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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 ?' ' ' ZgL What is the JOB SITE address? ASSESSORS tax parcel number? q?/‘' c• 9 - Legal description as appFar-Aii the rty dead er pi,,,,,, G. q X-� � caH:iv/ OWNER or OCCUPANTPhone a 4 Ca/ �. 7G�CasS , ._ i/ . ( JJ 1 3 q/?2 - 9 9City,state Zi c3/J /� euQof Pe.o, aac, , GJA 99• Who sho Id we contact reg rdinproject? Phone J idA J C/ �n 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 re-Lb orimitoD toh • \%s .. 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