1996, 01-16 Permit App: 96000252 Residence PROJECT NUMBER= 96000252 APPLICATION DATE= 01/16/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 9916 E 9TH AVE PARCEL#= 45204 . 0801
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE W/GARAGE - NATURAL GAS
PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 8 LOT= 4 ZONE= UR-3.5 DIST#= F
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= 91
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED {/ L b
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER DATE: 01/12/96
BUILDING SEWER PERMIT PENDING
A' °:•VAL: 95-1761/955-240/950327/FRAZIER DATE: 01/12/96
GINEER APPROACH/FLOOD PLAIN/DRAINAGE f/,jg "/9(40 4 E' ::
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= STORIES= 1
BLDG W X D = 40 X 34 SQ FT= 1728 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 96000252 APPLICATION DATE= 01/16/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 853 9383 . 00
DECK R-3 VN 120 840 . 00
GARAGE U-1 VN 435 5220. 00
RESIDENCE R-3 VN 875 51625 . 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 495 .50
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 109. 01
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= GOLD SEAL MECHANICAL INC PHONE= 509 535 5944
STREET= 5524 E BOONE AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE >100, 000BTU 1 15 . 00
RANGE 1 10. 00
CLOTHES DRYER 1 10. 00
GAS WATER HEATER 1 10. 00
GAS PIPING 3 3. 00
VENTILATING FANS 4 40. 00
HOOD -TYPE II 1 10. 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= COMPLETE HEATING & SHEET METAL PHONE= 509 533 9528
STREET= 1934 E MARSHALL ST
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12 . 00
TUBS 2 12 . 00
SHOWERS 1 6. 00
SINKS 3 18 . 00
DISH WASHERS 1 6. 00
CLOTHES WASHER 1 6. 00
GARBAGE DISPOSAL 1 6. 00
WATER PIPING - DWV 1 6. 00
WATER USING DEVICES 2 12 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 609. 01 . 00 609. 01
MECHANICAL PRMT 98 . 00 . 00 98 . 00
PLUMBING PERMIT 84 . 00 . 00 84 . 00
791. 01 . 00 791. 01
PROCESSED BY: CAROL FRAZIER
A'I 4' p d
APPLICATION INFORMATION
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What is the JOB SITE address? ASSESSORS tax parcel number?
q?/‘' c• 9 -
Legal description as appFar-Aii the rty dead er pi,,,,,,
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OWNER or OCCUPANTPhone
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Who sho Id we contact reg rdinproject? Phone
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What work • eing done under this permit?
-'�-P?rjeltG , i71/_ct) C rZI:e )
Lone Inspector district Property size Hight of,way width
er di rict
a
E.
o . 3 o
Building Building height #of stories 4
/
Contractor Dimensions TOTAL SQUARE FOOTAGE
A,4 C._ C. �oct lass _.. c, . 10'X34 r J7
WA State Contractbr license# Main floor arto Unfinished basement area
de' c---b i t o?' � B75 653
ailing a dress 2nd floor area Finished basement area
C.
Architec Engineer Garage area Size of decks,etc.
-136- ' /ao '
What(
i,s.-lt¢ eat source? What is the cost of your project?7
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 li - se#
Mailin. .dress Mailing ad. s
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm FireworksasPl Y
VALUE
Contractor Contractor
WA State Contra • license# WA State Contrac • cense#
Mailing ...ress Mailin. .•.ress
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 Contract• ' ense# WA State Co • or license#
Mailing a.: ess Mailin. =ddress
COMPLETE ALL APPLICABLE INFORMATION
Italie ' lane
1 DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
CWifir; CoN ` ,GENE flil
1, , f' REGIS-OW-pt.{NUMBER ; E)cPIRAT1011 DATE
` + STATE OF WASHINGTON
` ° > 'HA1144 7.0lLA5$ x g; � lE 8t5 . RSEW000 5qR i
SPPKANt . WA 'o4aa
F625-052-00013 92)
i,,\k\t\\w„--;-\\\\:massa\\k.,‘„\\,,,, ,•wwvk k mc\-•\\\�\\\e\ \\\\\\M,•,„ A..” A .,7 a m a :^=..:.�::*,.:�.Lv&-vz w,zzmm. "•....,..`^vx:::•�
I HARLEY C.DOUGLASS CERTIFY THAT THIS IS A TRUE COPY OF MY ORIGINAL GENERAL
CONTRACTORS LICENSE.
HARLEY C. DOUGLASS DATE
STATE OF WASHINGTON
COUNTY OF
SPOKANE ss.
I certify that I know or have satisfactory evidence that
HARLEY C. DOUGLASS is the
person(s) who appeared before rnc, and said person(s)
acknowledged that the/she/they) signed this instrument and
acknowledged it to be (hisfhcrlthcir) free and voluntary act (or
the uses and purposes mentioned in the instrument.
41 liL at
Y / Signature
Title
10/23/96
My appointment capirer
.
` PLUMBING PERMIT APPLICATION
PROJECI'ADDRESS:
OWNER: HARLEY C. DOUGLASS INC. 'PHONE: 509-487-9792
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208
(strcct) (city/statc) (zip)
CONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4
PHONE: 509-535-5_944
MAILING ADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212
(street) (city/state) (zip)
PLUMBING FIXTURESI # OF inn.n- COST
DESCRIPTION L DETAIL _ UNITS__PLIED BY /UNIT IQUAu AMOUNT
B02 TOILETS WATER CLOSETS.BIDETS A x $6 = $
B03 URINALS — x $6 = $
B04 TUBS BATH.JACUZZI.SPA.GARDEN x S6 = $
B05 SHOWERS(per trap) BASE.STALL ON—SITE BUILD ) x S6 = $
B06 SINKS IAVS/BASINS.BAR.FLOOR,KITCHEN. x I S6 = $
LAUNDRY,UTILITY.JANITOR,PHOTO.
