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1995, 12-18 Permit App: 95010430 Residence/ PROJECT NUMBER= 95010430 APPLICATIJN ****** THIS IS NOT A PERMIT DATE= 12/18/95 PAGE= 01 ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 614 S ST CHARLES ST ADDRESS= VERADALE WA 99037 PARCEL#= 45231.2130 PERMIT USE= RESIDENCE W/GARAGE - NATURAL GAS PLAT#= 005447 PLAT NAME= KALLAS ADDITION BLOCK= 1 LOT= 2 ZONE= UR -3.5 DIST#= F AREA= 00012240 F/A= F WIDTH= 74 DEPTH= 129 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= HARLEY DOUGLASS, INC STREET= 815 E ROSEWOOD AVE ADDRESS= SPOKANE WA 99208 CONTACT NAME= HARLEY / JOLENE PHONE= 509 487 9792 PHONE NUMBER= 509 487 9792 BUILDING SETBACKS: FRONT= 30 LEFT= 15 RIGHT= 6 REAR= 50+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN FEVIEW REQUIRED COMMENTS: a -t -A-- uk. e AL( c V .Lk ( V'e 0 24o!iS u ilkacct BUILDING SETBACK REVIEW REQUIRED COMMENTS: BUILDING COMMENTS: ENGINEER COMMENTS: SEWER PERMIT PENDING Gni c)• qts• /73 12,-a_s 44 v0•ccX, _ APPROACH/FLOOD PLAIN/DRAINAGE f ******************************* BUILDING PERMIT ******************************* CONTRACTOR= STREET= ADDRESS= NEW= DWELL UNITS= BLDG W X D = REQ PARKING= HARLEY C DOUGLASS INC 815 E ROSEWOOD AVE SPOKANE WA 99208 X REMODEL= 1 OCCUP. LD= 29 X 60 SQ FT= #HANDICAP= PHONE= 509 487 9792 ADDITION= CHANGE OF USE= BLDG HGT= 25 STORIES= 1 2320 SPRINKLER= N CRITICAL MAT= N PROJECT NUMBER= 95010430 APPLICATION DATE= 12/18/95 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1160 12760.00 GARAGE U-1 VN 400 4800.00 RESIDENCE R-3 VN 1160 67280.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 572.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 120.12 ******************************* 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 RANGE 1 10.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 2 2.00 DUCT SYSTEMS 1 10.00 VENTILATING FANS 3 30.00 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 3 18.00 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 BUILDING PERMIT MECHANICAL PRMT PLUMBING PERMIT FEE AMOUNT AMOUNT PAID AMOUNT OWING 696.62 .00 696.62 94.00 .00 94.00 90.00 .00 90.00 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER 880.62 .00 880.62 Qo n 0 APPLICATION INFORMATION 'What is the JOB SITE address? ASSESSOR'S tax parcel number? /c-/ Legal (- Legal description as It appears on the property deed OWNER or OCCUPANT A �� . ,ou/jCasS ,G . ailing address car ecioot) Who sho4ld we contact reg rdin project? O6– Phone (2J le/7— q2i City, state Zip 13A Phone 9106 What work ibeing done under this permit? Lone Water district Property size 1/,x.1 2 Building Contractor C. o�q} �a . WA State Contract license # ,71Z6 g Mandd� S E (Lb ! i oPP / 0SCk2a / --WDLa 97141 Architecf(6— gineer What is the heat source? Building height 2S1 0" Dimensions Main floor area II 60 # of stories TOTAL QUARE FOOTAGE 2ndlloor area O Unfinished basement area FinishasOement area Garage area Size of decks, tc. /lll4 What is the cost of your pro? Manufactured Home Width: Length: Make: Installer Wa State Contr. • .r license # Mailin. .dress Relocation Previous address Contractor Sign What Is the square footage of the sign face? How high Is the sign? Contractor Wa State Contractor li - se # Mailing ad. s WA State Contra license # Mailing mess Fire Safety Fire Sprinkler Paint booth Fire Alarm Tent Fireworks . . ay — VALUE Contractor WA State Contrac • icense # Mailin. • . ress Fuel Storage Tanks (Circle one) Above -ground Underground Contents of tank(s) Contractor Size / gallons Swimming Pool Size / gallons Private Contractor Public/semi-private Wa State Contract • ense # WA State Co . or license # Mailing a • : ess Mailin.: ddress COMPLETE ALL APPLICABLE INFORMATION N ._ DEPARTMENT OF LABOR AND i .QUSTRIES ,.THIS CERTIFIES THAT THE.PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A ia•f• Lir ? • • r . u.. -.?.;!