1993, 08-11 Permit App: 93006901 Residence PROJECT NUMBER= 93006901 APPLICATION DATE 08/11/93 , PAGE= 01 C)r
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****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1709 S TIMBERLANE DR PARCEL#= 45252. 9048PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 000000 PLAT NAME= ICINN 721L EINo�r est �/4iC1 Sr 044513
BLOCK= 2 LOT= 2 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, LANZCE PHONE= 509 483 6532
STREET= 815 E ROSEWOOD AVE
ADDRESS= SOKANE WA 99208
CONTACT NAME= LANZCE DOUGLASS PHONE NUMBER= 509 483 6532
BUILDING SETBACKS: FRONT= 30 LEFT= 12 RIGHT= 12 REAR= 45
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR - R BURRIS U &ii "TQ'L
COMMENTS: (AC E%1 V Cif A-7?z/U C? l/"q.5
BUILDING PLAN REVIEW REQUIRED - ll l�Zf
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED , ,�
COMMENTS:
BUILDING SEWER PERMIT P2DLNG q5 PA)
COMMENTS: r r�I���i:` CVIA.)..14.A.AA8- 12-9 `/J-69([74/
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE / qBj ,4.- 9
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DOUGLASS, LANZCE G PHONE= 509 483 6532
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
NEW= X REMODEL= ADDITION= CHANGE OF USE=
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PROJECT NUMBER=, 9'3006901 APPLICATION DATE= 08/11/93 PAGE= 02
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES 1
BLDG W X D = 55 X 52 SQ FT= 2860 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 1093 16395 . 00
BASEMENT U R-3 VN 273 3003 . 00
GARAGE M-1 VN 540 4320. 00
RESIDENCE R-3 VN 1575 85050. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 671 . 00
STATE SURCHARGE Y 4 . 50
RESIDENTIAL SURCHARGE Y 120. 78
RADON MONITOR 1 12 .57
SALES TAX 1 1. 01
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= WAYNE SMITH HEATING PHONE= 509 328 4431
STREET= 102 E NORA AVE
ADDRESS= SPOKANE WA 99207
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 3 3. 00
VENTILATING FANS 4 40. 00
***************************** PLUMBING PERMIT ******************************
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 2 12 . 00
TUBS 1 6. 00
SHOWERS 2 12 . 00
SINKS 4 24 . 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 809. 86 . 00 809. 86
1 , 1
PROJECT NUMBER= 93006901 APPLICATION DATE= 08/11/93 PAGE= 03
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 75 . 00 . 00 75 . 00
PLUMBING PERMIT 72.00 . 00 72 . 00
956. 86 . 00 956. 86
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
v vnulitu u►uuiiiy
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
130d1 '
INFORMATION. WORKSHEET
'. 66901
PARCEL NUMBER:
• STREET ADDRESS: S /10 1 -iffivAfAu4/u
CITY/STATE/ZIP: -
SUBDIVISION: B t QAff . . 1\) __ I S-r ATn/ i oA)
BLACK: LOT: .. ZONE: DISTRICT:
LOT AREA: 0/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: 1 $ OF DWELLINGS: I WATER DISTRICT: V(V
OWNER: Lanzce G. Douglass PHONE: -00$ - 1353,)
MAILING ADDRESS: 815 E. Rosewood
CITY/STATE/ZIP: Spokane; Wash. 99208` .
CONTACT: Lanzce PHONE: -.4/83 - { 63a
SETBACKS: — FRONT: T3Q LEFT. ' la RIGHT: la REAR:
PERMIT USE:
****************************************************************************
BUILD/NG INFORMATION
CONTRACTOR LICENSE NUMBER: DOUGLLO13,0PW
CONTRACTOR: Lanzce G. Douglass PHONE: . —31_2_ 6533
MAILING ADDRESS: 815 E. Rosewood
ARCHITECT/ENGINEER: PHONE: ..
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING UGT: STORIES:
�/
BUILDING DIMENSIONS: X d - (WIDTH X DEPTH) SQ. FT. :,A56O
REQUIRED PARKING: I HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
of — ..•.. w.. �; ctwv
Space heating type(check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R Doors U �� a
Vaulted coilings•RWindows U �-1 t
. Above grade waits R 19 Glazing area � ` %: 9 _
Below grade walls R O Total floor area
Floor R 0 of heated space X68
Slab on grade R Furnace efficiency rating 80
Please indicate on your plans: The location of the radon vent, and tho location of the vent fan area,
Square footage t r�
Main floor:.. . t
Second floor: _
Basement— Finished: O73
Unfinished:
Garage: U
Carport:
Decks: n 6 V i; i O '
Additional Areas:
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LENDER/BOND HOLDER:
ADDRESS:
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CONTACT:
PHONE: •
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: (rei,o S 1 LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
1 • T ♦ ►' 1' 'V. ' • ' MULTI— I
DESCRIPTION I DETAIL UNITS PLIED BY /UNIT_EQUALS AMOUNT
1302 TOILETS WATER CLOSETS,BIDETS x $6 = $
B03 URINALS - x $6 = $
BO4 TUBS BATH,JACUZZI,SPA,GARDEN I x $6 = $
1305 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD x $6 = $
1306 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, X $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X—RAY,FOOD(PREP/CULINARY/MEAT) I
1307 DISHWASHER - I ' x $6 = $
B08 CLOTHES WASHER - ) x $6 = $
B09 GARBAGE DISPOSAL/GRINDER - I x $6 = $
B10 WATER SOFTENER - x $6 = $
1311 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $
no ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $
B14 FOUNTAINS,DRINKING - x $6 = $
B15 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR REPAIR x $6 = $
1316 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
B1.7 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
NO HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B18 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,
_ TANKS,BOILERS,&SPRINKLER SYSTEMS
B19 INTERCEP'T'ORS GREASE TRAP,SAND TRAP, R $6 = $
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $
1321 MISCELLANEOUS FIXTURES x $6 = $
Subtotal
NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675
V.I.LSTF PIl/MPI!RMJ4ND
08/16/93 88:45 BCS I S CONTRACTOR -> 83435635094564703 NO.881 D01
Department of Labor&Industries REGISTRATION VERIFICATION
Contractor Registration Section
PO Box 44450
Olympia WA 98504-4450 (206)956-5226
SCAN 269-5226
FAX(206)956-5228
( To From
10-15-931.0 6-8 9
Olympia Headquarters
Registered name
DOUGLASS , LANZCE C
Registration number
DOUBLLG110PW .1
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
• Thank you
F625-036-000 regisaation verification 4-93
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