2002, 05-14 Permit App: 02003673 ResidenceProject Number: 02003673
Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/02 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 20 Left: 7 Right: 7 Rear: 35
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE
Parcel Number: 45242.1605 Block: 6 Lot: 5
Contact: LANZCE DOUGLASS INC
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE WA 99217-7718
Phone: (509) 483-6532
Group Name:
Project Name:
SiteAddress: 16017 E 5TH LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
District: F
Owner: Name: DOUGLASS, LANZCE
Address: 815 E ROSEWOOD AVE
SPOKANE, WA 99208-5507
Hold: ❑
Area: 7,757 Sq Ft Width: 67 Depth: 115 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
Sewer Review a,Qj d(J eij
Permits:
Operator: JAS Printed By: JAS
Release
4441111
Released By:
Released By:
Released By: 12•0`
Print Date: 5/14/02
Project Number: 02003673
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/02 Page 2 of 3
Contractor: LANZCE G DOUGLASS, INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 56 x
Req Parking:
Building Permit
Firm: LANCZE G DOUGLASS, INC
Phone: (509) 483-6532
Building Characteristics
Group: R-3 Type: VN
1 Occupant Load:
24 Building Sq Ft:
Handicap Parking:
Description Grp
BASEMENT U R-3
DECK R-3
GARAGE U-1
RESIDENCE R-3
Im Notes
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Building Height:
1872 Sprinklers: LI
Critical Materials: ❑
This Application:
Stories: 1
Total Project:
Sq Ft Valuation Sq Ft Valuation
936 $11,512.80 936 $11,512.80
120 $939.60 120 $939.60
480 $5,760.00 480 $5,760.00
936 $61,776.00 936 $61,776.00
Totals: 2,472 $79,988.40 2,472 $79,988.40
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
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
GAS LOG OR GAS INSERT
Fee Amount
$767.50
$4.50
$168.85
Permit Total Fees: $940.85
Mechanical Permit
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
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$ 85.00
Operator: JAS Printed By: JAS Print Date: 5/14/02
Project Number: 02003673 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/02 Page 3 of 3
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
WATER USING DEVICES
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $78.00
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
$940.85
$85.00
$78.00
$1,103.85
Invoice Amount
$940.85
$85.00
$78.00
$1,103.85
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Ovvinw
$940.85
$85.00
$78.00
$1,103.85
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: JAS Printed By: JAS Print Date: 5/14/02
FILE: C:\\WATTDATA\\LDOUGDLD.WS HOUSE ID: L.DOUGLAS SPLIT
site,
3c3
Spokane. WA
( )
-omeowner:
Builder: Lanzce Douglas
(509)483-6532
Analyst: TAS
Jurisdiction:
Utility: WWP
House Type: Single Family
Weather Data: Spokane. WA
Climate Zone: 2
Th1 e:PROPOSEDd signCOMPL EStw tiiY193yWA State ergy�Code., .•
'COMFQNENTIPERFORMANC
1=STER Y ABUDGET��
REFERENCE
82
t99rJ
PROPOSED
807 Btu/hr-F
10.03 kWh/ft2-yr
REFERENCE DESIGN
Component
BG Wall 3.5'
BG Slab 3.5'
Floor
Glazing @15%
Doors
AG Wall
Ceiling, Attic
Infiltration
Reference
Value X
Area = UA
U-0.041
F-0.640
U-0.029
U-0.600
U-0.400
U-0.062
U-0.031
ACH-0.350
420
120ft
86
272.1
21.0
1378
950
12352ft3(
17.2
76.8
2.5
163.3
8.4
85.4
29.4
74.8)
Reference UA 383
PROPOSED DESIGN COMPONENTS
Component Description
Value X Area =
UA
BG Wall
BG Slab
BG Wall
BG Slab
Floor
Glazing Q11%
aRO U ^s '1'atet}r3,F5�'yyfrdepf_t,
W't d:d�SL4M���MYNit.r'si�:le..1':.�.+�
R30 vented Joist 1.69,c„,.„
"gIa�e Vi y23 4 aispace
U-0.271
F-0.511
U-0.058
F-0.615
U-0.029
Sr`
322
izgal9
gaiftr
157.8
87.3
47.0
5.7
17.2
2.5
80.5
Items in parentheses not included in COMPONENT PERFORMANCE totals.
