1996, 01-12 Permit App: 96000254 Residence PROJECT NUMBER= 96000254 APPLICATION ' DATE= 01/12/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15222 E 6TH PAIS PARCEL#= 45231.2130
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS
PLAT#= 005447 PLAT NAME= KALLAS ADDITION
BLOCK= 2 LOT= 1 ZONE= UR-3.5 DIST#= F
AREA= 00010814 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= JOLENE PHONE NUMBER= 509 487 9792
BUILDING SETBACKS: FRONT= 30 LEFT= 20 RIGHT= 30 REAR= 56
*************************:***** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED O -1- , )e �J
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED J = ? r (T
COMMENTS:
BUILDING SEWER P RI ' ikb ((�� �'"- t �'C t (/; 'C%(
COMMStri � c ! i _ 1 �1�.1, j ,
0,0
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE f/"6',�70
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= 24 STORIES= 2
BLDG W X D = X SQ FT= 1050 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
v a
PROJECT NUMBER= 96000254 APPLICATION DATE= 01/12/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 480 5280. 00
DECK R-3 VN 120 840. 00
GARAGE U-1 VN 363 4356. 00
RESIDENCE R-3 VN 513 30267 . 00
2ND FLOOR R-3 VN 524 30916. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 513.50
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 112 . 97
******************************* 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
GAS APPLIANCE<=100, 000BTU 1 12 . 00
CLOTHES DRYER 1 10 . 00
GAS WATER HEATER 1 10. 00
GAS PIPING 2 2 . 00
VENTILATING FANS 4 40. 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 4 24 . 00
TUBS 3 18 . 00
SHOWERS 1 6. 00
SINKS 5 30 . 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
FLOOR DRAINS 1 6. 00
WATER USING DEVICES 2 12 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 630. 97 . 00 630. 97
MECHANICAL PRMT 84 . 00 . 00 84 . 00
PLUMBING PERMIT 114 . 00 . 00 114 . 00
828 . 97 . 00 828 . 97
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
PROJECT NUMBER= 96000254 APPLICATION DATE= 01/12/96 PAGE= 03
******************************** THANK YOU ************************************
•
APPLICATION'INFORMATION
What Is the JOB SITE address? ASSESSOR'S tax parcel number?
/57==,?•Q �,p •
Legal des i.ptign,aslt appears on th Cwt C� .
OWNER or
OCCUPANT ) z/c? Phoneailin addre� z/ �. eass �il��'J . ( 0 9 /`�i,
9 J City,state 4we
,3/.5 J /PaSA.)006 PPo La i!c� , 10,4 9
Who s,hoyld we contact reg rdin project? Phone
/v tJc/ e-6-716—
What work ' eing done under this permit?
IC)git'\
Lone Inspector district Property size Klght of way width
I rn
D
Water district
n a
a� a�
a
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
-AX C. lOcij/ass /o
WA State Contractor license# Main floor area Unfinish-. basement area
Ling 110PC • 6/-3
aiing a adress 2nd floor area Finished ment area
G • 6 '6 /C-Q .scioao -
ArchitectlEngineer Garage area Size o decks,etc.
iso
WhaJ,is)theheat source? What is the cost of your project? 1
(—*4S •
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 Ii • 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/semi-private
Contractor Contractor
Wa State Contract. ' ense# WA State Con • or license#
Mailing a.= ess Mailin. :ddress
COMPLETE ALL APPLICABLE INFORMATION
PLUMBING PERMIT APPLICATION
�a�, . '� 1
i( tL01L•CI'ADDRESS: /�
OWNER: HARLEY C. DOUGLASS INC.
!PHONE: 509-487-9792
MAILINGADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208 (zip)(street) (city/state)
CONTRACTOR: GOLD SEAL MECH.
LICENSE: GOLDSM 290C4
PHONE: 5Q9-514-5944
MAILING ADDRESS: 5524 EAST BOONE SPOKANE WASHING/ON 99212 ( )
(street) (city ))
B02iTOILETS
PLUMBING FIXTURES DETAIL l # OF mute- COST
I UNITS Immosr /UNIT I HQuAut AMOUNT
I DESCRIPTION I�W =
ATER CLOSETS.BIDETS x S6( S
r- - x $6 = $
B03 URINALS ��j-� x S6 = $
B04 TUBS BATH.JACUZZI.SPA.GARDEN =
BASE.STALL ON-SITE BUILD / X $6 $
B05 SHOWERS(per trap) x S6 = $
B06 SINKS LAVs/BAS NS BAR.FLOOR.KITCHEN. l--
LAUNDRY.UTILITY.JANITOR.PHOTO.
