1995, 10-05 Permit App: 95008079 Residence }
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ROJECT NUMBER= 95008079 APPLICATION DATE= 10/05/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 9912 E 9TH AVE PARCEL#= 45204 . 0801
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE/ATTACHED GARAGE — FORCED AIR GAS
PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 8 LOT= 5 ZONE= UR-3.5 DIST#= '�
AREA= 00000000 F/A= F WIDTH= 50 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= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= HARLEY DOUGLASS PHONE NUMBER= 509 487 9792
BUILDING SETBACKS: FRONT= 25 LEFT= 5 RIGHT= 5 REAR= 20
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED OK PEAL— Al / 6 tc
COMMENTS: lO -S "95
BUILDING SEWER PERMIT PENDING CI 5S— 239
TS: I 5- 176a a
cio(dul
ENGINEER . ' APPROACH/FLOOD PLAIN/DRAINAGE �S��JS��N�e� f® 7
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= HARLEY C DOUGLASS INC PHONE= 509 487 9792
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 40 X 34 SQ FT= 972 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 95008079 APPLICATION DATE= 10/05/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 972 10692 . 00
GARAGE U-1 VN 375 4500.00
RESIDENCE R-3 VN 972 56376. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 513.50
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 102 .70
******************************* 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
CLOTHES DRYER 1 10. 00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 3 30. 00
AIR HANDLER <=10, 000 CFM 1 12 . 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 1 6. 00
TUBS 1 6. 00
SINKS 2 12 . 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
WATER USING DEVICES 2 12 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 620.70 .00 620.70
MECHANICAL PRMT 76.00 .00 76. 00
PLUMBING PERMIT 54 .00 .00 54 . 00
750.70 . 00 750.70
PROCESSED BY: BURRIS, ROBIN /-�
PRINTED BY: BURRIS, ROBIN ISO
******************************** THANK YOU ************************************
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APPLICATION INFORMATION 95- Y0-7
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description a It a pears re property deed
!AC 1 tt.: OA .:,,,,,„-- ' - io e'' <--
OWNER or OCCUPANT N Phone
4Q c6 G. )44)0/./1 Cass , G . (-660 X 2 9 '�
ailing address .J City,state Zl
(6i 5 /�aSEecioot �Po,eaac , GJA 99, oe
Who sho In�d weAAcontact reg rdin project?//�� Phone
�L � c..ex`c
What work ' eing done under this permit?
Lone Inspector district Property size Bight of way width
a) a)
Water district
C i
a� m
p
Building Building height #of stories_
/ 0
Contractor Dimensions TOTAL SQUARE FOOTAGE
Ae&al C. IenCij/ass G . 4/42 wk• 9 ?2--
WA State Contract6r license# Main floor area Unfinished
mg a drbasement area
AQP (Lb i i of C •
�l 72--
2 -- -�, '' ";,
ess 2nd floor area Finished basement area
G • Q 4S �.Cdc.7Cb.6 - ..5f0,0 La-Kt..) ...rare...
Architect/Engineer Garage are ;,,r.• Size of decks,etc.
