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1995, 02-06 Permit App: 95000617 Residence
Y� ' PROJECT NUMBER= 95000617 APPLICATION DATE= 02/06/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 4411 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= 11 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 5P{ /7d A.5 >"?9-Cr— COMMENTS: BUILDING SETBACK REVIEW REQUIRED (�. _ II Om. COMMENTS: 641 q5 , G A (o ( ct � tr �i BUILDING CITY SEWER & WATER PERMIT COMMENTS: - APPROACH/FLOOD PLAIN/DRAINAGE qs-K,(14-5-d 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= 25 STORIES= 1 BLDG W X D = 40 X 34 SQ FT= 1710 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N PROJECT NUMBER= 95000617 APPLICATION DATE= 02/06/95 PAGE= 02 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 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 PROJECT NUMBER= 95000616 APPLICATION DATE= 02/06/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE 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 COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: BUILDING CITY SEWER & WATER COMMENTS: ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: PLANNING UNPLATTED/SEGREGATED PROPERTY 4Rk2`. qS QLWi -A if COMMENTS: `��� , I .1.1. .ASAP J. ,PI .r/t., _ L.14 / MY Lf ..412tc,,a 1144 • Y. , / ilrfrepi• eI*�� ** 4irv1. ( : D *v** o.♦ * 9, CONTRACTOR /HARLEY C DOUGLASS INC PHONE= 509 487 9792 STREET= 815 E ROSEWOOD AVE ADDRESS= SPOKANE WA 99208 APPLICATION woraKsf ICE r General Information y [JUL-allress — -- laid nuilrcr __ Ownc -- Phone �-IARLEY C. DOUGLASS, INC. (509)487-9792 Madmg-IacditTs E. 815 ROSEWOOD — — Cny Swe — 7ip�— SPOKANE WA 99208L.7.....] Site Information sl ega cscnpuon vt /! 4 jk. 9e/4/// E /y.= wochoIAnO TE-re hMGem Property sue \ a er u ncr------uits rot: Owdlings Iluiidmgy G 4/ 7 e►#yow Sp 9 ,e4 vve 1 % [ one / Inspector '.' ' 1(oidwiJTr ilIMINIIIMINIMOINIlk Project Information i Permit Use -New rition Remodel Change or use 1NC Building Information 1 • Dwelling units , Occupant load l m mg heigLl -Stones / Zc / �2 ro -riding dmseiuiorn Iolat square lootage Req'J partr-og Ilandreap par s[ng-S�iriiil]er system -Cn ka ialerul 4/0x 3(4 /,-710 — — \l I>T.S Or-4.) - SUArc footage breakdown heating and insulation information CIt-values) Mann Iloor 5W111=101, covered Jeic hlcat coerce S'/3. i� 0 4/a' _i___, ScconJ Moor Co Ulbcr lla __ m haul ca mg 7l vc c wa - •ina ne a�ment . . --1 ow grade waI1- I•oor CI Slab on aJc — L A — d– 3 0 -7 to no w basement oor u-plue AVu`Jow_O ]•unuce ellncency 700 ` C�,// (71 CC a Gangc Iolalwindow area `.:.ol oor arca 3C z10 LContractor Information 1 -Ira-ding conlnclor 'lunibing-conlnclor HARLEY C. DOUGLASS, INC. GOLD SEAL MECHANCIAL License number Phone License nmuber Phone HARLECD110PE 487-9792 GOLDSM 290C4 (509)535-5944 TTiling address lei ung aitUress E. 815 ROSEWOOD E 5524 BOONE Crsy sutc xn, IiI3statc znp - SPOKANE WA 