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1995, 02-01 Permit App: 95000526 Residence t PROJECT NUMBER= 95000526 APPLICATIONS DATE 02/01/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 9910 E 9TH AVE PARCEL#= 45204 . 0801 ( ) ADDRESS= SPOKANE WA 99206 aitL, l'IP2 PERMIT USE= RESIDENCE W/GARAGE (F.A. GAS) tJ uveh 1 ", PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE BLOCK= 8 LOT= 6 ZONE= UR-3.5 DIST#= E AREA= 00000000 F/A= F WIDTH= 68 DEPTH= 150 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = SPO CO WATER DIST#3A OWNER= DOUGLASS, HARLEY PHONE= 509 487 9792 STREET= 9910 E 9TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= JOLENE PHONE NUMBER= 509 487 9792 BUILDING SETBACKS: FRONT= 30 LEFT= 6 RIGHT= 16 REAR= 50+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED cue' //76i` f S `�('. .- <7 `> COMMENTS: i BUILDING SETBACK REVIEW REQUIRED 41-7 L4-c&6-('\ COMMENTS: BUILDING SEWER PERMIT PENDING CU-5 ' ! k--70/) �LI ",jq . COMMENTS: (n > // jA , ASDs 00 , ^ Ctft77 a ENGINEER AP ROACH/FLOOD PLAIN/DRAINAGE c` /15°" A . b .1 47rE J� COMMENTS: PLANNING UNPLATTED/SEGREGATED PROPERTY ;21/ r k III_ , . L `� AAA40 . r COMMENT . ��a . L� �l A/��� ���.� 0 �� A f. / - ttei iit I 4 / lt' / /' ti 0 A . IT aro/ re „. * * : ► 11; ' IT` CONTRACTOR= HARLEY '/ DOUGLASS C PONE= 5� 487 9792 STREET= 815 E ROSEWOOD AVE ADDRESS= SPOKANE WA 99208 • I NEW= X REMODEL= ADDITION= CHANGE OF USE= PROJECT NUMBER= 95000526 APPLICATION DATE= 02/01/95 PAGE= 02 DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= 1 BLDG W X D = 46 X 56 SQ FT= 2792 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1396 15356. 00 GARAGE M-1 VN 527 6324 . 00 RESIDENCE R-3 VN 1396 76780 . 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 635 . 00 STATE SURCHARGE Y 4 .50 RADON MONITOR 1 12 .57 SALES TAX 1 1 . 01 RESIDENTIAL SURCHARGE Y 114 .30 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= COMPLETE HEATING & SHEET METAL PHONE= 509 533 9528 STREET= 1934 E MARSHALL ST ADDRESS= SPOKANE WA 99207 ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100, 000BTU 1 12 . 00 GAS WATER HEATER 1 10. 00 GAS PIPING 2 2 . 00 VENTILATING FANS 4 40. 00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= GOLD SEAL MECHANICAL INC PHONE= 509 535 5944 STREET= 5524 E BOONE AVE ADDRESS= SPOKANE WA 99212 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 2 12 . 00 TUBS 2 12 . 00 SINKS 4 24 . 00 DISH WASHERS 1 6. 00 CLOTHES WASHER 1 6. 00 GARBAGE DISPOSAL 1 6. 00 FLOOR DRAINS 1 6. 00 WATER USING DEVICES 2 12 . 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 767 .38 . 00 767 . 38 MECHANICAL PRMT 64 . 00 . 00 64 . 00 PROJECT NUMBER= 95000526 APPLICATION DATE= 02/01/95 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PLUMBING PERMIT 84 .00 . 00 84 . 00 915 . 38 . 00 915 .38 -�6 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER S _� ******************************** THANK YOU ************************************ ____ APP__________________ __ _ ___ _ ,, LICATION WORKSHEET _ l� L General Information —-- Ta mei number ens o g� J 2-F79Z, iJi 7�r Jr k_47.1.0tate 40.0 //� try �sf A Site Information ega aescriptton ,, 0 / i .r• 4111P !,1.. f ;mV; rot.r% impystze isarIri __,4/ 'one ' nspector' 1 < Project Information . Building Information willinillaiiiiiiiitallill • , iiiiiiimav o ota sqjimil uare Dotage ltP 2,,k:mein imenstons 39C. `e Heatin.and insulation information it–values 'sin oor Iiiiiiilin (�IIMIN� 61110i-241111- ORM econ• oor _ IIIMINIIIIIIIIINI �PT -tL�� .