2002, 01-29 Permit App: 02000542 Residence Project Number: 020005,12 Inv: 1 Application Date: 1/29/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: LANZCE DOUGLASS INC
AIR GAS Address: 8510 N CRESTLINE
C - S -Z: SPOKANE WA 99217-7718
Setbacks: Front 20 Left: 9 Right: 8 Rear: 50 Phone: (509)483-6532
Group Name:
Project Name:
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1512 Block: 5 Lot: 12
SiteAddress: 15909 E 6TH LN Owner: Name: LANZCE G DOUGLASS INC
VERADALE,WA 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: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Site Plan Review Released By.
r�‘1' I—al-0a-
Plan Review Released By: 1 J„' ~ '
Approach/Drainage Released By:
Sewer • Released By: L a 'I op—OP
Permits:
Operator: RMB Printed By: RMB Print Date: 1/29/2002
Project Number: 02000542 Inv: 1 Application Date: 1/29/2002 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: LANZCE 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: 0 Building Height: 17 Stories: 1
Bldg W x D: 44 x 46 Building Sq Ft: 2344 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,172 $13,548.32 1,172 $13,548.32
COV DECK R-3 VN 64 $605.44 64 $605.44
GARAGE U-1 VN 540 $6,480.00 540 $6,480.00
RESIDENCE R-3 VN 1,172 $72,664.00 1,172 $72,664.00
Totals: 2,948 $93,297.76 2,948 $93,297.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION I Y OR BLANK $855.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $188.10
Permit Total Fees: $1,047.60
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 WA fER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT I NUMBER OF $10.00
Permit Total Fees: $95.00
Operator: RMB Printed By: RMB Print Date: 1/29/2002
Project Number: 02000542 Inv: 1 Application Date: 1/29/2002 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 4 NUMBER OF $24.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 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: $108.00
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 $1,047.59 $1,047.59 $0.00 $1,047.59
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,250.59 $1,250.59 $0.00 $1,250.59
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: RMB Printed By: RMB Print Date: 1/29/2002
•
APPLICATION INFORMATION
What is the JOB SITE address? /_ ASSESSOR'S tax parcel number?
'4 5,2 L a - L51
Legal description as it appears on the property deed
'LOT 1-2-- BLOB �l�e�i Ifs
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?
'Single Family •
..one Inspector district Property size Right:of way width
•
' •
rn
Water.district
o <!***SEE...ATTACHED. ENERGY;.CALCULATIONS* o
Buildin Building height #of stories
9`1172 `Rancher 1
Contractor Dimensions TOTAL SQUARE FOOTAGE
Lanzce G. Douglass . Inc. 44x46 . 5 2344
WA State Contractor license# Main floor area Unfinished basement area
•LANZCGD072P5 1172 1172
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 540 120 0over30"
What is the heat source? What is the coat of your project?
fnrrpd air gsa
Manufactured Horne Sign.
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# • Wa State Contractor license#
Mailing address Mailing address
RelocationFire 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 REt;tiVED
c
PO 1.',7,M E f^.O U r�FFyc/semi-private
Contractor Contracto
Wa State Contractor license# WA State ContraCtI 1Nrta tg 71111?
Mailing address Mailing address
B
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. Rdsewood Ave., Spokane WA 99208-5507
House Pian: 1245 Rancher Address: E /5 g� �o '
Bedrooms: 3 Legal: LOT Z BLOCK c
Baths: 3 Development: i i I ay �a
Elevation: Scale: 1"=20'
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obtaini f the P r easements 1
representation a lines structures anetlands, (Os\-1/\--
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have been at slopes or.
bodies of water,steep �
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ROAD Wi ,`z0
FRONT fl RANKING
OOMMEN
REVIEWED BY