X-RAY,FOOD(PREP/CULINARY/MEAT)
- / x i $6 = $
/ x
1B07 DISHWASHER $6 = $
B08 CLOTHES WASHER
IB09 GARBAGE DISPOSAL/GRINDER - / x $6 =x $6 = $
S
B10 WATER SOFTENER - I x $6� = $
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas crater tank see mechanical)
$
B12 FLOOR DRAINS =
AREA.CASE,COQ.,TRENCH.CONDENSATE J X ( S6 $
x S6 = S
x $6 $
=
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) -
B14 FOUNTAINS.DRINKING - x $6 = $
B15 WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION.ALTERATION,REPAIR. /�
`
PLUMBING REVERSALS REVERSALS �/`
UMP PUMP X $6 = $
GRINDER,S
B16 SEWAGE EJECTORS X S6 = S
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER
HOSE BIB.STEAMER.PROOFER.
CARBONATO R.SWAMP COOLERS
B18 CROSS-CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE. x S6 = $
AND R.P.B.P.D.FOR:VATS SUMPS
TANKS.BOILERS.&SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP.SAND TRAP.
x $6 = S
CHEMICAL HOLDING TANK .
x I $6 = $
B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x j $6 = $
$
B21 MISCELLANEOUS FIXTURES -
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
f%' / i
� TOTAL PERMIT FEE DUE S
SIGNA'l RE:��.�
4101Pr PLEASE MAKE CHECKS PAYABLE TO;
SPOKANE COUNTY PERMIT CENTER
Spokane County Division of Buildings
1026 W. Broadway Avenue • Spokane,WA 99260
Tcl. No. (509) 456-3675 • Fax No. (509)456-4703 • TDD No. (509) 324-3166
MECHANICAL PERMIT APPLICATION
I'ROJI;C1. ADDRESS:
OWNER: HARLEY C. DOUGLASS INC. 11'UONE: 509-487-2742
MAILING ADDRESS: 815 EAST ROSEWOOD '• . _ k ► 1 . • . • • i :
(street) (city/statc) (Zip)
CONTRACTOR: COMPLETE HEATING & SHEETM (LICENSE: •►i - - D-�4 -
1PHONE:
MAILING ADDRESS: 1 • A ►a : : . a '• • a . i ± _ . • • • •
(street) (city/state) (zip)
# lwsnn- COST '
DESCRIPTION OF WORK OF7ITS ImmoBYI /UNIT EQUALS AMOUNT
B02(FUEL BURNING APPLIANCE =or<100.000 I = 221 - s
'B03 FUEL BURNING APPLIANCE >loo,000 . S15 - s
;B04'UNLIS I ED APPLIANCE(ADDITIONAL CHARGE) =or<400.000 , = S501 - s
B05 UNLISTED APPLIANCE(ADDITIONAL CHARGE) 1 >400.000 1 . S100I - s
B06'USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.000 � . S501 - s
1B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400.000 = S100 - s
B08 BOILER/REFRIGERATION 1-100M BTU S12 I - s
IB09 BOILER/REFRIGERATION 1o1—so0MBTU = 5201 - s
1B10 BOILER/REFRIGERATION 501-1.000M BTU = S25I - s
B11 1BOILER/REFRIGERATION 1.001-1,750M BTU I = S351 -
!B121BOILER/REFRIGERATION +1,750M BTU I = S601 - s
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - 1 i = 1 S101 - j:
'B141RANGE - . 1 S101 - Is
B151DRYER - 1 = S101 - 1s
IB16 IFUELBURNING WATER HEATER 1 - 1 s S10I - Is
B17(MISCELLANEOUS FUEL BURNING APPLIANCE - j = S101 - s
;B18 GAS PIPING(ea.outlet) - S11 - s
B19 1DUCT SYSTEMS - 1 1 = I S10' - :
B201 VENTILATING FANS - ! = S10 - s
B21 'AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM I S12 - :
B22 r FAIR HANDLER(DOES NOT include duct systems) >10.000 CFM I = S15 - s
1B23 EVAPORATIVE COOLERS - = S10 - s
B24 TYPE I HOOD - l
S50� Is
