2006, 04-10 Permit App 06001139 Residence, ApproachProject Number: 06001139 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: single family dwelling, gas heat, on sewer
Setbacks: Front
Site Information:
Plat Key:
Date: 4/10/2006 Page 1 of 3
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: 46353.5215 Block:
SiteAddress: 14222 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: DOUGLASS, HARLEY C INC
Address: 8510 N CRESTLINE ST
SPOKANE, WA 99217-7718
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Driveway/Approach
4/6/2006 By: TMELBOU
Released By:
Originally Released:
Landuse/Zoning/IlE Conditions
4/4/2006 By: amblake
Released By:
Sewer Review
Originally Released: 4/3/2006 By: KKENDAL
Released By:
Originally Released: 4/7/2006 By: amblake
Permits:
Operator: AMB
Printed By: AMB
Print Date:
4/10/2006
Project Number: 06001139 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Date: 4/10/2006 Page 2 of 3
Contractor: HARLEY C DOUGLASS INC Firm HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$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 Gs Type Notes Sq Ft Valuation Sq Ft Valuation
1&2FAMILY R-3 VB 1,387 $119,795.19 1,387 $119,795.19
BASEMENTU R-3 VB 950 $14,250.00 950 $14,250.00
DECK OPEN R-3 VB 80 $1,200.00 80 $1,200.00
GARAGE U-1 VB 752 $14,288.00 752 $14,288.00
Totals: 3,169 $149,533.19 3,169 $149,533.19
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,273.75
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $509.50
Permit Total Fees: $1,787.75
Mechanical Permit
Contractor: COMPLETE HEATING & SHEET Firm: COMPLETE HEATING & SHEET
Address: PO BOX 3934 Phone: (509) 533-9528
SPOKANE, WA 99220
Bern Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
AIR HANDLER <=10,000 CFM
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
1 NUMBER OF $10.00
1 NUMBER OF $12.00
2 # OF UNITS $2.00
4 NUMBER OF $40.00
1 NUMBER OF $10.00
1 NUMBER OF $12.00
Permit Total Fees: $96.00
Operator: AMB Printed By: AMR Print Date: 4/10/2006
Project Number: 06001139 Inv: I
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
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes: .. r
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Date: 4/10/2006 Page 3 of 3
Firm: GOLD SEAL MECHANICAL INC
Phone: (509) 535-5944
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
S6.00
$6.00
$84.00
Fee Amount
$50.00
$1,787.75
$96.00
$84.00
Invoice Amount
$50.00
$1,787.75
$96.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,787.75
$96.00
$84.00
$2,017.75
$2,017.75 $0.00 $2,017.75
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: 4/10/2006
ktt
Spokane
- Valley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 1 Fax: 509.921.1008 1 cityhall@spokanevatley.org
Fax
To: j
Fax: 4g
Phone: 6
From: Anita Blake
Pages:
/� Date: LA I (�{(
Re: "��a� E l.i�L�%E%4� CC:��!!
Project Number: 06001139 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: single family dwelling, gas heat, on sewer
Setbacks: Front
Site Information:
Plat Key:
Date: 4/3/2006 Page 1 of 2
Left: Right: Rear:
Name: Range
Parcel Number: 46353.5215
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:
Block: ✓ Lot: J 5
SiteAddress: 14222 E CROWN AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
District:
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: 1
Driveway/Approach
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Released By:
Operator: AMB Printed By: AMB Print Date: 4/3/2006
Project Number: 06001139 Inv: I
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
Contractor: 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 Finn: 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
(111 lM'
pokane
Valle Spokane Valley, WA 99206
Y (509)688 0036 FAX:(509)688-0037
Community Development www.spokanevalley.org
Permit Center
11707 E Sprague Ave, Suite 106
Residential Construction
Permit Application
PERMIT NUMBER: t I ael
PERMIT FEE:
M New Construction ❑ Accessory BIdg
❑ Addition/Remodel ❑ Deck
n Other:
SITE ADDRESS / 112 22 E Cro ». Are.
ASSESSORS PARCEL NO:Z (p3- 5a 16
LEGAL DESCRIPTION: L /s 83 jdCr-s a-rt
Building Owner:
Name: illarl C lbous ja55 litc-
Address: g6-) 0 A Cre 54.— Az
City: dppkQ,/Lk State: 0.)a Zip:9cla.1-7
Phone:5-09 _ q g7 -9792 Fax: S 0q'`{E7./Sg0
Contact Person
Name: i
Phone: Sag L7f 7 979z
a sS
Describe the scope of work in detail:
Contractor:
Name: C O�QSSc .
