2002, 04-16 Permit App: 02002629 Residence t
Project Number: 02002629 • Inv: ; Application Date: 4/16/02 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-GAS Contact: LANZCE DOUGLASS
Address: 815 E ROSEWOOD
C-S-Z: SPOKANE,WA 99208
Setbacks: Front 30 Left: 7 Right: 7 Rear: 40 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: 13
SiteAddress: 15604 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: 010 VERA Hold: ❑
Area: 10,129 Sq Ft Width: 80 Depth: 127 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review , Release By:
j-• o •dgi
Plan Review Released By: . ' '
Approach/Drainage Released B •
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Sewer Review/k),32, Lj(o
� a Release >
Permits:
Operator: JAS Printed By: JAS Print Date: 4/16/02
Project Number: 02002629 Inv: 1 Applicatiofl Date: 4/16/02 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:
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 $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 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: JAS Printed By: JAS Print Date: 4/16/02
Project Number: 02002629 . Inv: 1, Application Date: 4/16/02 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 NUMBFR 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 $1,358.70 $1,358.70 $0.00 $1,358.70
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,561.70 $1,561.70 $0.00 $1,561.70
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: JAS Printed By: JAS Print Date: 4/16/02
•
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Z l
Legal description as it appears on the property deed
LOT BLOCK
\ Geoc./L7\-- ,2 ..= )‘/ --)t-e' 7r-a
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
Zone::;> k Inspector district Property size Right of way width
Water:district <:
o ** 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 I 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 coat of your project?
fnrr'ed air gG
Manufactured Home Sign
Width:. Length: What is the square footage of How high is the sign? ,
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Ws 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
IPublic/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,
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This is not an as—built drawing. LOT 1.J, BLOCK 1
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Any modifications to this plan after:, BIDGE:MONT ESTATES' NO. 4 6impson Engineers, Inc.
the date on the Engineer's stamp . - CIVIL ENGINEERS do LAND SURVEYORS
VOIDS the Engineer's stamp. 7TH ADDITION N.909 ARGONNE ROAD
SPOKANE, WA 99212 PH 926-1322
Lanzce G. Douglass, Inc: 815 E. Rosewood Ave., Spokane WA 99208-55s07
House Plan: 1309 4-level Address: .,_=-- is >,� -2-1i `
Bedrooms: 3 Legal: LOT /3 BLOCK i
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