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1995, 02-06 Permit App: 95000616 Residence /, PROJECT NUMBER= 95000616 APPLICTION' DATE= 02/06/95 PAGE= 01 THIS IS NOT A PERMIT \ PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SIT STREET= 4409 E 14TH AVE PARCEL#= 35233. 0901 ADDRESS= SPOKANE WA 99206 PERMIT USE= RESIDENCE W/GARAGE (F.A. GAS) PLAT#= 002953 PLAT NAME= WOODLAND TERRACE ADD BLOCK= 9 LOT= 10 ZONE= UR 3.5 DIST#= E AREA= 00000000 F/A= F WIDTH= 50 DEPTH= 129 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= 30 LEFT= 5 RIGHT= 5 REAR= 65 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED See. t/ j' S r/77 --2-7-5Y COMMENTS: BUILDING SETBACK REVIEW REQUIRED i �� ta4'1Lfin COMMENTS: BUILDING CITY SEWER & WATER TS: GI , '- APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: PLANNING UNPLATTED/SEGREGATED PROPERTY c/ /95 'f2-AWWJJZ /4/7/„ j 4 COMMENTS: • 74, Iii .i it I' o �_ Art ,j 1 _ A zey i / Os ti 6 diAtt4 ft 60/V 44 CONTRACTOR 'f HARLEY C DOUGLASS INC PHONE= 509 487 9792 STREET= 815 E ROSEWOOD AVE ADDRESS= SPOKANE WA 99208 1 NEW= X REMODEL= ADDITION= CHANGE OF USE= PROJECT NUMBER= 95000616 APPLICATION DATE= 02/06/95 PAGE= 02 DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 25 STORIES= 1 BLDG W X D = 40 X 34 SQ FT= 1710 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 700 7700 . 00 DECK R-3 VN 120 720 . 00 GARAGE M-1 VN 363 4356. 00 RESIDENCE R-3 VN 513 28215 . 00 2ND FLOOR R-3 VN 496 27280. 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 500 . 00 STATE SURCHARGE Y 4 .50 RADON MONITOR 1 12 .57 SALES TAX 1 1 . 01 RESIDENTIAL SURCHARGE Y 90. 00 ******************************* 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 LOG OR GAS INSERT 1 10 . 00 GAS WATER HEATER 1 10. 00 GAS PIPING 3 3 . 00 VENTILATING FANS 2 20 . 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 1 6. 00 SHOWERS 1 6. 00 SINKS 3 18 . 00 DISH WASHERS 1 6. 00 CLOTHES WASHER 1 6. 00 GARBAGE DISPOSAL 1 6. 00 FLOOR DRAINS 1 6. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING 1 • y PROJECT NUMBER= 95000616 APPLICATION DATE= 02/06/95 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 608 . 08 . 00 608 . 08 MECHANICAL PRMT 55 . 00 . 00 55 . 00 PLUMBING PERMIT 66. 00 . 00 66. 00 729. 08 . 00 729. 08 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER ******************************** THANK YOU ************************************ • . ._. . APPLICATION V\l'-o' RKSI-1E-ET 11 • ___, . LGeneral Information ,'• r iib-,,-ait,es: -- -- —TA met'mintier -Owner Plione HARLEY C. DOUGLASS, INC. (509)487-9792 -Tviiii iTi- Jd re s s E. 815 ROSEWOOD -Cny slate - ---Zip SPOKANE WA 99208 Site Information ---i Legal Descnplion iiva 9' sw /91, r32...,.• Zo i' / o &1'k 9 (A)00%.0 I A n 0 lift A Ge— . 1 irniicr y size z i 7 v-ATEn, ,.,,„c cop 7 e i i'y oo Sp o\c., vve umber ol: liVell i n gs Wind ings Zone z Jaspeetor ......'. : . ' .' 