1995, 02-06 Permit App: 95000442 Residence N,PROJECT NUMBER= 95000442 APPLICATION DATE= 02/06/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4511 E 14TH AVE PARCEL#= 35233. 1001PTN
ADDRESS= SPOKANE WA 99206
PERMIT USE= NEW RESIDENCE/GARAGE - GAS
PLAT#= 002953 PLAT NAME= WOODLAND TERRACE ADD
BLOCK= 10 LOT= 10 ZONE= UR-3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 50 DEPTH= 130 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = SPO CO WATER DIST#3A
OWNER= HARLEY DOUGLASS INC 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: 5ee
BUILDING SETBACK REVIEW REQUIRED __1_A ' / , � �4
COMMENTS: `15 4, 1 (e) ( AlJ at k S ' Ucta714.4ilitiGVJ�
BUILDING CITY SEWER & WATER PERMIT
COMMENTS:
mss.'ii
- ;;TEER APPROACH/FLOOD PLAIN/DRAINAGE 93 /J/ 50 0, /4/ai
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= 95000442 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= 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
E' 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:
I
PLANNING UNPLATTED/SEGREGATED PROPERTY 0/(019j (1/70 2Cu12L 1'
COMMENTS: OA , I' I .1_1 //. .l, . I_ �� .r/�_ Lei ,. :I. P
.4111/jI�*,L, ** ,�I►�T././iNr/ 'D ,' �'* '► * **,� I/•' *
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CONTRACTOR 'HARLEY C DOUGLASS INC PHONE= 509. 487 9792,,
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
PROJECT NUMBER= 95000442 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: DAWN DOMPIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
APPLICAlION WORKSHEET ____II (2/5—,(./t•- 2____
General Information ,
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HARLEY C. DOUGLASS, INC.
-ialin address ------ -- - --- -------- — -
E. 815 ROSEWOOD
city — - — -----stag — i
SPOKANE WA 99208
LSite Information
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Building Information •
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LContractor Information
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HARLEY C. DOUGLASS, INC. GOLD SEAL MECHANCIAL
Lice!tic number Phone Licensenumber Phone
HARLECD110PE 487-9792 GOLDSM 290C4 (509)535-5944
-Matting address Misting aifdress --
E. 815 ROSEWOOD E 55214 BOONE
-city stair 7t s ---- - -- I iii,stale,7.111
P,81KANE WA 99208 _ SFOKANE WA 99212
llcaltn contOMPraLEctor -- ---- Other____ LcnJcr - _
CTE HEATING & SHEETMETAL _
License number Phone iccnse number Phone
1934 EAST MARSHALL AVE. 533-9528
l:faiiing address -- Haling address
COMPPLHSO66C_P
City.stalc.tip -- --- 1 City.siale,rip
SPOKANE WASHINGTON 99207
�_1'ROJI:(,I CONTACT. 1'IIONI
HARLEY DOUGLASS 1487-9792
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456--3675
r DETACH TO DISPLAY CERTIFICATE
,, —_— --- �dAT11lIiVWWW\'N!\l�hHVYW\!Vllhe�llhlhh�l�+kVr�i6
DEPARTMENT OF LABOR AND INDUSTRIES i4'
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
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1.,.;,,, .-„ii R GISTRATIQp}NUMBER f E)4PJRATIN DAm. ' x
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y STATE OF WASHINGTON i`,
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wa.aia'a�L.;S C'a i�3�.._."a,.a:A..:`a�v , i�u.ia ao`aTaa...Ta ivi..:aII.�a�:,i\aaP a !� - -
t DET.'r:H TO DISPLAY CERTIFICA' _I
I HARLEY C. DOUGLASS DO CERTIFY THAT THIS IS A COPY OF MY
ORIGINAL CONTRACTORS LICENSE.
/L4A4tDate r� —
Sign( d Hailey 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 persons)who appeared before mc.and said person(s)acknowledged that(he/she/they)sign
ed this instrument,on oath stated that(hc/shelthey I was(were)authori,cd to execute the inctrumcr
and acknowledged it as the President
„f Harley C. Douglass, Inc. to be the free and voluntary act
such party for the uses and purposes mentioned in the instrument. .010111...
