2001, 04-24 Permit App: 01002817 ResidenceProject Number: 01002817 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/24/01 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 20 Left: 6 Right: 10 Rear: 40
Site Information: geggsmegasammiggrom
Plat Key: 005862 Name: SHELLEY LAKE
WOMMOVRAIROMIM
Contact: LANZCE G DOUGLASS INC
Address: 815 E ROSEWOOD AVE
C - S - Z: SPOKANE, WA 99208
Phone: (509) 483-6532
Group Name:
Project Name:
District: F
Parcel Number: 45242.1508 Block: 5
SiteAddress: 522 S SONORA LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 8,552 Sq Ft Width: 78
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot: 8
Owner: Name:
Address:
LANZCE G DOUGLASS INC
815 E ROSEWOOD AVE
SPOKANE, WA 99208
Hold: ❑
Depth: 115 Right Of Way (ft): 30
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Plan Review
Approach / Drainage
UTILITIES Sewer Review
Hold Reasons: 22C1
Permit Conditions:
r
Permits:
Project Number: 01002817 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/24/01 Page 2 of 3
Building Permit
Contractor: LANZCE G DOUGLASS, INC Firm: LANZCE G DOUGLASS, INC
Address: 815 E ROSEWOOD AVE Phone: (509) 483-6532
SPOKANE, WA 99217
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height:
Bldg W x D: 40 x 49 Building Sq Ft: 2222 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Gra Type Notes So Ft Valuation So Ft Valuation
BASEMENTU R-3 VN 1,111 $12,843.16 1,111 $12,843.16
DECK R-3 VN 120 $883.20 120 $883.20
GARAGE U-1 VN 792 $9,504.00 792 $9,504.00
RESIDENCE R-3 VN 1,111 $68,882.00 1,111 $68,882.00
Stories: 1
Totals: 3,134 $92,112.36 3,134 $92,112.36
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
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
HOOD -TYPE II
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$848.75
$4.50
$186.73
$1,039.98
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
Permit Total Fees: $95.00
Project Number: 01002817 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/24/01 Page 3 of 3
Contractor:
Address:
GOLD SEAL MECHANICAL INC
5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
WATER USING DEVICES
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units
2
3
1
1
1
1
1
1
3
Printed By: CKF
Fee Amount
$1,039.98
$95.00
$84.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Invoice Amount
$1,039.98
$95.00
$ 84.00
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$84.00
4/24/01
Amount Owing
$1,039.98
$95.00
$84.00
$1,218.98
$1,218.98
$0.00
Notes:..,,
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE
FROM DIV. OF UTILITIES 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
$1,218.98
N
a
0
APPLICATION INFORMATION
What is the JOB SITE address?
- s Z c.�
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
LOT 15 BLOCK S Shj IICY Iz=�
L L/ 2-t
OWNER or OCCUPANT
Lanzce G. Douglass, Inc.
Mailing address
815 E. Rosewood Ave.
Phone
509-483-6532
City, state
Spokane, WA
Zip
99208-5507
Who should we contact regarding this project?
Lanzce G. Douglass
Phone
509-483-6532
What work is being done under this permit?
Single Family
Inspector district
Property size
Right of way width
***SEE ATTACHED
Building
1111 Rancher
Contractor
Lanzce G. Douglass, Inc.
WA State Contractor license #
LANZCGD072P5
ENERGY.CALCULATIONS
Building height
Dimensions
40x49
# of stories
TOTAL SQUARE FOOTAGE
2222
Main floor area
1 111
Mailing address
815 E. Rosewood Ave.
-2nd floor area
0
Architect/Engineer
Independent Home Designs
What is the heat source?
fnrr d air
Garage area
Unfinishednibasement area
inisFed basement area
0
Size of decks, etc.
120 Oover30"
What is the cost 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
Previous address
Contractor
WA State Contractor license #
Fire Safety
FI
Paint booth _ Fire
VALUE 464 •Ipip 9
Contract C
WA State Contractor licen
Mailing address
Mailing address
Tent
Fireworks display _
1'0
O6)OF�FNT
d
FuelStorage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-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 programs or activities.
Lanzce G. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
House Plan: 1111 Rancher Address: S . c- Zi sG,-) C V
Bedrooms: 2 Legal: LOTS BLOCK S --
Baths:
Baths: 2 Development: 5he-t Iev C.21=
Elevation: Scale: 1" = 2e 5
.0T
s w C12 50NOr2..
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. Ail • .wn prope-•
lines/dimensi. s, curb lines, st .� s and e .
have•.; ti . �r'�:I.
� �:4' ..
boli r, p o• s . r w er criti ureas.
" 1
Date:
-
C7 ? 'il
ADDRESS �� - '�-
ZONE
ROAD '1W'IDTH
FRONT FLANKING
COMMENTS
REVIEWED