2007, 05-24 Permit App: 07001949 ResidenceProject Number: 07001949 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/24/2007 Page 1 of 3
Project Information:
A741re . . :marl. ,°h^w+ ssw........
Permit Use: SFR W/ATT GAR Contact: ALEX HAIDER
Address: 10673 W LAKESIDE LN
C S - Z: NINE MILE FALLS, WA 99026
Setbacks: Front 20 Left: 5 Right: 9 Rear: 79 Phone: (509) 230-4000
Group Name:
Site Information: Project Name:
.. lyt.:e '1.;: ".;cr",ar,m. Yw'd: "tozr,,'e:,Pw,#
Plat Key: Name: Range District: East
Parcel Number: 55182.0812
SiteAddress: 1516 N COACH LN
Location:: CSV
Block: Lot:
Owner: Name: ALEX HAIDER
Address: 10673 W LAKESIDE LN
NINE MILE FALLS, WA 99026
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: rr - e^ m' r a +7yhi+10n:,4..x1* vr:�cf•.. xa e . X - r:s . S .cP•' .: r -.>1
Review
Building Plan Review
Released By:
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Released 13
S 4 01 -
Sewer Review
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 5/24/2007
Project Number: 07001949 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/24/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 20 Left: 5 Right: 9 Rear: 79
Site Information:
Plat Key:
Contact: ALEX HAIDER
Address: 10673 W LAKESIDE LN
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 230-4000
Group Name:
Project Name:
d'?: 'b "A,;a-7.4^wm.:,�a°•.NVIII4 tQ El F.X..;17`:J6�FL-TLirCh-014".4e 178:151 ai:DiKt
Name: Range
District: East
Parcel Number: 55182.0812
SiteAddress: 1516 N COACH LN
Location:: CSV
Block: Lot:
Owner: Name: ALEX HAIDER
Address: 10673 W LAKESIDE LN
NINE MILE FALLS, WA 99026
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: p..vvx:.,,, y;•v...�:.mn:'s.:w�n,..w.
ataansa�arsc�t Fax+ ts�.:�r' r, e.Sz4. ,::•.a rr. •7a.lanrzeatztu ztv.5erto
Review
Building Plan Review
Released By:
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 5/24/2007
Project Number: 07001949 Inv: 1
Contractor:
Address:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/24/2007 Page 2 of 3
ALEX HAIDER CONSTRUCTION
17503 N KIMBERLY RD
COLBERT, WA 99005
Building Height
Description
1&2 FAMILY M v.F
DECK 6PBhfi
GARAGv
Building Permit
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
Building Characteristics
26
This Application: Total Project:
Grp Type Notes Si Ft Valuation Sq Ft Valuation
i3 VB tes- -1- fie- $159,880.00 1,750 $159,880.00
i VB 3 44.0- $1,650.00 110 $1,650.00
U-1 VB S .540 $10,260.00 540 $10,260.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,400 $171,790.00 2,400 $171,790.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Contractor: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Item Description
GAS WATER HEATER
GAS APPLIANCE=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,396.95
$4.50
$558.78
$1,960.23
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$4.00
$12.00
$40.00
$10.00
$10.00
$98.00
5/24/2007
Project Number: 07001949 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/24/2007
Contractor: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Item Description
TOILETSBIDETS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Plumbing Permit
Units
3
2
1
1
1
1
3
Page 3 of 3
Firm: ALEX HAIDER CONSTRUCTION
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
(509) 468-1613
Fee Amount
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Notes: ,,,:Aekow,:,: ,,....,....:. ,...:� ..w. :;: i.k
$72.00
Payment Summary: ........,'',,A,M1,5TSAre;„nR;,12,'.'9,ffoa-P.'ZISMIStiASXM6a- , .:.� : aF..�� < : .: .. 4.. .:, :�w.rillagEnrgArNMI.ILW44160Mr.