Address: g - 0 A.) C'es t'l z n-c
City: S„o k State: AA- Zip:99? 17
Phone: - _, fg7_ 979 z Fax:s-09 _5/87-979 a
Contractor Lic No: f-/A&LEcz 11 ,E p Date: y43 /
City Business Lic. No:
Cost of Project: $
**************The following MUST be complete: (write N/A if not app) licable**********************
HEIGHTT`�TO" PEAK:
DIMENSIONS:
# OF STORIES:„
TOTAL HABITABLE SPACE:
„ g
MAIN FLOOR TO SQ.
FTG: I -3 73e7
t"'�'
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
9sa OK--
IMPERVIOUSSURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE" S�2`FiS
' �(a''F 2-6
DECK/COV. PAT Q. FTG:
t?
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
.3
CON TRUCTION TYPE:
14sideivlicil
HEAT SOURCE:n
(—aS
SEWER OR SEPTIC?
,,ex -
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 8/25/2005
❑ Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
Permit Center
Spo a■ne 1170713 Sprague Ave, Suite 106
r.,la� Mil ley Spokanc Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Colmnunity Development www.snokanevallev,org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial IZ Residential
SITE ADDRESS: / 41 2•2.2. 6 arot,,.„)h
L/ 5 8 3 4ti4ers e
Building Owner
`� Phone:50 _ Fax:'
Name: gar C l ass ,fie• `�87 97'=lZSDq-¢$7-/S�gO
Address: $S/O (�' -es4.- ) n.R City: adut.State: �A Zip; /
Contractor II l i �
Name: Coin n ��- >L' Q.� A.3 �F cS�/Yl .�Me • 2 Fax 3
Phone: SDR 5-33-9 - SOq-53 032
f
`I8'
Address: 393Tp
P° � City: �O�n.� State: w►4 Zip: / �Z2.-C)
License No: COMiv_ }/S OSO ar City Bus ness Lic:
Contact
Nainc: Phone:
D
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
/
X
$12.00
=
/07. CO
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 than 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
/
X
$10.00
=
/0 pp
13
RANGE
X
$10.00
=
.
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
/
X
$10.00
=
/6.66
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
c2
X
$1.00
=
a - DO
18
DUCT SYSTEMS
/
X
$10.00
=
/0.00
19
VENTILATING FANS
'1
X
$10.00
=
L/0 • b0
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
/
X
$12.00
=
/a . 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 II 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:
❑CASH ❑ CHECK ElVISA 0 MC
CARD #:
SUBTOTAL
EXPIRES:
PROCESSING FEE
$35.00
VIN:
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Spokan' e�"""'
,,,,.=Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokaneval lcv,org
Plumbing Permit Application ❑ Commercial
SITE ADDRESS: /4 Z2 - E CI'p,,,t1 A A.
PERMIT NUMBER:
PERMIT FEE:
Residential
Lis 33 ilu.ratis ZA.kx
Building Owner
Namc: 164_Ie.0 1)a,A.� �0.SS _
Phone:5o9_ q$7_979Z
Fax: 509-¢87-/S8o
Address: cgs/0 N Cr2sf-f;n1z
1
Qt✓ City:,5P6kv�
f`
Statc: �A zip: 99a17
Contractor
Name: amid Sea. r/lecka.K1Ca-Q
Phone: 6'0/_5-..57
y
Fax: 6-61_53S-93,S9
Address: 5-5 2ti E- [Boone.
City: 0o,4a.nR.
State: to zip: 99a/�
License No: .OLb S M 290 CI-t-
City Business Lie:
Contact
Namc:
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
2
TOILETS
URINALS
WATER CLOSET, BIDETS
X
X
$6.00
$6.00
/a, 00
3
4
5
TUBS
SHOWERS (PER TRAP)
SINKS
BATH, STALL. ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
(
4
x
X
X
$6.00
$6.00
$6.00
la•ao
4,• OC
00
6
DISHWASHER
X
$6.00
%•00
7
8
CLOTHES WASHER
GARBAGE DISPOSAL
r
X
x
$6.00
$6.00
6.op
6,•oo
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
t1
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
14
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
X
$6.00
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
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
Syr�nkQ r
i
X
X
X
$6.00
$6.00
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
['CASH ❑ CHECK 0 VISA 0 MC
Card#
AUTIIORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: