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 ,, ;
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SPO ISA 4 c - VA 0404.8 r; -
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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
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