2002, 07-01 Permit App: 02005387 Residence •
Project Number: 02005387 Inv: 1 Application Date: 7/1/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE Contact: LANZCE G DOUGLASS INC
Address: 8510 N CRESTLINE
C-S-Z: SPOKANE,WA 99217
Setbacks: Front 25 Left: 15 Right: 5 Rear: 35 Phone: (509)483-6532
Group Name:
Site Information: Project Name:
Plat Key: 006093 Name: RIDGEMONT ESTATES NO.4-7TH ADD District: F
Parcel Number: 45252.5206 Block: 1 Lot: 6
SiteAddress: 15517 E 21ST CT Owner:Name: LANZCE G DOUGLASS INC
VERADALE, WA USA 99037 Address: 8510 N CRES'I'LINE
Location::VER SPOKANE,WA 99217
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation:
Review
Site Plan Review
Released By: .;❑!'e7_ ��„} i
Plan Review Released By: c.,� , 7-.z - t�
Approach/Drainage Released By: 7" :-
Sewer Review ; Released By: _ )-, _ __clef ,- _ -r
A_MNSAmi 4AI 011 J 44 64)6A-
Permits:
Operator: JEF Printed By: JEF Print Date: 7/1/02
•
Project Number: 02005387 Inv: 1 Application Date: 7/1/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contract► : UNKNOWN Firm: UNKNOWN
Addres.: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKN 0 ' N
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 2
Bldg W x D: x Building Sq Ft: 2618 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 780 $51,480.00 780 $51,480.00
BASEMENT U R-3 VN 529 $6,506.70 529 $6,506.70
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 540 $6,480.00 540 $6,480.00
RESIDENCE R-3 VN 1,309 $86,394.00 1,309 $86,394.00
Totals: 3,278 $151,800.30 3,278 $151,800.30
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,155.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $254.10
Permit Total Fees: $1,413.60
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 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $105.00
Operator: JEF Printed By: JEF Print Date: 7/1/02
Project Number: 02005387 Inv: 1 Application Date: 7/1/02 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
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $108.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,413.60 $1,413.60 $0.00 $1,413.60
Mechanical Permit $105.00 $105.00 $0.00 $105.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,626.60 $1,626.60 $0.00 $1,626.60
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the ow ner)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: JEF Printed By: JEF Print Date: 7/1/02
APPLICATION INFORMATION 0'2' 53 `57
n Z•53 SeS
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
LOT BLOCK ( e(d2C �' c%//-%r- 7' '� '�
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 done under this permit?
Single Family
Lone Inspector district • roperty size = Right of way width
N
•
Water district •
0 n a
***SEE ATTACHED ENERGY CALCULATIONS***' �
Building Building height #of stories
1309 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
LANZCGD072P5 1309 5529
Mailing address 2nd floor area Finished basement 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?
fnroeri air vs
'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 disLbility in the admission to, or treatment or employment in, its programs or activities.
Lanzce G. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
House Plan: 1309 4-level Address: L= - /. 7:57-7 r
Bedrooms: 3 Legal: LOT 6,- BLOCK
Baths: 3 Development: z tom-&-- �-,:;?.ice. r --fir
Elevation: Scale: 1"----2.0'. ., •
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct ADDRESS 55 L •21
2 sr
representation of the proposal.All known property ZONE �t R.7
lines/dimensions,curb lines,structures and easements ROAD WIDTH
have been identified.Also indicated are wetlands, FRONT
bodies of water,steep slopes or other critical areas. FLANKING
COMMENTS
Signed: REVIEWED [3"7--
Date:
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