2002, 07-10 Permit App: 02005726 ResidenceProject Number: 02005726 Inv: I Application Date: 7/10/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Contact: DOUGLASS, LANZCE
Address: 815 E ROSEWOOD AVE
C - S - Z: SPOKANE, WA 99208-5507
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: 45242.1702 Block: 7
Lot: 2
SiteAddress: 424 S MOORE LN
Owner: Name: DOUGLASS, LANZCE
-ERADALE, WA USA 99037
Address. 815 E ROSEWOOD AVE
Location:: VER
SPOKANE, WA 99208-5507
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Hold: F-1
Area: 7,475 Sq Ft Width: 65
Depth: 115 Right Of Way (ft): 30
Nbr of Bldgs: I Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:*
Plan Review
Spec
------------ - -------------- -
Released By: 77
Approach / Drainage
Sewer Review
Reloa'sed By:
Operator: CKF Printed By: CKF Print Date: 7/10/02
a
Project Number: 02005726 Inv: I Application Date: 7/10/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:�F?y
Building Permit - — _-
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
So Ft
Valuation
936
Building Characteristics
Const Category: New
Group: R-3 Type: VN
Nbr Of Dwellings:
1
Occupant Load:
Building Height:
Bldg W x D: 56
x 24
Building Sq Ft:
1872 Sprinklers: El
Req Parking:
1
Handicap Parking:
Critical Materials: ❑
$174.35
This Application:
Description
Gra
Tvve Notes
Sa Ft Valuation
BASEMENT U
R-3
VN
936 $11,512.80
DECK
R-3
VN
120 $939.60
GARAGE
U-1
VN
792 $9,504.00
RESIDENCE
R-3
VN
936 $61,776.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 2,784 $83,732.40
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
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Stories: 1
Total Project:
So Ft
Valuation
936
$11,512.80
120
$939.60
792
$9,504.00
936
$61,776.00
2,784
$83,732.40
Fee Amount
1
$792.50
1
$4.50
$174.35
Permit Total Fees: $971.35
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
1
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$ 10.00
$105.00
Operator: CKF Printed By: CKF Print Date: 7/10/02
Project Number: 02005726 Inv: I
Application
Date: 7/10/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
-- - _ - ---
- Plumbing Permit
-- _
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL
MECHANICAL INC
Address: 5524 E BOONE AVE
Phone: (509) 535-5944
SPOKANE, WA 99212
Item Description
Units Unit Desc
Fee Amount
TOILETS/BIDETS
3 NUMBER OF
$18.00
SINKS
4 NUMBER OF
$24.00
SHOWERS
1 NUMBER OF
$6.00
TUBS
2 NUMBER OF
$12.00
DISH WASHERS
1 NUMBER OF
$6.00
GARBAGE DISPOSAL
I NUMBER OF
$6.00
CLOTHES WASHER
1 NUMBER OF
$6.00
FLOOR DRAINS
1 NUMBER OF
$6.00
CROSS CONNECTION DEVICES
1 NUMBER OF
$6.00
WATER USING DEVICES
3 NUMBER OF
$18.00
Permit Total Fees:
$108.00
Notes:•R
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 Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $971.35 $971.35 $0.00 $971.35
Mechanical Permit $105.00 $105.00 $0.00 $105.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,184.35 $1,184.35 $0.00 L44 3
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: CKF Printed By: CKF Print Date: 7/10/02
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APPLICATION'INFORMATION
Relocation
Fire_Safety
Fire nnkl r Tent
Previous address pEIVEC�•
Paint booth _ FCD( l' xzty : r . + �+ j Play
UE
JUN 2 8 2002
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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