1993, 08-11 Permit App: 93006896 Residence i'-'1-9326tA/
PROJECT NUMBER= 93006896 APPLICATION DAP = 08/11/93 PAGE= 01
****** THIS IS NOT A PERMIT *****
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1719 S TIMBERLANE DR PARCEL#= 45252. 9048PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 000000 PLAT NAME= UidKNOWNd'RID(, f EST NAL* IS7F4'Dt)
BLOCK= 2 LOT= 5 ZONE= UR-3.5 DIST#= F
AREA= F/A= F WIDTH= 71 DEPTH= 131 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= 9 RIGHT= 9 REAR= 58
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR - R BURRIS NDC eQ eA oa_
COMMENTS: LI CeN C V i F1c 'c1 O/\I
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED '{kk
COMMENTS:
BUILDING SEWER PERMIT PENDING G,_U
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COMMENTS: " (005 rt 1-'93
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ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 0 /17160,6 - J , _,
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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=
PROJECT NUMBER= 93006896 APPLICATION DATE= 08/11/93 PAGE= 02
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 63 X 40 SQ FT= 2520 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 660 9900 . 00
BASEMENT U R-3 VN 615 6765 . 00
GARAGE M-1 VN 528 4224 . 00
RESIDENCE R-3 VN 1681 90774 . 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 681.50
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 122 . 67
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 3 18 . 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 822.25 . 00 822 .25
PROJECT NUMBER= 93006896 APPLICATION DATE= 08/11/93 PAGE= 03
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 75 . 00 . 00 75 .00
PLUMBING PERMIT 66. 00 . 00 66. 00
963.25 . 00 963.25
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
a jJuncrliC (Amity
DEPARTMENT OF 'BUILD#NG & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION. WORKSHEET a /„���
1 3- �C/
PARCEL NUMBER: 4 5 2 , o 4/S PT//
• STREET ADDRESS: 110. T h m6 f.K ,-
CITY/STATE/ZY':
SUBDIVISION: 1 V ' f s D 1110 r'V
BLOCK:___a__ LOT: . ZONE DISTRICT:
LOT AREA: +`/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: 1 # OF DWELLINGS: I WATER DISTRICT: V EJ4
OWNER: Lanzce G. Douglass PHONE: — 653,)
MAILING ADDRESS: 815 E. Rosewood
. CITY/STATE/ZIP: Spokane Wash. 89208
CONTACT: Lanzce _
PHONE: — q 8 3 - (v t
SETBACKS: — FROM : LEFT: 9 RIGHT: `/ REAR: 58
PERMIT USE:
****************************************+hdr************fir******************** ,
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: DOUGLLGlh0PW t)O(A 6 L. .G 116PW
CONTRACTOR: Lanzce G. Douglass PRONE: . —312_ 65-3 3
MAILING ADDRESS: 815 E. Rosewood
ARCHITECT/ENGINEER: PHONE: — —
MAILING ADDRESS: •
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: 1 STORIES:
BUILDING DIMENSIONS: Ca X 116 (WIDTH X DEPTH) SQ. FT. : 36a0
REQUIRED PARKING: # HANDICAP: SPRINICLERED: CRITICAL MATERIAL:
Space heating type(check ono)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas _Heat pump Other:
Flat ceilings R 38 Doors
Vaulted cnilings-.R 30 Windows U . �S
Above grade walls R 1c1 Glazing area X31'( %: tO
Below grade walls R Total floor area
Floor R of heated space / .3
Slab on grade R Furnace efficiency rating O 0
Please indicate on your plans: The location of the radon vent, and the location of the vent tan area.
