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2004, 12-23 Permit App: 04009508 Residence Project Number: 04009508 Inv: 1 Application Date: 12/23/2004 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: LANZCE G DOUGLASS,INC NATURAL GAS Address: 8510 N CRESTLINE C-S -Z: SPOKANE,WA 99217- Setbacks: Front 36 Left: 30 Right: 10 Rear: 32 Phone: (509)483-6532 Group Name: Project Name: Site Information: Plat Key: Name: UNKNOWN District: East Parcel Number: 46354.4407 Block: 23 Lot: 7 SiteAddress: 14715 E QUEEN AVE Owner: Name: LANZCE G DOUGLASS,INC Address: 8510 N CRESTLINE Location::CSV SPOKANE,WA 99217- Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Site Plan Review Released BY: 01 v C„S-3 Plan Review eas y 4-4 r4 A By: 1 ed aCA Approach/Drainage Released By• \__ ssz Sewer Review Released By. . tfq Operator: K_C Printed By: K_C Print Date: 12/23/2004 Project Number: 04009508 Inv: 1 ikpplic ttion Date: 12/23/2004 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Item Description Units Unit Desc Fee Amount APPROACH INSPECTION 1 NUMBER OF $25.00 CONST IN ROW-APPROACH 1 NUMBER OF $25.00 Permit Total Fees: $50.00 Building Permit Contractor: LANZCE G DOUGLASS,INC Firm: LANCZE G DOUGLASS,INC Address: 1402 E MAGNESIUM Phone: (509)483-6532 co o SPOKANE,WA 99217 This Application: Total Project: Description Grp Type Notes Sa Ft Valuation Sq Ft Valuation BASEMENTU R-3 VB 1,132 $16,980.00 1,132 $16,980.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 660 $12,540.00 660 $12,540.00 RESIDENCE R-3 VB 1,132 $84,537.76 1,132 $84,537.76 Totals: 3,044 $115,857.76 3,044 $115,857.76 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,083.35 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $433.34 Permit Total Fees: $1,521.19 Mechanical Permit Contractor: LANZCE G DOUGLASS,INC Firm: LANCZE G DOUGLASS,INC coco Address: 1402 E MAGNESIUM Phone: (509)483-6532 SPOKANE,WA 99217 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $95.00 Operator: K_C Printed By: K_C Print Date: 12/23/2004 Project Number: 04009508 Inv: 1 Application Date: 12/23/2004 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: LANZCE G DOUGLASS,INC Firm: LANCZE G DOUGLASS,INC Address: 1402 E MAGNESIUM Phone: (509)483-6532 SPOKANE,WA 99217 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 3 NUMBER OF $18.00 SINKS 4 NUMBER OF $24.00 TUBS 3 NUMBER OF $18.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 CROSS CONNECTION DEVICES 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $108.00 Notes: Payment Summary »:. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,521.19 $1,521.19 $0.00 $1,521.19 Mechanical Permit $95.00 $95.00 $0.00 $95.00 Plumbing Permit $108.00 $108.00 $0.00 $108.00 $1,774.19 $1,774.19 $0.00 $1,774.19 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 woFk 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: K_C Printed By: K_C Print Date: 12/23/2004 1 V -1,-.1...,,-,,-,1 .V.- vV �+as, ` 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone i�7Spokltrlt:Val�ey,l^',� 99206 509-688-0037-Fax •Mechanical Permit Application PROJECT PERMTI ADDRESS: C... , ((-1 7 1 5- aje.P(\j" USE: OWNER:Z.:4 •-7 c- 6_ 00<_CT1A.55 Si\..C. PHONE(Daytime Contact): MAILING ADDRESS: 6 I4fjZ 4-1,5±n,2/v/!l spee."4. — - z/"7 (street) (city/state) (ZIP) CONTRACTOR L- �c C .- oc .:C-� 7::_,,,,. .GLIENS fi MAILING ADDRESS:... PHONE GI ss3--C.5--3Z /1..'