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1995, 02-06 Permit App: 95000619 Residence �� PROJECT NUMBER= 95000619 APPLICAT,T_ON DATE= 02/06/95 PAGE= 01 / THIS IS NOT A PERMIT PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 4413 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= 12 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 Se° /��s 7'4/72 COMMENTS: BUILDING SETBACK REVIEW REQUIRED � ( �, ��� 1 1 COMMENTS: 7 ' 4j j C SIWa Loc t BUILDING CITY SEWER & WATER PERMIT ' 4" T S: ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 453 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= 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 tW(42lg5 /70, - ,A if COMMENTS: Wei APA1 I_A 0 ,1.0. .Af.I ,I, A1!' /_/I:Al ter. .. _:it',* oir Id oinfT, PIM.da P&L& 1-1) 7 / ,I w *, ., ** Irrrerf •D 0,47i. .1, * 4,W**atLe Mr * 111040 'do CONTRACTOR 'HARLEY C DOUGLASS INC PHONE= 509 487 9792 ,, , STREET= 815 E ROSEWOOD AVE ADDRESS= SPOKANE WA 99208 PROJECT NUMBER= 95000619 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 WATER USING DEVICES 2 12 . 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 608 . 08 . 00 608 . 08 MECHANICAL PRMT 55 . 00 . 00 55 . 00 PROJECT NUMBER= 95000619 APPLICATION DATE= 02/06/95 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PLUMBING PERMIT 78 . 00 . 00 78 . 00 741. 08 . 00 741. 08 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER ******************************** THANK YOU ************************************ • , I.__ APPLICAI ION WORKSHEET _,=____11 LGeneral Information y ram.:llress - - ri— — - ccliuu,licr E . (Ai/4 1< 4-1/G- .'5503B- b.701 PITA, —t}wae -- ------ ------------ ------ - -Phone HARLEY C. DOUGLASS, INC. (509)487-9792 - - - - ---- a T1 L. 815 ROSEWOOD City State------ -- - —7-.p ---: SPOKANE WA 99208 Site Information ega cxnplron �. /z *S k,. S yyl,S G /4( '{ Woo�oIAr,o 'Tactnce - rr o ysue i cVT�I3ufrscl uns rot: D lungs nuiiTmgs y7 Coty o►� SpQ1,c,kAtn4 zone irslxctof Tto�dwirh �(G 0' Project Information mail se '-New Ilion remodel Change of use 1 E l Building Information i ctSoet E 1CFf-� (. (nil e j--fo�L- t, Sri )0 or C beette GU C 5 Dwelling units 1 Occupant load 11ui1ling ,i c,gTrt -Stories -TR-lading dimensions Iola'square footage 11—q'a Jig I1anr,capparkmg priiikler system Cn 51 u a cr y0x3L/ /1710 - — WIArs d►,..1 ..Y Square footage breakdown_ healing and insulation information (It-values) -Main floor ncovere covered deck Ile-at source S73_ /L O GG Seco floor 011ier 7 Tla .rn 'au • eel mg 7� vc a wall �9 t,9 3 -inT- ishc�bascmcnt -1" ow gra?:wag Moor S1 on Jc A - co- 3 0 7 Unlnnti,ci basement oor u-value II/Tar, (It: unuce ellaency 7040 (� (!J [ O Gauge -Toa winSowarea !.ol oor area 3 z. rI o /z �Q LContractor Information ii7drng contractor Tlumling conlncIor HARLEY C. DOUGLASS, INC. GOLD SEAL MECHANCIAL License number Plume T cris number Pi,one HARLECD110PE 487-9792 GOLDSM 290C4 (509) 535 5944 -.tailing addressi niiij address E. 815 ROSEWOOD E 5524 