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2001, 10-17 Permit App: 01009187 ResidenceProject Number: 01009187 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: . - Permit Use: NEW RESIDENCE W/GARAGE - F A GAS Contact: DOUGLASS, LANZCE G INC. Address: 815 E ROSEWOOD AVE C - S - Z: SPOKANE, WA 99208-5507 Setbacks: Front 20 Left: 10 Right: 5 Rear: 50 Phone: (509) 483-6532 Group Name: Site Information: Project Name:............ . . . . . . Plat Key: 005862 Name: SHELLEY LAKE District: F Date: 10/17/2001 Page 1 of 3 Parcel Number: 45242.1504 Block: 5 Lot: 4 SiteAddress: 16020 E 5TH LN Owner: Name: DOUGLASS, LANZCE G INC. VERADALE, WA USA 99037 Address: 815 E ROSEWOOD AVE Location:: VER SPOKANE, WA 99208-5507 Zoning: UR -3.5 Water District Urban Residential 3.5 Area: 9,169 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Hold: 0 Depth: 0 Right Of Way (ft): 30 Review Site Plan Review ReleasedBy: Plan Review Approach / Drainage [ Releated,By: Sewer Review Permits: Released By: Releasecl.By. t4A-ak Operator: MKC Printed By: MKC Print Date: 10/17/2001 Project Number: 01009187 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/17/2001 Page 2 of 3 Contractor: LANZCE G DOUGLASS, INC Address: 8510 N CRESTLINE Phone: (509) 483-6532 SPOKANE, WA 99217 Building Permit Finn: LANZCE G DOUGLASS, INC Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 17 Bldg W x D: 68 x 30 Building Sq Ft: 2490 Sprinklers: 0 Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description ,G�r Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 1,245 $14,392.20 1,245 $14,392.20 GARAGE U-1 VN 559 $6,708.00 559 $6,708.00 RESIDENCE R-3 VN 1,245 $77,190.00 1,245 $77,190.00 Stories: 1 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 3,049 $98,290.20 3,049 $98,290.20 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 HOOD -TYPE II Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $886.25 $4.50 $194.98 $1,085.73 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 Operator: MKC Printed By: MKC Permit Total Fees: Fee Amount $10.00 $12.00 $3.00 $40.00 $10.00 $10.00 $10.00 $95.00 Print Date: 10/17/2001 Project Number: 01009187 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/17/2001 Contractor: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER CROSS CONNECTION DEVICES WATER USING DEVICES Plumbing Permit Units 3 4 3 1 1 1 1 3 Firm: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $18.00 $6.00 $6.00 $6.00 $6.00 $18.00 $102.00 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 a m n P S ry .. Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,085.73 $95.00 $102.00 Invoice Amount $1,085.73 $95.00 $102.00 $1,282.73 $1,282.73 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $1,085.73 $95.00 $102.00 $1,282.73 Page 3 of 3 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fords 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: MKC Printed By: MKC Print Date: 10/17/2001 ce G. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507 e Plan: 1245 Rancher Address: ( ?Cf) - )oms: 3 Legal: LOT '-f BLOCK 5 3 Development: .tion: Scale: 1" ='�`z� • ,4JI SS ROgp BEVW WEo 8Y/OTH 30 _ MENT FLANKING I E 1 --5'