2002, 01-30 Permit App: 02000552 Residence Project Number: 02000552 Inv: 1 Application Date: 1/30/2002 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: 15 Right: 5 Rear: 33 Phone: (509)483-6532
Group Name:
Project Name:
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1714 Block: 7 Lot: 14
SiteAddress: 16008 E 6TH LN Owner:Name: LANZCE DOUGLASS
VERADALE,WA USA 99037 Address: 815 E ROSEWOOD AVE
Location::VER SPOKANE,WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 7,860 Sq Ft Width: 83 Depth: 102 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review '
or '
Site Plan Review used By: rrq�
i - _ -r 02
Plan Review Released By: :, f__" L -�
Approach/Drainage Released By: � .
Sewer Re •• Released By: C a. ®1 411
Permits:
Operator: RMB Printed By: RMB Print Date: 1/30/2002
Project Number: 02000552 Inv: I Application • Date: 1/30/2002 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: Li
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-I 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 1 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 WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<-100,000BTU I 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: 1/30/2002
Project Number: 02000552 Inv: 1 Application Date: 1/30/2002 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 5 NUMBER OF $30.00
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: $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 $1,047.59 $1,047.59 $0.00 $1,047.59
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $114.00 $114.00 $0.00 $114.00
$1,256.59 $1,256.59 $0.00 $1,256.59
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: 1/30/2002
• APPLICATION INFORMATION
`What is the JOB SITE address? ASSESSOR'S tax parcel number?
_tea oCYg G— — 145zy2 • C71y
Legal description as it appears on the property deed
LOT /4-1 BLOCK 7 ch l ley /4-
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 Right of way width
Water distract j
***SEE ATTACHED
`BuildingBuilding height of stories
es
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"
Whet 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
Wa State Contractor license# We State Contractor license#
Mailing address Mailing address
Relocation FireSafety
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
Fuer:Storage`Tanks Swimming Pool nn
(Circle one) Above-ground Underground Size/gallons ii �i=i rills }'
g g ('t0f L/A' t r`nI is IT1/
Contents of tank(s) Size/gallons _ 1 i
Public/semi-private
Contractor Contractor JAW 10 2002
Wa State Contractor license# WA State Contracalle "dif 'r ^ ` ' -"CMENl
b'f:
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: 1245 RancherAddress: C )6ca� loch
Bedrooms: 3 Legal: LOT /4( BLOCK
Baths: 3 Development: SAA/fey GFS V-6—
Elevation: _ Scale: 1" =20'
ADGr 4 _ "k--
- ZONE
ROAD WIDTH c30
-/ FRONT _ F ANKING
W _ _ ,_cRQMgE__ _ ___
REVIE _- ?
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It ) / i This s?; ^ n'r =;being submitted for the purpose of
-Lot S,3, \ obta ni a .. .:, 1-4pert:,:a;nd is a true and correct
representation of the proposal.All known property
/ l lines/dimensions,curb lines structures and easements
/ have been icier fled.Also indicated ar- etlands,
45� Il bodies o...19"`ste-•sloes o - ical are.,
If
/4' Sig, /
l Date-
110
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