1993, 09-16 Permit App: 93008470 Residence PROJECT NUMBER= 93008470 APPLICATION DATE= 09/16/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1701 S TIMBERLANE DR PARCEL#= 45252 . 9048PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 005273 PLAT NAME= RIDGEMONT ESTATES NORTH 1ST AD
BLOCK= 2 LOT= 1 ZONE= UR-3.5 DIST#= F
AREA= F/A= F WIDTH= 80 DEPTH= 125 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= DOUGLASS, HARLEY PHONE= 509 487 9792
STREET= 815 E ROSEWOOD AVE
ADDRESS= SOKANE WA 99208
CONTACT NAME= HARLEY DOUGLASS PHONE NUMBER= 509 487 9792
BUILDING SETBACKS: FRONT= 30 LEFT= 30 RIGHT= 5 REAR= 39
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR - R BURRIS Q*, See ptT7"ACWeo
COMMENTS: ��- '' ��t/1A cl- I{CY-c
it
//
BUILDING PLAN REVIEW REQUIRED C__ -?( �, }
COMMENTS: ()c"( /A'//i' 5 e ,4 r
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
BUILDING SEWER PERMIT PENDING 5 "Gt)P_ Pee/t+( IT
t
COMMENTS: J PAID FnF-. 7
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 91X1 113 FNA? Ae_i &di
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= HARLEY C DOUGLASS INC PHONE= 509 487 9792
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
NEW= X REMODEL= ADDITION= CHANGE OF USE=
PROJECT NUMBER= 93008470 APPLICATION DATE= 09/16/93 PAGE= 02
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 24 STORIES= 2
BLDG W X D = X SQ FT= 1551 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE 3Q FT VALUATION
BASEMENT U R-3 VN 1051 11561 . 00
DECK R-3 VN 120 600. 00
GARAGE M-1 VN 480 3840. 00
RESIDENCE R-3 VN 1051 56754 . 00
2ND FLOOR R-3 VN 500 13500.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 581 . 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 104 .58
RADON MONITOR 1 12 .57
SALES TAX 1 1. 01
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= AIRE VALLEY HEATING & COOLING PHONE= 509 924 0018
STREET= 521 N ELLA RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE<=100, 000BTU 1 12 . 00
GAS LOG OR GAS INSERT 1 10. 00
GAS WATER HEATER 1 10 . 00
GAS PIPING 4 4 . 00
VENTILATING FANS 5 50 . 00
***************************** PLUMBING PJRMIT ******************************
CONTRACTOR= GOLD SEAL MECHANICAL INC PHONE= 509 535 5944
STREET= 5524 E BOONE AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18 . 00
TUBS 2 12 . 00
SHOWERS 2 12 . 00
SINKS 6 36. 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
CROSS CONNECTION DEVICES 2 12 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
cp3
1_ APPLICATION WORKSHEI T -8q10
General Information y
LJobZi dress —" -- Z'arce rap er
a . /7 )/ -----77- '-/ Z(jtL/41/V6-1-7
-owneHARLEY C. DOUGLASS, INC. Phone i
(509)487-9792
Malin .dd815 ROSEWOOD
City State Zip
SPOKANE WA 99208
Site Information
Leg
i .A(4 /toil i 7-i=d7G- A/O/ %/-1 //AA r 7"i o.C/
11 -6Lk Z
-Property size W t District NumberoL DwellingsBuildings
V r T /c-4i 7,e.
zone pu tot Hoadwtdth
Project Information ii
Permit Use NewX Addition Remodel Change of use 1
E5/ 4-01-7/i-I L
Building Information II •
Dwelling units Occupant load Building height Stories I
/ o t en
Building dimensions Total square ootage Req'd parking Handicap parking Sprinkler system Critical Material
/i, ---Z--/
N.
Square footage breakdown i Heating and insulation information (R-values) .
