2005, 06-27 Permit App: 05002191 Residencer
Project Number: 05002191 Inv: I Application Date: 06/27/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 30 Left: 24 Right: 14 Rear: 100
Site Information:
Plat Key:
Contact: ASHER CONSTRUCTION
Address: 14407 E ELDER RD
C - S - Z: VALLEYFORD, WA 99030
Phone: (509) 995-8611
Group Name:
Project Name:
Name: MORNINGSIDE PHASE I PUD District: East
Parcel Number: 55302.1510 Block: 4 Lot: 10
SiteAddress: 17020 E DAYBREAK LN Owner: Name: WAXMAN, GARY M & KATHERIN
Address: 13701 E RIVERSIDE AVE
Location:: CSV SPOKANE VALLEY, WA 99016
Zoning: UR -7* Urban Residential -7*
Water District: Hold: ❑
Area: 22,347 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 35
Nbr of Bldgs: I Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Page 1 of 3
Plan
Sewer Review
Permits:
Released By:
Operator: K C Printed By: K_C Print Date: 06/27/2005
Project Number: 05002191 Inv: 1AppllCatlOri Date: 06/27/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: ASHER CONSTRUCTION Firm: ASHER CONSTRUCTION
Address: 14407 E ELDER RD Phone: (509) 291-3058
VALLEYFORD WA 99036
Building Characteristics
Group: R-3 Type: VB
Total Area 2843
Building Height 34.5
Stories 2
Dwelling Units 1
Contractor: ASHER CONSTRUCTION
Address: 14407 E ELDER RD
VALLEYFORD WA 99036
Item Description
GAS WATER HEATER
GAS APPLIANCE<=I00,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees: $2,422.79
Mechanical Permit
Firm: ASHER CONSTRUCTION
Phone: (509) 291-3058
Units
Unit Desc
This Application:
Total Project:
Description Grp Type
Notes
Sq Ft
Valuation
Sq Ft Valuation
2ND FLOOR R-3 VB
# OF UNITS
866
$64,672.88
866 $64,672.88
COV DECK R-3 VB
4
330
$4,950.00
330 $4,950.00
GARAGE U-1 VB
$10.00
675
$12,825.00
675 $12,825.00
RESIDENCE R-3 VB
NUMBER OF
1,977
$147,642.36
1,977 $147,642.36
$10.00
Totals:
3,848
$230,090.24
3,848 $230,090.24
Item Description
Units
Unit Desc
Fee Amount
RESIDENTIAL PERMIT FEE
1
SELECT
$1,727.35
STATE SURCHARGE
1
SELECT
$4.50
RESIDENTIAL PLAN REVIEW
1
SELECT
$690.94
Contractor: ASHER CONSTRUCTION
Address: 14407 E ELDER RD
VALLEYFORD WA 99036
Item Description
GAS WATER HEATER
GAS APPLIANCE<=I00,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees: $2,422.79
Mechanical Permit
Firm: ASHER CONSTRUCTION
Phone: (509) 291-3058
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
2
NUMBER OF
$24.00
4
# OF UNITS
$4.00
2
NUMBER OF
$24.00
4
NUMBER OF
$40.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
Permit Total Fees:
$142.00
Operator: K_C Printed By: K_C
Print Date: 06/27/2005
Project Number: 05002191 Inv: I Application Date: 06/27/2005
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: ASHER CONSTRUCTION
Address: 14407 E ELDER RD
VALLEYFORD WA 99036
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Plumbing Permit -
Firm: ASHER CONSTRUCTION
Phone: (509) 291-3058
Units
Unit Desc
Fee Amount
3
NUMBER OF
$18.00
6
NUMBER OF
$36.00
2
NUMBER OF
$12.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
2
NUMBER OF
$12.00
$96.00
Permit Total Fees:
$96.00
Notes:
WATER APPROVED. FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8 APPROVED OK TO
ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
Page 3 of 3
Payment Summary:
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owina
Building Permit
$2,422.79
$2,422.79
$0.00
$2,422.79
Mechanical Permit
$142.00
$142.00
$0.00
$142.00
Plumbing Permit
$96.00
$96.00
$0.00
$96.00
$2,660.79
$2,660.79
$0.00
$2,660.79
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: K_C Printed By: K_C Print Date: 06/27/2005
Street Address:
BUILDING PERMIT APPLICATION WORKSHEET
R E CLFity of Spokane?Valley Community Development Department
..