--�• ! vmiEZMIEMIMININIII Win •n tots e. .asentt,¢y 111111111111111111 t,,, 111111M1411111111114r 1111111111111111111 lijriMillihirill Contractor Information t •twg contrac or 71.1111111111111111111111111. ay,state,zip Heating contractor Irlitin Other/ killaill • one ,W I\v ,, Iiiiiil PHONE di ,,r � / f ONrACT t1� / i tWNW / .rata WNW j Spokane County Division of^Buil�d^ngs�n�t ACC: ��'� .n.... .., , rte.._-.,,..._ 5..,. * C`.--I,--- PLUMBING PERMIT APPLICATION PROD ECL'ADDRESS: OWNER: HARLEY C. DOUGLASS INC. IPI-IONE: 509-487-9792 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208 (street) (city/state) (zip) CONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4 PHONE: 509-53.5-5944 MAILING ADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212 • (street) (city/state) (zip) PCUMBINU'�IX L U1tES N ""`i'- C )ST: DESCRIPTION DETAIL UNITS eoDT IUNTP __row./_AMOUNT B02 TOILETS WATER CLOSETS,BIDETS / x $6 = $ ‘.7, 00 I303 URINALS - x — $6 = $ - / 4 TUBS BATH,JACUZZI,SPA,GARDEN _I.:. '--• $6 = $ /+G-un BO$SHOWERS(per trap) BASE.STALL,ON—SITE BUILD l 1 X 1 -- S6 = $ Co • 03 B06 SINKS IAVS/BASINS.BAR,FLOOR.KITCHEN, x S6 •- $ LAUNDRY.mum.Y.JANITOR,PHOTO. X—RAY,FOOD(PREP/CULINARY/MEAT) a -- �'" - l . x $6 = S - oma BO'DISHWASHER F,OS CLOTHES WASHER _ - // x $6 = SG- 0 0 1309 GARBAGE DISPOSAL/GRINDER - I x $6 = $ C -(t) B. - x — $6 = S WATER SOFTENER E. __ OTE: Bacchanal)If gas water task,see Baccaal) x $6 = S ELECTRIC HOT WATER TANKS (N /� O� B12 FLOOR DRAINS AREA,CASE,COIL,TRFNCt�CONDENSATE / x $6 = $ �O B 3 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x '$6 - = $ B 14 FOUNTAINS,DRINKING - x -- $6 = $ B15 WATER PIPING/DRAIN-WAS1b-VENT INSTALLATION,ALTERATION OR REPAIR X $6 = $ $1;6 SEWAGE EJECTORS GRINDER.SUMP PUMP ----- X $6 = 1$ B`17 WATER USING DEVICES ICE AND/OR COFFEE MAKER. x $6 = $ 110511 BIB STEAMER.I'ROOFP.R —� = ` >: CARBONATOR.SWAMP COOLERS BU 18 CROSS-CONNECTION DEVICES VACUUM BREAKER.t CK VALVE. $6 $ AND R.P.B.P.D.FOR VATS.SUMPS. .---- TANKS.BOILERS.&SPRINKLER SYSTEMS J B14INIERCEPTORS GREASE TRAP,SAND TRAP. X $6 = $ CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x ^ $6 = S B21 MISCELLANEOUS FIXTURES 1 x _ — $6 = $ // T //Subtotal 7/Z •0 NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $2.00 / 6 TO f , TOTAL PERMIT FEE DUE $ i , SIGNATURE: ;7 / r / SPOKANE COUNTY DIVISION OF BUILDINGS WI3ST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675 P MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: HARLEY C. DOUGLASS INC. PRONE: 509-487-9792 MAILING ADDRESS: 815 EAST ROSEWOOD •• . _ k i : . h 0 . . • i (street) (city/state) (ZiP) CONTRACTOR: COMPLETE HEATING & SHEETMETAL LICENSE: CoMPI HSf66c'R PHONE: MAILING ADDRESS: 1 • 4 11 s C • (street) (city/state) (Z1P) # wen-I CJS I' DESCRIPTION OF WORK OF WITS .rusc,Yl /UNIT AlogLuA AMOUNT B02 FUEL BURNING APPLIANCE =or<100,000 / . $12 _ , ■__J2.x B03' FUEL BURNINGAPPLIANCE >too,000 • $15 _ , •....