11-a-iivildi& • ' ' . ' LProject Information \( -reriiiit Use -New 1 Addition -11- ae1 Cha ngc of usc I N C v\1 Building Information • Dwelling units 1 Occupant load rrgllit tones/ vz. 7.0 2.... -miiiding aim.. I olal square rootage Reijil pa rgig lia ndsca p pa ikaFF-S-Fiiikler system Cid icai&-fire-fi7-- 4/0x 3 iii 1;7 / 0 ____ . V. TS Or..tu't ._. .1.. ic fc,.0,.Le breakdown healcaotisnr:,iiacned insula tion information (t:valucs) Main 1100( /3. ncovieie covered(--e-lea ccorttl floor Oilier 5Bat ccilin au ceiling A7,..C.4ci wall qc0 1is9 -in lic.basement , . , -I ow gra c wa Falor 1::) Slab-ion ja c — (::,— 3 0 7 UnTiniN basementoort- 3uc 'Window 1-urselliecocy 700 - c/ o _ Garage 1 Mal window arca VI,5 toor area - t Contractor Information I IniTiling conlia-clor Iiiiiibi[rt.-C.4571a r act or HARLEY C. DOUGLASS, INC. GOLD SEAL MECHANCIAL 1..,cc use number Phone ceRse" "bcPhone HARLECD110PE 487-9792 GOLDSM 29001 (509)535-5944 Mailing address Niiiliiiiiindrcss E. 815 ROSEWOOD E 5524 BOONE riii,stale,zip CT`yl()'6115/NNE WA 99208 SPOKANE WA 99212 _....______ — I lea itcontractor OIC5/1.ctidcr C _ MPETE HEATING & SHEETMETAL License number Phone ..11-WiTSC iiiiii-iber Phone _ 1934 EAST MARSHALL AVE. 533-9528 ling address Miiling address - COM PPLHS066CP City.state./ip i City.stale.iip SPOKANE WASHINGTON 99207 1'Itall'..C1. CONTACt' PHONE HARLEY DOUGLASS ___ 487-9792 11 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 " (509) 456-3675 PLUMBING PERMIT APPLICATION PItOI ECC ADDRESS: OWNER: HARLEY C. DOUGLASS INC. - PHONE: 509-487-9792 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208 (street) (city/state) (zip) CONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4 PHONE: 509-5_15-5944 MAILINGADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212 (street) (city/state) (zip) PLUMBING FIXTURES I: •um,- Z SST DESCRIPTION I DETAIL UNITS PLIED IT /U kin ;. ALI A 0 j no TOILETS WATER CLOSETS.BIDETS -22. x $6 = $ ,. Uca 1303 URINALS x — $6 = $ S 1 TUBS BATH.JACUZZI,SPA,GARDEN / '-----. $6 = $ G D 1305 SHOWERS • r tra• BASE.STALL,ON-SITE BUILD x $6 __$ - - 03 il• SINKS CAVS/BASINS,BAR.FLOOR,xITCIIFN. x $6 •= $ LAUNDRY.UTILITY,JANITOR.PHOTO, X-RAY,FOOD 'REP/CULINARY/MEA • MI DISHWASHER - Ilinli x $6 = $ C _ O� B0: CLOTHES WASHER - !MI x $6 = S S. Lt 0 U' GARBAGE DISPOSAL/GRINDER - ( x $6 = $ (o _(ID B1,WATER SOFTENER - x $6 = $ - t ELECTRIC HOT WATERTANKS (NOTE: if gas"talcs task.sec a«h..k*l) x — $6 = $ tr.FLOOR DRAINS AREA.CASE.COIL,TRENCIL CONDENSATE x $6 = $ 6 •v-, I3 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x —$6 - = $ -- M FOUNTAINS,DRINKING - x -- $6 = $ B15 WATER PIPING/DRAIN-WASTE-VENT INSTALLATION,ALTERATION OR REPAIR x $6 = $ 131. SEWAGE EJECIORS GRINDER.SUMP PUMP x $6 = $ 131 WATER USING DEVICES ICE AND/OR COFFEE MAKER. x $6 = $ HOSE BIB,STEAMER.PROOFER, :,'' CARBONATOR,SWAMP COOLERS CROSS-CONNECTION DEVIC -1 : ES VACUUM BREAKER. IECK VALVE, i $6 = $ AND R.P.B.P.D.FOR:VATS.SUMPS. ..�- o TANKS,BOILERS.