square footage
Main floor _ 1_(Q
Second floor: •
•
easement-- Finished: .(0(Vd
Unfinished: (ll
Garage: aU
Carport:
•Deeks: 0 O U 36
Additional Areas:
•
•
Ifeki
LENDER/BOND HOLDER:
ADDRESS:
CONTACT:
PHONE: •
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: G 0 LFj S LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
1 • t ` • V I ' U. : • MULXI— 1
DESCRIPTION I DETAIL UNITS PLIED By /UNIT EQUAls AMOUNT
BOTOILETS WATER CLOSETS,BIDETS tA X $6 = $
B03 URINALS — x $6 = $
B TUBS BATH,JACUZZI,SPA,GARDEN I X $6 = $
805'SHOWERS(per trap) BASE,STALL,ON—SITE BUILD ,f,)+ x $6 = $
1306 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X—RAY,FOOD(PREP/CULINARY/MEAT) ( _
1307 DISHWASHER — 1 ( x $6 = $
1308 CLOTHES WASHER — I x $6 = $
B09 GARBAGE DISPOSAL/GRINDER — I x $6 = $
B10 WATER SOFTENER — x $6 = $
B111 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
B 12 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 = $
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = $
1314 FOUNTAINS,DRINKING — x $6 = $
B15 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR REPAIR X $6 = $
1.16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $
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
1319 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6 = $
CHEMICAL HOLDING TANK
B2O MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 = $
B21 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
MAST \PUJMPORMl(ND
,
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: 'PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: V V ,A'-1 N' 56A` + l K6 LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
# MULTI- COST
DESCRIPTION OF WORK OF UNITS rtjaoar /UNIT EQUAL/ AMOUNT
II02'''FUEL BURNING APPLIANCE =or<100.000 I . $12 - s
B03`FUEL BURNING APPLIANCE >100.000 = $15 - s
B04UNLISTED FUEL BURNING APPLIANCE =or<400,000 $50 - s
B05':UNLISTED FUEL BURNING APPLIANCE >400,000 = $100 - s
B.66>USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = $50 - s
Bot USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 $100 - s
'1308';;BOILER/REFRIGERATION 1-100M BTu $12 - s
B09:.BOILER/REFRIGERATION 101-500M Bill = $20 - s
BA'BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
B'11'BOILER/REFRIGERATION 1,001-1,750M BTu , = $35 - s'
812:BOILER/REFRIGERATION +1,750M BTU = $60 - s
B13`GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - I . $10 - :
B4 RANGE - _ $10 - s
BLS:.DRYER - $10 - s
B1tS: FUEL BURNING WATER HEATER - I . $10 - s
1117: MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
1:11$'GAS PIPING(ea.outlet) - . $1 - s
1319':DUCT SYSTEMS - _ $10 - s
120:!VENTILATING FANS - _ $10 - s
B21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CPM . $12 - s
B22 AIR HANDLER(DOES NOT include duct systems) >1o,000 cPM $15 - s
82,3i EVAPORATIVE COOLERS - . $10 - s
B24'TYPE I HOOD - _ $50 - s
BZ,5'TYPE II HOOD - . $10 - s
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS s $12 - s
B27'AIR CONDITIONER 6-15 TONS s $20 - s
B28 AIR CONDITIONER 16-30 TONS . $25 - s
B29' AIR CONDITIONER 31-50 TONS . $35 - s
B30 AIR CONDITIONER +50 TONS = $60 - s
1311:'LPG STORAGE TANK - . $10 - s
1332 WOOD OR PELLET STOVE/INSERT - . $25 - s
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
mnster\mcdtrcrm.hnd
08/16/93 08:45 BCSIS CONTRACTOR - 83435635094564703 NO. 881 D01
Department of Labor&Industries REGISTRATION VERIFICATION
Contractor Registration Section a
PO Box 44450 i. ~
Olympia WA 98504-4450 �" - (206)956-5226
SCAN 269-5226
FAX(206)956-5228
To From
10-15-931.01 OlymHaaquafters
Registered name
DOUGLASS , LANZCE G
Registration number
DOUBLLG11OFW
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
F62.5-036-000 registration verification 4-93 _
ADDRESS: a 1 1119 1104- 11:44,
ZONE: lA.9-3,5
ROAD WIDTH: 0 -1.1-i-r . ,P2,02,1'17
FRONT: FLANKING: I,oi , ,0
COMMENTS: i 2�o
REVIEWED B .
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