What is the heat source? What Is the cost of your project? y O
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 Contr.• .r license# Wa State Contractor Ii - se#
Mailin. .dress Mailing ad s
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm _ Fireworks . .ay _
VALUE
Contractor Contractor
WA State Contra • license# WA State Contrac • icense#
Mailing .tress Mailin. .•.ress
Fuel Storage Tanks Swimming Pool
(Circle one) Above-ground Underground /------- Size/gallons Private
Contents of tank(s) Size/gallons
Public/seml-private
Contractor Contractor
Wa State Contract. ' ense# WA State Co . or license#
Mailing a.: ess Mailin. :ddress
COMPLETE ALL APPLICABLE INFORMATION
PLUMBING PERMIT APPLICATION
N
I'ROJECCADDRESS: 99/2 e 9 1""
OWNER: HARLEY C. DOUGLASS INC. PHONE: 509-1487-9792
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208
(street) (city/state) (zip)
CONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4
PHONE: 509-535-5944
MAILING ADDRESS: 55214 EAST BOONE SPOKANE WASHINGTON 99212
(street) (city/state) (zip)
PLUMBING FIXTURES #OF ut.n- COST
DESCRIPTION I DETAIL UNITS_PLUM av /UNIT BQUAts AMOUNT
B02 TOILETS WATER CLOSETS,BIDETS ____/ x $6 = $ 6 U°
B03 URINALS - - x $6 = $
B04 TUBS BATH.JACUZZI,SPA.GARDEN / x $6 = $ 6 J°
B05 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD x $6 = $
B06 SINKS LAVSBASINS.BAR.FLOOR,KITCHEN, X $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO, ` •�'d-''
l j
X—RAY,FOOD(PREP/CULINARY/MEAT)
B07 DISHWASHER - / x $6 =_ $ 6 `2'
B08 CLOTHES WASHER - { x $6 = $ ----'
B09 GARBAGE DISPOSAUGRINDER - x $6 = $
B10 WATER SOFTENER - ---" x $6 = $ ----""'
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) X $6 = $
B12 FLOOR DRAINS AREA,CASE,COQ..TRENCH.CONDENSATE ...•••."' X $6 = $ ...----•
B13
-
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $ `-"-+
B14 FOUNTAINS,DRINKING - x $6 = $ """...
B15 WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION.ALTERATION.REPAI , x $6 = $
PLUMBING REVERSALS REVERSALS 1.-'
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $ ---
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $
HOSE BI: STEAMER.PROOFER, 2 •••••• •••••,
I ARBONATOR.SWAMP COOLERS
B18 CROSS-CONNECTION DEVICES VACUUM BREAXER.CHECK VALVE, x $6 = $
AND R.P.B.P.D.FOR:VATS SUMPS. " ......,
TANKS,BOILERS.&SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP.SAND TRAP. X $6 = $
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NTTROUS.OXYGEN x I $6 = $ "------,
B21
'-
B21 MISCELLANEOUS FIXTURES x , $6 = $ -
NOTE: MINI PERMIT FEE IS$35.00 Subtotal
AF PLUS: PROCESSING FEE $25.00
SIGNATURE: / 1 s+„ Ak. TOTAL PERMIT FEE DUE $
PLEASE MAKE CHECKS PAYABLE TO;
Spokane County Division of Buildings SPOKANE COUNTY PERMITCENTER
' 1026 W.. Broadway Avenue ' Spokane,WA 99260
Tel. No. (509)456-3675 ` Fax No. (509)456-4703 • TDD No. (509) 324-3166
u StTFR,PI II MP FAM.FIND
MECHANICAL PERMIT APPLICATION
II'ROJECI' ADDRIiSS: 9. 1 `
OWNER: HARLEY C. DOUGLASS INC. 'PHONE: 529-487-4792
MAILING ADDRESS: 815 EAST ROSEWOOD •S . _ ► , : . ► • . • • I :
(street) (city/state) (zip)
DSO P
CONTRACTOR: COMPLETE HEATING & SHEETMETAL LICENSE: COMPI HS
PHONE:
MAILING ADDRESS: 1 • S I p ; a p •• . s • ± _ . • h
(street) (city/state) (zip)
I ' # MULTI- COST
DESCRIPTION OF WORK OF UNITS ,PLIED 9r /UNIT nouwu AMOUNT
B02 FUEL BURNING APPLIANCE =or<100,000 J = $12 - s
1303 FUEL BURNING APPLIANCE >100,00o I _ $15 - :
B04 UNLIS 1 hD APPLIANCE(ADDITIONAL CHARGE) =or<400,000 I = $50 - : "--
B05 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400.000 = $100 - s ' --"""
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.000 = $50 - s
IB07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400.000 = $100 - s ---�—
BOS BOILER/REFRIGERATION 1-100M BTU = $12 - I , ". .
