1995, 05-05 Permit App: 95003023 ResidencePROJECT NUMBER= 95003023 APPLICATION'
5-Y-15
DATE= M/05/95 PAGE= 01
****** THIS IS NOT- PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16143 E RADCO DR PARCEL#= 45252.9059PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 005379 PLAT NAME= RIDGEMONT ESTATES NORTH 4TH AD
BLOCK= 1 LOT= 13 ZONE= UR -3.5 DIST#= F
AREA= F/A= F WIDTH= 80 DEPTH= 130 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= DOUGLASS, HARLEY
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME.= JOLENE
BUILDING SETBACKS: FRONT= 32 LEFT= 12 RIGHT= 28 REAR= 53
PHONE= 509 487 9792
PHONE NUMBER= 509 487 9792
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
BUILDING SEWER PERMIT PENDING /ZOGl.) semise /1907 41.-C/ AKA- ! ,LE
ENTS:
a:15b 11LLLg Wet. ilL4114
+1t)ROAC ODP AIN DRAINAGE 3751l
[r
COMMENTS $ Q .1 - �)',%v AJ7 /
******************************* BUILDING PERMIT *******************************
CONTRACTOR= HARLEY C DOUGLASS INC
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
PHONE= 509 487 9792
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 32 STORIES= 2
BLDG W X D = 40 X 42 SQ FT= 1969 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 95003023 APPLICATION DATE= 05/05/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 833 9163.00
GARAGE M-1 VN 400 4800.00
RESIDENCE R-3 VN 833 48314.00
2ND FLOOR R-3 VN 1136 62480.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 727.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 130.86
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= COMPLETE HEATING & SHEET METAL PHONE= 509 533 9528
STREET= 1934 E MARSHALL ST
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 4 4.00
VENTILATING FANS 4 40.00
AIR HANDLER <=10,000 CFM 1 12.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= GOLD SEAL MECHANICAL INC
STREET= 5524 E BOONE AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PHONE= 509 535 5944
QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18.00
TUBS 2 12.00
SINKS 4 24.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
WATER USING DEVICES 2 12.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 862.36 .00 862.36
MECHANICAL PRMT 108.00 .00 108.00
PLUMBING PERMIT 84.00 .00 84.00
1054.36
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 1054.36
\Khat Is the JOB SITE address?
16143 E. Radco Crt.
APPLICATION INFORMATION of
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
L13 B1 Ridqemont Estates North 4th Add.
OWNER or OCCUPANT
11Bailing
6 67/ . ,l�ouq Lass i1/G
address J
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Whd we contact reg rdin project?
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Phone
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City, state -/
IJA
Phone
9/06
What work
Lone
Water district
0
eing done under this permit?
NCLO Om, o f/2A
property size
Building
Contractor
AZLc2e
State Contract r
C. leice lass G .
ens
WA license #
//pLEd �1opaig a dress /,
S,CIL9nr)b 5110ta.,c97,7-611
Architec Engineer
What is the heat source?
Manufactured Home
Width:
Building height
3
Dimensions
vciz�
Main floor area
S
2nd floor ar3 3
13Co
Garage area
i
(�
# of stories
Z
TOTAL SQUARE FOOTAGE
Iq(49
t
Unfinished basement area
833
Finished basement area
Size of decks, etc.
What is ,ecost
f your project?
o,o .-" ICO_Ok_dtiS
Length:
Make:
Installer
Wa State Contr. • •r License #
Mailin. ".dress
Sign'
What is the square footage of
the sign face?
Contractor
Wa State Contractor II #
Mailing ad ke s
How high Is the sign?
1
Relocation
Previous address
Contractor
WA State Contralicense #
Mailing mess
Fire Safety
Fire Sprinkler
Paint booth Fire Alarm
VALUE
Contractor
Tent
Fireworks • • ay _
WA State Contrac • cense #
Matlinddiess
Fuel Storage Tanks
(Circle one) Above -ground Underground
Contents of lank(s)
Contractor
Wa State Contract ense #
Mailing amass
Size / gallons
Swimming Pool
Size / gallons
Private
Contractor
Public/semi-private
WA State Co or license 1
Mailin.: ddress
COMPLETE ALL APPLICABLE INFORMATION
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I_ DETACH TO DISPLAY CERTIFICATE i
1 HARLE C. DOUGLASS CERTIFY :THAT THIS IS A TRUE COPY OF MY
ORIGI ,GENERAL CONTRACTORS LICENSE.
H RL C. DOUGLASS
STATE OF WASHINGTON
ss.
COUNTY OF
SPOKANE
I certify that I know or have satisfactory evidence that
HARLEY C. DOUGLASS is thc
person(s) who appeared before rne, and said person(s)
acknowledged that (he/she/they) signed this instrument and
acknowledged it to be (his/her/their) free and voluntary act for
the uses and purposes mentioned in thc instrument.
(SEAL OR STAMP)
Form 3159 (Washington)
Title
10/23/96
My appointment expire:
86'
Ae jeASS
4)646 ,
k -44E , 9920
(5C9) 489- q74 2,,
43 .
ADDRESS: • E. /61143
ZONE:
ROAD WON
FRoNT : 3
COMMENTS'
REVIEWED
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