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2002, 10-29 Permit App: 02009648 Residence
Project Number: 02009648 Inv: 1 Application Date: 10/29/2002 • THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Contact: DOUGLASS, LANZCE Address: 8510 N CRESTLINE C - S - Z: SPOKANE, WA 99217 Setbacks: Front 36 Left: 36 Right: 5 Rear: 20 Phone: (509) 483-6532 Group Name: Site Information: Project Name: .................................................................... .. Plat Key: 006306 Name: SUMMERFIELD EAST 4TH ADD District: H Parcel Number: 46354.9050 Block: 21 SiteAddress: 14806 E QUEEN RD SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Area: 12,139 Sq Ft Width: 105 Depth: 122 Right Of Way (ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: :. Lot: 1 Owner: Name: DOUGLASS, LANZCE Address: 8510 N CRESTLINE SPOKANE, WA 99217 Hold: ❑ Page 1 of 3 Review Site Plan Review Plan Review -2, I / 1/v t— I€eleasecl By:'` • Approach / Draina e NOM tri c,1•4JACtik oaF�cJ poS eleased Flood plain Released By: to 6A .150 iO4 Sewer Review OD- -Ze_le) Released By: *-+ Operator: JAS Printed By: JAS Print Date: 10/29/2002 ta-a9-oa, Project Number: 02009648 Permits: Inv: 1 Application' THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/29/2002 Page 2 of 3 Contractor: LANZCE G DOUGLASS, INC Address: 8510 N CRESTLINE SPOKANE, WA 99217 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description BASEMENT U DECK GARAGE RESIDENCE R-3 R-3 U-1 R-3 Building Permit Firm: LANCZE G DOUGLASS, INC Phone: (509) 483-6532 Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Type VN VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes Type: Building Height: Sprinklers: El Critical Materials: El This Application: So Ft Valuation 1,148 $14,120.40 120 $939.60 792 $9,504.00 1,148 $75,768.00 Totals: 3,208 $100,332.00 Units 1 1 1 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 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Stories: Total Project: Su Ft Valuation 1,148 $14,120.40 120 $939.60 792 $9,504.00 1,148 $75,768.00 3,208 $100,332.00 Fee Amount $900.00 $4.50 $198.00 Permit Total Fees: $1,102.50 Mechanical Permit Units 1 1 3 4 1 1 Operator: JAS Printed By: JAS 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: Print Date: Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $85.00 10/29/2002 Project Number: 02009648 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/29/2002 Contractor: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER CROSS CONNECTION DEVICES WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 2 3 1 1 1 1 1 3 Fee Amount $1,102.50 $85.00 $78.00 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 Permit Total Fees: Invoice Amount $1,102.50 $85.00 $78.00 $1,265.50 $1,265.50 Fee Amount $12.00 $18.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $78.00 Amount Owing $1,102.50 $85.00 $78.00 $0.00 $1,265.50 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 10/29/2002 APPLICATION INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. What is the JOB SI1 E address?(</*fir , /ASSESSOR'S tax parcel number? / `'tet (5 c �/G �! V Legal description as it appears on the property deed e' . 1 Jodi -' — ► Aar.– .----- r—'— r,. 0/ OWNER or OCCUPANT Phone Lanzce G. Douglass, Inc. 509-483-6532 Mailing address City, state Zip '815 E. Rosewood Ave. Spokane, WA 99208-5507 Who should we contact regarding this project? Phone Lanzce G. Douglass 509-483-6532 What work is being done under this permit? Single Family Lone Inspector district Property size Right of way width i Water district • ***SEE ATTACHED ENERGY CALCULATIONS*** i Building 936 split w/gar side Building height # of stories 1 Contractor Lanzce G. Douglass, Inc.464E24 Dimensions 11DX6' Main floor area 936 11143 TOTAL SQUARE FOOTAGE 229 (0. 1©72 Unfinished basement area --93-6 )1({S WA State Contractor license # LANZCGD072P5 Mailing address 815 E. Rosewood Ave. 2nd -floor area 0 Finished basement area 0 Architect/EngineerGarage Independent Home Designs area Lr8$' 7f1 Size of decks, etc. 120 Oover30" What is the heat source? { nr('Pd air What is the coat of your project? 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 Relocation Fire Safety Previous address Fire Sprinkler Tent _ _ Paint booth Fire Alarm 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 Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address —...-...--,.- „. , nnn If' ADI c mirnPnnATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. S P CD K A N E UTn.rrIFS DIVISION N. Bruce Rawls, P.E. Utilities Directnr C O U N T Y" A DIVISION OF THE PUBLIC WORKS DEPARTMENT Gary Oberg, Director GENERAL FACIUTIES CHARGE (GFC) PAYMENT OPTION SELECTION RECORD PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Date: /0 -7-S-- --Z-- Plat .Plat Name: � fP,,,Cfes( (4) Lot No(s): / Block No(s): Z% U(�-it A...pp. Site Address(es): e, 14-rEcc 6A.4c / Parcel No(s): 146,35-4 .°10577.23 Owner Name: OR Builder Name: i�____- PRINT Owner's Name PRINT Builder's Name Payment Option Selected (Check One): 1. ( ) GFC payment received at issuance of Sewer Connection Permit by Division of Utilities 2. ) GFC to be:paid at closing, at the GFC rate in effect at the time of dosing. 3. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account. Complete one of the following statements. a_ Owner's Statement: I, understand that 1 will be billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added to my monthly sewer service charges. b. Builder's Statement I, , understand that because I am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as billing commences. Special Conditions: ( ) No ( ) Yes — See Reverse Side of Form Spokane County, Division of Utilities 1026 W. Broadway • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 324-3166 GFC Payment Option Form Revised 03/06/00 -90 RIGHT OF WAY s.< '27' �� STA: 17+52 16.5 �A INSTALL TYPE 1 L STA: 17+60.0 23.7' R CURB INLET EL=2034.16 INSTALL TYPE 1 18+00 CATCH BASIN 1 RIM=2033.90 --I QUEEN AVE. IE OUT=2031.40 + TYPE B CURB ,P. `�08 0 ••008 + 85.75' _+ w 0 NI - cc 0 m Lu~ ow Lu BOUNDARY SWALE SI • E ALK 10' WIDE EASEMENT FOR UTILITIES '0 6.0 c 01 (Ni ING SETBAC Z3 PT I i STA: 13+50.0 : 24.1 L lm jINSTALL TYPE A p0I DRYWELL. I 11=1 RIM=2034.50 io I rT► 105.22 PLAT BOUNDARY Tr, �,:no s._r mtted for lh u�. jr pose of r repr anti a . and correct osentpncn of mo prososo. All n fine ,ii ;. cu ' r,c � i property ha�vr ;,J �r: s cements ,� bod ,f r,psteep srre.es or other c[ c ,i areas. sane d• 41/ f.i 13' WIDE BORDER EASEMENT SCALE: 1 "=30' STA: 13+25 1 L INSTALL TYPE 1 CURB INLET EL=2034.83 c� �m co 0 0 "73 CC1 0 C N LOT 1, BLOCK 21 SUMMERFIELD EAST 4th ADD. ENGINEERS o SURVEYORS 1220 N. HOWARD Sr. FAX SPOKANE.03) w328-0423 (008) 328-8133 101 nWN RD. ID 83001 748-3820 744-2881 Flwx722t A iii