2006, 04-06 Permit App 06001135 Residence, ApproachProject Number: 06001135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 4/6/2006 Page 1 of 3
Permit Use: single family residence, gas heated on sewer
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Contact: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
C - S - Z: SPOKANE, WA 99217-7718
Phone: (509) 487-9792
Group Name:
Project Name:
Name- Range
District:
Parcel Number: 46353.5319 Block:
SiteAddress: 14420 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Lot:
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information•
Review
Building Plan Review
Released By:
Originally Released:
Driveway/Approach
4/6/2006 By: TMELBOU
Released By:
Originally Released:
Landuse/Zoning/RE Conditions
4/4/2006 By: amblake
Released By:
Sewer Review
Permits:
Originally Released:
4/3/2006 By: KKENDAL
jReleased By:
Operator: AME
Printed By: AMB
Print Date:
4/6/2006
Project Number: 06001135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Date: 4/6/2006 Page 2 of 3
Contractor: HARLEY C DOUGLASS INC Finn: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Item Description
APPROACH-CONST IN ROW
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,296 $111,935.52 1,296 $111,935.52
BASEMENTU R-3 VB 855 $12,825.00 855 $12,825.00
DECK OPEN R-3 VB 192 $2,880.00 192 $2,880.00
GARAGE U-1 VB 500 $9,500.00 500 $9,500.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,843 $137,140.52 2,843 $137,140.52
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,206.55
$4.50
$482.62
Permit Total Fees: $1,693.67
Mechanical Permit
Contractor: COMPLETE HEATING & SHEET Firm: COMPLETE HEATING & SHEET
Address: PO BOX 3934 Phone: (509) 533-9528
SPOKANE, WA 99220
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$2.00
$40.00
$10.00
Permit Total Fees: $84.00
Operator: AMB Printed By: AMB
Print Date: 4/6/2006
Project Number: 06001135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Plumbing Permit
Units
2
3
2
2
1
1
1
1
1
Date: 4/6/2006 Page 3 of 3
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$84.00
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$50.00
$1,693.67
$84.00
$84.00
$50.00
$1,693.67
$84.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owine
$50.00
$1,693.67
$84.00
$84.00
$1,911.67 $1,911.67 $0.00 $1,911.67
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 construed 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: AMB Printed By: AMB Print Date: 4/6/2006
SOokane
Valley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhalL@spokanevalley.org
..7
Fax
To: (e
Fax: 440.-7 , Sge
Phone:
Re: (I.A-41) &- G CCDfl
From: Anita Blake
Pages:
Date: , t�l�D
CC: 'T
ktc E (4-usl Cteb.,) f5t otL' -9- nm L o ,
Project Number: 06001135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 4/3/2006 Page 1 of 2
Permit Use: single family residence, gas heated on sewer
Setbacks: Front
Site Information:
Left: Right: Rear:
Plat Key: Name: -Raffre
Parcel Number: 46353.5319
Block:
SiteAddress: 14420 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: .00 Acres
Width: 0
Contact: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
C - S - Z: SPOKANE, WA 99217-7718
Phone: (509) 487-9792
Group Name:
Project Name:
Lot:,"(
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
District:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Operator: AMB
Printed By: AMB
Print Date: 4/3/2006
Project Number: 06001135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Date: 4/3/2006 Page 2 of 2
Contactor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Building Permit
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Mechanical Permit
Contractor: COMPLETE HEATING & SHEET Firm: COMPLETE HEATING & SHEET
Address: PO BOX 3934
SPOKANE, WA 99220
Phone: (509) 533-9528
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE
SPOKANE, WA 99212
Notes:
Phone: (509) 535-5944
Payment Summary:
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 construed 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: AMB Printed By: AMB
Print Date: 4/3/2006
��� �x= Permit Center
Spokane 11707 E Sprague Ave, Suite 106
-Valley Spokane Valley, WA 99206
II (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Residential Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:
17New Construction n Accessory Bldg
n Addition/Remodel n Deck
n Other:
SITE ADDRESS ! `i / 20 Cro Loh A.
ASSESSORS PARCEL NO: ►IPc 5. 55(.9
LEGAL DESCRIPTION: LDS- I' $lock q 1411`s
Building Owner:
Name: iLiarjrs C boutlass Znc•
Address: 8S1 D Al ere 5+1,
City: sPoka,o_ State: opt Zip:9q
-1
Phone:.SU9 _ I 7 - 9 79 2_ Fax: S Uq _ 48 7 - / 5 8'o
Contact, Person`
t7
Name: It Dour
Phone: 6b9 -'/$7- 9792-
a ss
Describe the scope of work in detail:
Contractor:
Name: ytar it C /
fas5 2 .