&SPRINKLER SYSTEMS t ' INTERCEPTORS 0REASETRAP,SAND TRAP, x $6 = $ CHEMICAL HOLDING TANK MI MEDICALGAS(peroutlet/bottlestation) NITROUS,OXYGEN x $6 = S ---- 1321 MISCELLANEOUS FDCIURES x $6 = $ TSubtotal 7Z •(YJ NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ 6 7.03 siGNATuRE.:4447 e , SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675 .- )b MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: HARLEY C. DOUGLASS INC. !PRONE: 509-487-9792 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 997oR (strcct) (city/state) (zip) CONTRACTOR: COMPLETE HEATING & SHEETMETAL LICENSE: COMPI HSO cp PHONE: MAILING ADDRESS: 1 •3 A ►IAC . : • • . _ A ± ... h. . • • I (strcct) (city/state) (zip) # wutn-I COST I ESCRIPTION OF WORK Q UNITS ruay.YI /UNIT oust,•_ AMOUNT B02 FUEL BURNING APPLIANCE =or<100,000 I . $12 _ , BOA"FUEL BURNING APPLIANCE >100,000 . $15 - , •- ---- 1304'` UNUS FED FUEL BURNING APPLIANCE =or<400,000 $50 - , 1305: UNLISTED FUEL BURNING APPLIANCE >400,000 $100 _ , . 1306 USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400,000 $50 - , 130.7 USED APPLIANCE(Must mc_t WSEC's min.AFUE rating) >400.000 . $100 _ s .� 1308 BOILER/REFRIGERATION 1-100M Irty . $12 _ , B09.. BOILER/REFRIGERATION 101-500M 13N $20 - , ""- B10 BOILER/REFRIGERATION sot-I,o00M Irru . $25 - , — B:11 BOILER/REFRIGERATION 1.001-1,750M IITIJ $35 - r. 4 B12 BOILER/tREFRIGERATION +1,7soM flu . $60 - , — B13''GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - • $10 - _ I O - opo B14 RANGE - • $10 _ , 1315 DRYER - • $10 _ , I316 FUEL BURNING WATER HEATER - . $10 - , k fl -00 1117.:MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 _ , — T318 GAS PIPING(ea.outlet) - 3 • $1 - , 3 - O O B19>DUCT SYSTEMS - . $10 - , -- 1320: . j—DETACH TO DISPLAY CERTIFICATE—1 , DEPARTMENT OF LABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A i % + `; REGISTRATIQfyNUMBEA EIa A'raw DATA _, * . r STATE OF WASHINGTON re. .', � Y :? ;'r ) •3 S,.Cs 4 ...,� ;' ' HMT .C to GLA5 ,cVi, f E 8I5RosEvaotr ,, ; • r 4 SPO ISA 4 c - VA 0404.8 r; - • i rl F625-052-000(3-92) i t DET'r:H TO DISPLAY CERTIFICATE_t I HARLEY C. DOUGLASS DO CERTIFY THAT THIS IS A COPY OF MY ORIGINAL CONTRACTORS LICENSE. _ -1 1,0 /1 • 1 ,r / ' 4� / 's` Date Sign( d Halley C.✓ Douglass . STATE OF WASHINGTON Spokane i S.S. COUNTY OF I certify that I know or have satisfactory evidence that Harley C. Douglass is the person(s)who appeared before me.and said person(s)acknowledged that(he/she/they)sign ed this instrument,on oath stated that(he/she/they)was(were)authori,ed to execute the inctrumc: and acknowledged it as the President or Harley C. Douglass} Inc. to be the free and voluntary act such party for the uses and purposes mentioned in the instrument.nt9-- �..�+ ��. 4 `�^' L-,,�/7-27-- -'`- i Sitrtature 'otary Public Title • OCT. 231 1996 ' My appointment expires l lid -D . i = co -_O • A*LEY C . Dou(.I IA . n C �ln B A S E Rase-cjJ oo 0 `I S,PdiCKIN WA °fC) Z.4 534 - 4-7-9,g2,_ IVyo96 /V 'r -cr N Id. /0 IIx 9 (,r)o0.an0 Tcrcr4Ct- i 1 TM . V 4,0 ?� o C `'U r Q 1 9.6,1,��ly///,,,i,TS W S F°eY F _ ! #4,441 <4 * ' . -c.' o`' 'i/ 3c3-0 /`/T� ceN7aeL,/vE 1