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2005, 10-19 Permit App: 05003943 Residence
�T� Permit Center Spokane 11707 E Sprague Ave, Suite 106 Valle y Spokane Valley, WA 99206 (509)688 -0036 FAX: (509.88 1 Community Development www.s okanevalle .ora...� Residential Construction New Constr.tion'' ❑ Accessory Bldg Permit Application 4i o`n /Remodel ❑ Deck ther: SITE ADDRESS A.771 /GZ-�G 2 / / ' (ttq ' tt_ ASSESSORS PARCEL NO:33-,073. isr-wie LEGAL DESCRIPTION: Building caner Name:/14-7.- /4j'/c'K(/g,. Address:%() W A,. Lc - e.s',C,e1 City /4'A.- ..erect. /-cries Zip: Y2 Phone :23 -- /IV (A)Fax: 467- .9g5-e7 Name: 41ejt` Phone: ,2 3 C) C2 U C Describe the scope of work in detail: Cost of Project: $ ggr®OO. cJ * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT47,1;c: on actor ;/ `,m' $ fi ` - *: Name: ie"1� -- /26e,ice -:—R Address: /0SZ` 0,. �'c e-.'S , cQ - / CitY44/ .G'L i /r"'` c7,F(.�'ZiP: ‘9.el 02C' Phone 3 U O0 0 Fax: 66 7- �.. 1 S 7 Lic No:/fZc :AwC,,•vo© p�D� /9/0//0.< City Business Lic No: S Cost of Project: $ ggr®OO. cJ * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT47,1;c: DII NSIlNS4 0 , ,Cfc.9 lc # OF STORIES: TOTAL HABITABLE SPACE: MAIN FiLOOR TO SQ. FTG: / +) > / 4,1 / r 1� 2"" FLOOR SQ. FTG: _, /) - UNFIN BASEMENT SQ. FTG: /21,2 z,(4-- IMPERVIOUS SURFACE AREA: _ FINISHED BASEMENT SQ. FTG: -a v -- GARA E SQ. FTG: a '-\L DECK/COV. PATIO SQ. FTG: / 2 `-C- 30% SLOPES ON PROPERTY: C7 # OF BED OOMS: CO TRUCTI TYPE: HEAT SOURCE: SEWER OR SEPTIC? DISCLAIMER 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 -ca • o Signature Date /0Y; Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN #: ❑ Other Authorized Signature: REVISED 8/25/2005 Permit Center SO Ile 11707 E Sprague Ave, Suite 106 Y�` Spokane Valley, WA (509) Y � (509)688 -0036 FAX: (509)688 -0037 www.spolcanevallev.org.com spokanevallev.org.com Community Development Residential Plan Submittal Minimums ❑ Completed Building, Plumbing & Mechanical application with: Accurate address, Parcel Number and /or Legal Description, description of work, owner and contractor information, signature, and date. ❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans With details, roof plan, framing plans & details. ❑ Show the height of any proposed buildings or accessory structures. ❑ Floor plan for each floor: Dimension scale (minimum plans) Show label eacheach Room (including sq. footage of house and garage on level of existing house and square footage of any additions. ❑ All braced wall panel types: show locations and details of installation, including engineered design. ❑ Egress windows: Provide at least one window or exterior door approved for Emergency escape or rescue from a basement and in every room for sleeping. ❑ Smoke detector locations ❑ 22" X 30" attic access location ❑ 18" X 24" crawl space access: ❑ One -hour separation detail: between house and garage ❑ Floor framing details: Joist type, size, spacing and installation details ❑ Roof framing plan and details ❑ Furnace and hot water heater location. ❑ All header locations: type, size, and connections ❑ Foundation plan ❑ Insulation information Permit Center Spcikarie 11707E Sprague Ave, Suite 106 Valley Spokane Valley, WA 99206 .// (509)688 -0036 FAX: (509)688 -0037 Community Development www.spokanevalley.ore.com Plumbing Permit Application ✓j ❑ Commercial Residential SITE ADDRESS: % Imo' crj : j 4 ' Ci 7/�-4 Z�Gt/% '/ F /t.?�OGp 4° i d1L �1r. PERMIT NUMBER: PERMIT FEE: Building owner DESCRIPTION OF WORK # OF UNITS Name: /SI&I - rt.td COST Phone: ,a��C 3 ) —1;1900 Fax: ,t'5 7— ? _` y , 9 Address: %Q re /4f Ii.O . ,G FE'S ; 4,911 - Cilif/ /7lN/ / ' te: £ /Ij Zip: QI ?�O2Gr . Contractor WATER CLOSET, BIDETS 2 X / Name: ie:7 'LC.0 �iv'i ,'L. Lti- %J: ` '�/ Phone: ,Z.Z�% -- 6 'S �%; Fax: 2 Address: City : State: Zip: License No: = City Business License No: 3 Contact / X nn Name: ALsgapw< /-1P,ad c eW' = Phone: 2 ," 4/20 L) 4 AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 2 X $6.00 = 2 URINALS X $6.00 = 3 TUBS / X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT / / X $6.00 = 5 SINKS LAVS /BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X -RAY, FOOD, PREP /CULINARY MEAT X $6.00 = 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER / / X $6.00 = 8 GARBAGE DISPOSAL % X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE / X $6.00 = 12 ROOF DRAINS /OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING /DRAIN -IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $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 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD Card# i y., EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Permit Center Spokane 11707 E Sprague Ave, Suite 106 Valley Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 Community Development www,spokanevalley.arn.corn Mechanical Permit Application ❑ Commercial XResidential SITE ADDRESS /( / • /.El - Z� PERMIT NUMBER: PERMIT FEE: c---; F '"'' ' �. G� lr wA. F-- • Building owner J / 7-Ye/S-77 Name: /72 c�)c' b i CG el," Phone: 2 30 '- 4-G7 0 c) Fax h/� Address: 49 Sal 63 , m 9) Ile* /..../A CityMkelWileRt4tate 611151 Zipq'O, Contractor A'; Name: R /m .' 7 £z Phone: 4F4--/40 s Fax: d hi Address: ? e City , ; e> State Zip License No: City Business License No: Contact Name: Lie /C.. /T��i f � Phone: f _t - DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $12.00 = 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 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 ' = 13 RANGE X $10.00 = 14 DRYER / X $10.00 = 15 FUEL BURNING WATER HEATER / X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) t5 X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS X $10.00 = 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 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 512.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC DATE: CARD #: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Project Number: 05003943 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/25/2005 Page 1 of 3 Project Information: Permit Use: NEW RESIDENCE W /ATTACHED GARAGE -GAS Contact: ALEX HAIDER Address: 10599 W LAKESIDE LN C - S - Z: NINE MILE FALLS, WA 99026 Setbacks: Front 25 Left: 5 Right: 5 Rear: 27 Phone: (509) 230 -4000 Group Name: Site Information: Project Name: Plat Key: Name: GREENACRES IRR DISTRICT A District: East Parcel Number: 55073.1548 Block: 2 SiteAddress: 17502 E AUGUSTA LN Location:: CSV Zoning: UR -3.5 Water District: Area: 5,000 Sq Ft Urban Residential 3.5 Lot: 4 Owner: Name: ALEX HAIDER Address: 10599 W LAKESIDE LN NINE MILE FALLS, WA 99026 Hold: ❑ Width: 50 Depth: 100 Right Of Way (ft): 28 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: m, Review Site Plan Review Released -By: Originally Released: 10/25/2005 By: CJJANSSE Plan Review Sewer Review Permits: Released By: Originally Released: 10/24/2005 By: TMELBOU Released By: Operator: CJJ Printed By: CJJ Print Date: 10/25/2005 Project Number: 05003943 Inv: 1 Application Date: 10/25/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: ALEX HAIDER CONSTRUCTION Address: 17503 N KIMBERLY RD COLBERT, WA 99005 Description Grp Type Notes BASEMENT U R -3 VB DECK R -3 VB GARAGE S -2 VB RESIDENCE R -3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Building Permit Firm: ALEX HAIDER CONSTRUCTION Phone: (509) 468 -1613 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,212 $18,180.00 1,212 $18,180.00 112 $1,680.00 112 $1,680.00 440 $17,107.20 440 $17,107.20 1,212 $90,512.16 1,212 $90,512.16 Totals: 2,976 $127,479.36 2,976 $127,479.36 Units 1 1 1 Unit Desc SELECT SELECT SELECT Permit Total Fees: Mechanical Permit Contractor: R & R HEATING & AIR COND INC Address: 4019 E CENTRAL SPOKANE, WA 99207 Item Description GAS WATER HEATER GAS APPLIANCE <= 100,000BTU GAS PIPING HEAT PUMP OR A/C 0 -3 TONS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Units 1 1 8 1 1 1 1 Operator: CJJ Printed By: CJJ Fee Amount $1,150.55 $4.50 $460.22 $1,615.27 Firm: R & R HEATING & AIR COND INC Phone: (509) 484-1405 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $10.00 $12.00 $8.00 $12.00 $10.00 $10.00 $10.00 $72.00 Print Date: 10/25/2005 Project Number: 05003943 Inv: 1 Application Date: 10/25/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: JACKSON PLUMBING Address: P.O. BOX 7272 SPOKANE, WA 99207 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS MISCELLANEOUS FIXTURES WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Units 2 4 1 1 1 1 1 1 3 3 Plumbing Permit Firm: RANDY JACKSON PLUMBING Phone: (509) 926 -7101 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount Invoice Amount $1,615.27 $72.00 $108.00 $1,795.27 $1,615.27 $72.00 $108.00 Fee Amount $12.00 $24.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $108.00 Amount Owing $1,615.27 $72.00 $108.00 $1,795.27 $0.00 $1,795.27 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: CJJ Printed By: CJJ Print Date: 10/25/2005