BOONE wily stale Zn, — City,slate,znp -- PdI�ANE WA 99208 SPOKANE WA 99212 llcat,n conlclor — bcr Lender — COMPLETE Ot MPLETE HEATING 8 SHEETMETAL Lice se number Phone .Kcnse number Phone 1934 EAST MARSHALL AVE. 533-9528 ?Tailing address Milling idilress COMPPLHS066CP City,state,zip —__ i City.stale,rip SPOKANE WASHINGTON 99207 -- - ---- ------ _--- \1'1tOJ1:CI' C(�N'1'/�CI' 1'IIONI; _ RAREFY DOUGLASS 487-9792 Spokane County Division of Buildings 1026 West Broadway Ave " Spokane, Wa 99260 " (509) 456-3675 PLUMBING PERMIT APPLICATION Pita!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 PRONE: 509-53,5-5944 MAILING ADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212 (street) (city/state) (zip) PLUMBING FIXTURES #OF M,tII- t )ST DF,SCREPTION I DETAIL UNITS ruro /UNIT EQUALS AMOUNT 1302 TOIL WATER CLOSETS,MITTS ? lr x $6 = $ 3,, Uo_ 130.E URINALS x — $6 = $ 1304 TUBS BATH,JACUZZI,SPA,GARDEN / '----. $6 = $ 6. r) B05 SHOWERS(per trap) BASE,STALL,ON-SITE BUILD ( r X — $6�--$ . 03 1306 SINKS LAVS/BASINS,BAR,FLOOR.Lac'ILN, x $6 •_ $ LAUNDRY,UTILITY,JANITOR,PHOTO, X-RAY,FOOD(PREP/CULINARY/MEAT) t .4......k.4.- 130_/DISHWASHER - / ' x $6 = $C - () BOB CLOTHES WASHER - I x $6 = S6. 00 1309 GARBAGE DISPOSAL./GRINDER - / x $6 = $ C _00 Y3i:C;NATER SOFTENER - x -- $6 = $ - R U ELECTRIC HOT WATER TANKS (NOTE: U gas water a.I:,see atechaalgl) x '-- $6 = $ ---- 31,Z FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / x $6 = S 6 •4 I3 HROOF DRAINS/OVERFLOW DRAINS(ea.) - x --$6 - = $ B14 FOUNTAINS,DRINKING - x -- S6 = S 1115 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR RBPAIR x $6 = $ 1316 SEWAGE EJECTORS GRINDER,SUMP FUMP '. x $6 = $ 1 ):7 WATER USING DEVICES ICE AND/OR COFFEE MAKER. ^ x $6 = $ i<'.. HOSEBIII MER,PROOFER, Ca.,..:— :?i: CARBONATOR,SWAMP COOLERS V_/` _ B18 CROSS-CONNECTION DEVICES VACUUM BREAKER,CIIECIC VALVE, $6 = $ AND R.P.B.P.D.FOR VATS,SUMPS, — ,!— TANKS,BOILERS,&SPRINKLER SYSTEMS 1119 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $ _ CHEMICAL HOLDING TANK -� 132.0 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x ^ $6 = $ — 13'21 MISCELLANEOUS FIXTURES x — $6 = S rSubtotal 7Z .0 NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S 6 7.03 SIGNATURE:4a, ei4A---, SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675 S )b MECHANICAL PERMIT APPLICATION 1t'Ro1ECt- ADDRESS: OWNER: HARLEY C. DOUGLASS INC. 'PRONE: 509-487-19792 MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANF WLAS_HINGTI N 997OR (strcct) (city/state) (zip) CONTRACTOR: COMPLETE HEATING & SHEETMETAL LICENSE: COMP] Rsnfi6rR I'IIONE: MAILING ADDRESS: 1934 EAST MARSHA] L SP• . • a e . . • . • • i (strcct) (city/state) (zip) MULTI- I COST DES CRIPTIQN OF WORK RJul /UI\11 Nmet.s I1�OI B0 FUEL BURNING APPLIANCE =or<100,000 $12 _ , 1303` FUEL BURNING APPLIANCE >100,000 $15 _ , .