B25 TYPE II HOOD - I i . If S10 - s
B26 HEAT PUMP/AIR CONDITIONER o-5 TONS I . $12 - s
1B27 AIR CONDITIONER 6-15 TONS . S201 - is
'B28 AIR CONDITIONER 16-30 TONS . S25 1 - s
IB29 AIR CONDITIONER 1 31-50 TO NS I . S35I - s
;B30!AIR CONDITIONER 1 +50 TONS ; = S601 - Is
B31 !LPG STORAGE TANK I - 5101 - s
B32;WOOD OR PELLET STOVE/INSERT I - = S251 - '
NOTE: M . • . PERMIT FEE IS$35.00 Subtotal
<--- / /ill
PLUS: PROCESSING FEE $25.00
SIGNATU -. sz�•_ — , '/""J TOTAL PERMIT FEE DUE S
' PLEASE MAKE CHECKS PAYABLE TO:
•Spokane County Division of Builcsings SPOICA''''7 COUNTY PERMIT CENTER
1026 W: Broadway • Spokane, WA 99260 __ _ 1'
Tcl_ No. (509)456-3675 • Fax No. (509)456-4703 'TDD No. (509)324-3166
--' ...:......� — - ---
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DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
g CONST.. 'C6Nt` ,GE'$E fiAL
'. REGI$TRAT (NUMBER ; E)PIRATION DATE
STATE OF WASHINGTON
$' 1�+' .y` r y,.;•m;/ is "! ,I,4k; Tttf {aAi��,3 'il ,
# HAl`M'' ' ,'"'•
F 11WYA7LAv�y I 17{`i'i�+ tf�' a'fr� ira !t 1
# E 815.. RQ51" 0OV ' A ,
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SPDKA!ttc �'�h '' ap.'$ r
F625-052-000(3-92) 1
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I HARLEY C.DOUGLASS CERTIFY THAT THIS IS A TRUE COPY OF MY ORIGINAL GENERAL
CONTRACTORS LICENSE.
HARLEY C.DOUGLASS DATE
STATE OF WASHINGTON ss.
COUNTY OF SPOKANE
I certify that I know or have satisfactory evidence that
HARLEY C. DOUGLASS is the
person(c) who appeared before mc, and said percon(sl
acknowledged that (he/she/they) signed this instrument and
acknowledged it to be(his/her/their) free and voluntary act Inc
the uses and purposes mentioned in the instrument.
411111.4 :77A711Irrit("4"
Slinhturc
Title
10/23/96
My appointment capirc•
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CEn Taz.L/n e
04-19-1996 08:27AM FROM HEART TRUSS 8. ENGINEERING TO 4564703 P.01
FACSIMILE COVER LETTER
. HEART TRUSS &ENGINEERING, INC.
P.O. BOX 19231
S. 2607 HAYFORD RD cIPOKANE, WA 99219 i)
DATE: H /)9 q(�
TIME: c'
TO: Spokes C.nu (ckin P€
ATTN: ci-cor K Pc Xad : c11�1S O
FROM: !`R
o, K; ae_
1
OF: HEART TRUSS&ENGINEERING, INC
REGARDING: \-11 a,tel ?r .SSS cA)
�_ l coL11 Aut.nye
PAGES INCLUDING COVER LETTER: Q
. j
IF YOU DID NOT RECEIVE THE NUMBER OF PAGES INDICATED,
PLEASE CONTACT US DLMEDIATELY AT (509)244-5011. THAAW YOU
04-19-1996 08:27AM FROM HEART TRUSS 2 ENGINEERING TO 4564703 P.02
HEART
TR1 SS
&ENGINEERING,INC.
•• SOUTH 2607 HAYFORD ROAD •• P.O.BOX 19231.SPOKANE,WA 99219 •. I (5091 244-5011 ••
April 19, 1996
Frank Paladichuk
Spokane County Building Department
Frank,
Per our conversation of today, regarding the Harley Douglass job on E. 15222 6jth Avenue, it is
acceptable to brace the bottom chord of the upper story gable to the top chord of the truss below
to vertically transfer uniform roof loads. Braces should be 48" on center max.
If you have any questions please feel free to contact me.
0 r),�. you.
..., 4 .
Ronald E. Kinville
TOTAL P.02