2002, 07-10 Permit App: 02005693 ResidenceProject Number: 02005693 Inv: 1
Application
Date: 7/10/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 20 Left: 6 Right: 6 Rear: 40
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Contact: DOUGLASS, LANZCE
Address: 815 E ROSEWOOD AVE
C - S - Z: SPOKANE, WA 99208-5507
Phone: (509) 483-6532
Group Name:
Project Name:
Parcel Number: 45242.1610 Block: 6
Lot: 10
SiteAddress: 15903 E 5TH LN Owner: Name: DOUGLASS. LANZCE
VERADALE, WA USA 99037 Address: 815 E ROSEWOOD AVE
Location:: VER SPOKANE, WA 99208-5507
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Hold: ❑
Area: 8,049 Sq Ft Width: 65 Depth: 114 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Special Reviews
Released By:
Released By:
Released By:
Act_TaLL 7110
Approach / Drainage
Released By:
Sewer vie Released By: C ( Jr(Q "i->kt
z- - q 2_ &a' 1&) 7(2'i b
Operator: CKF Printed By: CKF
Print Date: 7/10/02
Project Number: 02005693 Inv: 1
Permits:
41.-41110
.. 1
Application
Date: 7/10/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: 56 x 24 Building Sq Ft: 1872 Sprinklers: LI
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation
BASEMENTU R-3 VN 936 $11,512.80
DECK R-3 VN 120 $939.60
GARAGE U-1 VN 792 $9,504.00
RESIDENCE R-3 VN 936 $61,776.00
Building Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Stories: 1
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Su Ft Valuation
936 $11,512.80
120 $939.60
792 $9,504.00
936 $61,776.00
Totals: 2,784 $83,732.40 2,784 $83,732.40
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
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$792.50
$4.50
$174.35
$971.35
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
1 NUMBER OF
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$10.00
$105.00
7/10/02
Project Number: 02005693 Inv: 1
r '
Application
Date: 7/10/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$6.00
$12.00
$ 6.00
$6.00
$ 6.00
$ 6.00
$ 6.00
$18.00
$108.00
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
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$971.35
$105.00
$108.00
Invoice Amount
$971.35
$105.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$971.35
$105.00
$108.00
$1,184.35 $1,184.35 $0.00 $1,184.35
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF
Print Date: 7/10/02
d
N
Q
0
i
APPLICATION• INFdRMATION
What Is the JOB SITE address?
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed•
T,OT /O BT,OCK to 1 4e"(eY
vl 52012. JG')c�
OWNER or OCCUPANT
'Lanzce G. Douglass, Inc.
Mafling address
'815 E. Rosewood Ave.
Phone
'509-483-6532
City, state
Spokane. WA
zip
99208-5507
Who should we contact regarding thls protect?
'Lanzce'G. Douglass,
Phone '
509-483-6532
What work Is being done under this permit?
Single Family
inspector dlstnct
Water;dC
EEEI:M2ACREDil
Contractor
Lanzce G. Douglass, Inc.
WA State Contractor license #
LANZCGD072P5
ENERGY ;;CALCULATIONS
Building height
Dimensions
56x24
# of stories
TOTAL SQUARE FOOTAGE
1872
N
Y
0.
N
3
Main floor area
936
Unfinished basement area
Mailing address
815 E. Rosewood Ave.
2nd floor area
0
Architect/Engineer
Independent Home Designs
What is the heat source?
• fnrrerl air gnc
Menufactu red, Ho
Garage area
Z -
936
Finished basement area
0
Size of decks, etc.
120 Oover30"
What is the cost of your project?
ei
Si
Width:
Length:
What ie the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
We State Contractor, license #
Meiling address
Mailing address
Relocation's
Fire Safety..
Previous address
I I
Fire 5
Paint booth _sits
VCU
' Tent
orks display _
VALUE
Contractor ,
WA State Contractor license #
Contractor
: JUN 2 U ZUUZ
WA State Contractor ire # ro+J UU0E ENFORCEMENT
Mailing address
, I
Mailing address LY:
FuelStorageTanks
Swimming'Pool
(Circle one) Above -ground Underground
Contents of lank(s)
Size J gallons
Size / gallons
Private
Public/sera-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County dorm not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Lanzce G. Douglass, Inc.
House Plan: 936 Split
Bedrooms: 2
Baths:
Elevation:
815 E. Rosewood Ave., Spokane WA 99208-5507
07
Address. & /5-'
Legal: LOT
4QBLOCK
Development:
54 P(l G� e
Scale: 1" _ 20' '
1
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions. curb lines. structures and easements
have been i titled. Also indicated = e wetlands,
bodies s e sio�=s • • •� critical
Jery.J�
C
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