----- B04 UNLISTED FUEL BURNING APPLIANCE =or<400,000 • $50 _ , B05. UNLIS 1 ED FUEL BURNING APPLIANCE >400,000 • $100 .. , ---- 1106` USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400,900 $50 - , Bot USED APPLIANCE(Must mc_t WSECs min.AFUE rating) >400,000 . $100 - , •� 1398 BOILER/REFRIGERATION t—tooM trru $12 - , 1309: BOILER/ItEFRIGERATION tot—soots trty . $20 - , B10 BOILER/REFRIGERATION 501-1,000M B111525 - , Bit BOILER/REFRIGERATION 1,001-1,750M trty • $35 - r. I312f BOILER/FtEFRIGERATION +1,750M BTU . $60 - , BI ' GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - . $10 - , I D .. 04::,O B14I RANGE - $10 - '— Bt-5 DRYER - $10 - r 1316: FUEL BURNING WATER HEATER - I • $10 - , 1 fl _OO B17 MISCELLANEOUS FUEL BURNING APPLIANCE - • $10 _ , — 1318 GAS PIPING(ea.outlet) - t2 • $1 - , 2.. - O B191 DUCT SYSTEMS - • $10 - , 1 o VENTILATING FANS - 7 • $10 - r ZOO ) B21>AIR HANDLER(DOES NOT include duct systems) .or<10,000 CFM it $12 - r 1322 AIR HANDLER(DOES NOT include duct systems) >10,000 CPM . $15 - , 132']:: EVAPORATIVE COOLERS - • $10 - Xi.24 •TYPE I HOOD - . $50 - , I32S.TYPE II HOOD - $10 - I32G`;. HEAT PUMP/AIR CONDITIONER 0-5 TONS • $12 _ , B27 AIR CONDITIONER 6-15 TONS $20 - , -- _ 128' AIR CONDITIONER 16-30 TONS $25 - 1 829;AIR CONDITIONER 11-s0Toru $35 - , B30` AIR CONDITIONER +50 TONS $60 - , X3:]1 LPGSTORAGETANK - • $10 - ^^ I3 2 WOOD OR PELLET STOVE/INSER: - $25 - , —� Subtotal '/•Z °= NO b.: MI •ERMTT . IS$3S.U0 PLUS: PROCESSING FEE $25.0 / TOTAL PERMIT FEE DUE $ (0.7 i 00 SIGNATUR ir / . ' SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260 • (509) 456-3675 j—DETACH TO DISPLAY CERTIFICATE—4 DEPARTMENT OF LABOR AND INDUSTRIES 15 - THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A 11 LI ;1of lir.,CO > ,GE gr.Tit. ` �4 i�l , 1 ,` ./,_RE(iISTRATIQN NUMEtEA_ E)(PIRATIOIf DATFy AI, itAILE U1, 4l �44%t�4,�93 } STATE OF WASHINGTON x E.F> tTI V 1>A : , 15 y1 050.9 j{ HAr 4t..Y '.0 2P4EL.,ASS T$ s rar' � x $a,. RO$EWQraD r x If. ;SP0KA c ti 44:20-11.:'x`- �;f F625-052-000(3-92) 7I I_DET.'C.H TO DISPLAY CERTIFICA"E i I HARLEY C. DOUGLASS DO CERTIFY THAT THIS IS A COPY OF MY ORIGINAL CONTRACTORS LICENSE. --/ ( i ' ''' /I . i_,'3 4.___(...4 ... ,..-- -. `\ , = t,, ° Date `-' , .____. _ f Sign( d Ha/ley C., Douglass STATE OF WASHINGTON COUNTY OF Spokane• u I certify that I know or have satisfactory evidence that 111 Harley C. Douglass is the person(s)who appeared before me.and said person(s)acknowledged that(lie/she/they)sign cd this instrument.on oath stated that(he/she/they)was(were)authori/cd to execute the instrumcr and acknowledged it as the President of Harley C. Douglass, Inc. in Lc the free and voluntary act such party for the uscs and purposes mentioned in the instrument. �.+ • /- 2 V- 9J I '- > -/4i, Signature .otary Public • Tide OCT. 23, 1996 ' My appointment expires IP 5‘-0 -o '/0x 3 y 521 co"S550,13n.c ® i I.�_ ZO — 0_ .9 I-1,DEQ LEY C . u�k4S' S n c, 'v, x lS E R ScvJoo j0 pOtce t EWA °°,9 N GJonolO ne 146 'roa ,- e/y/? ' /yam' 0 T . 1 a 44°AnN-D:61;;;.,.... � \e' ,� • -� �/� 1,�j d''tom I�JEaB: FLIA/7(/ :5-0% 1 .1 * 3c3-6' /`�T�' cENTEgu ivE