/- 2V- 9J
Signature
otary Public •
Title
OCT. 23, 1996
My appointment expires
PLUMBING PERMIT APPLICATION
PROJECt'ADDRESS:
-
OWNER: HARLEY C. DOUGLASS INC. PI IONE: 509-487-9792
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASHINGTON 99208
(street) (city/state) (tip)
CONTRACTOR: GOLD SEAL MECH. LICENSE: GOLDSM 290C4
PHONE: 509-.55-5944
MAILING ADDRESS: 5524 EAST BOONE SPOKANE WASHINGTON 99212
• (street) (city/state) (zip)
PLUMBING FIXTURES # W Into,- T. )ST
DFSCRIP'ITON I DETAIL UNITS rumor /UNIT EQUALS AMOUNT
66.Tomurs WATER CLOSETS,BIDETS / x $6 = $ ,, On
X303 URINALS x_ — $6 = $� --
T(JBS BATE,JACUZZI.SPA„GARDEN / : —. $6 = $ (— D
1305 SHOWERS(per trap) -BASE,STALL,ON-SITE BUILD / r x --- $6= $ _ . 03
1306 SINKS LAVS/BASINS,BAR,FLOOR.KITCHEN. x S6 •- $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X—RAY.FOOD(PREP/CULINARY/MEAT) i —_ •
130.7 DISHWASHER - / 4 x $6- = $ C - QO
FSO$CLOTHES WASHER - / x $6 .= S. . 0
B09 GARBAGE DISPOSAL/GRINDER - / x $6 = $ ‘ _0'
B?.a WATER SOFTENER - x — $6 = $
'flfl ELECTRIC HOT WATER TANKS (NOTE: If gas water tank,see m«haalgl) X —' $6 = $
012 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / x $6 = $ to •U"
tib ROOF DRAINS/OVERFIAW DRAINS(ea.) - x $6 - = $
I3 144 FOUNTAINS,DRINKING - x -- $6 = $
JAB WATER PIPING/DRAIN-WASTE-VISIT iNSTAu aioN,ALTERATION OR REPAIR x $6 = $
1316 SEWAGE EJECTORS GRINDER,SUMP PUMP X -- $6 = $
1317 WATER USING DEVICES ICE AND/OR COFFEE MAKER. x $6 = $
?;? z HOSE BIB,STEAMER.PROOFER,
t?Y CARBONATOR,SWAMP COOLERS
Bl$CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, .. $6 = $
glii AND R.P.B.P.D.FOR:VATS,SUMPS,
>:>"> TANKS,BOILERS,&SPRINKLER SYSTEMS — .•
B19INTERCEPTORS GREASE TRAP.SAND TRAP. x $6 = $
CHEMICAL HOLDING TANK
1320 MEDICAL GAS(per outlet/bottle station) NrrRous.OXYGEN x '� $6 = $ --
bit MISCELLANEOUS FIXTURES x $6 = $
I-__ Subtotal y/ .03
NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $ 6 7.03
SIGNATURE:
44 eih....
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE.WA 99260•(509)456-3675 S )b
MECHANICAL PERMIT APPLICATION
__
I'RO]I:CI ADDRESS:
OWNER: HARLEY C. DOUGLASS INC. 1PIIONE: 502-487-9792
MAILING ADDRESS: 815 EAST ROSEWOOD SPOKANE WASH)NGTON 947(18
(street) (city/state) (zip)
CONTRACI'OR: COMPLETE HEATING & SHEETMETAL LICENSE: COMPI HSf1fi6rp
PHONE:
MAILING ADDRESS: 1934 EAST MARSHAI L SPS . a ► s . . • . •
(street) (city/state) (zip)
t# %awn-I cOs
DESCRI IONLOF WORK OF UNITS ruev.rI /UNIT ram.. AMOUNT
1302 FUEL BURNING APPLIANCE =or<100,000 n $12 _ ,
1103. FUEL BURNING APPLIANCE >100,000 . $15 _ ,
1304' UNLISTED FUEL BURNING APPLIANCE =or<400,000 . $50 - , --
B05. UNLISTED FUEL BURNING APPLIANCE >400,000 a $100 - ,
1306>USED APPLIANCE(Must meet WSECs min.AFUE rating) =or<400,900 a $50 - ,
10.7 USED APPLIANCE(Must mc.t WSECs min.AFUE rating) >400,000 $100 - , ..••••••BM 1B OILER/REFRIGERATION 1-1OOM BTU a $12 _ ,
1300BOILER/REFRIGERATION 101-500M BTU . $20 - ,
"—
b10:'BOILER/REFRIGERATION 501-l.000M BTU . $25
811:<BOILER/REFRIGERATION Loot-1,750M BTU r . $35 - r.
--
111Z BOILER/REFRIGERATION +1,750M BTU $60 - , '-"
BiB' GAS LOG,GAS INSERT.AND/OR GAS FIREPLACE - . $10 _ , 1 D . Opo
B4',RANGE . . $10 _ , --
B.15 DRYER - •
$10 _ , -
1316`FUEL BURNING WATER HEATER - $10 - a -00
1317`MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 _ , —
al GAS PIPING(ca.outlet) - • $1 - a 2_. - 00
'601 DUCT SYSTEMS - • $10 - a
1320:.VENTILATING FANS - Z . $10 - a Z0 .0
821::3 AIR HANDLER(DOES NOT indude duct systems) =or<10.000 CM x $12 _ , ---.
B22;AIR HANDLER(DOES NOT include duct systems) >10,000 CPM . $15 - ,
)P4 EVAPORATIVE COOLERS - . $10 _ ,
B.24>TYPE I HOOD - $50 - a
1321$ TYPE II HOOD - $10 - a
1326;HEAT PUMP/AIR CONDITIONER 0-5 TONS . $12 _ a
1327:AIR CONDITIONER 6-15 TONS $20 - a —
B28:AIR CONDITIONER 16-30 TONS . $25 - a
829;AIR CONDITIONER 31-50 TONS . $35 - a
1330: AIR CONDITIONER +50 TONS . $60 - , --
13:3t< LPG STORAGE TANK - • $10 - , "'
I3&2'WOOD OR PELLET STOVE/INSERT - • $25 - , —
Subtotal _ '/Z 9-9-
NO i b:
=NON:.: MI 'ERMPT • IS S35.00 PLUS: PROCESSING FEE $25.0
/ TOTAL PERMIT FEE DUE S (e7 ,00
SIGNATUR ' I / ' '
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE'SPOKANE.WA 99260 ' (509)456-3675
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