- 3s-lo c c PcT- -I A:e s _..,41,/,-E7 Lc.4• 4 GIZ 1� (s ) (city/state) PP) DESCRIPTION OF WORK d OF UNITS1 I 1 COST EQUALS+ AMOUNT I FUEL BURNING APPLIANCE •OR a 100.00 I f X f1S - I 1 5- 2 2 FUEL BURNING APPLLANCE >100.00 ! X 519 I 111 UNLISTED APPLIANCE(ADDIITONAL FEE) -OR<AMO00 X S50 l uNLB'1ED APPLIANCE(ADDITIONAL FEE) >ro3.00 X SIM - USEDAPPLIAN7CR(WSECmIhAIYIEretn� .ar<100.000 X sin - 0 USED.MANCE(WSEC In M.AFIRE mins) >400000 X SIX 7 BOtLER/REFBIGERATION 1-100L[BTU X $15 • E BOPLER/REPE!CERAtION 131.500M STU X 528 ' 8oELER(REFRICELATION 531•t.000M BTU X 539 BoU EIUREFluGERARSON 1001-1.7536(BTU X SST • ®BOILER/REFRICERAI7ON .1750M ETU X 595 .. CCAS LOG CAS iris=CAS FIREPLACE X 510 ©' 510 8 DR1'FR sto FUEL BURNING WATER SEATER 510 EtmisC.FUEL EURNNG APDL 510 - GAS P1PIND(ea.OWN/ — / X $1 / X 513 ( , 19 VENTRATINGFANs — 4 X $10 1 440 . 20 AIR HANDLER(DORS NOT ba d.datum) -OR<10.003CFM X S12 - 21 APR HANDLER(DOES NOT Indudedadias) >10.000 CFM X 519 - t 22 PORAIIVECOOLERS - X 510 - 23 TYPEIE000 - X 550 MEM"El - u HOOD - X 29 MEAT PUMP/A1R CONDITIONER 0-3 TON x 26 AIR COND11r3Na 3-IS TON X 27 AIRCONDITIONER 1530 TON X 525 28 AIR CONDITIONER 3040 TON I X 535 29 APR CONDnIONER 50 TON X 560 30 LPO SIORAGETANK - X 510 • 91 WOOD OR PELLET STOVFI 1SERT — X ' $10 . 32 WOOD STOVE-FREESTANDING - X 525 [ - 1 _—...1 svgTOTAL• `5S hrerHOD OF PAYMENT _ PLUS PROCESSING FEB 535.00 MEWMg 1 TOTAL FERMI'FEE DUB i 7�:j— CI CASH ❑ aim( ❑ � 0 _- DATE: MCPI R r BANKCARD NUMBER: AUTHORIZED SIGNATURE p a '��sane�,��e� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone ` Spokane Valley,WA 99206 509-688-0037-Fax Plumbing Permit Application PROJECT PERMrr • ADDRESS: USE . OWNER: Th PHONE(Daytime Contact): MAILING ADDRESS (street) 40" (city/state) (ZIP) CONTRA.-at: . �� _ LICENSE 4: _ G,Qiv._,_c,. C .-c C...6-c4s S itis. MAILING ADDRESS: PHONE t: e 1407_ Alt9CNV sry i ( c-5,GrA - s,,e_AAEE' LAAO cZI 7 (street) (city/state) (ZIP) ' PLUMBING FDCTURES DESCREPITON DETAILS t OF UNITS X COST EQUALS AMOUNT I TOILETS WATER CU:SE,BIDETS _S X $ $6 - i Cj 2 URINALS X s6 . 3 TUBS 3 x S6 - E l 4 SHOWERS(PER TRAP) BATH,STALL ON.SrIEBUILT X $6 - 5 SINKS LAVS/BASINS,BAR,PLOOR,KITCHEN, LAUNDRY,U2iLITY,JANITOR,PHOTO,X. -, X 56 RAY,FOOD.PKPP/CUL1NARY/MEAT `� `q 6 DISHWASHER i X I $6 c 7 CLOTHES WASHER I X S6 C, _6 GARBAGE DISPOSAL I X $6 9 WATER SOFTENER X 56 - 10 ELECT.mar WATER TANK NOTE IF GAS,SEE MECHANICAL X 56 - 11 FLOOR DRAINS AREA.CASE.COT,TRENCH.CONDENSATE I X $6 - Ca u�FOUNTAtNS,DRINKLYG X $6 - 13 WATER PIPING/DRAIN•IN INSTALLATION,ALTERATION,REPAIR WASTE,VENT,PLUMBING REVERSALS X s6 _ REVERSAL 14 SEWAGE EJECTOR GRINDER.SUMP PUMP X 56 . 15 WATER USING DEVICE ICE AND/OR COFFEE MAMP.,HOSE BIB, STEAAER.PROOFER.CARBONATUR, X s6 - SWAACt COOLER 1 161 CROSSCONNECEION DEVICE VACUUM BREAKER.CHECK VALVE,AND R.P.B.PD.FOR VATS,TANKS,BOILERSX - 7sYRINKLER SYSCE 4 X $25 - 18 INTERCEPTORS ' GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X 19 MEDICAL GAS perm:det NITROUS,OXYGEN X T 56 - 20 MSC.PLUMBING FixTuRE X $6 - ~ SUBTOTAL• ZETHOD OP•PAYMENT PLUS PROCESSING FEE $35.00 3 CASH 0 CHECX ❑ - 0 • _- TOTAL PERMIT FEB DU-E] , , ATE EXPIRE& L ANKC.ARD NUMBER: UTHORIZFI]SIGNATURE: ** TOTAL PAGE.03 ** Lanzce G.Douglass. Inc , 8.15 E. Rosewood Ave._ Spokane WA 99208-5:50 7 House PIan: Address: . r L-,' ; �'_ 0...)-e�`�,s Bedrooms: Eecel: LOT —1 BLOCK 2 3 Baths: Development-. Svnvr,•er,=-e,t b eCtS../ Elevation_ Scale: I'=20' T , 1 '?15 ' , fr4 IOW . AILS. _ - ROAD WIDTH 3g 761.42,2` FRONT_, ..FLANKING FLANKING / ECOMMENTS REVIEWED : 7N' S . . ,A, :i/.. • ,/ I /01 • E = - 32' • ',le j -4 ,,ey 1 �d b /t`7 EO �V 3 0 she Thisplan is This a buildingbsubmitted for the purpose of obtapermit and is a true and Correct A'. e' `�✓ representationpro of the posal. Alt known property lines/dimensions,curb lines,structures and easements have been identified. Also indicated are wetlands, bodies of w , steep s . . or • r cry teal roes. N Signed: -P Date: