1996, 01-12 Permit App: 96000253 Residence •
PROJECT NUMBER= 96000253 APP,LICAT,ION • DATE= 01/12/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15214 E 6TH """ V PARCEL#= 45231.2130
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE W/GARAGE — NATURAL GAS
PLAT#= 005447 PLAT NAME= KALLAS ADDITION
BLOCK= 2 LOT= 2 ZONE= UR-3.5 DIST#= F
AREA= 00010800 F/A= F WIDTH= 90 DEPTH= 120 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= DOUGLASS, HARLEY PHONE= 509 487 9792
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= HARLEY OR JOLENE PHONE NUMBER= 509 487 9792
BUILDING SETBACKS: FRONT= 36 LEFT= 15 RIGHT= 15 REAR= 55
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED � L11 ����}? I ' 12 (3(c
COMMENTS:
, 1111042
BUILDING SEWER PERMIT PENDING ,� n 1A — z j5 J C{
/c+ 5
COMMENTS: �.t �a—Z.�p /l-L I •17 -�-{c. � D . cCi;Th
ENGINEERAPPROACH/FLOOD PLAIN/DRAINAGE ifig114'0.00.0i-t—i-e.A7 —
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= HARLEY C DOUGLASS INC PHONE= 509 487 9792
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= 1
BLDG W X D = 29 X 60 SQ FT= 2320 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
•
PROJECT NUMBER= 96000253 APPLICATION DATE= 01/12/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 1160 12760 . 00
GARAGE U-1 VN 400 4800. 00
RESIDENCE R-3 VN 1160 68440. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 576.50
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 126. 83
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= COMPLETE HEATING & SHEET METAL PHONE= 509 533 9528
STREET= 1934 E MARSHALL ST
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RANGE 1 10. 00
CLOTHES DRYER 1 10. 00
GAS WATER HEATER 1 10. 00
GAS PIPING 2 2 . 00
VENTILATING FANS 4 40. 00
AIR HANDLER <=10, 000 CFM 1 12 . 00
HOOD -TYPE II 1 10. 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 2 12 . 00
SINKS 3 18 . 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
WATER USING DEVICES 2 12 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 707 . 83 . 00 707 . 83
MECHANICAL PRMT 94 . 00 . 00 94 . 00
PLUMBING PERMIT 72 . 00 . 00 72 . 00
873. 83 . 00 873. 83
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
•
• APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
e.
Legal description as it a ars on e property d7 /L/-C-c (26" ,
OWNER or OCCUPANT
Phone
or6e7/ ouj /ass ( qJ
ailin a
City,state ZI
/3(.5' / aSEzvao6 PoK-aac� , /AJA 99•zoc
Who sho Id we contact reg rd_.297tbis,project?
J66-776-
-'i Phone
What work ' eing done under this permit?
Lone Inspector district Property size • Night of way width
670, /z ? r t
Water district
a
p a�
Building Building height #of stories
c=. sr (0a
ContractorDimensions TOTAL SQUARE FOOTAGE
C• �o� lass „de, r o /f o
WA State Contractbr license# Main floor area Unfinished basement area
A�2,Ec'.b << °fc • floor area Finis ed basement area
f( 46c/.c 0 — 0[..[�-,c� ALJArchitecgineer Garage area Size of decks fc.