Main floor Uncovered/covered deck Heat source ,_--
I
/ / /2 'X(e/ A5 1—cie/1, 1c
Secondlloor Other Plat ceiling Vaulted ceiling Above gndewall Ng7-5ar1
Finished basementBelow grade wall t Slabo grade
/ lU
Unfinished basement , boor u-va ue ` in.ow •urnace e t«ncy
/off/
C,ange lotal window area %of Moor area
Contractor Information 1
Budding contractor r
um ng contractor 1
HARLEY C. DOUGLASS, INC. GOLD SEAL MECHANCIAL
License number Phone License number Phone
HARLECD110PE 487-9792 GOLDSM 290C4 (509)535-5944
Mailing address Mailing address
E. 815 ROSEWOOD E 5524 BOONE
Gly stale zi City,state,zip
�POIl'ANE WA 99208 SFOKANE WA 99212
I[eating contractor Other/Lender
AIRE VALLEY HEATING
-License num eb i Phone License number Phone
AIREVH11410H (509)924-0018
ailing address Mailing address
N. 521 ELLA RD
City,slate,zip City,state,zip
SPOKANE WA 99212
PROJECT CONTACT' 1'IIONE
HARLEY DOUGLASS 487-9792
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
PLUMBING PERMIT APPLICATION
PROJL•CF ADDRESS: . /7 ( -)7._6".___i___/-d Alt:-
OWNER: 1-1/q,eLe7
lt:-OWNER: 1-1/q,eLe7 e. .ougcA/C> . PI-IONE SO`� -
__ I � X87 9792
MAILING ADDRESS: E C) /5.-- 6-c0 L y5j-POkANE L)Pi e
(street) (city/state) (zip)
CON RACTOR:
D(J)SEA L. /kkC,I--J/aAl iCA1_, :,L Al e_, . LICENSE: GDUZ•5/31 2{10C 4
PHONE(509J 6:35-- 6z)(7/5/
MAILING ADDRESS: 6-5-24 ••
(street) (city/state) (ziP)
-PLUMBING FIX'T'URES #OF mum- -`OST
DESCRIPTION I DETAIL UNITS wen or /UNIT
TOILETS �� AMOUNT
WATER CLOSETS.BIDETS x $6 = $
3 URINALS
- [ z $6 = S
B04 TUBS BATH,JACUZZI.SPA.GARDEN . $6 = $
B05 SHOWERS(per trap) BASE,STALL,ON—S[I'BBump 2, tTl $6 = S
1306 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 •- S
LAUNDRY,UTILITY,JANITOR,PHOTO,
X—RAY,FOOD(PREP/CULINARY/MEAT) (Q . .
B07 DISHWASHER -
/ x $6`" . $
DOS CLOTHES WASHER - x $6 .= S
I309 GARBAGE DISPOSAL/GRINDER - / x $6 = $
I1 C WATER SOFTENER - x $6 = S
MI ELECTRIC HOT WATER TANKS (NOTE: hk,
gat water task meths kaq x $6 = $
B;)2 FLOOR DRAINS AREA.CASE,COIL,TRENCLI,CONDENSATE x $6 = $
—
B...0 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 _ = $
B.14 FOUNTAINS,DRINKING - x 56 _$
1315 WATER PIPING/DRAIN-WASTE-VENT INSTALLATION.ALTERATION OR REPAIR x $6 = $ •'
1316 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = S
117 WATER USINGDEVICTS ICE AND/OR COFFEE MAKER, x $6 = $
gi HOSE BIB,STEAMER,PROOFER.
