2002, 07-10 Permit App: 02005701 ResidenceProject Number: 02005701 Inv: 1
11111111.111,
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
Setbacks: Front 20 Left: 7 Right: 10 Rear: 40
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE
Parcel Number: 45242.1514 Block: 5
SiteAddress: 513 S MOORE LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 8,050 Sq Ft Width: 70
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Urban Residential 3.5
Review Information:
Review
Site Plan Review
Plan Review
Special Reviews
Approach / Drainage
Sewer Review
WW,MWMPmMM A -.M., :,M
Contact: LANZCE G DOUGLASS INC
Address: 815 E ROSEWOOD AVE
C - S - Z: SPOKANE, WA 99208-5507
Phone: (509) 483-6532
Group Name:
Project Name:
District: F
Lot: 14
Owner: Name: LANZCE G DOUGLASS INC
Address: 815 E ROSEWOOD AVE
SPOKANE, WA 99208-5507
Hold: ❑
Depth: 115 Right Of Way (ft): 30
Released By:
Released By:
*LeU645-- cat- "It -
Operator: CKF Printed By: CKF
Released By:
Released By:
tL�
Print Date: 7/10/02
Project Number: 02005701 Inv: 1
Permits:
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
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 1
Bldg W x D: 56 x 24 Building Sq Ft: 1872 Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Tvpe Notes Su Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 936 $11,512.80 936 $11,512.80
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 936 $61,776.00 936 $61,776.00
Building Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 2,472 $79,988.40 2,472 $79,988.40
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$767.50
$4.50
$168.85
$940.85
Contractor: DANCAR MECHANICAL INC. Finn: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD Phone: (509) 924-9921
GREENACRES, WA 99016
Item Description Units Unit Desc
GAS WATER HEATER 1 NUMBER OF
GAS APPLIANCE<=100,000BTU 1 NUMBER OF
GAS PIPING 3 # OF UNITS
VENTILATING FANS 4 NUMBER OF
CLOTHES DRYER 1 NUMBER OF
RANGE 1 NUMBER OF
GAS LOG OR GAS INSERT 1 NUMBER OF
HOOD -TYPE II 1 NUMBER OF
Operator: CKF gr nted By: CKF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$10.00
$105.00
Print Date: 7/10/02
Project Number: 02005701 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/02 Page 3 of 3
Plumbing Permit
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
TOILETS/BIDETS 3 NUMBER OF
SINKS 4 NUMBER OF
SHOWERS 1 NUMBER OF
TUBS 2 NUMBER OF
DISH WASHERS 1 NUMBER OF
GARBAGE DISPOSAL I NUMBER OF
CLOTHES WASHER 1 NUMBER OF
CROSS CONNECTION DEVICES 1 NUMBER OF
WATER USING DEVICES 3 NUMBER OF
Permit Total Fees:
Notes:
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$102.00
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
Disclaimer:
Fee Amount
$940.85
$105.00
$102.00
$1,147.85
Invoice Amount
$940.85
$105.00
$102.00
$1,147.85
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$940.85
$105.00
$102.00
$0.00 4.1,14/.85
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. Douglass, Inc.
House Plan:
Bedrooms:
Baths:
Elevation:
936 Split
2
815 E. Rosewood Ave., Spokane WA 99208-5507
Address: s.
Legal: LOT
Development:� BLOCK —
Scale: 7�lli
'
O� > 7O
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and c're t
representation of the proposal. All known pr
tinesldimensions, curb lines, structures and easements
have been id titled. Also indicated are wetlands
boli steep
r critical
Sig f
Cate:
ADDRESS S -
ZONE__.._-
ROAD WID_I I( F� ANKING_____
col IM Y. °v _M S
fEV1 .V I)
APPLICATION INFORMATION
What is the JOB SITE address?
4 - !'� lbw �_L � .._✓
Legal description as it appears on the property deed
1
OWNER or OCCUPANT
ASSESSOR'S tax parcel number?
Lanzce G. Douglass, Inc.
Mailing address
815 E. Rosewood Ave.
Phone
509-483-6532
L`fty, state
Spokane, WA
Zip
99208-5507
Who should we contact regarding thls project?
Lanzce G. Douglass
Phone
509-483-6532
What work is being done under this permit?
Single Family
***SEE ATTACHED.
ENERGY CALCULATIONS
Building
936 split'w/zar side
Contractor
Lanzce G. Douglass. Inc.
WA State Contractor license #
LANZCGD072P5
Budding height
Dimensions
56x24
Main floor area
iO5 '
# of stories
TOTAL SQUARE FOOTAGE
_1872
Unfinished basement area
Mailing address
815 E. Rosewood Ave.
2nd floor area
0
Finished basem n area
Architect/Engineer
Independent Home Designs
What is the heat source?
fnrrpri ai r
Garage area
0
Size of decks, etc.
120 Oover30"
a,
Vl
4-0
O.
a.)
What is the cost of yourject7
Manufactured Home
Sign,
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
REC��ivUUNTY
SPOK r.
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
JUN 282002
Relocation
Fire Safety BY:
CNFORC5MENT
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.