2002, 07-10 Permit App: 02005720 ResidenceProject Number: 02005720 Inv: 1
Application
Date: 7/10/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
,144,1310014Y, .s' r.: ak: t.,,„ {:,._: u'T ".. °' IMI, orp. 'fY.: `zongif : ,. ',ro :a
Contact: DOUGLASS, LANZCE
Address: 815 E ROSEWOOD AVE
C - S - Z: SPOKANE, WA 99208-5507
Phone: (509) 483-6532
Group Name:
Project Name:
Setbacks: Front 20 Left: 7 Right: 10 Rear: 40
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE
Parcel Number: 45242.1516 Block: 5
Lot: 16
District: F
SiteAddress: 505 S MOORE LN Owner: Name: DOUGLASS, LANZCE
VERADALE, WA USA 99037 Address: 815 E ROSEWOOD AVE
Location:: VER SPOKANE, WA 99208-5507
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 8,217 Sq Ft Width: 71 Depth: 114 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Special Revi
Released By: —^ . )
I Released By:
RJ'
Approach / Drainage
Sewer Review
Operator: CKF Printed By: CKF
Released By:
Print Date: 7/10/02
Project Number: 02005720
Permits:
Inv: 1
Application
Date: 7/10/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Building Characteristics
Group: R-3 Type: VN
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 56 x
Req Parking:
Building Permit
Firm: UNKNOWN
Phone: (000) 000-0000
1 Occupant Load:
24 Building Sq Ft:
Handicap Parking:
Description Grp "mg
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
Building Height:
1872 Sprinklers: 0
Critical Materials: El
This Application:
Sa Ft Valuation
936 $11,512.80
120 $939.60
752 $9,024.00
936 $61,776.00
Totals: 2,744 $83,252.40
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
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
936 $11,512.80
120 $939.60
752 $9,024.00
936 $61,776.00
2,744 $83,252.40
Fee Amount
$792.50
$4.50
$174.35
$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
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$10.00
$105.00
7/10/02
Project Number: 02005720 Inv: 1
Contractor:
Address:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/02 Page 3 of 3
GOLD SEAL MECHANICAL INC
5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Notes:
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$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 I THROUGH 10
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid
Building Permit $97135 $971.35 $0.00
Mechanical Permit $105.00 $105.00 $0.00
Plumbing Permit $108.00 $108.00 $0.00
Amount Owing
$971.35
$105.00
$108.00
$1,184.35 $1,184.35 $0.00 $1,184.35
Disclaimer:1 j2JR 9 g
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
Lanzce G.
House Plan
Bedrooms:
Baths:
Elevation:
Douglass, Inc,
936 Split
2
815 E. Rosewood Ave.
Spokane WA 99208-5507
Address:
Lei>al: LOT BLOCK :oz�
Development:
Scale: 1"= 70'
ic'
0`1
chis site pian is being submitted for t11e pur'^`e of
:tinning a bul!ding permit and is a tr.;e and c:rrect
reprobantation of the proposal. All kncrrn property
lines d mers'ions. curb lines. structures and easements
h Oxen identified Also indicated are wetlands,
budges of grater. stoop slopes or other critical areas.
"7-
ADDRESS----<.
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ADDRESSs 6-6
ZONE-----
ROAp`VIDTfl FL NMNG
COMMENTS
REVIEWED BY
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APPLICATION INFORMATION
What is the JOB SITE address?
Legal description as it appears on the property deed
LOT /4 BLOCK
ASSESSOR'S tax parcel number?
OWNER or OCCUPANT
Lanzce G. Douglass, Inc.
Mailing address
'815 E. Rosewood Ave.
l (G
L� S 2 1---) Z , /),(/'2
Phone
509-483-6532
City, state
Spokane, WA
Zip
99208-5507
Who should we contact regarding this protect?
Lanzce G. Douglass
Phone
509-483-6532
What work is being done under this permit?
Single Family
Inspector district
Hight of way width
Water district
***SEE ATTACHED:
ENERGY CALCULATIONS
Building
936 split'w/Rar side
Contractor
Lanzce G. Douglass. Inc.
WA State Contractor license #
LANZCGD072P5
Building height
# of stories
Dimensions
56x24
1
TOTAL SQUARE FOOTAGE
Mailing address
815 E. Rosewood Ave.
Main floor area
2nd floor area
0
1872
Unfinished basement area
—946— 104-40
"Finished basement area
ArchitecVEngineer
Independent Home Designs
What is the heat source?
fnrcd air
Garage area
0
Size of decks, etc.
120 Oover30"
What is the coat of your project?
at
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
tR&ocation
revious address
ontractor
Fire Safety
Paint bo
VALUE
ire Sprinkler _
SI'OKANtUOUNTY
Tent
Fireworks display _
Contractor
A State Contractor license #
ailing address
JUN 2 8 2002
Coactor license #
Mailing address
BUILDING AND CODE ENFORC
Fuel Storage Tanks
Swimming Pooh—
NT
(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.