X—RAY.FOOD(PREP/CULINARY/MEAT) 3
B07 DISHWASHER — / x 56 = $
1308 CLOTHES WASHER — I x $6 = S
B09 GARBAGE DISPOSAL/GRINDER — ( x $6 = 5
B10 WATER SOFTENER — x $6 = $
B11 ELECTRIC HOT WATER TANKS l(NOTE: if gas water tank,see mechanical) x S6 = $
B12 FLOOR DRAINS AREA,CASE.COIL.TRENCH.CONDENSATE x S6 = S
B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = S
B14 FOUNTAINS.DRINKING —
x 56 = $
B15 WATER PIPING/DRAIN—WASTE—VENT/ INSTALLATION.ALTERATION.REPAIR X $6 = S
PLUMBING REVERSALS REVERSALS I
B16 SEWAGE EJECTORS GRINDER.SUMP PUMP x 56 = S
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER. X SO = S
HOSE BIB.STEAMER.PROOFER. �7
CARBONATO R.SWAMP COOLERS
4
IB18 CROSS—CONNECTION DEVICES VACU MBREAKER.CHECK VALVE. x SO =
$
AND R.P.B.P.D.FOR:VATS SUMPS.
TANKS.BOILERS.&SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP.SAND TRAP. x S6 = S
CHEMICAL HOLD NG TANK
I
B20 MEDICAL GAS(per outlet/bottle station) NITROUS, x 56 = $
I =OXYGEN
B21 MISCELLANEOUS FIXTURES x I S6S
NOTE: • A/ PERMIT FEE IS$'35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATUR . Alt 7a.... .../72-e� �' -- ,#/ TOTAL PERMIT FEE DUE S
atiliPLEASE MAKE CHECKS PAYABLE TO'
Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER
1026 W. Broadway Avenue ` Spokane,WA 99260
TcI. No. (509) 456-3675 • Fax No. (509) 456-4703 * TDD No. (509) 324-3166
MECHANICAL PERMIT APPLICATION
,PROIliCl' ADDRESS: eit?l6f7 ail/ .
OWNER: HARLEY C. DOUGLASS INC. PRONE: 509-4$7-479?
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 442118
(street) (city/state) (zip)
CONTRACTOR: COMPLETE HEATING & SHEETMETALLICENSE: COMP( HSR�r�
PHONE:
MAILING ADDRESS: 1 • A ►► _ : . _ .0 . _ . : - - . • • ! ! •
(street) (city/state) (zip)
# I W:ILTI- I COST
I I DESCRIPTION OF WORK OF UNITS IA.IEDBY /UNIT EQUALS AMOUNT
B02 FUEL BURNING APPLIANCE =or<100.000 1 = S121 - :
IB03 FUEL BURNING APPLIANCE >100.000 1 = 515 - :
1B04'UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or<400,000 = S50 - :
1B05 UNLIS I LD APPLIANCE(ADDITIONAL CHARGE) 1 >400.000 • 5100 -
1 B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) =or<400.000 = 5501 -
!B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400.000 = S100 - :
1B08 BOILER/REFRIGERATION 1-100M BTU I = S121 - :
1B09 BOILER/REFRIGERATION 1o1-500M BTU = S201 - :
iB10 BOILER/REFRIGERATION 501-1.000M BTU = S251 - :
1B11 1BOILER/REFRIGERATION 1.001-1.750M BTU 1 = I S351 - :
1B121BOILER/REFRIGERATION +1.750M BTU I1 _s
B13 ,GAS LOG.GAS INSERT.AND/OR GAS FIREPLACE - 1 = I 5101 - I:
B141RANGE - . 1 S101 - :
B151DRYER - = 5101 - :
B16 1FUEL BURNING WATER HEATER - = SIO - 1:
;B17(MISCELLANEOUS FUEL BUNTING APPLIANCE - = 5101 - :
;B18 GAS PIPING ea.outlet - 3 j . Si _ :
1B19 1DUCT SYSTEMS - = 5101 - :
B20 VENTILATING FANS - 4 I . S101 - :
1B21 'AIR HANDLER DOES NOT include duct terns =or<10.000 CFM = ®a s
1B22 _______ALM VS '• Inc use suet terns >10.000 CFM 1 = S15 - :
1B23 EVAPORATIVE COOLERS - . S10 - :
1B24 TYPE I HOOD - i I S50 _ :
1B25 TYPE II HOOD - MIME
S10 - :
B26 HEAT PUMP/AIR CONDITIONER 0-5 TONS 1 = S12 - :
B27 AIR CONDITIONER 6-1S TONS = S201 - 1:
B28 AIR CONDITIONER 16-30 TONS = S25 - I
1B29 AIR CONDITIONER 1 31-50TONS 1
B30;AIR CONDITIONER +50 TONS I 1 = S601 - Is
1B31 1LPG STORAGE TANK - = ! S101 - :
1
1B32;WOOD OR PELLET STOVE/INSERT - ' S25 - :
NOTE: MI. • . M PERMIT FEE IS$35.00 Subtotal I
PLUS: PROCESSING FEE $25.00
SIGNATUc--- \Add'.- Al / ' e-u-.) TOTAL PERMIT FEE DUE S
r
PLEASE MAKE CI IECKS PAYABLE TO:
Spokane County Division of Buildings SPOKA` COUNTY PERMIT CENTER
1026 W. Broadway ' Spokane, WA 99260 / 1 'tib
'I'cl_ No. (509)456-3675 • Fax No. (509)456-4703 'TDD No. (509)324-3166
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