2002, 03-12 Permit App: 02001526 Residence Project Number: 02001526 Inv. 1 Application Date: 3/12/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: LANZCE DOUGLASS INC
AIR GAS Address: 8510 N CRESTLINE
C- S -Z: SPOKANE WA 99217-7718
Setbacks: Front 25 Left: 5 Right: 6 Rear: 45 Phone: (509)483-6532
Group Name:
Site Information: Project Name:
Plat Key: 006093 Name: RIDGEMONT ESTATES NO. 4-7TH ADD District: F
Parcel Number: 45252.9096 Block: 1 Lot: 9
SiteAddress: 15510 E 21ST CT Owner: Name: LANZCE DOUGLASS
VERADALE,WA USA 99037 Address: 815 E ROSEWOOD
Location::VER SPOKANE,WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,756 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: I
Review Information:
Review
k
Site Plan Review -Released By: ��j ,d 11-t , n91iilt
S4 r v — Ayr .-
Plan Review Released By: (
4 ; 3:;)r:Ppepr'oa4ach
ReleasedBy: L,;« 7`13C._ _ .....,....)
;Drainage f Released By: 3 ) -- "'
Sewer . • • %Released By`
k40 -1 . t txr Li SOgDv-. •-• • 1i
Operator: RMB Printed By: RMB Print Date: 3/12/2002
Project Number: 02001526 Inv: l - Application Date: 3/12/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
---------__.—____.— Building Permit
Contractor: LANZCE G DOUGLASS,INC Firm: LANCZE G DOUGLASS,INC
Address: 8510 N CRESTLINE Phone: (509) 483-6532
SPOKANE,WA 99217
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 17 Stories: 1
Bldg W x D: 67 x 29 Building Sq Ft: 2490 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials: n
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1.245 $14,392.20 1,245 $14,392.20
DECK R-3 VN 120 $883.20 120 $883.20
GARAGE U-1 VN 559 $6,708.00 559 $6,708.00
RESIDENCE R-3 VN 1,245 $77,190.00 1,245 $77,190.00
Totals: 3,169 $99,173.40 3,169 $99,173.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $892.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $196.35
Permit Total Fees: $1,093.35
—__ Mechanical Permit
Contractor: DANCAR MECHANICAL INC. Firm: DANCAR MECHANICAL INC.
Address: 311 N HODGES RD Phone: (509) 924-9921
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: RMB Printed By: RMB Print Date: 3/12/2002
Project Number: 02001526 Inv: 1 Application Date: 3/12/2002 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509)535-5944
SPOKANE,WA 99212
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 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 1 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 Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,093.35 $1,093.35 $0.00 $1,093.35
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,257.35 $1,257.35 $0.00 $1,257.35
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: 3/12/2002
Lanzce G. Douglass,Inc. 815 E. Rosewood Ave.' Spokane:::920:-5507
Bedrooms: 3
House Plan: 1245 Rancher Address: - /5 21 ---*1:—
Legal: LOT
Baths: 3 Development:=,243..--
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Elevation: Scale: 1" =,243..--2>
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red for the purpose of
This site plan t , " .true and cor ,- ;v v
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obtaini + r 5, Ai n0' '' FRONT r. ING _---
cated are:a/'lands, COM1v1E; ��
- ei be=water steepfied.Aso e REVIcW,--s -��
bodies• water, sope`�or other i.r cai areas.
Signed:__-----""_".�._.., �,..._,,....-"
Date'._------- ""..------"""..—.
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APPLICATION INFORMATION '
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed '
`LOT '�j BLOCK I. ' .it� '7 pec—r°'
OWNER or OCCUPANT Phone
'Lanzce G. Douglass , Inc. ' 509-483-6532 '
Mailing address City,state . Zip
X81'5 E. 'Rosewood Ave. ' ' ' ' Spokane, WA 99208-5507'
Who should we contact regarding this project? ; I Phone ,
LanzceL,G.' Douglass - ' " 509-483-6532 I '
What work is being done under this permit? ' , , •
.• ; ' ; • �. ••(1
I
Vk1
Single Family
1LOne Inspectorstnr drct Prert
opy size Right of way width
fS t �
ate ' is .... ;, ) i D
1;I�ater dtatricf' _ .f
a : a
a, -...,.......' ***SEE:ATTACIED::ENERGY. CALCULATIONS #e .......
Building height + #of stories
Building ' ;
>:1245 R�tiicher
Contractor Dimensions TOT L SQUARE FOOTAGE
Lanzce G. Douglass . Inc. 67'.5x29 . 5 2490 '
WA State Contractor license# • • Main floor area , ! Unfinished basement area
1LANZCGD072P5 ' 1245 ' 1245
Mailing address ! 2nd floor area Finished basement area
!81'5 E. Rosewood Ave. 0 0
Architect/Engineer Garage area • Size of decks,etc.
'Independent Home Designs 559 ' ' - ' 120 Oover3O"
What is the heat source? What is the cost• of your project? ,
forrPd air gas
Manufactured Home "; < Sign
Width: Length: What is the square footage of How high is the sign?
. the sign face?
Year: Make: i
Installer , Contractor ' r
i
Wa State Contractor,license# Wa State Contractor,license#
Mailing address i ) Mailing address. i I
Relocation ,. F_ ire Safety . '
Previous address, 1 i. Fire Sprinkler _ ' , Tent _
, t j � t i ' . . Paint booth_ Fire Alarm ' Fireworks display _
i ' VALUE
Contractor , , i Contractor, ,
!
WA State Contractor license# WA State Contractor license# ,
Mailing addressMailing address
, i i
F el'Storage Tanks Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons .
Public/semi-private
Contractor - , Contractor,
Wa State Contractor license#, , ; , WA State Contractor license#
1 w Mailing address Mailing address, * . .r:: r.,I •
COMPLETE ALL APPLICABLE INFORMATION
, Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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