2006, 05-05 Permit App: 06001651 ResidenceProject Number: 06001651 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/05/2006 Page 1 of 3
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Site Information:
Left: Right: Rear:
Plat Key: Name: FLORA SPRINGS
Contact: ALEX HAIDER
Address: 10599 W LAKESIDE LAND
C - S - Z: SPOKANE, WA 99026
Phone: (509) 230-4000
Group Name:
Project Name:
District: East
Parcel Number: 55073.2210 Block:
SiteAddress: 17415 E NORA LN
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Lot:
Owner: Name: ALEX HAIDER
Address: 10599 W LAKESIDE LAND
SPOKANE, WA 99026
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ., VMMIKUNIENSAINNZINI
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 05/05/2006 By: TMELBOU
Released By
Originally Released: 05/05/2006 By: amblake
Landuse/Zoning/HE Conditions
y;
Sewer Review
Permits:
Originally Released: 05/02/2006 By: HMStinson
Released By:
Operator: AMB
Originally Released: 05/05/2006 By: amblake
Printed By: AMB
Print Date: 05/05/2006
Project Number: 06001651 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/05/2006 Page 2 of 3
Contractor: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Item Description
APPROACH -CONST IN ROW
Contractor:
Address:
Approach
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
Units Unit Desc
Fee Amount
1 NUMBER OF $50.00
ALEX HAIDER CONSTRUCTION
17503 N KIMBERLY RD
COLBERT, WA 99005
Description Grp Type Notes
1&2 FAMILY R-3 VA
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Permit Total Fees:
Building Permit
$50.00
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
567 $52,016.58 567 $52,016.58
1,342 $100,220.56 1,342 $100,220.56
100 $1,500.00 100 $1,500.00
638 $12,122.00 638 $12,122.00
Totals: 2,647 $165,859.14 2,647 $165,859.14
Units
1
1
1
Contractor: R & R HEATING & AIR COND
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
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,363.35
$4.50
$545.34
Permit Total Fees: $1,913.19
Mechanical Permit
Firm: R & R HEATING & AIR COND IN
Phone: (509) 484-1405
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$10.00
$12.00
$4.00
$12.00
$30.00
$10.00
$10.00
$10.00
$98.00
Print Date: 05/05/2006
Project Number: 06001651 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/05/2006 Page 3 of 3
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
4
1
1
1
1
1
1
3
Fee Amount
$50.00
$1,913.19
$98.00
$90.00
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
Permit Total Fees:
Invoice Amount
$50.00
$1,913.19
$98.00
$90.00
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$90.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,913.19
$98.00
$90.00
$2,151.19 $2,151.19 $0.00 $2,151.19
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: 05/05/2006
Project Number: 06001651 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/1/2006 Page 1 of 2
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: FLORA SPRINGS
Contact: ALEX HAIDER
Address: 10599 W LAKESIDE LAND
C - S - Z: SPOKANE, WA 99026
Phone: (509) 230-4000
Group Name:
Project Name:
District: East
Parcel Number: 55073.2210 Block:
SiteAddress: 17415 E NORA LN
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: ALEX HAIDER
Address: 10599 W LAKESIDE LAND
SPOKANE, WA 99026
Hold: 111
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
`.Rete;
Driveway/Approach
Release
By:
Landuse/Zoning/HE Conditions
Sewer Review
Released By:
Permits: .3 ,
Operator: AMB Printed By: AMB
Print Date: 5/1/2006
Project Number: 06001651 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/1/2006 Page 2 of 2
Approach
Contractor: ALEX HAIDER CONSTRUCTION Firm: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Phone: (509) 468-1613
Building Permit
Contractor: ALEX HAIDER CONSTRUCTION Firm: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD Phone: (509) 468-1613
COLBERT, WA 99005
Mechanical Permit
Contractor: R & R HEATING & AIR COND Finn: R & R HEATING & AIR COND IN
Address: 4019 E CENTRAL Phone: (509) 484-1405
SPOKANE, WA 99207
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Notes:
Plumbing Permit
Firm: RANDY JACKSON PLUMBING
Phone: (509) 926-7101
Payment Summon,:
L,-^d+'7'.ks .�"z* Yw O, n, ).a.r .A,u � "i '�"'ir„ ,.3 ','.� ! ,. r ._, "M➢,.nm, u't m94�`" an`� x imt�aJrrfi�NA�ta r"��t'�s,.. w.