`L` t1 v Building Division
U 11707 E. Sprague Avenue, Suite 106
's p Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Assessor's Tax Parcel Number(s): 10 't3lc: �_ 1L, I
Legal Description:
PERMIT DESCRIPTION: 3
,e
[ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: A,_
ko ' 4
Wovy &k
Phone: �,: - 111,gL
Fax:
Phone: Fax:
Address: 1qo, E
''k':
Address:
� �rltkhe �a
Td
city State
Zip Code
F-1 Contractor:
a A
Ciry
Phone: WS-ge (I
Fax: Rg
Address: X409
�..i6�r�
C 1repA 14u3e
v-0 Ynr,d 13)
('-z
4ZU�(p
city State
Zip Code
❑
Applicant:
ASH
er-
Phone: Fax:
3i,39�,/
2 u FLOOR SQ. FTG:
Address:
L(&r
Td
FINISHED BASEMENT SQ. TG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
Ciry
State
Zip Code
❑
Architect:
C 1repA 14u3e
4s
IMPERVIOUS SURFACE AREA:
Phone:
Fax:
COST OF PROJECT:�c'
Address:,��
SEWER OR ON -SI E SEPTIC
t
SYSTEM? euJer
city
State
Zip Code
WA State Contractor License #: �.S1A� 2 C. C �SKContact: -�) �e Ve-
51�t_ FZ
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: I
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2 u FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. TG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:�c'
30%SLOPES ON PROPERTY: ►►tt>>',
SEWER OR ON -SI E SEPTIC
t
SYSTEM? euJer
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
Previous Address:
Proposed Use:
RELOCATION
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
city State Zip
Inspector: Phone: Fax:
Address:
city State Zip
L SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
Fax:
❑ WELDING
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.
Ownership of resulting development rights granted by any issued permit inu(ree to the property owner.
Print Name Signature'1[1 1
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash EJ'Check ❑ Mastercard
Bankcard #:
Authorized Signature:
Expires:
❑ VISA ❑ Other
VIN#:
` PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
�► For Inspections, Call (509) 688-0054
Project Address: l�r4 rt?I Ls;,ki;C. Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Owner: 7 A Q q Kau d Lg L` k cc' u /yl Ad Phone (Daytime Contact):
Mailing Address: _%7/,
City State Zip Code
7 f
Contractor: le.I^ (��>� License #: Phone #:
Mailing Address: AN07 L L-*- 1 cl Pr k,-� Uri t � -C
City State Zip Code
BANKCARD NUMBE
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$5. DO
=
3
TUBS
X
$6.00
-
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
I
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
/
X
$6.00
-
9
WATER SOFTENER
X
$6.D0
=
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
$6.0D
-
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. D0
=
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 r outlet
NITROUS, OXYGEN
X
$6.00
=
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
r22
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00INDUSTRIAL
WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
ElCASH ❑CHECK ❑VISA El MASTERCARD
MASTERCARD
DATE EXPIRES:
SUBTOTAL
FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBE
AUTHORIZED SIGNATURE:
Project Address:
Owner:
Flailing Address:
Contractor:
Mailing Address:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
License #:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Phone #:
Zip
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 SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE ratio
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 =
DRYER
X
$10.00 =
F14
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��
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 STOVEANSERT
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 1
INCINERATOR - COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MC DATE:
n'
CARD #: / fEf��XPIRES:�
At 1TH()R17Pn CIrNOT11RF. v A,n LS,.... ) / Y . U.: h
SUBTOTAL
PROCESSING FEE $35,00
TOTAL PERMIT FEE DUE:
l�lSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
T 1026 WEST BROADWAY AVENUE • SPOKANE WA 99260-0050
SPOK:� ,�E C,oU TY
Site Information Project Information
Site Address: 17020 E DAYBREAK LN
Parcel Number: 55302.1510
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: WAXMAN, GARY M & KATHERINE M
Address: 13701 E RIVERSIDE AVE.
SPOKANE, WA 99216
Building Inspector: LEONARD FLUNO
Water Dist: UNKNOWN
Project Number: 05004305 Inv: l Issue Date: 6/20/2005
Permit Use: SEWER CONNECTION
Applicant: ASHER CONSTRUCTION
14407 E ELDER RD
VALLEYFORD, WA 99030
Contact: ASHER CONSTRUCTION
14407 E ELDER RD
VALLEYFORD, WA 99030
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 291-3058
Phone: (509) 291-3058
Rear:
I Permits
Sewer Connection Permit Contractor: ASHER CONSTRUCTION License #: ASHERC*168BT
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
Payment Summary _R
Total Fees AmountPaid AmountOwint? Tran Date Receipt # Payment Amt
$100.00 $100.00 $0.00 6/20/2005 3511 $100.00
Processed By: HOWARD, DAN PERMIT
Printed By: HINTZ, FAITH Page 1 of 1
DAYBREAK LANE
ADDREGS J, - -
zONE :-
ROAD WEDS
FRONT
COMMENTS
REVIFzWEDB# ,-
_
This site plan Is heinq
-hMifted for the psrpaes at
obtaining a I
true and carts
reprdsantation
knownpropeft
!# sldlnrensioot-
.., as and samerds
hM been idem
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Toned:
Date:
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