99208 _ SPOKANE WA 99212 -- llcalnn conlclor ------ Olbcr Lender - ----- - — COMPLETE HEATING & SHEETMETAL L,cusc number Phone icense num icr Phone 1934 EAST MARSHALL AVE._ 533-9528 -Walling address Madingiddress COMPPLHSO66C_P ___ __ City.sta le,rip - --- I City.sia ie.rip SPOKANE WASHINGTON 99207 PROM(71. CON I'ACI' PIIONI' HARLEY DOUGLASS 487-9792 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 • MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: OWNER: HARLEY C. DOUGLASS INC. (PHONE: 509-487-9792 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208 (street) (city/state) (zip) CONTRACTOR: COMPLETE HEATING & SHEETMETAL LICENSE: GOMPI HSft ficp PHONE: MAILING ADDRESS: 1 • y u • : • • . : , e . Ilk e . A (street) (city/stale) (zip) w,n- O T DES_CgII IO11.OF WORK S?JUNITS rlu4D•YI /UNIT cosi AMOUNT 1302: FUEL BURNING APPLIANCE =or<100,000 . $12 - , I3(j3`FUEL BURNING APPLIANCE >100,000 $15 _ , 004.UNLISTED FUEL BURNING APPLIANCE =or<400,000 . $50 _ , 1305 UNLIS 1 hD FUEL BURNING APPLIANCE >400.000 $100 - , 1306; USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400,900 . $50 - , 130. USED APPLIANCE(Must mc_t WSECs min.AFUE rating) >400,000 . $100 - , .� 1308 BOILER/REFRIGERATION 1-100M irru . $12 - , 1309: BOILER/REFRIGERATION lot—sooM rim $20 - , *--- gib BOILER/REFRIGERATION 501-1,000M BTU $25 - , B11< BOILER/REFRIGERATION 1,001-1,750M BTU . $35 - r. "' c B12 BOILER/REFRIGERATION +1,750M rim . $60 - , "" B1: GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - $10 - , I D - o•o 1314 RANGE . $10 - , (3x5:DRYER - . $10 - , _ 1316 FUEL BURNING WATER HEATER - • $10 _ , _00 817 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - , — 1318 GAS PIPING(ca.outlet) - $1 - , 2 _ O O 819:.DUCT SYSTEMS - . $10 - , 1320: VENTILATING FANS - 7_ . $10 - , Z d .v 1321::AIR HANDLER(DOES NOT indude duct systems) =or<10,000 CPM • $12 - , 1302 AIR HANDLER(DOES NOT include duct systems) >10,000 cFM $15 - , — IM: EVAPORATIVE COOLERS - . $10 _ , p.4>TYPE I HOOD - • $50 - , 1325;TYPE II HOOD - . $10 _ , 1326 HEAT PUMP/AIR CONDITIONER o—S TONS . $12 _ , 1327::AIR CONDITIONER 6-15 TONS $20 - , _ B28 AIR CONDITIONER 16-30 TONS $25 _ , ---- 829, B29 AIR CONDITIONER 31-50 TONS . $35 - , 1330 AIR CONDITIONER +50 TONS . $60 - , -- 01. LPG STORAGE TANK - . $10 - , ^ 1332 WOOD OR PELLET STOVISERT - • $2.5 - , — Subtotal di 2.... O° NOTE: MI •ERMIT • IS$35.00 PLUS: PROCESSING FEE $25.0 / TOTAL PERMIT FEE DUE $ 0 ,O0 SIGNATUR _ • / , ' SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260 • (509) 456-3675 . PLUMBING PERMIT APPLICATION PROJECT'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 MAILING ADDRESS: 5524 EAST BOONE' SPOKANE WASHINGTON 99212 • (street) (city/state) (zip) PLUMBING FIXTURES #OF ►UL21- Z. SST fin DESCRIPTION I DETAIL UNITS rumay /UNIT names AMOUNT _ X,302 TOILETS WATER CLOSETS,BIDETS I X $6 = $ ,. VQ .,..