--7,4:..v,4*, T[NEg,,gt . y ]h1' +•' : 4'.11t `HRL gp Yo'E ieerV6ATt ;a'9 iei 1,. 5/�9C ,I Aai.�Y • SPOKANE ••WA.-`� 9.9208 STATE OF WASHINGTON F625.052-000(3.92) ii.e•W .W.e l� �i�l1JlIJlJIJl.�I ?IJIIJJlI1 n J�� lJJ! 1/JJlJl% !n ltf. L_ DETACH TO DISPLAY CERTIFICATE__ 1 HARLEY C. DOUGLASS DO CERTIFY THAT THIS IS A COPY OF MY ORIGINAL CONTRACTORS LICENSE. '-9 � SIGN HARLEY C. DOUGLASS DATE STATE OF WASHINGTON COUtITY OF...-Spatkane I certify that I know or have selisfactcry evidence that _..Har1ey_C_Do_ugla55 is the ap(;c:Irod Lek:, we, and said person(s) acknow6:-dged that the she they) signed this instrument end acknowledged it to bt: this her their) free and volun- tary act for the uses and purposes mentioned in the instrument. Title 10-23-96 My appointment expires PLUMBING PERMIT APPLICATION I'ROJECI'ADDRESS: (/J S 57 Q.'it.etas OWNER: HARLEY C. DOUGLASS INC. 'PHONE: 509-487-9792 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208 (street) (city/state) CONTRACTOR: GOLD SEAL MECH. MAILING ADDRESS: (zip) LICENSE: GOLDSM 290C4 PHONE: 5.09-535-5944 5524 EAST BOONE SPOKANE WASHINGTON 99212 (street) (city/state) (zip) TcI. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- toner COST /UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS. BIDETS Z3 x S6 = $ /2-"2 B03 URINALS - x S6 = S B04 TUBS BATH. JACUZZL SPA. GARDEN b 3 O x S6 = $ /2. la BOS SHOWERS (per trap) BASE. STALL ON—SITE BUILD X S6 = $ "-- B06 SINKS LAVSBASINS, BAR. FLOOR. KITCHEN. LAUNDRY. UTILITY, JANITOR PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) X S6 = $ B07 DISHWASHER - 1 x $6 = $ 6 90 B08 CLOTHES WASHER - 1 x S6 = $ B09 GARBAGE DISPOSAUGRINDER - / x S6 = $ — B10 WATER SOFTENER - x S6 = $ B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank. see mechanical) X S6 = $ B12 FLOOR DRAINS AREA. CASE. COIL TRENCH. CONDENSATE x $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 = $ -- B14 FOUNTAINS, DRINKING - x $6 = $ B15 WATER PIPING/DRAIN-WASTE-VENT/ PLUMBING REVERSALS INSTALLATION, ALTERATION. REPAIR REVERSALS x S6 = $ B16 SEWAGE EJECTORS GRINDER SUMP PUMP x $6 = $ --' B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER HOSE BIB. STEAMER. PROOFER. CARBONATOR. SWAMP COOLERS 2 x $6 = $ B18 CROSS -CONNECTION DEVICES VACUUM BREAKERCHECK VALVE. AND R.P.B.P.D. FOR: VATS SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS x $6 = $ B19 INTERCEPTORS GREASE TRAP. SAND TRAP. CHEMICAL HOLDING TANK x $6 = $ — B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN X I $6 = $ — B21 MISCELLANEOUS FIXTURES x S6 = $ Spokane 1n96 NOTE: MINIMUM PERMIT FEE SIGNATURE. %TOTAL IS $35.00 Subtotal 3 0 PLUS: PROCESSING FEE $25.00 PERMIT FEE DUE $ SS°= County Division of Buildings W Rrnadwav Avenue • Snnlrane WA QQ96n PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMITCENTER TcI. No. (509) 456-3675 • Fax No. (509) 456-4703 • TDD No. (509) 324-3166 MECHANICAL PERMIT APPLICATION iPIZ.01ECl' ADDRESS: OWNER: HARLEY C. DOUGLASS INC. PHONE_: 509-487-9742 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANF WASHINLCTON 947 (18 (street) (city/state) mar CONTRACTOR: COMPLETE HEATING & SHEETMETAL LICENSE: COMP! HSAfrFrr- PIiONE: (Zip) MAILING ADDRESS: •. .. 