2002, 02-27 Permit App: 02001187 ResidenceProject Number: 02001187 Inv: 1 ► ` Application Date: 2/27/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45261.5904 Block: 2 Lot: 4
SiteAddress: 15207 E 17TH CT Owner: Name: DOUGLASS, LANZCE G
VERADALE, WA USA 99037 Address: 815 E ROSEWOOD ST
Location:: VER SPOKANE, WA 99208 -
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 11,064 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Review information:
Review
Site Plan Review` RelcasedB3`:�=�
Plan Reviewcicascd BN
Approach / Drainage
Permits:
eased By:
r� a
r
40 SL
I
►./ s®
Operator: RMB Printed By: RMB Print Date: 2/27/2002
Project Number: 02001187 Inv: 1 Application Date: 2/27/2002 Page 2 of 3
THIS IS NOT A kAMIT
Penalties will be assessed for commencing w' -ork without a permit
Building Permit — -- --
Contractor: LANZCE G DOUGLASS, INC Firm: LANCZE G DOUGLASS, INC
Address: 8510 N CRESTLINE Phone: (509) 483-6532
SPOKANE, WA 99217
3,354 $101,393.40
Units
Unit Desc
Building Characteristics
Const Category:
New
Group:
R-3 Type: VN
Nbr Of Dwellings:
1
Occupant Load:
0 Building Height: 17
Bldg W x D: 67
x 29
Building Sq Ft:
2490 Sprinklers: El
Req Parking:
0 Handicap Parking:
0 Critical Materials: F-1
$74.00
This Application:
Description
Grp
Type Notes
Sq Ft Valuation
BASEMENT U
R-3
VN
1,245 $14,392.20
DECK
R-3
VN
120 $883.20
GARAGE
U-1
VN
744 $8,928.00
RESIDENCE
R-3
VN
1,245 $77,190.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals:
3,354 $101,393.40
Units
Unit Desc
1
Y OR BLANK
1
Y OR BLANK
1
Y OR BLANK
Contractor: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD
GREENACRES, WA 99016
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Permit Total Fees:
Mechanical Permit
Stories: 1
Total Project:
Sg Ft
Valuation
1,245
$14,392.20
120
$883.20
744
$8,928.00
1,245
$77,190.00
3,354 $101,393.40
Fee Amount
$905.00
$4.50
$199.10
$1,108.60
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
2
# OF UNITS
$2.00
4
NUMBER OF
$40.00
1
NUMBER OF
$10.00
Permit Total Fees:
$74.00
Operator: RMB Printed By: RMB Print Date: 2/27/2002
Project Number: 02001187 Inv: I - Application Date: 2/27/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Plumbing Permit
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Item Description
Units
Unit Desc
Fee Amount
TOILETS/BIDETS
2
NUMBER OF
$12.00
SINKS
3
NUMBER OF
$18.00
TUBS
2
NUMBER OF
$12.00
DISH WASHERS
1
NUMBER OF
$6.00
GARBAGE DISPOSAL
1
NUMBER OF
$6.00
CLOTHES WASHER
I
NUMBER OF
$6.00
FLOOR DRAINS
1
NUMBER OF
$6.00
CROSS CONNECTION DEVICES
1
NUMBER OF
$6.00
WATER USING DEVICES
3
NUMBER OF
$18.00
Permit Total Fees:
$90.00
Notes:
Payment Summa
Page 3of3
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,108.60
$1,108.60
$0.00
$11,108.60
Mechanical Permit
$74.00
$74.00
$0.00
$74.00
Plumbing Permit
$90.00
$90.00
$0.00
$90.00
$1,272.60
$1,272.60
$0.00
$1,272.60
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 2/27/2002
aD
N
C1
0
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
i
�� 2O
Legal description as it appears on the property deed
BLOCK
OWNER or OCCUPANT Phone
Lanzce G. Douglass, Inc. 509-483-6532
Mailing address City, state Zip
815 E. Rosewood Ave. Spokane, WA 99208-5507
ho should we contact regarding this project? Phone
Lanzce G. Douglass 509-483-6532
What work is being done under this permit?
Single Family
one
inspector 11strict
Property size
I
Right of way vAdth
Water district
***SEE _ATTACHED
ENERGY_ CALCULATIONS
**.
Building
1245 Rancher
Building height
# of stories
1
Contractor
Lanzce G. Douglass, Inc.
Dimensions
67.5x29.5
TOTAL SQUARE FOOT GE
2490
WA State Contractor license #
LANZCGD072P5
Main floor area
1245
Unfinished basement area
1245
Mailing address
815 E. Rosewood Ave.
Ind floor area
0
Finished basement area
0
Architect/Engineer
Independent Home Desi n:3
Garage area
559
Size of decks, etc.
120 Oover30"
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign7
Year:
Make:
Installer
Contractor
We State Contractor license #
We State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler _ Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size ! gallons
Public/sem i -private
Contractor
Contractor
Wa Slate Contractor license #
WA State Contractor license #
Mailing address
Mailing address
11A ATI? KI
COMPLETE ALL AYYLIl.AbLt INFURIVIA I !UN
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa or activities.
Lanzee G. Douglass, Inc. ,. 815E. Rosewood Ave., Spokane WA 99208-5507
House Plan: 1245 Rancher Address: C - (5'V'7$ 17
Bedrooms: 3 Legal: LOT 4 BLOCK �
Baths: 3 Development:"
Elevation: Scale: F = 20'
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also Indicated are wetlands,
dies er, steep slo her critical a.
ite
ZONE
ROAD NI�TFi sd
FRONT_._ FLANKING
COMM,I�E-,,IS
REVIEWS: