2001, 10-17 Permit App: 01009181 Residence Project Number: 01009181 Inv: 1 f Application Date: 10/17/2001 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 99217-771
Setbacks: Front 20 Left: 10 Right: 10 Rear: 35 Phone: (509)483-6532
Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1510 Block: 5 Lot: 10
SiteAddress: 15921 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: 8,050 Sq Ft Width: 70 Depth: 115 Right Of Way(ft): 30
Nbr of Bldgs: 0 Nbr of Dwellings: 0
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Permits: .......................................................................................................................................................................
Operator: RMB Printed By: RMB Print Date: 10/17/2001
Project Number: 01009181 Inv: 1 Application Date: 10/17/2001 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: 40 x 49 Building Sq Ft: 2222 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,111 $12,843.16 1,111 $12,843.16
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 1,111 $68,882.00 1,111 $68,882.00
Totals: 2,702 $87,485.16 2,702 $87,485.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $817.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $179.85
Permit Total Fees: $1,001.85
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 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: RMB Printed By: RMB Print Date: 10/17/2001
R
Project Number: 01009181 Inv: 1 ' Application Date: 10/17/2001 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
TOILETS/BIDETS 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
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Not
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 $1,001.85 $1,001.85 $0.00 $1,001.85
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,188.85 $1,188.85 $0.00 $1,188.85
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: RMB Printed By: RMB Print Date: 10/17/2001
APPLICAtION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
LOT /0 BLOCK 5- -/-711-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 Properly size Hight of way width
f �
Water district
***SEE ATTACHED ENERGY CALCULATIONS***
Building Building height ;
#of stories
1111 Rancher 1
Contractor Dimensions TOTAL SQUARE FOOTAGE
Lanzce G. Douglass . Inc. 40x49 2222
WA State Contractor license# Main floor area Unfinished basement area
LANZCGD072P5 _ 1111 1111
Mailing address 2nd floor area Finis edbasement 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 coat of your project?
fnrrer1 air Das
Manufactured Home -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
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 programs or activities.
Lanzce G. Douglass,Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
House Plan: 1111 Rancher Address:6-.7— / 3 7 ? i 6 T4_
Bedrooms: 2 Legal: LOT /0 BLOCK
Baths: 2 Development: •h c i l c y L. - e
6'
Elevation: Scale: 1" 5'
ADDRESS _--• ts•* 0
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This site plan is being submitted for the purpose of
obtaining ,tiading permit and is a true and correct
representation of the proposal.All known property
lines/dimensions,curb lines.structures and easements
have bee '•entified.Also indica ed a etlands,
b•• m� � e p o er
ei,••
'. fid:
' Date: