2002, 04-16 Permit App: 02002627 Residence Project Number: 02002627 Inv: 1 Application Date: 4/16/02 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: DOUGLASS,LANCZE G
Address: 815 E ROSEWOOD
C-S-Z: SPOKANE WA 99208
Setbacks: Front 20 Left: 5 Right: 5 Rear: 30 Phone: (509)483-6532
Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1710 Block: 7 Lot: 10
SiteAddress: 15908 E 6TH LN Owner: Name: DOUGLASS,LANCZE G
VERADALE,WA USA 99037 Address: 815 E ROSEWOOD
Location::VER SPOKANE WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 7,427 Sq Ft Width: 71 Depth: 110 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review h Reileased By:
Plan Review Released By: t> L �-•--� ii_c,
Approach/Drainage Released By:
Sewer Review/1' J Review/ -4..-L,D ., ij Released %
Permits:
Operator: JAS Printed By: JAS Print Date: 4/16/02
Project Number: 02002627 Inv: 1 Application Date: 4/16/02 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: 68 x 35 Building Sq Ft: 2526 Sprinklers: ❑
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 1,263 $14,600.28 1,263 $14,600.28
DECK R-3 VN 120 $883.20 120 $883.20
GARAGE U-1 VN 492 $5,904.00 492 $5,904.00
RESIDENCE R-3 VN 1,263 $78,306.00 1,263 $78,306.00
Totals: 3,138 $99,693.48 3,138 $99,693.48
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $892.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $196.35
Permit Total Fees: $1,093.35
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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $75.00
Operator: JAS Printed By: JAS Print Date: 4/16/02
Project Number: 02002627 Inv: 1 Application Date: 4/16/02 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 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 1 NUMBER OF $6.00
GARBAGF DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $114.00
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 $1,093.35 $1,093.35 $0.00 $1,093.35
Mechanical Peanut $75.00 $75.00 $0.00 $75.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$1,282.35 $1,282.35 $0.00 $1,282.35
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: 4/16/02
APPLICATION INFORMATION
What I.the JOB SITE address?
/ ASSESSOR'S tax parcel number?
'—" - i / Y/C/ C� 6
Legal description as it appears on the property deed •
/- ` , ;
LOT /0 BLOCK she c/e f U�`- e V
OWNER or OCCUPANT Phone
'Lanzce G. Douglass , Inc. ' 509-483-6532
Mailing 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?
(Sinle Family '
Zone Inspector district Property size -Right of way width
N
/iater 01:1:0r CSI E
r ***SEE::;AT'IACHED. ENJ RGY:.:CALL JlA.T.ION8 k* ,:.:::;•:;2>. .,::...:.:: :...... r...,. o
Building Bullding height t #of stories
f
t �j r,
{�:'ii f: 1 #' TO 1 S lUARE FOOTAGE
• Dimensions 7fCL
Conjre• 68X35 • 526
Lanzce G. Douglass . Inc. , Unfinished basement area
WA State Contractor license# I Main floor area 1 i
•LANZCGD072P5 1263 ' 1263 •
Mailing address 2nd floor area I Finished basement area
I
815 E. Rosewood Ave. 0 Size of decks,etc.
Architect/Engineer
Ilndependent Home Designs Garage area ,
i ' _ 492 120 Oover3hrl
What I. the heat source? ; What is the cost of your project? .
i ji
' fnropd air gag r
Manufactured Home i Sign. , :;,t ....
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Width:' Length: i What Is the a uare footage ot. How,high,is the sign?
I the sign face? 4
. Year: i I Make: 1 ; i
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Contractor ' '
Installer• ;
i 1 '
We State Contractor licence 0 Wa State Contractor,license#
Mailing address Mailing address• I I I
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Relocation ,.
,', Fire Safety r .. : i..
:..: . .... ..>, Tent _
Previous address Fire Sprinkler
j ; Paint booth_ Fire Alarm
Fireworks display
,
I VALUE
Contractor
Contractor ; j
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. 1
WA State Contractor license N WA State Contractor license#
Mailing addressMailing address •
, I i
• Swittmirtg Pool
Fuel<Storage Tanks : ate
(Circle one) Above-ground Underground
Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
, Contractor
Contractor
Wa Stale Contractor license it. '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 programs or activities.
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