** Denotes non-standard values - check calculation of thermal value.
Page 1 --
FILE: C:\\WATTDATA\\LDOUGDLD.WS
HOUSE ID: L.DOUGLAS SPLIT
**2 -glaze vinyl patio 3/4" U-0.510 35.0 17.9
Doors **Metal 1-3/4"urethane'raised panel U-0.170 21.0 3.6
AG Wall R19 INT T1-11 U-0.061 1457 88.9
Ceiling R38 blown Attic STD baffled U-0.031 950 29.4
Infiltration Standard Air Sealing ACH-0.350 12352ft3 ( 74.8)
Proposed UA 380
Struc Mass Light Frame. Sheetrock walls M- 3.000 950 2850
Slab w/carpet w/pad, Sheetrock wall M- 5.000 864 4320
HEATING/COOLING/VENTILATING SYSTEMS
Heating System Type:
Make:
Model:
PROPOSED
Gas Furnace
unknown/
unknown/
System Efficiency: -80 %
Modified Efficiency: 76 %
Design ACH:
Design Load(at 66F dt):
Duct Losses(% Dsn Load):
Total Load:
System Size:
0.60
34382 Btu/hr
0 Btu/hr( 0%)
34382 Btu/hr
51500 Btu/hr (150%)
Average Annual Heat: 81 MBtu
Annual Cost: g 452
Ventilation System: Integrated w/Forced
Air Furnace
Cooling System:
SEER:
Cooling Load(at 12F dt):
System Size( %Over ):
Annual Cool Requirement:
0.0 (Unducted)
23612 Btu/hr
2.7 tons(@125%)
*** kWh/yr
Solar Access: Partially Shaded
PROPOSED DUCT SYSTEM
SUPPLY
RETURN
Location
Avg Rvalue Surface Area
All in heated space
All in heated space
Page 2
FILE: C.\\WATTDATA\\LDOUGDLD.WS HOUSE ID: L.DOUGLAS SPLIT
GLAZING ORIENTATION
PROPOSED PROPOSED
South ft2 North ft2
Southeast : Northwest :
East 109.8 West 83.0
Northeast : Southwest .
Economic and energy consumption estimates are designed for comparative
purposes only. Actual cost for heating will vary depending on weather
conditions, occupant lifestyle and other factors.
Page 3 --
d
7
0.
d
0
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
Legal description as it appears on the, property deed•
sh,�,liey�/-1-12-e--2---- 1 � OS
'LOT 5—BLOCK
OWNER or OCCUPANT
`Lanzce G. Douglass, Inc.
Mailing address
'815 E. Rosewood Ave.
Phone
'509-483-6532
City, state
Spokane; WA
Zip
99208-5507
Who should we contact regarding this project?
'Lanzce'G. Douglass,
Phone '
509-483-6532
What work is being done under this permit?
Single Family
Tnspecior district
Property size p...
Building(..,,
Contractor
Lanzce G. Douglass, Inc.
WA State Contractor Ilcense #
LANZCGD072P5
OE
ENitGY , E?CULAtQ1S
Building height
Dimensions
# of stories
56x24
TOTAL SQUARE FOOTAGE
1872
Main floor area
936
Unfinished basement area
936
Mailing address
815 E. Rosewood Ave.
2nd floor area
0
Architect/Engineer
Independent' Home Designs
What is the heat source? 1
forreil air
Garage area
480
Finished basement area
0
at
a
7
Y
0.
d
3
Size of decks, etc.
•
120 Oover3brr
What is the cost of your project? ,
Manufactured Home:
Sign
Width:
Year:
RECERgh.
SPOKANF COUNTY
Make:
MAY 13
What is the square footage of
the sign face?
How high is the sign?
2002
BUILDING ANDCODEENFORCtMENT
Wa State Conti -era license
Installer
Contractor
Wa State Contractor license #
Mailing address
Mailing address
Relocation.:::;;
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm _ Fireworks display
Tent
VALUE
Contractor
Contractor
WA State Contractor license #
WA Stale Contractor Ilcense #
Mailingaddress
'
Mailing address
Full `StoPage`Tanks
Swirtinling' Pool
(Circle one') Above=ground -Underground
s Size / gallons
Contents of tank()
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
er
OWNER: Lanzce G. Douglass. Inc.
MAILING ADDRESS: 815 E. Ro s ewoo d
•• (street)
CONTRACTOR: Dancer Mechanical Inc.
Spokane.
IPHONE1DAV-rIMECONTACr 509-483-6532
WA 99208-5507
(city/state) (0-P)
LICENSE:DANCAMIO22C7
PHONE: 924-9921
tq&ILD\tS AUL1lE.00 U11 =s. uv LL ,co ..•-••.+••�•-�, ••--
(street)
(city/state)
(0-P)
DESCRIPTION OF WORK
i/
OF UNITS
.--n
LBW .