"• '`:';
CARBONATOR SWAMI'COOLERS I —
B18 CROSS-CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE, ., 1 S6 = S
i
AND R.P.B.P.D.POR:VATS.SUMPS,
TANKS.BOILERS.St SPRINKLER SYSTEMS
13).9 INTERCEPTORS GREASE TRAP.SAND TRAP. x $6 = $
CHEMICAL I IOLDINO TANK
100 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN X $6 = $
X1321 MISCELLANEOUS FIXTURES x $6 = S . ~
rSubtotal
NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE IS
SIGNATURE
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675
MECHANICAL PERMIT APPLICATION
PRO.IECt' ADDRESS:
/, 509 '.`-- "7J
OWNER: A/f1 K ETZ, '• _40 --,LSS PHONE:
MAILING ADDRESS: /S j<2,0�-CI()DOf\ Y_ 1POkN/>[67, /-0A IZOg
(street) (city/state) (Zip)
CONTRACTOR:/11 VALL:C7/ /c �� � �T/ . LICENSE: 41/e, �
E-'0-41-:74
r( / y\ PHONE: (509D 9 - co/5
MAILING ADDRESS:/ .6--
MAILING ELL -?U 7b- k NE- �fl ci92/L
(street) (city/state) (Zip)
Will* AM*
B02 FUEL BURNING APPLIANCE =or<100,000 $12 -
B03':FUEL BURNING APPLIANCE >too,000 J . $15 - t
ii 4'UNLISTED FUEL BURNING APPLIANCE =or<400,000 $50 - 1
13C UNLISTED FUEL BURNING APPLIANCE >400.000 $100 - ,
B.0b USED APPLIANCE ust meet WSECs min.AFUE ratin; =or<400.)00 , $50 - t
I307 USED APPLIANCE ust meet WSECs min.AFUE rating)
>400.000 $100 - t
Bdai BOILER/REFRIGERATION 1-100M BTU . $12 - t
1369:.BOILER/REFRIGERATION 10t-500M BTU $20 - t
130`BOILER/REFRIGERATION S0t-1.000M BTU , $25 - t
Blt BOILER/REFRIGERATION toot-1.750M BTU $35 -
I3i2 BOILER/REFRIGERATION +1.750M BTU $60 - t
Bt1.3 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - / • $10 - t
1314.:RANGE - / $10 -
Ii15 DRYER - . $10 -
131' FUEL BURNING WATER HEATER - / . $10 - I
iiiii MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - ,
1318=GAS PIPING(ea.outlet) - • $1 -
iii6.1 DUCT SYSTEMS - $10 - t
133A:VENTILATING FANS - 6 $10 - ,
I32v AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM . $12 - t
0221 AIR HANDLER(DOES NOT include duct systems) >10.000 CFM . $15 - t
132:x;;EVAPORATIVE COOLERS - . $10 - i
tOE TYPE I HOOD - . $50 - t
132$';TYPE II HOOD - $10 - t
,X3.26:.HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - t
B27. AIR CONDITIONER 6-15 TONS $20 - ,t —
B7& AIR CONDITIONER 16-30 TONS $25 - t
1329..AIR CONDITIONER 3t-5o TONS . $35 - t
B30. AIR CONDITIONER +50 TONS . $60 - t
B31.1 LPG STORAGE TANK _ - . $10 - t
1332' WOOD OR PELLET STOVE/INSERT T - $25 - t
Subtotal
NOTE: MINIMUM PERMIT FEE IS$3510 PLUS: PROCESSING FEE $25.0
TOTAL PERMIT FEE DUE $
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE• SPOKANE,WA 99260 • (509) 456-3675
r DETACH TO DISPLAY CERTIFICATE—;
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IDEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
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TO DISPLAY CERTIFICATE
•
•
•
•
HARLEY C. DOUGLASS DO CERTIFY THAT. THIS IS A COPY OF MY
• ORIG CONTRACTORS LICENSE. '
•
• ttttttw
d f bate • iir 4s 3.
Signe. Harley C Douglass
•
•
STATE OF WASHINGTON
COUNTY OF Spokane J ss.
. • • I certify that I know or have satisfactory evidence that
Harley C. Douglass
• is the persons)who appeared before me.and said person(s)acknowledged that(he/she/they)sign-
ed this instrument.on oath stated that(he/she/they)was(were)authorircd to execute the instrument
' and acknowledged it as the President
(,f Harley C. Douglass, Inc.
to be the free and voluntary act of
such party for the uses and purposes mentioned in the instrument.
9/Z5k
,SEAL OR STAMP) Signature
.411 :1otary Public .
Title
OCT. 23, 1996
•
My appointment expires
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ADDRESS aamrtEserzoNe----1.1
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__-ZONE;
ROAD WIDTH:5
FRONT: 3O 30
COMMENTS:
REVIEWED BY: