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2002, 04-16 Permit App: 02002625 ResidenceProject Number: 02002625 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/16/02 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 20 Left: 7 Right: 7 Rear: 38 Site Information: Plat Key: 005862 Name: SHELLEY LAKE Contact: LANZCE G DOUGLASS, INC Address: 815 E ROSEWOOD AVE C - S - Z: SPOKANE WA 99208 Phone: (509) 483-6532 Group Name: Project Name: Parcel Number: 45242.1515 Block: 5 Lot: 15 District: F SiteAddress: 509 S MOORE LN Owner: Name: LANZCE G DOUGLASS, INC VERADALE, WA USA 99037 Address: 815 E ROSEWOOD AVE Location:: VER SPOKANE WA 99208 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 8,050 Sq Ft Width: 70 Depth: 115 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Approach / Drainage Sewer Review I Released By: 4_7-7 7 Released By Permits: :. Operator: JAS Printed By: JAS Print Date: 4/16/02 Project Number: 02002625 Inv: 1 Application THIS IS NOT APERMIT Penalties will be assessed for commencing work without a permit Date: 4/16/02 Page 2 of 3 Building Permit Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC Address: 8510 N CRESTLINE Phone: (509) 483-6532 SPOKANE, WA 99217 Const Category: New Nbr Of Dwellings: 1 Occupant Load: Bldg W x D: 56 x 24 Building Sq Ft: Req Parking: Handicap Parking: Building Characteristics Group: R-3 Type: VN Building Height: Stories: 1 1872 Sprinklers: Critical Materials: This Application: Total Project: Description Grp Type Notes Sci Ft Valuation Sq Ft Valuation BASEMENTU R-3 VN 936 $10,820.16 936 $10,820.16 DECK R-3 VN 120 $883.20 120 $883.20 GARAGE U-1 VN 480 $5,760.00 480 $5,760.00 RESIDENCE R-3 VN 936 $58,032.00 936 $58,032.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 2,472 $75,495.36 2,472 $75,495.36 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 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $742.50 $4.50 $163.35 $910.35 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 Operator: JAS Printed By: JAS Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $85.00 4/16/02 Project Number: 02002625 Inv: 1 Contractor: Address: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/16/02 Page 3 of 3 GOLD SEAL MECHANICAL INC 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER CROSS CONNECTION DEVICES WATER USING DEVICES Plumbing Permit Firm: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Units 2 3 1 1 1 1 1 3 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $18.00 $6.00 $6.00 $ 6.00 $6.00 $6.00 $18.00 $78.00 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 $910.35 $85.00 $78.00 Invoice Amount $910.35 $85.00 $78.00 $1,073.35 $1,073.35 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $910.35 $85.00 $78.00 $1,073.35 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: JAS Printed By: JAS Print Date: 4/16/02 Lanzce G. Douglass, Inc. House Plan: Bedrooms: Baths: Elevation: 936 Split 2 2 Se of then r�0ct mated tor -2 cecce b ectY s c�� `` � n9 ,, � mems ThiS ) r,7\'‘7;\ ;5e r ai tPt^ �C+ )e"'N reDtee1n �t,©n Oct aceas. much have rner\ avnt\t\ed :,' J y cc jrJ;.. hbaoaie?o,,;,tec, steep /' ��i •� S\aned. pate 815 E. Rosewood Ave., Spokane WA 99208-5507 Address: 5 - Legal: -Legal: LOT /S -BLOCK Z Development: Scale: 1" APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? Legal description as it appears on the property deed LOT A, BLOCK OWNER or OCCUPANT `Lanzce G. Douglass, Inc. Mailing address '815 E. Rosewood Ave. � 1 qSD4D f j hon ,7) 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 Inspector district. Water district. ***SEE ATTACHED ENERGY CALCULATIONS Building 93'6 'split vulgar side! Contractor Lanzce G. Douglass. Inc. WA State Contractor license # LANZCGD072P5 Building height Dimensions 56x24 # of stories 1 TOTAL SQUARE FOOTAGE 1872 Main floor area 936 Mailing address 815 E. Rosewood Ave. 2nd floor area 0 Architect/Engineer 'Independent Home Designs What is the heat source/ fnvt' c1 air Garage area 480 Unfinished basement area 936 Finished basement area 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 face7 How high is the sign/ Year: Make: Installer Contractor N a We State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Paint booth _ Fire Alarm _ Tent Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel Storage 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.