- : 4::UNLISTED FUEL BURNING APPLIANCE =or<400,000 $50 - , B05.UNLISTED FUEL BURNING APPLIANCE >400,000 . $100 - , 006USED APPLIANCE(Must meet WSECs min.AFUE rating) a or<400,900 . $50 - , 130.7: USED APPLIANCE(Must meet WSECs min.AFUE rating) >400,000 . $100 - , 8.08: BOILER/REFRIGERATION 1-100M BTU . $12 _ , -- B09 BOILER/REFRIGERATION tot—sooM BTU . $20 - , -- B10 BOILER/REFRIGERATION 501-1,o00M BTU . $25 - , — BiBOILER/REFRIGERATION Loot-1,750M BTU . $35 _ s.. ._ BIZ BOILEPJREFRIGERATION +1,750M BTU , $60 - , B:13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - . $10 - , -.-4240 8:14:RANGE - $10 _ , • nl.15 DRYER • $10 - , B15 FUEL •BURNING WATER HEAL R - $10 - , k ts _00 — B17 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 _ , 1318 GAS PIPING(ca.outlet) - $1 — . 2.. . O O B19 DUCT SYSTEMS - $10 - e . t20 VENTILATING FANS - _ $10 - , Z d ,J, Bit AIR HANDLER(DOES NOT include duct systems) =or<10,00o cFM $12 - , 1322 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM . $15 - , 112:3] EVAPORATIVE COOLERS - $10 _ , B24`TYPE • I HOOD R - . $50 - , B25 TYPE II HOOD - . $10 _ , -, I32b` HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 - , B27 AIR CONDITIONER 6-15 TONS $20 - r B25 AIR CONDITIONER 16-30 TONS $25 - e B29AIR CONDTITONER 31-50 TONS $35 _ , B30 AIR CONDITIONER +50 TONS $60 - 1 X3;31] LPG STORAGE TANK ■ $10 _ r 1332 WOOD OR PELLET STOVE/INSERT - $25 - t . Subtotal 47/Z NOis MI I •ERMIT • IS S35L) PLUS: PROCESSING FEE $25.0 / TOTAL PERMIT FEE DUE S 07 , 00 SIGNATUR : • SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260 • (509) 456-3675 Al n,t c rlm cdt1,crm.hnd —DETACH TO DISPLAY. CERTIFICATE �:....... �.. w�e�e�e�t���+m��v�+���n?Nc�nne��e�����e��',��n+�+re�.���ti+�n��Wm Neese ���e� O : �_ J v I DEPARTMENT OF LABOR AND INDUSTRIES rl THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A 'e r s: •' Ip e CO t" ,C JN +6£14EQAIC.- -. f, ' . 7 REGISTRATI9N NUMBER. `', .Er tIFIII DA:I v y '::,:;4:., LE4flt8f :1194113A/S(5. ? , ' ' STATE OF WASHINGTON ` :34`T1, DA E IOASI8V ..> ,,. . ifti r 74 1.O . yAyail , Y ' Lu11� . . 41;,IG4 '.114g, f"' .,,,,,...,.-v„..,...0, � T iC° ; E 825. RGSEWOt� _ ;, 145 rLSPii,iO KA N c WA 0x 20 l .l — F625-052-000 13-92 �, 'f7.Ca'.'aS'a44i`:a4'a44'i'`�OCOp a•:aS'a�.'a44S'2:, 4.•.� ".� :.'i:a 4•.S^:::O•a1:a04:444440�.44'a`a`a4.:p•:'.'::.:"^:•:::':::::::::::.'1:... :....�.....:a4•.'.'::::::...... ..:.'.•::a" t_DETACH TO DISPLAY CERTIFICATE_i I HARLEY C. DOUGLASS DO CERTIFY THAT THIS IS A COPY OF MY ORIGINAL CONTRACTORS LICENSE. -..-11 A (1 C:\ / . t i'l % /� . Date ,� _ — Sign( d Halley C✓ Douglass STATE OF WASHINGTON COUNTY OF Spokane u' I certify that I know or have satisfactory evidence that Harley C. Douglass is the persons)who appeared before me.and said person(s)acknowledged that the/she/they)sign ed this instrument.on oath stated that(he/she/they)was(were)authariucd ut execute the instrumcr and acknowledged it as the President of Harley C. Douglass, Inc. to tx the free and voluntary act r such party for the uses and purposes mentioned in the instrument. �-Zr9 % Signature .otary Public Title OCT. 23, 1996 My appointment expires f 7 1_ ' 'o CM)/lies r2S / r7 Pc,A ck; >0 ` ,431 ` yG'-ok * --7' ei.. 6 /2OSf.ii 2 i X L Po�' ') E w a 94z t `I Nov St. 'o 0'i . . , - Ill -7nZry d 9 ( o 3 o ,o✓z.ps c 'a � N k _)zp rz Vi lv V. a "V''''' Iv ` r D _/ i - moo, \''''',\.' 6.0. 3 009" p, Z),v. If °`v