B09 BOILER/REFRIGERATION 1o1-500M BTU 1 _ $20 - s
B10 BOILER/REFRIGERATION 501-1.000M BTU _ $25 - s
B11 BOILER/REFRIGERATION 1.001-1.750M BTU _ $35 - s
I B12 BOILER/REFRIGERATION +1.750M BTU = $60 - s -_.-„
B13 GAS LOG,GAS INSERT.AND/OR GAS FIREPLACE - _ I S10 - s ------
,B14 RANGE - _ $10! - I ---'
B15 DRYER - / _ $10 - :
B16 FUEL BURNING WATER HEATER - / $10 . s JO
0,
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - _ $10 - s -•�
� �
B18 GAS PIPING(ea.outlet) - QZ Si - _ I?:
X819 DUCT SYSTEMS - = I $10 - : •�
B20 I VENTILATING FANS - 3ri' = I $10 - : /0 0_,_;1_'.
B21 AIR HANDLER(DOES NOT include duct systems) =or<10.000 CFM / = $12 - s /z
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM `" ' = $15 - $ ""—
B23 EVAPORATIVE COOLERS - ! .,--- _ $10 - $ -
B24 TYPE I HOOD - / $50 - s
B25 TYPE II HOOD - ` _ $10 - s _-_-'-'
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS r = $12 - $ ,--.-,
B27 AIR CONDITIONER 6-15 TONS = S20 - s ,_'..---,.
B28 AIR CONDITIONER 16-30 TONS = S251 - s
829 MR CONDITIONER 31-50TONS = S35I - s ----^-^-�
B30 IAIR CONDITIONER +50 TONS = 5601 s .. """- _"
B31 f!LPG STORAGE TANK - = % $10 s —�
B32!WOOD OR PELLET STOVE/INSERT - _ $25 - '
NOTE: MINIMU ERMIT FEE IS 535.00
Subtotal '/3 c2„
PLUS: PROCESSING FEE $25.00
n
SIGNATURE: - TOTAL PERMIT FEE DUE $ s 6
PLEASE MAKE CHECKS PAYABLE TO:
Spokane County Division of Buildings SPOICAA COUNTY PERMTT CENTER
1026 W. Broadway * Spokane,WA 99260 ,,„, I tea/
'let. No. (5091 456-3675 * Fax No. (509)456-4703 *TDD No. (509)324-3166
*4110- *ararre
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DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
I. ,
CO4 T• CtNT- .GENE " ►L '
REGISTRATIQr{NUMBER ' , ,+ ENPIRATpN DATE
03
s 1' CFO tT$VLA OA ' t i 0 4 STATE OF WASHINGTON
A
HArtLY C .13011GLA$$ INC': �I 'J'r gra„ '; ' +'1
E 815.
, 120'SE . .�" ':rR, ' I +
SPO Kk 4'e. 'WA '9 ,� r
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F625 052-000(3-92)
i.MAW.\,N\\\\V \ NWAN'i\\\1M+a•\\V4•\MW\. AA N40\n•\\N\\\AA \WW,A\4\\\\M\k\e , N.`n","TS"" ... T w3 .`..2.^.`uNt.R.=.1.i ::`W
I HARLEY C.DOUGLASS CERTIFY THAT THIS IS A TRUE COPY OF MY ORIGINAL GENERAL
CONTRACTORS LICENSE.
`7, 7b7,5
HARLEY C.DOUGLASS DATE
STATE 0 HINGTON
COU •
SPOKANE ss.
r `' know or ave satisfactory evidence that
Hof' C. DOUGLAS is the
person(%) who appeared before inc. and said person(sl
acknowledged that (he/she/they) signed this instrument and
acknowledged it to be (his/hcrltheir) free and voluntary act for
the uses and purposes mentioned in the instrument.
411111k
/ Signature
Title
10/23/96
My appointment capirca
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