: 1. _ 20 �7 r(� L� IcQ This site plan is being sut r`iitted for the purpose of obtaining a i,ulli;.ng permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines. structures and easements have been identified. Also indicated are wetlands, bodies of water, steep slopes or other critical areas. 0 in w oz a w O W > Lt w O c w oz<w-a> oOO Ow <N4� O APPLICATION' INF(JRMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? c.�5DLI Zi r7 01 Legal description as it appears on the property deed LOT / BLOCK `% OWNER or OCCUPANT Lanzce G. Douglass, Inc. Mailing address '815 E. Rosewood Ave. Phone 509-483-6532 City, state Spokane, WA Zip 99208-5507 Who should we contact regarding this project? Lanzce G. Douglass Phone 509-483-6532 What work is being done under this permit? Single Family Water district ***SEE ATTACHED Contractor Lanzce G. Douglass, Inc. WA State Contractor license # LANZCGD072P5 Property size 1©X 11 D I Oq ENERGY CALCULATIONS 1512n 'F`( Building height # of stories 1 TOTAL SQUARE FOOTAGE Dimensions 56x24 Main floor area 936 1872 Unfinished basement area 936 Mailing address 815 E. Rosewood Ave. 2nd floor area 0 Architect/Engineer Independent Home Designs What is the heat source? fnrr d air Garage area .1+8&6'' i Z Finished basement area 0 ry c CD 0 Size of decks, etc. 120 Oover30" What is the cost of your project? Manufactured Home Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor We State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Previous address Fire Safety —SPOKANE Sprinnt_cEIVSD Tent _ Paint booth POKA N E CO U R_,_,_ s display _ VALUE Contractor Contractor JUN 282002 WA State Contractor license # Mailing address WA State Contractor pikte # , �,,,,,„ t uut ENFORCEMENT DY. Mailing address FuelStorage Tanks Swimming Pool (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.