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2001, 05-07 Permit App: 01003296 ResidenceProject Number: 01003296 Inv 1 Application Date: 5/7/01 Page 1 of 3 THIS 1S NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/AT I'ACHED GARAGE - FORCED Contact: HARLEY DOUGLASS Address: 8510 N CRESTLINE C - S - Z: SPOKANE WA 99217 Setbacks: Front 38 Left: 7 Right: 5 Rear: 20 Phone: (509) 487-9792 Group Nanie: Site Information: Project Name: AIR GAS Plat Key. 006070 Name: AUTUMN PLACE District: F Parcel Number: 45234.0000 Block: 1 SiteAddress: 1009 S NEWER CT VERADALE, WA USA 99037 Location.: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Area 11,969 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: 10 Owner: Name Address DOUGLASS, HARLEY C 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 36 Department BUILDING Hold Reasons: Permit Conditions: Review Site Plan Review Released B \Te BUILDING Plan Review Hold Reasons: Permit Conditions: Released By: Ann— ENGINEER nn — ENGINEER Approach / Drainage Bold Reasons: Permit Conditions. Released By: 5- 07-s/ UTILITIES Sewer Review Hold Reasons: ®N 3d 1 q Permit Conditions: Permits: Project Number: 01003296 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/7/01 Page 2 of 3 Building Permit 'Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC Address: 815 E ROSEWOOD AVE SPOKANE, WA 99208 Phone: (509) 487-9792 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 35 Stories: 1 Bldg W x D: 60 x 28 Building Sq Ft: 2442 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Su Ft Valuation Su Ft Valuation BASEMENT U R-3 VN 1,221 $14,114.76 1,221 $14,114.76 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 1,221 $75,702.00 1,221 $75,702 00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 3,042 $96,459.96 3,042 $96,459.96 Units Unit Desc 1 Y OR BLANK l Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $873.75 $4.50 $192.23 $1,070.48 Contractor: COMPLETE HEATING & SHEET Firm: COMPLETE HEATING & SHEET Address: PO BOX 3934 Phone: (509) 533-9528 SPOKANE, WA 99220 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 5 NUMBER OF 1 NUMBER OF Fee Amount $10.00 $12.00 $2.00 $50.00 $10.00 Permit Total Fees: $84.00 Project Number: 01003296 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date. 5/7/01 Contractor Address: GOLD SEAL MECHANICAL INC 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Payment Summarp• Operator: RMB Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Page 3 of 3 Firm: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Units Unit Desc 3 NUMBER OF 4 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $18.00 $6.00 $6.00 $6.00 $6.00 $12.00 $96.00 Printed By: RMB Fee Amount $1,070.48 $84.00 $96.00 Print Date: Invoice Amount $1,070.48 $84.00 $96.00 Amount Paid $0.00 $0.00 $0.00 5/7/01 Amount Owing $1,070A8 $84.00 $96.00 $1,250.48 $1,250.48 $0.00 [Votes• „ -.- $1,250.48 II APPLICATION -WORKSHEET General Information ob addreir- S looC (ltww Owner Harley C. Douglass Inc. Mailing address 815 E. Rosewood Phone 509-487-9792 City Spokane Slate Washington Up 99208 Site Information Legal Description Li. to 61k_ /0 ••••••• PICGV Property sae Water Uistnct it VFa. A Number ol:i. Uwelltnp Budding • Project Information Peniut Use - New Addition Remodel t.hangeof use 1 Buildin. Information Dwelling units 1 Occupant load Budding height Sia ries Other LBnildmgdmenstnns (nOXZS total square tootage X22 / Keq'dparkmg Hand cap park ng Spn klusyslem Cnt alMalelul City, state, zip Spokane Washington 99208 $enem footage breakdown am floor /2L 1 Uncovered / covered deck /2 l) Second Boor Other Finished basement License number Phone GOLDSM 290C4 509-924-3423 Unlmished basement 122 Gunge 4780 n ( Contractor Information' Heating and insulation information (It -values) Hal source G - vaulted ceiling 3 0 Hat ceding 3? L Below grade wall —0- Uoor (u -value) % Tho Window Above grade wall Slab on gado fluznS a 1-• ce elltoenry lotat W ndow arca Vt•IiolbVh 1 Ya of tloor area Budding contractor Harley C. Douglass Inc. Plumbing contractor g Gold_ Seal Mech 1 License number Phone HARLECD110PE 509-487-9792 License number Phone GOLDSM 290C4 509-924-3423 -Mailing address 815 E. Rosewood Mailing addressx 5524 E Boone City, state, zip Spokane Washington 99208 City, state, zip Spokane Washington 99212 Other! Lender Heating contractor Complete Heating License number COMPLHS 066 CP Phone 928-9876 License number Phone Mailing address 1934 Marshall Mailing address Lily. state. zip Spokane Washington 99207 City, state. zip PROJECT CONTACT Harley C. Douglass PHONE 509-487-9792 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 ADDRESS S. IOO9 McWeC ZONE ROAD WIDTH &( FRONT _3 COMMEN - > This site plan is being submitted for thepurpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified flo indicated are wetlands, bodies of water, steA6 dope or other critical areas. Signed: _ C Date y —0 Sgx`fo l0-S't 'ARLEY C DOUGLASS INC. 8510 N. CRESTLINE SPOKANE, WA 99217 Lt . 10 61 Ic I S. . 1005 NEWER