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2002, 07-10 Permit app: 02005759 Residence Project Number: 02005759 Inv: / 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 Contact: LANZCE G DOUGLASS INC Address: 815 E ROSEWOOD AVE C-S-Z: SPOKANE,WA 99208-5507 Setbacks:Front 20 Left: 8 Right: 10 Rear: 35 Phone: (509)483-6532 Group Name: Site Information: Project Name: Plat Key: 005862 Name: SHELLEY LAKE District: F Parcel Number: 45242.1709 Block: 7 Lot: 9 SiteAddress: 15902 E 6TH LN Owner:Name: LANZCE G DOUGLASS INC VERADALE, NA"A USA 99037 Address: 815 E ROSEWOOD AVE Location::VER SPOKANE,WA 99208-5507 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 9,275 Sq Ft Width: 0 Depth: 110 Right Of Way(ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review -- 1 Site Plan Review Released By: � { ' `O 447--� Plan ReviewReleased B P.Nq i I v Z y' ._. Special Reviews Released B y: . . � . Approach/Drainage Released By: Z " 10 O?►_ Sewer Review Released By: WCA4,4 f kt •PcfrvL i L.J I Z 3 72-7 eC ed Operator: CKF Printed By: CKF Print Date: 7/10/02 Project Number: 02005759 Inv: 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 Permits: Building Permit Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Building Characteristics Const Category: New Group:R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 1 Bldg W x D: 68 x 35 Building Sq Ft: 2526 Sprinklers: El Req Parking: Handicap Parking: Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Su Ft Valuation BASEMENT U R-3 VN 1,263 $15,534.90 1,263 $15,534.90 DECK R-3 VN 120 $939.60 120 $939.60 GARAGE U-1 VN 492 $5,904.00 492 $5,904.00 RESIDENCE R-3 VN 1,263 $83,358.00 1,263 $83,358.00 Totals: 3,138 $105,736.50 3,138 $105,736.50 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION I Y OR BLANK $925.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $203.50 Permit Total Fees: $1,133.00 Mechanical Permit Contractor: DANCAR MECHANICAL INC. Firm: DANCAR MECHANICAL INC. Address: 311 N HODGES RD Phone: (509)924-9921 GREENACRES,WA 99016 Item Description Units Unit Desc Fee Amount GAS WATER HEATER I NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU I NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $105.00 Operator: CKF Printed By: CKF Print Date: 7/10/02 I 4 Project Number: 02005759 Inv: 1 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 Units Unit Desc Fee Amount TOILETSBIDETS 3 NUMBER OF $18.00 SINKS 6 NUMBER OF $36.00 SHOWERS 1 NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS I NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 CROSS CONNECTION DEVICES 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $120.00 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 Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,133.00 $1,133.00 $0.00 $1,133.00 Mechanical Permit $105.00 $105.00 $0.00 $105.00 Plumbing Permit $120.00 $120.00 $0.00 $120.00 $1,358.00 $1,358.00 $0.00 $4131-5'W-' Disclaimer: (-6(410 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 APPLICATION INFORMATION What Is the JOB SUE address? ASSESSOR'S tax parcel number? ' - ' / '2 ‘,`1Z . . , Legal description as It appears on the property deed ; ; 11 .• t # K / - _.i : Ll 5 -2,142 . 17a P Phone OWNER or OCCUPANT `Lanzce G. Douglass , Inc. ' 509-483-6532 idailing address City,stateZip '815 E. Rosewood Ave. Spokane, WA 99208-5507 Who should we contact regarding this project? Phone , Lanzce G. Douglass : 509-483-6532 ' What work is being done under this permit? (Single Family ,Lone Inspector,district Property size ,ght way wi S i 5 s dialer distri ++ l i i.:: ***SEE.A`S :A6kJ .. ,NL.13dyi oAXa.Guti tvjN8 tic ..., d Building Bu ilding height .I I i #of stories .;..:> 1261 .,qii l T ' .. . ;: on T07AL'SdUAffE FOOTAGE Dimensl s Contractor , 68x35 ' 2526 Lanzce G. Douglass . Inc. Unfinished bascr �mment ar WA State Contractor license# 1 • Main floor area 'LAN ZCGD072P5 ' )2 O '32 3 Mailing address 2nd floor area I Finished asement area •1 • ' 815 E. Rosewood Ave. 0 0 Architect/Engineer Garage area Size of decks,etc. e 120 Oover3hri 'Independent Home Designs �� • What Is the heat source? I What is the cost of your project? i ' fnr'rprl air gas Manufactured Homo r Sign ` . Width:' Length: I I What Is the square footage of h ow;high la the sign? the sign face? f Year: i I Make: . I Installer j , Contractor , ' • Wa State Contractor license# We State Contractor,license# • • Mailing address I i Mailing address ' i J ji —� I , Fire.Safe i` F Relocation `.. . } i Fire Spr f�El rk _.J E Tent _ Previous address) pal booth r"r r osplay • VALUE JUN '2 2002 Contracto Contractor ; WA State Contractor license# WA State • actoBlisense f3 clod?UOUE ENFORCEMENT Mailing addre== BY. Mailing address i , i I Switrtming P. Fuel Storage Tanks t (Circle one) Above-ground Underground Size/gallons •nve e Contents of lank(s) Size/gallons Public/semi-private Contractor Contractor Wa State Contractor license# , WA Stale 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. Lanzce G. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507 House Plan: 1263 Split Address: Bedrooms: 3 Legal: LOT �'7 BLOCK Elevation: 3 Development: -5di.-/(e Scale: 1".28"= C�7 i4 • N • O rot) 114.80' This site plan is being submitted for the purpose of ADDRESS 15 qoq. true end correct cbtaining a building permit and Is a ZONE 41l . representation of the proposal.Ali known property lines/dimensions.curb lines,structures and easements ROAD WIDTH 30 FLANKING have been'.entlfled,Also indl a - are wets, FRONT 2.0 Jet c as. COMMENTS REVIEWED 11.‘" G IAA/AIL trate?