Address: gs-10 N Cresfli „c.
City: spb tra m_ State: (4)A Zip:c�cg317
Phone:�lol_Li e7- 979 z Fax:5°94E7-S79?-
Contractor Lic No:f/Ae[.E, HO Et p Date: /dI3I
f'�
City Business Lic. No:
Cost of Project: $
**************The following MUST be com lete: write N/A if not a licable ***********
HEIGHT TO PEAK:
35
DIMENSIONS:
3 8' x `�01 /0"
P
# OF STORIES:
a.
TOTAL HABITABLE SPACE:
b Z /5 /
MAIN FLOOR TO SQ.
FTG: '.30i 2��
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
96> ��
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
.I11-(5' 45 0 a
DECK/COV. PATIO SQ. FTG:
Ltler /9 2.-
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:]
CQNSTRUCTION TYPE:
HEAT SOURCE:
(''xaS
SEWER OR SEPTIC?
SetZek-
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 0/25/2005
❑ Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
u Permit Center
M alle 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.svokancvalley.org
ley
PERMIT NUMBER:
PERMIT FEE:
Mechanical Permit Application ❑ Commercial El Residential
SITE ADDRESS: / I/ 420 E C4-01+Jn A J{.
Lo i- 19 8 lock 4 411,0,4ets E?Ai
Building Owner
Name: ar I Ce1 C �uc io SS lik C • Phone;
5-0- 7-979z Fax: 57)9-187 S80
gS10 e
G s-f- ,,� City:state:
Address.p 7
�a�. et Zip: / 9a /
,,.
Contractors/�
Name:
Corn o l At `f cSki,. , C . Phone: co -S.3 3- 9SZ$' Fax $- q
09-533-032
rr, `J
Address: PC g� �p3 City:` OkQn� State. tdA Zip: G7g2�
1I'S
License No: C'OMfl- oso gT City Buussiiness Lic:
Contact
Name: Phone:
D
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
X
$12.00
=
/2 . 00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More Ihan 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400.000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
I
X
$10.00
=
/D • 6D
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
J
X
$10.00
=
!O • D D
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
2.
X
$1.00
=
2 . o O
18
DUCT SYSTEMS
I
X
$10.00
=
10 •O6
19
VENTILATING FANS
X
$10.00
=
go . 00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
X
$20.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
['CASHIDCHECK ❑ VISA ❑ MC
CARD #:
SUBTOTAL
EXPIRES:
PROCESSING FEE
$35.00
VIN:
TOTAL PERMIT FEE DUE;
REVISED 8/26/05
„�,.•�Valley
Community Development
Permit Ccntcr
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokaneval ley,org
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: /q7 20 e Crht.J»1 A✓G
Lo-09 BIock4 if.nters
Building Owner
Name: /-40-rIeG Nou:\tass .
Phone:5D9- `i '7-979z-
Fax: 50_#57_15E6
Address: S5/0 N CresfI iM
k City:,5paghe-
State: , c3A Zip:
99ai7
Contractor
l
Name: &AI ` Mecka.,,icaQ
Phone: s-p9-S3S-S9`ii(
Fax: 5p1-S3S-%.3Sq
Address: 5-52y E 606ne.
City: SpDkQl.,L
State: Ed Zip: 99d/:,1
License No: eroLb S M 2.9 0 C 3
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
cost
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
2
X
$6.00
/2.Do
2
URINALS
X
$6.00
3
TUBS
x
$6.00
�2.00
4
5
SHOWERS PER TRAP
SINKS
6
DISHWASHER
7
CLOTHES WASHER
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR. FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
z
3
X
0
X
$6.00
$6.00
$6.00
0
/2.oa
/8.a0
(0.00
/
X
$6.00
8
GARBAGE DISPOSAL
9
WATER SOFTENER
$6.00
$6.00
(p . 00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS. SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
(, .00
12
ROOF DRAINS/OVERFLOW DRAINS
$6.00
13
FOUNTAINS, DRINKING
14
WATER PIPING/DRAIN-IN WASTE,
VENT. PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
$6.00
$6.00
15
16
SEWAGE EJECTOR
WATER USING DEVICE
17
CROSS CONNECTION DEVICE
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
1
$6.00
$6.00
$6.00
1
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
20
21
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAUSYS
NITROUS. OXYGEN
Seri kkle f
X
X
$6.00
$6.00
$20.00
. 0 0
22
INDUSTRIAL WASTE INTERCEPTOR
$15.00
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: