2002, 05-14 Permit App: 02003677 Residence •
Project Number: 02003677 Inv: 1 Application Date: 5/14/02 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-GAS Contact: LANZCE G DOUGLASS INC
Address: 815 E ROSEWOOD AVE
C-S-Z: SPOKANE WA 99208
Setbacks: Front 20 Left: 15 Right: 5 Rear: 40 Phone: (509)483-6532
Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1513 Block: 5 Lot: 13
SiteAddress: 15903 E 6TH LN Owner:Name: LANZCE G DOUGLASS INC
VERADALE,WA USA 99037 Address: 815 E ROSEWOOD AVE
Location::VER SPOKANE WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 8,434 Sq Ft Width: 75 Depth: 115 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
t2 f�
Site Plan Review Release � -# )t,
Plan Review Released By:
Approach/Drainage Released By: >1 /}(41
Sewer Review/UJ Released By: f___'s"' _",
(6a-- -" e4;--27)
•
Permits:
Operator: JAS Printed By: JAS Print Date: 5/14/02
Project Number: 02003677 Inv: 1 Application Date: 5/14/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: LANZCE G DOUGLASS,INC Firm: LANCZE G DOUGLASS,INC
Address: 8510 N CRESTLINE Phone: (509)483-6532
SPOKANE,WA 99217
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 1
Bldg W x D: 56 x 24 Building Sq Ft: 1872 Sprinklers: 11
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 936 $11,512.80 936 $11,512.80
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 936 $61,776.00 936 $61,776.00
Totals: 2,472 $79,988.40 2,472 $79,988.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $767.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $168.85
Permit Total Fees: $940.85
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 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 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
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: JAS Printed By: JAS Print Date: 5/14/02
Project Number: 02003677 Inv: 1 ' Application Date: 5/14/02 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
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NTTMBFR OF $6.00
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $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 Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $940.85 $940.85 $0.00 $940.85
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,103.85 $1,103.85 $0.00 $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
•
APPLICATION INFORMATION
What Is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
LOT 13 BLOCK
OWNER or OCCUPANT Phone
Lanzce G. Douglass , Inc. 509-483-6532
7uialling address City,state Zip
'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 Right of way width
a) d
y m
Water district
o ***SEE ATTACHED ENERGY CALCULATIONS***
o
Building Building height #of stories
936 split w/gar side 1
Contractor Dimensions TOTAL SQUARE FOOTAGE
Lanzce G. Douglass . Inc. 56x24 1872
WA State Contractor license# Main floor area Unfinished basement area
LANZCGD072P5 936 936
Mailing address 2nd floor area Finished basement area
815 E. Rosewood Ave. 0 0
Architect/Engineer Garage area Size of decks,etc.
Independent Home Designs 480 120 Oover30"
What is the heat source? What is the cost of your project?
fnrrPd Air gS
Manufactured Home Sign.
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
RECE VED
Installer SPOKANE COUNTY Contractor
Wa State Contractor IicenaeMAY 13 2002 Wa State Contractor license#
Mailing address Mailing address
BUILDING AND CODE ENFORCEMENT '
BY:
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent _
Paint booth_ Fire Alarm Fireworks display
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
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 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 programa or activities.
Lanzce G. Douglass, Inc. 845 E. Rpsewood Ave., Spokane WA 99208-5507
House Plan: 936 Split Address: i , t 5 'c'3 C.:- `1'
Bedrooms: 2 Legal LOT 13BLOCK S-
Baths: 2 Development: I,Gi c�I!- .y 44-tom.
Elevation: Scale: 1" =.26"_5---ti)
This site plan is being submitted for thepurpose of
obtaining a building permit and is a true and correct
representation of the proposal.All known property
Tines/dimensions,curb lines,structures and easements
have been ident` d.Also indicated : ,.-tlands,
bodies of w , oma ,oi' or-;:, . .r::.;,
Signed: /_
Date:
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