What is the heat source? What is the cost of your project? '7 7
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contr.• .r license# Wa State Contractor li se#
Mailin. .dress Mailing ad s
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm _ Fireworks . .ay
VALUE
Contractor Contractor
WA State Contra • license# WA State Contrac • 'cense#
Mailing .•.ress Mailin. .•.ress
Fuel Storage Tanks Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
_Public/seml-private
Contractor Contractor
Wa State Contract. ense# WA State Co - or license#
Mailing a. ess Mailin• address
COMPLETE ALL APPLICABLE INFORMATION
PLUMBING PERMIT APPLICATION
iI [tO1LC1 ADDRESS: 1
OWNER: HARLEY C. DOUGLASS INC. IPIIONE: 509-487-9792
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208
(street) (city/state) (ziP)
CONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4
PHONE: 509-55-5944
MAILING ADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212
(street) (city/state) (ziP)
PLUMBING FIXTURES #OF iautal- COST
I UNITS I�DDYI /UNIT EQUALS I AMOUNT
DESCRIPTION I DETAIL
B02ITOILETS IWATER CLOSETS.BIDETS pS x I $61 = $
B03 URINALS =
B04 TUBS BATH.JACUZZL SPA.GARDEN o5 x $6 $
BASE.STALL ON-STI'B BUILD x $6 = S
B05 SHOWERS(per trap)
B06 SINKS LaVS/BASINS.BAR FLOOR.KITCHEN. x $6 = $
LAUNDRY.UTILITY.JANITOR PHOTO. 3
X-RAY,FOOD(PREP/CULINARY/MEAT)
B07 DISHWASHER I - / x $6 = $
B08 CLOTHES WASHER
B09 GARBAGE DISPOSAUGRINDER
I x $6 = $
x � $6 = $
B10 WATER SOFTENER -
B11 ELECTRIC HOT WATER TANKS 1(NOTE: if gas water tack.see mechanical) X $6 = $
B12 FLOOR DRAINS 7 AREA,CASE.COIL.TRENCH.CONDENSATE x $6 = $
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) -
x $6 = $
- x � $6 = $
B14 FOUNTAINS,DRINKING x $6 = $
B15 WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION.ALTERATION,REPAIR
PLUMBING REVERSALS REVERSALS
GRINDER.SUMP PUMP x S6 = S
B16 SEWAGE EJECTORS
B17 WATER USING DEVICES
ICE AND/OR COFFEE MAKER =x $6 $
HOSE BIB.STEAMER.PROOFER,
I CARBONA OR SWAMP COOLERS =I
$
VACUUM BREAKER CHECK VALVE x S6
B18 CROSS-CONNECTION DEVICES
AND R.P.B.P.D.FOR:VATS.SUMPS.
TANKS,BOILERS.&SPRINKLER SYSTEMS
B19 INTERCEPTORS
GREASE TRAP.SAND TRAP, x S6 = $
CHEMICAL HOLDING TANK
x I $6 = $
B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN ( x S6 = $
B21 MISCELLANEOUS FIXTURES 1
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
le // , TOTAL PERMIT FEE DUE S
SIGNATOR
dir PLEASE MAKE CHECKS PAYABLE TO,
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER
1026 W. Broadway Avenue ' Spokane,WA 99260
Tel. No. (509) 456-3675 • Fax No. (509)456-4703 • TDD No. (509) 324-3166
MECHANICAL PERMIT APPLICATION
I'ROJECI' ADDRESS:
OWNER: HARLEY C. DOUGLASS INC. 11'IIONE: 5_09-487-9797
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHI�IGTaN 44,11a
(street)T (city/state) (zip)
(
coNRncIOR: COMPLETE HEATING SHEETM rLICENSE: •►► - _ 65b• 45.r.-
1PHONE:
MAILING ADDRESS: 1 . S ii 1 C • L '• • _ ► n _ . • .
