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 ' !
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COMMENTS: (n > // jA , ASDs 00
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ENGINEER AP ROACH/FLOOD PLAIN/DRAINAGE c` /15°" A . b .1 47rE J�
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY ;21/ r k III_ , . L `� AAA40 .
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COMMENT . ��a . L� �l A/��� ���.� 0 �� A f. / -
ttei iit I 4 / lt' / /' ti 0 A . IT aro/ re
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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
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PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER S _�
******************************** THANK YOU ************************************
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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
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—DETACH TO DISPLAY. CERTIFICATE
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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
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