2002, 07-10 Permit App: 02005700 ResidenceProject Number: 02005700
Inv: 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/2002 Page 1 of 3
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED Contact: LANZCE DOUGLASS INC
AIR GAS
Setbacks: Front 20 Left: 5 Right: 5 Rear: 42
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE WA 99217-7718
Phone: (509) 483-6532
Group Name:
Project Name:
Parcel Number: 45242.1708 Block: 7
SiteAddress: 524 S MOORE LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 12,227 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Lot: 8
Owner: Name:
Address:
LANZCE G DOUGLASS INC
815 E ROSEWOOD AVE
SPOKANE, WA 99208-5507
Hold:
Depth: 0 Right Of Way (ft): 30
Review
Site Plait Review
e
Aa4C14
Released B3
-4 -0 a
Plan Review
Released Bv:
Special Reviews
Released By
1110
0 Vee -
Approach / Drainage
Sewer Review
Operator: RMB
Printed By: RMB
Print Date:
7/10/2002
Project Number: 02005700 Inv: 1
Permits:
Application
Date: 7/10/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contra
Addr;
r: UNKNOWN W
Z _
s: UNKNOWN
UNKNOWN, WA UNKNOWN
Building Cha
It-- _I
onst Category: New
Nbr
Bldg
Req Parking:
4
f Dwellings:
1 Oc oad:
Building Sq Ft:
0 Handicap Parking:
DescriptionGrp Type
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 Permit
Firm: UNKNOWN
Phone: (000) 000-0000
eristics
up: R-3 Type: VN
0 Building Height: 17 Stories: 1
2526 Sprinklers: 1
0 Critical Materials: L
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,263 $15,534.90 1,263 $15,534.90
120 $939.60 120 $939.60
792 $9,504.00 792 $9,504.00
1,263 $83,358.00 1,263 $83,358.00
Totals: 3,438 $109,336.50 3,438 $109,336.50
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
GAS LOG OR GAS INSERT
Fee Amount
$945.00
$4.50
$207.90
Permit Total Fees: $1,157.40
Mechanical Permit
Units
1
1
3
5
1
1
Operator: RMB Printed By: RMB
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$50.00
$10.00
$10.00
$95.00
Print Date: 7/10/2002
Project Number: 02005700 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/2002
Contractor: GOLD SEAL MECHANICAL INC
Address: 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
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
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
Notes
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILI I.IES
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
$1,157.40 $1,157.40
$95.00 $95.00
$108.00 $108.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,157.40
$95.00
$108.00
$1,360.40 $1,360.40 $0.00 $1,360.40
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
House Plan: 1263 Split
Bedrooms: 3
Baths: 3
Elevation:
Address: S - S.-'--/
Legal: LOT "S BLOCK �)
Development: 57-to-rlry
Scale: 1"6''
This 517�ra� is �r:, 7 r;ubm!"c;1 for the purpose of
obtaininbir,ldtr,y parrrdtand Is a true and correct
representation of the proposal. All known property
lines/dimensions, curb Vines, structures and easements
have been i _ntified. Also indica- , are
er wetlands,
bodi%e slope
er
Sic
Date
rn
N
D
N
a
APPLICATION INFORMATION
bcD- 5%41)
What is the JOB SITE E address?
i l
Legal description as it appears on the property deed
'LOT `73 BLOCK -72 e y
ASSESSOR'S tax parcel number?
OWNER or OCCUPANT
Lanzce G. Douglass, Inc.
Mailing address
'815 E. Rosewood Ave.
Who should we contact regarding this project?
,Lanzce G. Douglass
q&91 x'108
Phone
'509-483-6532
City, stale Zip
Spokane, WA 99208-5507
Phone ,
509-483-6532
What work Is being done under thls permit?
'Single Family
inspector district
TAC HED•:
Building height
# of stories
Contractor ,
f +
Lanzce G. Douglass. Inc.
WA State Contractor license # i
'LANZCGD072P5
Mailing address
815 E. Rosewood Ave.
IJlmenslons
68x35
TOAL'shUAIME Foot -AGE
2526
Main floor area
1263
2ndiloor area
0
Unfinished basement area
1263
Finished basement area
0
Architect/Engineer
iIndependent Home Designs
What Is the heat source?
fns rrr d M r gas
'Manufactured Home
Garage area
What In the cost of your project?
,
Size of decks, etc.
120 Oover31rt
5lgn
Width::
Length:
What Is the square footage of,
the sign tape) (
Now high is the sign?
Year:
Make:
netelier
Contractor
We State Contractor license #
Wd State Contractor, license #
Mailing address
Meiling address
Relocation
Previous address
j i
Fire Safety• F;> ..:::`..
c[FFire F--1- -ED Tent _
Paint boo(S! uNTNIfewortcs display _
•
VALUE
Contractor
WA State Contractor license #
Contractor
JUN 2 8 2002'
WA State ContrffCC,t I eeIeeeNti (. UUE ENFORCEMENT
Mailing address
•
Malting address
Fuel Stbrag� Tanks
Swimming Pool;;
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Publiclseml-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 programa or activities.