(street) (city/state) (zip)
# I~ULn- ' COST
1 DESCRIPTION OF WORK OF vp-s 1nEQUALSDBY /UNIT EQUALS AMOUNT
B02 FUEL BURNING APPLIANCE =or<100.000 1 = S121 - ►
1B03 FUEL BURNING APPLIANCE >100.000 = 515 - :
1B04 UNLIS I hD APPLIANCE(ADDITIONAL CHARGE) =or<400,000 i = I S50 - :
B05 UNLIS I hD APPLIANCE(ADDITIONAL CHARGE) ! >400,000 = 1 S100 - _
1B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400,000 = 550 - :
1B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400.000 = I 5100 - :
B08 (BOILER/REFRIGERATION 1-IOOM BTU = 512 - :
B09 BOILER/REFRIGERATION 101-500M BTU ! = S201 - :
B10 BOILER/REFRIGERATION 501-1.000M BTU i = 525! - :
1311 IBOILER/REFRIGERATION 1.O01-1.750m BTU 1 = I S351 - :
'B12IBOILER/REFRIGERATION +1.750MBTU i = S601 - _
B13 !GAS LOG.GAS INSERT.AND/OR GAS FIREPLACE - I 5101 - is
B141RANGE - I
. S101 - :
B15 'DRYER - 1 = 510 - :
B16 'FUEL BURNING WATER HEATER 1 - 1 ) . S101 - 1:
B17(MISCELLANEOUS FUEL BURNING APPLIANCE - = I 5101 - :
B18 (GAS PIPING(ea.outlet) - al.. = S1 - :
'B19 IDUCT SYSTEMS - - = I S10 - :
B20 VENTILATING FANS - _ $10 - :
B21 AIR HANDLER DOES NOT include duct tems =or<10,000 CFM / = $12 - :
1B22 AIR HANDLER DOES NOT include duct terns >10.000 CFM ! _ $15 - : 1
'B23 EVAPORATIVE COOLERS - I = S10 - :
B24 TYPE I HOOD - ; 1 S50 - I:
1825 TYPE II HOOD - �� $10 _ :
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS I _ $12 - :
1B27 AIR CONDITIONER 6-15 TONS _ $201 - 1:
1318 AIR CONDITIONER 16-30 TONS = $25 - :
B29 AIR CONDITIONER I 31-50 TONS I . S35 - :
B30(AIR CONDITIONER +50 TONS = I S601 - l=
1B31 1LPG STORAGE TANK - = i 5101 - :
B32;WOOD OR PELLET STOVE/INSERT - , = I S251 - '
NOTE: MINIMUM P •RMIT FEE IS$35.00 Subtotal
,-- PLUS: PROCESSING FEE $25.00
SIGNATU 4 L_____ de // ,(---4t.i TOTAL PERMIT FEE DUE $
PLEASE MAKE CHECKS PAYABLE TO:
Spokane County Division of Buildings • SPOKA*'* COUNTY PERMIT CENTER
1026 W. Broadway ' Spokane. WA 99260 ' )
Tel. No. (509)456-3675 ' Fax No. (509)456-4703 'TDD No. (509)3'24-3166
... w\MM1/4;1/4\a+4 v ',\sv._-- M '• \•:': .5` `S".'77:.`3"..`:r.L.4..:.^= �. .� .:.^ _ eM•r.-
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
C f.D4 ST• .Ci} l GENE S/1.L
, ;i REGI$fRR�ATIQc NUMBER:, E)(PI9ATtONDAT :E
I':
1/45
` fe tTi V DAfi: 11 ri iii§ i t , STATE OF WASHINGTON
HAldL Y C t O -GLAS 4 14e i; �dr� '.�' ir'r j,,
;''r f
SPDKANE 'wA ' ► icki' r
F625-052-000(3-92)
i WW1/4\\\\1/4V1/41/4:\\\\ 1M'`\\\A11/4\\\Mh\\1M\ ti\^ an\\•\We\\wwN 1/41/4.\1/41/4w\bW1/41/4ti\+N4 ♦ __"R. a:....�.:^::�..:�ad.:.`S`.S�^`a^:1.,.:.:.......:SC;•S•...
I HARLEY C.DOUGLASS CERTIFY THAT THIS IS A TRUE COPY OF MY ORIGINAL GENERAL
CONTRACTORS LICEN SE.
HARLEY C.DOUGLASS DATE
STATE OF WASHINGTON
SPOKANE ::.
COUNTY OF 1
I certify that I know or have satisfactory evidence that
HARLEY C. DOUGLASS is the
person(%) who appeared before me, and said reru n(sl
acknowledged that (he/she/they) signed this instrument and
acknowledged it to be(his/her/their) free and voluntary act for
the uses and purposes mentioned in the instrument.
y / Signature
Tide
10/23/96
My appointment expires
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