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: 5/1/2006
Spokane
��Va11ey
Permit Center
11707 E Sprague A e i>
Spokane Valley, W4r9 j206
(509)688-0036 FAX (569)68 1
Community Development www.spokanevailey. tom
Residential Construction
Permit Application
1,0
se37n 2106
PERMIT NUMBER: /
PERMIT FEE:
New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS /74/--- Nola-
ASSESSORS PARCEL NOI-- 5 LEGAL DESCRIPTION: 4271 //) I 2x6
Building owner
j> Q
Name: / �' 'ejc_ /_7 vdd z4:le
Address:/(?1n O. s t..%5 i g4t, Zr-t_
City/It'ifr'itii 1.'G k Zip: qq (..9 Z‘
Phone2 3 c 7-400n Fax: 4 67-S? qS19
Contact Person
Name: , /
-- Lfclvn
Phone:
Describe the scope of work in detail:
Contractor
_J�
Name: n 7 ` J /1 / „e'V'
Address: /0. el 4) . /....-zaA-e-►S %C1i3— Z.,Z
city:` i/if--!/f, ict/ Zip: ' ?02_C
Phone 3 (9--4-000 Fax: 4e 7 yg 5-9
Lic No: Exp. Date:
City Business Lic No:
Cost of Project:
$ gq0°0. too
**************The following MUST be complete: (write N/A if not applicable)**********************
NEIGH T PEAK:
DIIyjE�ISr S
'r�7 ��
#�f0 STORIES: �
fir'''es
(O? I -i ' ,1�E-SPACE:
!Z,
r MA?N FLOOR TO SQ.
FTG: / � j�� 7
2Nu FLOOR SQ. FTG:
/ 3 2
UNFIN ASEMENT S TG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAG
jo 0
DECK/60V. PATIO �Q. FTG:
/O a 2, 01�
30% SLOPES ON
PROPERTY: Ai 0
# OF BEC,OOMS:
111@/1 Al■. 11
CONSTRUCTION TYPE:
HEAT SOURCE: J
SEWER OR SEPTIC?
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 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
0 Other
I
(Q
•
Ltr i__� 1 T i ill
\O s\\k
\14 \. ti a?,
N '1`
PLANNING DEPT. APPROVED
BY ti
DATE: -41 S I CAP
Sm'po"krne4000.0
ey
Community Development
Yermlt Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokanevallev.ora.com
Plumbing Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: / 7475— / !< d C%t L.—
Budding owner . L'''X' /7/4 ;—&-—
DESCRIPTION OF WORK
Name:
Phone: 2 3D-4-000 Fax: 4G' -7-9.5-7
Address: l0 S %/ GV J. Z Ca -Z 1' 5; ,
' //1
Cit ' (,State: Aj11- zip: ! 6 O 2,‘"Conti
leior S„cl . 1 /22v,-,% G A a
7 .
. , , :` . _ ....:-'
Name:
✓
Phone: 220 -_ 3q'7 Fax:
Address:
$6.00
City : State: Zip:
License No:
2
City Business License No:
.Contact.l'. : , .
.'i..:. .,�'., i- _ . ,: , .. .
Name: /� 7Q. I'1 G l -f
=
Phone: Z 2 e% --ti .7 cle7
12 DRAINS
13
14
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
3
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
19
20
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING
FIXTURE
NITROUS, OXYGEN
21
22
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
❑ VISA ❑ MASTERCARD
EXPIRES:
x
X
$s.00
X $6.0D
x $6.00
X $6.0D
$6.00
x $6.00
X $6.00
X $6.00
X $6.00
X $20.00
X $15.00
SUBTOTAL
PROCESSING FEE
$35.0D
TOTAL PERMIT FEE DUE:
REVISED 6/26ro5
DESCRIPTION OF WORK
# OF UNITS
X
COST
-
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
42
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
ROOF DRAINS/OVERFI r w
/ X $6.00
12 DRAINS
13
14
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
3
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
19
20
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING
FIXTURE
NITROUS, OXYGEN
21
22
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
❑ VISA ❑ MASTERCARD
EXPIRES:
x
X
$s.00
X $6.0D
x $6.00
X $6.0D
$6.00
x $6.00
X $6.00
X $6.00
X $6.00
X $20.00
X $15.00
SUBTOTAL
PROCESSING FEE
$35.0D
TOTAL PERMIT FEE DUE:
REVISED 6/26ro5
Sp"kane�'
ey
Community Development
rc1W1I L, I1L J
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www,spokanevallev.ore.conl
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
SITE ADDRESS: / i i' o'G - 1/7 -
Building
t
Building owner 7� y
Ha 1e�h
Name:
Phone: 230...�e000 Fax: 4C,re7
_
-f
Address/�� g e7 0
�Si de �/2
City4J/►r�[ z_e�', State: Cis% /f -
/7
Zip q a2
..Contractor .. -
Name: �� 4 / ``'
/
/Y ?_a / 4
Phone: 4 ,5'. '-'7410_5- Fax
_
Address:
City: State:
Zip:
License No:
City Business License No:
Coutsd
,
Name:
Phone: 4g.I_ /4,0 5 --
DESCRIPTION OF WORK
# OF UNITS
X
COST
a TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.06
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
$1 0.00
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
X
$10.00
19
VENTILATING FANS
3
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
28
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 0 VISA 0 MC
CARD #
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05