2002, 03-12 Permit App: 02001519 Residence Project Number: 02001519 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 30 Left: 5 Right: 10 Rear: 50 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: 11
SiteAddress: 15524 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: 10,175 Sq Ft Width: 80 Depth: 127 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan iewteal
C;RA4
. .
Plan Review Released By: • ).?'
Specia 11 ,,11 ti-Jeased By:
W gr-
Approach/Drainage Released BY: 2«1'I • 0').
Quo S
Sewer
�' Released By: `
. ,►1 4/. 1- ta.TtLk1teS PCIPPOSU44brL
Operator: RMB Printed By: RMB Print Date: 3/12/2002
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Project Number: 02001519 Inv: 1 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:
Req Parking: Handicap Parking: Critical Materials: ❑
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 WAFER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=I00,000BTU 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
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Operator: RMB Printed By: RMB Print Date: 3/12/2002
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Project Number: 02001519 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
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
TUBS 3 NUMBER OF $18.00
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: $120.00
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 $95.00 $95.00 $0.00 $95.00
Plumbing Permit $120.00 $120.00 $0.00 $120.00
$1,308.35 $1,308.35 $0.00 $1,308.35
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 3/12/2002
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
. /$ 4( P-2l CT q€()°�
Legal description as it appears on the property deed
LOT // BLOCK e i L am- - ? Gif 712 c=e----L-1-
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? t
',Single Familyc)
r- \,„ t.c
Inspector district Property size Right of way width
•
115
Water district ".j
o SEE, ATTACHED ENERGY. CA ,CULATIOo
`Buildin Building height #of stories
9 • 1
1245 <Rancher
Contractor Dimensions TOTAL SQUARE FOOTAGE
Lanzce G. Douglass , Inc. 67 .5x29 . 5 2490
VA State Contractor license# Main floor area I Unfinished basement area
LANZCGD072P5 1245 1245
Mailing address 2nd floor area Finished basement area
815 E. Rosewood Ave. 0 0
Architect/Engineer Garage area Size of decks,etc.
Independent Home Designs 559 120 Oover30"
Whet is the heat source? What is the cost of your project?
fnrr•Pd air u�ac
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.
Lanzce G. Douglass, Inc. 815 E. Rosewood Ave., Spokane WA 99208-5507
House Plan: 1245 Rancher Address: js �� 7t
Bedrooms: 3 Leal: LOT 1 BLOCK
Baths: 3 Deveopment: 1(�! J2c��cil ��/
Elevation: Scale: 1"✓26"5- ;
This site^I 1'i i_ S, ;n y sub,rr..itto:i for The purpose of
obtaining a u,uldi 1g 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,
00,
bodies of water,stei p slopes or of tical a
Signed: �• �,
Date:
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