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2002, 03-12 Permit App: 02001525 Residence Project Number: 02001525 Inv: 1 Application Date: 3/12/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE-NATURAL GAS Contact: LANZCE DOUGLASS Address: 815 E ROSEWOOD C-S-Z: SPOKANE,WA 99208 Setbacks: Front 30 Left: 5 Right: 14 Rear: 38 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: 10 SiteAddress: 15516 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: 10,054 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: l ( . G .x,. 12-0 .. Plan Review - eased By S ‘` 4 Approach/Drainage Released By: 3.13 Sewer Review Released By: - - . (14 1624 )(A L F Permits: Operator: CKF Printed By: CKF Print Date: 3/12/02 Project Number: 02001525 Inv: I Application Date: 3/12/02 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work 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 Building Characteristics Const Category: New Group:R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 2 Bldg W x D: 55 x 51 Building Sq Ft: 2618 Sprinklers: E Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 780 $48,360.00 780 $48,360.00 BASEMENT U R-3 VN 529 $6,115.24 529 $6,115.24 DECK R-3 VN 120 $883.20 120 $883.20 GARAGE U-1 VN 540 $6,480.00 540 $6,480.00 RESIDENCE R-3 VN 1,309 $81,158.00 1,309 $81,158.00 Totals: 3,278 $142,996.44 3,278 $142,996.44 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,110.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $244.20 Permit Total Fees: $1,358.70 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 3 #OF UNITS $3.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $95.00 Operator: CKF Printed By: CKF Print Date: 3/12/02 Project Number: 02001525 Inv: 1 Application Date: 3/12/02 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 TOILETS/BIDETS 3 NUMBER OF $18.00 SINKS 5 NUMBER OF $30.00 SHOWERS 1 NUMBER OF $6.00 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 SEWAGE EJECTOR 1 NUMBER OF $6.00 WATER PIPING-DWV 3 NUMBER OF $18.00 Permit Total Fees: $114.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,358.70 $1,358.70 $0.00 $1,358.70 Mechanical Permit $95.00 $95.00 $0.00 $95.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $1,567.70 $1,567.70 $0.00 $1,567.70 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: CKF Printed By: CKF Print Date: 3/12/02 -r---,l 7 ((' I5PPLICATIO�1INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? / 45(95Q-9 0 Legal description as it appears on the,property deed LOT 1'0 BLOCK / IZ/(�f'P tz-t- e ✓Y� --� � � ".4 7/ l OWNER or OCCUPANT Phone 'Lanzce G. Douglass , Inc. 509-483-6532 Mailing address City,state Zip 815 E. Rosewood Ave. Spokane, WA 99208-5507 Who should we contact regarding this project? Phone Lanzce G. Douglass 509-483-6532 What work is being doe un ier is ermit? (Qy�_ J( fes., r�,� Z ('1• \AL I' (��-e c/ c<� Single Fami• lYLf2., -' .2 Lone Inspector diyystrict Property size Hight,ot way width Water district • •MJF * *SEE;:ATTACHED ENERGY::,CALCULATIONS ?� ;: A Buildin Building height • #of stories 9 309 <4 :level 1 .5 Contractor Dimensions TOTAL SQUARE FOOTAGE Lanzce G. Douglass , Inc. 55x51 . 5 2618 WA State Contractor license# Main floor area Unfinished basement area LAN ZCGD072P5 1309 529 Mailing address - end floor area Finished asement area 815 E. Rosewood Ave. 780 • 0 Architect/Engineer Garage area Size of decks,etc. Independent Home Designs 540 120 Oover30" What is the heat source? What is the cost of your project? fnrrarl air gas %Manufactured Home -Sign Width: Length: What is the square footage of How high is the sign? the sign face? Year: Make: • Installer Contractor We State Contractor license# Wa 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/semi-private Contractor Contractor Wa State Contractor license# 'WA State Contractor license# Mailing address Mailing address 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. SENT SY: LANZCE G DOUGLASS INC; 5004834966; APR-17-02 7:44AM; PAGE 2/2 Lanzce G. Douglass,Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507 House Plan: 1245 Rancher Address: e_ Bedrooms: 3 Legal: LOT BLOCK Baths: 3 Development: Elevation: Scale: 1"–20' 161.4ga7— ' . _ --' ; k kt; . k .....,400011,iticir•it • CO w t•I e - or) – 0 8 11.4t a5.00 • • ;