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,960.23
$98.00
$72.00
Invoice Amount
$1,960.23
$98.00
$72.00
$2,130.23 $2,130.23
Amount Paid Amount Owing
$0.00
$0.00
$0.00
$1,960.23
$98.00
$72.00
$0.00 $2,130.23
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: JD Printed By: JD
Print Date: 5/24/2007
Spokane
j•�Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(50W,8-0036 FAX: (509)688-0037
v,v..:74Pokatievalleyorc,/,.com
ctid v 2
PERMIT NUMBER: )q `4"1
PERMIT FEE:
Residential Cons ew Construction
�,
Permit Applicati ) ,__p Addition/Remodel
;, r'(i' Other:
1576- N.. ��� oA brie, /I/s s./Or) R);
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: /v 71 4/. / 64_)(
SITE ADDRESS
❑ Accessory Bldg
o Deck
$wilding owner
Name: /7 /7/% /c% 'r
Address: /0673 fi .- <�E: $ , d7 4-1
city: )/1 le- > b /�Ci# Zip: '-'/ Q D .� '
Phone: 2 30 - LigeeFax: 4 67_ Fe c-1
Cointact.Person
Name:
Phone:
Z ®.r ,;(.OV
Describe the scope of work in detail:
/7tc) 1;on 641, ani
2
_
Contractor`-
DIMENSIONS:,#
40/X37
OF STORIES:
2--.
�: ,�,
L !�ele=,/
Name: / ele=,� �lJ%��✓ /,
4k -
MAIN FLOOR TO SQ.
FTG:
Address: /0673 0 °i/,.G74 r`5,c/c '/-L
UNFIN BASEMENT SQ. FTG:
___(.9.-_
City:,,; dY J i l%/QrhiS Zip: qq0 -'
FINISHED BASEMENT
SQ. FTG: , Q —
GARAGE Q. FTG:
5l -r0
Phone:238--lj00a Fax: 4 (7 37_J-*
30% SLOPES ON
PROPERTY: /Y/C3
# OF BEDROOMS:
Lic No:*42;rfCol"t93 . Date: /0/A/2 0
0
0
City Business Lic No: 4
Cost of Project:
Srr'
$ DDvp op
t%1/7ljOc-tS'�
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
6/
DIMENSIONS:,#
40/X37
OF STORIES:
2--.
TOTAL HABITABLE S ACE:
/7.3 0
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
___(.9.-_
IMPERVIOUS SU FACE
AREA:
FINISHED BASEMENT
SQ. FTG: , Q —
GARAGE Q. FTG:
5l -r0
DECK/COV. PATI SQ. FTG:
i/D -V
30% SLOPES ON
PROPERTY: /Y/C3
# OF BEDROOMS:
–COONSTR)JCTION TYPE:
HEAT,SO E:
E ER R 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 can be processed.
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ❑ Check 0 Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005
Spokane
�jV Uey
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. sookan eva11 ev. ore.com
Mechanical Permit Application
❑ Commercial
SITE ADDRESS: /575-
./Y.
PERMIT NUMBER:
PERMIT FEE:
Residential
0 l")
Building owner
-
-
Name: q`r'X'
Phone: Z 30-7o9Fax: 4'6 r _
S 9s
Address:/9 67
,4 .'0.,•05
l
ore"/ `Y' State: 43 09-
Zip: 9V(
:;Contractor - . • ..
..
Name: R
/.7.
Phone: 4046" 140f Fax:
Address:
City: State:
Zip:
License No:
City Business License No:
:
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
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
501-1,00DM 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)
X
$1.00
18
DUCT SYSTEMS
19
VENTILATING FANS
4
X
$10.00
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 IHOOD
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
510.00
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 0 CHECK 0 VISA 0 MC
CARD #.
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED II/26/o5
Spo"kan'�
.0,0s alley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ora.com
PERMIT NUMBER:
Plumbing Permit Application 0 Commercial eiResidential
PERMIT FEE:
SITE ADDRESS:
/571‘ C�cZe ,0)5 5)0 k► 7JL
Building owner
DESCRIPTION OF WORK
Name: git-,C 1-- QC,,;,fi-eV
2 4-6 7 (Z�
Phone: if 3{3 — . Ota 0 Fax: 5
Address: /V 673 rlJ� ' 4,4.0E4—,..'Si Ge' z/-A.Cit)
L /
ta!Ale State: 1%7 Zip: 9-7. to Z C
Contractor .
TOTAL AMOUNT
Name: C -- w
C C S el , ,' L/ i
hone: 2A 0 - 6 3 9eI Fax:
Address:
City : State: Zip:
License No:
City Business License No:
Contact _- . •
.:- .. - _ , , :
Name: Qu•I
Phone:
AUTHORIZED SIGNATURE:
REVISED a/26/05
DESCRIPTION OF WORK
# OF UMTS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.0D
=
5
SINKS
LAVSBASINS, 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.D0
=
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
=
16
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
Card#/Ile"
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.0D
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED a/26/05
5-4