1 city/state (zip) 1026 W. l3roadway ' Spokane, WA 992( 0 'I'cL No. (509' 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166 DESCRIPTION OF WORK # OF UNITS mum- rimoav COSI' /UNIT eeuwu AMOUNT FUEL BURNING APPLIANCE = or <100.000 512 - _ , B02 FUEL BURNING APPLIANCE >100.000 = 515 - ' B03 B04 CHARGE) = or <400.000 = 550 - _ —._ UNLISTED APPLIANCE (ADDITIONAL >400.000 = S100 - s --- UNLISTED APPLIANCE !ADDITIONAL CHARGE) B05 USED APPLIANCE (Must meet WSEC's min. AFUE rating) = or <400.000 = 550 - s ---- 1, B06 B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400.000 = 5100 - s , 1-100M BTU = S12 - s — B08 B09 BOILER/REFRIGERATION BOILER/REFRIGERATION 101-5OOM BTU = S20 - s B10 501-1.000M BTU = 525 - r BOILER/REFRIGERATION Loot -1.750M BTU = 535 - s B11 BOILER/REFRIGERATION B12 BOILER/REFRIGERATION +1.750M BTU = S60 - s B13 GAS LOG, GAS INSERT. AND/OR GAS FIREPLACE - 1 = S10 - s B14 RANGE - = S10 - : v B15 DRYER B16 FUEL BURNING WATER HEATER - 1 S10 - : I B17 MISCELLANEOUS FUEL BURNING APPLIANCE - = S10 - : B18 GAS PIPING (ea. outlet) - = Si _ , 2-tp B19 IDUCT SYSTEMS - / = S10 ..s /Q B20 VENTILATING FANS - 3 = S10 — s B21 AIR HANDLER (DOES NOT include duct systems) = or <10.000 CFM / i = 512 - s / Z Oo B22 AIR HANDLER (DOES NOT include duct systems) >10.000 CFM i . S15 - s 1323 COOLERS - = 510 - s EVAPORATIVE - 1 = S50 - s B24 TYPE I HOOD B25 TYPE II HOOD - l i = 510 - s B26 HEAT PUMP/AIR CONDITIONER o-5 TONS = S12 - s — B27 AIR CONDITIONER 6-15 TONS = S20 - s `-- B28 AIR CONDITIONER 16-30 TONS = S25 - s — B29 AIR CONDITIONER 31-50 TONS 1 = 535 - s B301AIR +50 TONS = S60 - s CONDITIONER - = S10 s _ B31 LPG STORAGE TANK - = 525 - s — STOVE/INSERT 1332 Spokane WOOD OR PELLET NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal 3 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT Fl E DUE S �� U� SIGNATURE:C- PLEASE MAKE SPOKANE CIIECKS PAYABLE TO: COUNTY PERMIT CENTER County Division of Buildings 1026 W. l3roadway ' Spokane, WA 992( 0 'I'cL No. (509' 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166 WATTSUN 5.4 1991 WA STP -TE ENERGY CODE COMPLIANCE RF-"vK I HOUSE ID: DOUGLAS FILE: C:\\21DG3424.WS 614 S. $t. Charles omeowner: Builder: Harley Douglas (509 )487-9792 Analyst: Jurisdiction: Utility: TAS City of Spokane WWF House Type: Single Family Floor Area: 2290 ft2 Weather Dat%I: Spokane, WA Climate Zone: 2 The PROPOSED design *COMPLIES* with 1991 WA State Energy Code. COMPONENT PERFORMANCE ENERGY BUDGET REFERENCE 471 11.96 PROPOSED 474 E3tu/hr-F 11.90 kWh/ft2-yr ?EFERENCE DESIGN Component Reference Value X 8G Wall 7' E3G Slab 7' On Grade Slab Floor Glazing k�15% Doors AG Wall C?iling, Attic Infiltration U-0.036 F-0.554 F-0.540 U-0.029 U-0.600 .600 U-0.400 U-0.062 U-0.031 ACH-0.350 Area = UA 526 18.9 70ft 38.8 64ft 34.6 268 7.8 343.5 2.06.1 40.0 16.0 1757 108.9 1284 39.8 15220f t3( 92.2) Reference UA 471 'ROPOSED DESIGN COMPONENTS Component Description Value X Area = UA 8G Wall BG Slab On Grade Slab On Grade Slab Floor RO Uninsulated 7' depth R10 R10 R30 4' vertical 2' horizontal w/TB vented Joist 16oc U-0.185 F-0 .434 F-0 .480 F-0.540 U-0.029 526 70ft 42ft 22ft 268 97.3 30.4 20.2 11.9 7.8 tens in parentheses not included in COMPONENT PERFORMANCE totals. + Denotes non-standard values - check calculation of thermal value. Page 1 VTTSUN 5.4 1991 WA STATE ENERGY COLD. LC't'rl-'LiANLt_ r.r-L'S. C:\\21DG3424.WS HOUSE ID: DOUGLAS Glazing @14% **2 glaze vinyl average u -value **2 -glaze vinyl patio 3/4" Doors **Metal Insulated Flush **Metal 1-3/4"urethane raised panel AG Wall R19 INT Lap Wood Cp.i.linq **R38 blown attic 6:12 STD baffled Infiltration