2002, 06-24 Permit App: 02005088 Residence Project Number: 02005088 Inv: 1 Application Date: 6/24/2002 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: HARLEY DOUGLASS
AIR GAS Address: 8510 N CRESTLINE
C -S -Z: SPOKANE WA 99217
Setbacks: Front 30 Left: 11 Right: 9 Rear: 20+ Phone: (509)487-9792
Group Name:
Site Information: Project Name:
Plat Key: 006093 Name: RIDGEMONT ESTATES NO. 4-7TH ADD District: F
Parcel Number: 45252.5205 Block: I Lot: S.
SiteAddress: 15525 E 21ST CRT Owner: Name: HARLEY C DOUGLASS INC
VERADALE,WA USA 99037 Address: 8510 N CRESTLINE ST
Location::VER SPOKANE,WA 99217-
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Site Plan Review Relea ed Bv: c ( •
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Plan Review L Released By: __ ` _
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Approach/Drainage Released By:
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Sewer.Review Release. :' t / _
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Permits:
Operator: RMB Printed By: RMB Print Date: 6/24/2002
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Project Number: 02005088 Inv: 1 Application Date: 6/24/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE Phone: (509)487-9792
SPOKANE,WA 99217
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 35 Stories: 1
Bldg W x D: 60 x 38 Building Sq Ft: 2316 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 958 $11,783.40 958 $11,783.40
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 672 $8,064.00 672 $8,064.00
RESIDENCE R-3 VN 1,358 $89,628.00 1,358 $89,628.00
Totals: 3,108 $110,415.00 3,108 $110,415.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $950.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $209.00
Permit Total Fees: $1,163.50
Mechanical Permit
Contractor: COMPLETE HEATING& SHEET Firm: COMPLETE HEATING&SHEET
Address: PO BOX 3934 Phone: (509) 533-9528
SPOKANE,WA 99220
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 6 NUMBER OF $60.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $105.00
Operator: RMB Printed By: RMB Print Date: 6/24/2002
Project Number: 02005088 Inv: 1 Application Date: 6/24/2002 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 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
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $102.00
Notes: .
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,163.51 $1,163.51 $0.00 $1,163.51
Mechanical Permit $105.00 $105.00 $0.00 $105.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,370.51 $1,370.51 $0.00 $1,370.51
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: 6/24/2002
_ICATION ,WORKSHEET J 3 $ Sr I J f-
General Information 11l?/
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Job address Parcel number v
Owner Phone t.
Harley C. Douglass Inc. 509-487-9792
Mailing address
815 E. Rosewood
City State Lip
Spokane Washington 99208
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17 Site Information 1 0,e
Legal Descriptiont
LI. 5 I v._ 1 rt d9 cn,oma 1- € o rj-6 L)7`,r/ --j-r gold j.Ho h
Property sae Water District Numberol: Uwetlings Buildings
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Project Information ii FO k PS' °< °off3Q Fki s ts
Permit Use New Addition Remodel Change of use i
1
Building Information •
Dwelling units Occupantload Building height Stones Z
Building dimensions r • "total square Tootage Req'dpaibug Handicap parking Sprinkler system Critical Material
(0o x38
-
Square footage breakdown t I
Heating and insulation information (R—values)
am Moor Uncovered/covered deck Heat source
13SS ILo Geos
Second lloo`r .Other Hat ceiliinng Vaulted ceiing Above rade wall
(19
Finished basement Below rade waU Floog U Slab on grade
Unfinished basement Door(u—value) Window Furnace ellicency
958
Garage I olal window area %of floor area
LVI ire 3"e,v
Contractor Information y 9 50.. avos
Budding contractor Plumbing contractor i
Harley C. Douglass Inc. Gold Seal Mech
License number Phone License number Phone
HARLECD110PE 509-487-9792 GOLDSM 290C4 509-924-3423
Mailing address Mailing address
815 E. Rosewood 5524 E Boone
Cly,stale,zip City.state,zip
Spokane Washington 99208 Spokane Washington 99212
Heating contractor Other/Lender •
Complete Heating
License number Phone License number Phone
COMPLHS 066 CP 928-9876
Mailing address Mailing address
1934 Marshall
City,state,zip City,state,zip
Spokane Washington 99207 •
PROJECT CONTACC PHONE
Harley C. Douglass 509-487-9792
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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This site plan is l€ing aubmitted for the purpose of $ \s 7#1"°.'::
obtainings building permit and is a true and correct
representation of the proposal.All known property Lj
linesldlmenslons,curb lines,structures and easements N
have been identified,Also indicated are wetlands, r b ti
bodies of water,steep slopes or other critical areas.
Signed: .7.---4'.....
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Date: V\. O O •
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ZONE L
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