2001, 11-02 Permit App: 01009791 Residence Project Number: 01009791 Inv: 1 ' Application Date: 11/2/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW 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: 10 Right: 6 Rear: 34 Phone: (509)483-6532 ..,"
Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1511 Block: 5 Lot: 11
SiteAddress: 15919 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: 010 VERA Hold: ❑
Area: 8,050 Sq Ft Width: 70 Depth: 115 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
n orm
R
eview I
f
i
Review
Site Plan Review Released By: c. Y _,tt 44(d it t ,cc; y.
/
t')
Plan Review Released By:
,(c) i,4X.. _______(,7/i ......
Approach/Drainage -
Rel sed By: ) i 2.... (
Sewer ReviewiLL,LI (11,1')iA'.'1 Released By: 11
o (Qjl1)17tLittc((( L 14 ( C( - .
d
Permits: ... .... .. .. .
Operator: MKC Printed By: MKC Print Date: 11/2/2001
Project Number: 01009791 Inv: 1 Application Date: 11/2/2001 Page 2 of 3
THIS IS NOTA 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: Building Height: 21 Stories: 1
Bldg W x D: 56 x 24 Building Sq Ft: 1872 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 936 $10,820.16 936 $10,820.16
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 936 $58,032.00 936 $58,032.00
Totals: 2,352 $74,612.16 2,352 $74,612.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $736.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $161.98
Permit Total Fees: $902.73
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
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Operator: MKC Printed By: MKC Print Date: 11/2/2001
Project Number: 01009791 Inv: 1 Application Date: 11/2/2001 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 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE 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: $96.00
ote
N
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 $902.73 $902.73 $0.00 $902.73
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$1,093.73 $1,093.73 $0.00 $1,093.73
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and fmds 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: MKC Printed By: MKC Print Date: 11/2/2001
. � G
APPLICATION INFORMATION oi l j 7-l
4:
'What is the JOB SITE address? ASSESSOR'S tax arcel number? 77,—
Legal
description as it appears on the property deed
LOT Il BLOCK 4.i- A fie> /74.-/ -e.,-----'
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
Lone ; Inspector,district Property size Rightof way width
Water district - ./
0 ***SEE:ATTACHED <ENERGY'CALCULATIONS***., . _. o
Building Building height #of stories
i
936 split wIj?ar side r9-?' 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 areaSize of decks,etc.
IndependentHome Designs 480 120 Oover30"
What is the heat source? What is the cost of your project?
forced air gas
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
•
We State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety i:•
Previous address . . Fire Sprinkler _ ' Tent _
Paint booth_ Fire Alarm Fireworks display _
VALUE , SP RENFlrotjNTY
Contractor
Contractor , SPOT
WA State Contractor license#
WA State Contractor license# NOV 0 2 2001
Mailing address Mailing address i3UILL,i u',ANL)CODE ENFORCEMENT
BY: - i '
Fuel Storage Tanks Swimming'Pool
(Circle one) Above-ground Underground
Size/gallons Private
Contents of tank(s) (Size/gallons
Public/semi-private
Contractor , Contractor
i
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 programs or activities.
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: _ ` T 7/J �T�.
OWNER: L__.anzce Douglass ,
G._. Do._: gl
u
.�_:. ass , Inc. , PHONE:DAYTIME CONTAC'1509-483-6532
MAILING ADDRESS: 815 E. Rosewood Ave. Spokane, ''-:WA 99208-5507
., (street) (city/state) (zip)
CONTRACTOR: Gold Seal Mechanical, Inc. LICENSE: GOLDSM*290C4-
-_:: PHONE: —(509)-' 535-5944
MAILING ADDRESS: -5524 E. Boone Spokane, -,:.:WA ' 99212
916 G P 1 it - - - (street) --(city/state) (zip)
PLUMBING FIXTURES _
#OF mum COST
- • DESCRIPTION DETAIL - UNITS run sr /UNIT EQUALS - AMOUNT
BO :TOILETS WATER CLOSETS,BIDETS .. 2 x $6 = $
13 URINALS - X $6 = $
Loi TUBS BATH,JACUZZI,SPA,GARDEN " 1 X $6 = $
JAN SHOWERS(per trap) BASE,STALL,ON-SITE BUILD X X $6 = $
BOSINKS LAVS/BASINS,BAR,FLOOR,KITCHEN,_ _ " X $6 = $
LAUNDRY,UTILITY,JANITOR PHOTO,
X-RAY.FOOD(PREP/CULINARY/MEAT)_ 3
002iii DISHWASHER 1. x $6 = $
Bi3 CLOTHES WASHER - 1 x $6 = $
tin GARBAGE DISPOSAL/GRINDER - 1 x $6 = $
Rol WATER SOFTENER- - x - $6 = $
311;ELECTRIC HOT WATER TANKS (NOTE if gas later tank see mechanical) X - $6 = $
$1 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 = $
3':.ROOF DRAINS/OVERFLOW DRAINS - x $6 = $
Bi>4I FOUNTAINS,DRINKING _ x $6 = . $
al Ail WATER PIPING/DRAIN-WASTE-VEN INSTALLATION,ALTERATION.REPAIR.-. .:,.. x _._.$6 = _. $ .
GIN PLUMBING REVERSALS REVERSALS �_ - - -
Bfg SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
Bay WATER USING DEVICES ICE AND/OR COFFEE MAKER, .. . . " X $6 = $ .
•-.-•�••.
s.;,•
,� STEAMER,HOSE BIB. PROOFER, �
{ < W,,._ CARBONATOR,SWAMP COOLERS 3 --
1 1S CROSS-CONNECTION DEVICES vacuum BREAKER,CHECK VALVE, X $6 = $
:?v:?:::_s: AND R.P.B.P.D.FOR:VATS,SUMPS, .