Standard Air Sealing Struc Mass U-0.500 U-0.510 U-0.100 U-0.140 U-0.058 U-0 .029 ACH-0.350 236.5 118.3 84.0 42.8 19.0 1.9 21.0 2.9 1780 103.2 1284 37.2 15220f t.3 ( 92.2) Proposed UA Light Frame, Sheetrock walls M-- 3.000 Slab w/carpet w/pad, Sheetrock wall M- 5.000 EATING/COOLING/VENTILATING SYSTEMS Heating System Type: Make: Model: System Efficiency: Modified Efficiency: Design ACH: Design Load(at 66F dt): uct Losses(% Dsn Load) : Total Load: System Size: Average Annual Heat: Annual Cost: Ventilation System: Cooling System: SEER: sol i ng Load(at 12F dt) : System Size(%Over): Inual Cool Requirement: Solar Access: PROPOSED Gas Furnace unknown/ unknown/ 80 % 64 % e 0.60 42748 Btu/hr 9286 Btu/hr(22 % ) 52033 Btuihr 78000 Btu/hr (150%) 121 MBtu $ 677 Integrated w/Forced Air Furnace 0.0 (Ducted) 21216 Btu/hr 2.5 tons(@125 0 ) *** kWh/yr Partially Shaded 474 1284 3852 1006 5030 :OPOSED DUCT SYSTEM SUPPLY RETURN Location Avg Rvalue Vented crawlspace Attic or garage Surface Area R- 8.0 R- 8.0 Page 2 458.0 ft2 91.6 ft2 WATTSUN 5.4 1=;y1 WA b� -nt CIVCKaI �tJL tvi,r-y••�- HOUSE iD: DOUGLAS FILE: C:\\21DG3424.WS • ,LAZING ORIENTATION PROPOSED South 109.9ft2 Southeast . East 12.0 Northeast - PROPOSED North - 156.6ft2 Northwest . West 42.0 Southwest - 'anomic and energy consumption estimates are designed for comparative irposes only. Actual cost for heating will vary depending on weather -,nditions, occupant lifestyle and other factors. Page 3 SJWER CONNECTION Y.-CHMI"1' C/ - /llL( / APPLICATION FOhw1 PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Also note that sewer permits are valid for 12 months from the date of issuance. No extensions will be granted. PROJECT INFORMATION Job address: Dry Line c;/-/- , rol,Ic Sewer? (Y/N) City: tk,ep.o o i 6 W a . Zip: g92.15?, Parcel number (irknow„ ): Owner's name: ac -Lev City/State._etc/? to Zip: 99,249/, Phone: First-time contractors or home -owners performing the installation must first contact the utilities department (in person or via phone (456-36041) before a permit can be issued. Name of Utilities Division person contacted: CONTRACTOR INFORMATION C tractor (company na e): si ness address: l� om. o. 2877' o k /J/ City/State: Zip: State contractor license number: lE- ie2C Utilities installers permit number: INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one Fill out the information in the table below if applicable** Contractor (if different from above): Phone: Business Address: City/State/Zip: *4,', For plumbing reversal fee information, see reverse side of this form. Sewer Connection: Number of Buildings FEE INFORMATION d0 X (times) S50 (per bldg) = $ TOTAL FEE * One permit required for each separate building, shop, garage, etc., that will be connected to the sewer. * Condos, townhouses, & 2- 3- and 4-plexes require 1 permit per address/stub. * Multiple buildings (apartments, industrial complexes) require 1 permit per building. (For situations n cov ed here, call I t e County Utilities Division ® -156-360.1) APPLICANT SIGNATURE: \-YV Date: JZ S •okane Coun Division of Buildings West 1026 Broadway Avenue * Spokane, Washington 99260 PHONE: (509) 456-3675 * FAX: (509) 324-3198 * TDD: (509) 324-3166 Spokane County does not discriminate on the basis at disability in the admtssion to, or treatment or employment in, its programs or activities. 'as% Pik ADDRESS S I r-1- r1 �s ZONE A .5 ROAD WIDTH: Kr7 FRONT' c3f:' FLANKING:_._.._.__ COMMENTS. REVIEWED BY C /11=-00)-0" 6/v1c. s7t Chat1 s L712 B/lc / A4/7o5 HARLEY C. DOUGLASS INCL E 815 ROSEWOOD AV SPOKANE, WA 99208-552