COST
/UNIT
I
sou+W AMOUNT
Bali
FUEL BURNING APPLIANCE
= or <100.000
1
s
512
-
r
Bob$
FUEL BURNING APPLIANCE
>100,000
515
-
s
Rot
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
= or <400,000
-
.
550
-
s
BS
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
5100
-
s
Bd&
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400,000
550
-
s
Bat
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
5100
-
s
BOt
BOILER/REFRIGERATION
1-100M BTU
512
.
s
BO! s
BOILER/REFRIGERATION
101-500M BTU
520
.
Witil
BOILER/REFRIGERATION
501-1.000M BTU
s
525
-
s
tit
BOILER/REFRIGERATION
1,001-1,750M BTU
535
-
$
hitt
BOILER/REFRIGERATION
+1.750M BTU
560
-
Bit
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
1
.
510
-
131 Z
RANGE
-
1
510
-
Bid:
DRYER
-
1
510
-
Bra=
FUEL BURNING WATER HEATER
-
1
=
510
-
s
Etk
MISCELLANEOUS FUEL BURNING APPLIANCE
-
.
510
-
s
Wit
GAS PIPING (ea. outlet)
-
* 3
s
$1
-
s
I#I
DUCT SYSTEMS
-
510
-
s
B2ofi
VENTILATING FANS
-
* 4
510
-
s
B2'i.
AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
512
-
s
tit
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
=
515
-
s
.9
EVAPORATIVE COOLERS
-
510
-
s
TYPE I HOOD
-
550
-
s
BS
TYPE II HOOD
-
.
510
-
s
kit:
HEAT PUMP/AIR CONDITIONER
0-3 TONS
512
-
s
lifit
AIR CONDMONER
3-15 TONS
.
520
-
s
titi
AIR CONDITIONER
15-30 TONS
.
525
-
$
B247.
AIR CONDITIONER
30-50 TONS
535
.
.$34
AIR CONDITIONER
+50 TONS
.
560
-
s
B3
LPG STORAGE TANK
-
510
-
s
B32:;
WOOD OR PELLET STOVE/INSERT
-
.
525
-
s
NOTE: MINIMUM PERMIT FEE IS $35.00
IGN ATURE• .��.,.> .
Subtotal
PLUS: PROCESSING FEE
$2$.00
TOTAL PERMIT FEE DUE
$
S .
Spokane County Division of Building & Planning
1026 W. Broadway • Spokane, WA 99260
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TOD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
11I14491W4sl..-
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: Lanzce G. Dou_lass Inc.
MAILING ADDRESS:
E o ewood Ave.
(street)
CONTRACTOR: Gold Seal Mechanical Inc.
MAILING ADDRESS: 5524 E . Boone
TOILETS
SHOWERS (per trap)
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL/GRINDER
WATER SOFTENER.
ELECTRIC HOT WATER TANKS
FLOOR DRAINS
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-WASTE-VEN
PLUMBING REVERSALS
SEWAGE EJECTORS
WATER USING DEVICES
CROSS -CONNECTION DEVICES
INTERCEPTORS
MEDICAL GAS (per outlet/bottle station)
MISCELLANEOUS FIXTURES
NOTE.• MINIMUM PERMIT FEE IS $35.00
® RESIDENTIAL 0 COMMERCIAL
SIGNATURE;
(street)
BASE, STALL. ON -SHE BUILD
LAVS/BASmS, BAR. FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO.
X-RAY, FOOD (PREY/CULINARY/MEAT)
(NOTE if gas water tanksee mechanical)
AREA, CASE, COIL, TRENCH, CONDENSATE
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOF
CARBONATOR, SWAMP COOLERS
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR VATS, SUMPS,
TANKS, BOILERS, 4 SPRINKLER SYSTEMS
NITROUS. OXYGEN
Spokane County Division of Building & Planning
1026 W, Broadway Avenue * Spokane, WA 99260
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 " TDD No. (509) 324-3166
Spokane Count • does not discriminate on the basis of disability in the admission to, or. , or ac
treatment or employment
oyment in, its programss or activities.
tdtuxa.,..41..,.o=. nm
PRONE: DAY'l7ME CONTACTS O 9- 4 8 3- (5 3 2
Saokane WA 99208-5507
(city/state)
(zip)
LICENSE: GOLDSM*290C4
PRONE: •
Saokane, WA 99212
(city/state)
# OF
UNITS
MULTI.
PLIED BY
COST
/UNIT
AMOUNT
00
O
(`I
rn
rn
c1
a
V)
-rs
0
0
a)
• 0
o:
00
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