::.:::.
-":...'`3 TANKS,BOILERS,&SPRINKLER SYSTEMS -1 - -
BA* INTERCEPTORS GREASE TRAP,SAND TRAP. x _ $6 = $ --
CHEMICAL
-CHEMICAL HOLDING TANK
B-2(t;MEDICAL GAS(per outlet/bottle station)NrrRouS,OXYGEN ..r . x $6 = $ .
B210 MISCELLANEOUS FIXTURES x - $6 = $
NOTE: MINIMUM PERMIT FEE IS$35.00 - Subtotal - .
- PLUS:.PROCESSING FEE $25.00
® RESIDENTIAL ❑ COMMERCIAL TOTAL PERMIT FEE DUE $
SIGNATURE: 0—__.-4....e.,_"0.--,--
cl :�„ • Yf:C E ff> k'i l+ : •-Y.•:i`::.:rr,tiS: 3 %•..
ff-
�:'a'�k%-r:+?y:j:xa�y,`i:.Fx:liolr.:;}�S.ii::�?;£7.c`f{f.•.�/.•-•i::i2`;;•:t k,:?�?fc`�,.••`:y,�C�+••,•;>'�Y:S:y.,: Vii.';.:
Spokane County Division of Building&Planning •' ''`' ?. '., Ti ".1:`.USERS'�:::
Vi: •'' =�.ii..?•'i'fi�. ..x:rr. ...... ..k'ix<•:F;••::Sry:,:,.,::.::.,,.:..:
* V :>i:•:•:v-.ji.•.•..#•} .�r::}:-l.•.j^i::v:•:r.••::{n�.:v/.-::•:?r:�`•:::•::::?:f:•.i•:ii•:.,.:..,.:.:yi.;{:...n....
1026 W.Broadway Avenue*Spokane,\ A 99260 ;::.::.k:..::.,.V:::::.:.::::..::....::•:::<.:..:::::::.:.,::.:.::::::.::::...:::;;:,:.:.,.:<.>;:;,:;::«.;,;>:.
Tel.No.(509)456-3675*Fax No.(509)324-3198*TDD No.(509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
10/14/94 Mapaplwnpam hod
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: 6: j c"
OWNER: Lanzce Lanzce G. Douglass . Inc. 'PHONE:DAYTIME CONTACT 509-483-6532
MAILING ADDRESS: 815 E. Rosewood Spokane. WA 99208-5507
- . , (street) - (city/state) . (zip)
CONTRACTOR: Dancar Mechanical Inc. LKENSEPANCAMI022C7 ..
PHONE: 924-9921
MAILING ADDRESS: 311 N. Hodges . Greenances , WA 99016
(street) (city/state) (ziP)
# slum COST 1
DESCRIPTION OF WORK ,OF UNITS LIED I /UNIT i..1 AMOUNT
SOT FUEL BURNING APPLIANCE =or <100,000 1 . $12 - s
BOT FUEL BURNING APPLIANCE >100,000 . $15 - ,s
..:.,:....,
.B04ii. UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or <400,000 = $50 - ,$
130UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 - s
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) = or <400,000 = $50 - s
BOW USED APPLIANCE (Must meet WSEC's min.AFUE rating) >400,000 = $100 - s
B08;1 BOILER/REFRIGERATION 1-100M BTU = $12 - $
BOW.Ei BOILER/REFRIGERATION 101-500M BTU = $20 - s
BIG BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
431i: BOILER/REFRIGERATION 1,001-1,750M BTU = $35 - s
BIT BOILER/REFRIGERATION •
+1,750M 13TU = $60 -
MT: GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - *
1 . $10, - s
B14 RANGE - 1 . $10 , - s
illIS DRYER - 1 . $10 - s
IrM FUEL BURNING WATER HEATER - 1 . $10 , - s
1317:: MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s
SI&GAS PIPING(ea. outlet) - ^.L.
3 . $1 - s
i319 DUCT SYSTEMS - . $10 , - s
.: ......
asai VENTILATING FANS - * 4 . $10 - s
Irit: AIR HANDLER(DOES NOT include duct systems) =or<10,000 CFM = $12 - s
4322 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 , - $
112II, EVAPORATIVE COOLERS • • - . $10, -
11241;TYPE I HOOD - . $50 - s
825i TYPE II HOOD . - . $10 - s
826;i HEAT PUMP/AIR CONDITIONER 0-3 TONS n $12 - s
Irn AIR CONDITIONER 3-15 TONS . $20 -
B28 AIR CONDITIONER 15-30 TONS = $25 - s
ill2gi AIR CONDITIONER 30-50 TONS = $35 - s
1330-:. AIR CONDITIONER +50 TONS = $60 - $
_
ayt LPG STORAGE TANK - . $10, - s
;B32 WOOD OR PELLET STOVE/INSERT - . $25 - $
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: 4t-9-00•77 TOTAL PERMIT FEE DUE $
LZ
nkASEIMKEMBECIMASABOTOE:
Spokane County Division of Building&Planning liispotastraforgeolgorprogis
1026 W.Broadway* Spokane,WA 99260 ii0iMISONitingEntingiliinliggeMe:
Tel.No. (509) 456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
12/14195 4•100611.01111.1.Li=1
:ce G. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
e Plan: 936 Split Address: / 5S/c7 6
ooms: 2 Legal: LOT i/ BLOCK c
2 Development: S/i-//-epi i,2VP
tion: Scale: 1"
151
FLANKING .-------
Vh'' BY w inn
1
89'12'51E 110.00' 'y
70.00'ho . ,.:
W
cea
og• )q ori
v .
i 1
S89'12 57 'E v�
388.74'