�%URINALS ---S. x —" $6 = $ B04tTUBS BATII,JACUZZI.SPA.GARDEN / _ . $6 = $ Ip-on - B05 SHOWERS(per trap) BASE,STALL ON-SITE BUILD 1 X --- $6 = $ C, . 03 1306 SINKS LAVS/BASINS,BAR,FLOOR.KITCHEN, X $6 •- $ LAUNDRY,UTILITY,JANITOR,PHOTO, ' X-RAY,POOD(PREP/CULINARY/MEAT) 1-.---- V.01 007 DISHWASHER - ( x $6 = $ C - 00 r0&CLOTHES - / x $6 .= $‘, 0 0 1309 GARBAGE DISPOSAL/GRINDER - / x $6 = $ ‘ -0o 731.4 INKIER SOFTENER - x — $6 = $ 411 ELECTRIC HOT WATER TANKS (NOTE: it gat water tank.sea as«ha.ka4) X --- $6 = $FLOOR -��-++-- 012 DRAINS AREA,CASE,COIL.'TRENCH,RENC ,CONDENSATE / x $6 = $ tc ..CO B:13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x '$6 _ = $ B14 FOUNTAINS,DRINKING - X $6 = $ BIS WATER PLPING/DRAIN—WASTE—VENT INSTALLATION.ALTERATION OR REPAIR X $6 = $ 1316 SEWAGE EJECTORS GRINDER.SUMP PUMP X ----- $6 = $ ---- '0T7 WATER USING DEVICES ICE AND/OR COFFEE MAKER. X $6 = $ t g: HOSE BIB,STEAMER.TROOPER. >: CARBONATOR,SWAMP COOLERS II $CROSS-CONNECTION DEVIC=ES VACUUM BREAKER.CHECK VALVE, : $6 = $ AND R.P.B.P.D.POR:VATS,SUMPS, — i i TANKS,BOILERS,&SPRINKLER SYSTEMS 1319 INTERCEPTORS GREASE TRAP.SAND TRAP. X $6 = $ EiR CHEMICAL HOLDING TANK 1320 MEDICAL GAS(per outlet/bottle station) Nrrxoos,OXYGEN x $6 = $ -- II2X MISCELLANEOUS FIXTURES x " $6 = $ rSubtotal VZ .(IJ NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ 6 7.03 SIGNATURE: 44 ei:40-.1 SPOKANE COUNTY DIVISION OP BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675 S )b DETACH TO DISPLAY CERTIFICATE , G.I DEPARTMENT OF LABOR AND INDUSTRIES ' THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A t, 0 .5 '-': '-''..a': .r is SI-C-0Hat YCti4 :6EI FcAIC l F t o ,y 4•••••::‘ r :REGISTRATIQN NUMBER E)(P1RATIN DATE ::•-,-;'.'..: I y S x' Pf f t.T.2 ve p.A E itAtts `84 A` STATE OF WASHINGTON 1-4 HAAS y.'t riay��gl�t t x�.� ��4��.A�Y ref ;a HA ... r ".C: {)iii y1'GLA5 X E ^+i.z 1 m `i' 11e E &1.5"_.'RO-SEVGOD - '1..`'.':-..';A: . ,4,'.-,`,-;:i-;',..--.1:-. ...:,.• 1 e, , "4 I0 ISPOKA Yc - - -- iiAl +.Y � G8'=_ Ip ...I,I - Sal .:Ij ;: F625-052-000(3-92) ri Gs'll t_DET.'r:H TO DISPLAY CERTIFICATE_i I HARLEY C. DOUGLASS DO CERTIFY THAT THIS IS A COPY OF MY ORIGINAL CONTRACTORS LICENSE. ,r • . ,- , ,------- ) ..4.2 4, L/;74: \ , '( Date ,/ :f J Sign( d Ha/ley C.✓ Douglass • STATE OF WASHINGTON Spokane + u• COUNTY OF 1 ccnify 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 instrmuc; and acknowledged it as the President of Harley C. Douglass, Inc. to to the free and voluntary act , such party for the uses and purposes mentioned in the instrument. r.� /- 2 `,- CJ 4 4 / CGS Signature / •otary Public • Title OCT. 23, 1996 My appointment capires H1/�/ -57 3A/119.1N5) J1 72/j 7 .\Q-NQS ( > I j ,.QS k \ .. . . . .� 0, • IP 4 . : Lk,.. . 0b ,, 4off, W csI O N . is_ _�--)d..... a Nd(000(Y) b >it9' f / -t7 I 6-76 L6 - La fi - 605 '" cn66 am 3 v+cr)ioa5 croom3Soa 3 518 us ss v70o0 ' Z A31a1VH %%0 -PZ =II/ \Ir ,N, 'j; iie ir „O-,Oh '�'