2001, 03-09 Permit App: 01001354 Residence Project Number: 01001354 Inv: 1 Application Date: 3/9/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: ALEX HAIDER
AIR GAS Address: 16610 N HIGHLAND LN
c_S-Z: COLBERT,WA.99005
Setbacks:Front 25 Left: 10 Right: 7 Rear: 20+ Phone: (509)468-1613 v6
Group Name:
Site Information: Project Name:
Plat Key: 005490 Name: MORNINGSIDE PUDE District: F
Parcel Number: 45251.1007 Block: 2 Lot: 7
SiteAddress: 2326 S STARLIGHT LN Owner:Name: NICZYPORUK,JAREK&AGN
VERADALE,WA USA 99037 Address: 2326 S.STARLIGHT LN
Location::VER VERADALE,WA 99037
Zoning: SR-1 Suburban Residential 1
Water District: Hold: ❑
Area: 15,137 Sq Ft Width: 85 Depth: 160 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: _ ,n•. . � _u . b c
Department Review
BUILDING Site Plan Review - -
Hold Reasons:
Permit Conditions:
BUILDING Plan Review j Released By: --rte'_p
Hold Reasons:
Permit Conditions:
i —r.
ENGINEER Approach/Drainage Released B
y
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Hold Reasons:
Permit Conditions: 't � E �'� L 1-6 (-1-(4
UTILITIES Sewer Review Released By:
-, . .eas.•s: --IQ' i&')V 14-( b[ -- l - -
i
Permit Conditions:
Permits:
Project Number: 01001354 Inv: 1 Application Date: 3/9/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: ALEX HAIDER CONSTRUCTION Firm: ALEX HAIDER CONSTRUCTION
Address: 16610 N HIGHLAND LN Phone: (509)468-1613
COLBERT,WA 99005
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 22 Stories: 2
Bldg W x D: 62 x 52 Building Sq Ft: 2983 Sprinklers:
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 826 $51,212.00 826 $51,212.00
BASEMENT U R-3 VN 720 $8,323.20 720 $8,323.20
DECK R-3 VN 280 $2,060.80 280 $2,060.80
GARAGE U-1 VN 900 $10,800.00 900 $10,800.00
RESIDENCE R-3 VN 1,437 $89,094.00 1,437 $89,094.00
Totals: 4,163 $161,490.00 4,163 $161,490.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,205.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $265.10
Permit Total Fees: $1,474.60
Mechanical Permit
Contractor: R&R HEATING&AIR COND INC Firm: R&R HEATING&AIR COND INC
Address: 4019 E CENTRAL Phone: (509)484-1405
SPOKANE,WA 99207
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 4 #OF UNITS $4.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $96.00
Project Number: 01001354 Inv: 1 Date: 3/9/01 Page 3 of 3
� Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: JACKSON PLUMBING Firm: RANDY JACKSON PLUMBING
Address: P.O.BOX 7272 Phone: (509)926-7101
SPOKANE,WA 99207
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $102.00
Payment Summary: pro : �. x .k 7
Operator: RMB Printed By: RMB Print Date: 3/9/01
Peimit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,474.60 $1,474.60 $0.00 $1,474.60
Mechanical Permit $96.00 $96.00 $0.00 $96.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,672.60 $1,672.60 $0.00 $1,672.60
Notes: .
WATER APPROVED.FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8
APPROVED OK TO ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
I _ I PROJECT APPLICATION WORK SHEET
ik
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
���� SPOKANE, WA 99260
SPOx COIWY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 2 3 2 6 5 7/ `,L//;�h f 4 "7
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Assessor's Tax Parcel Number(s): L? a I oc �]
Legal Description: {
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Project Description: /7 i-: <-- ` 0 4/S P
Building Permit O Change in Use CI Grading
❑ Tenant (New/Change) ❑❑ O, , -2? _5' i'
Home Permit
OSign Relocation + .,.^ ' 's".`a #Sy fir, a- 5$ z..
eig" -A2`
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OWNER/APPLICANT INFORMATION 15� /37 ' K ��
0 Indicate who should be contacted regarding this project
❑�Own�er: / �w [/ Phone: /// ❑ Applicant: }. / '17, Phone:
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�cLb eG<-i es �`"f C,7 ���� G !�L_ /1. G // 7 ' Fax: C �V i' L
Mailing Address: Mailing Address:
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City,State,Zip City,State,Zip
Z,--" , .6,6 /34- / 44,4 `� OC-9
�/' {� f�/ /Phone ❑ Architect/Engineer Phone
❑ C77GL`/t. <-- /24 /t Fax4Gy-/6! 3 l'hd� .. P�5r�' Fax
Mailing address Mailing address
City,State Zip City,State Zip
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Contact name:
WA State Contractor license#
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PROJECT INFORMATION
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aKms. . .� .. _ m
'17
Building height to peak #of stories Main floo sq.h. Unfinished basement sq.ft.
2 r 4 ZCrr � /2 3 7 7.2c9
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
G'2 S 0Z
Occupancy group Construction type Garage sq.ft , Deck sq.ft.�, , V
Cost of project Heat source(electricga etc.) L
DC7/ Ocx., . 0
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Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
Previous address Fire Sprinkler Tent
•
Paint booth Fire Alarm Fireworks display
Proposed use Value
-< • 4:: 7f r ; V ,L�,
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No What is the current property size?
Ifyes,ident on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identib on site plan El Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
O Don't know O Yes 0 No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan
Ifyes,identify on the site plan 0 Yes O No
O Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property?
0 Yes O No
Ifyes,identify on site plan 0 Yes 0 No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) 0 Yes 0 No 0 Yes O No
DEPARTMENT USE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
afG IC SUBTOTAL
VISA❑ CASH El CHECK ❑ : ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER: � �' k '
Ml1NIMUM•rt::KMt?'TAAt iAb¢$I,EtAS
MAKE£BECKS PAYABLE1.4** t t
AUTHORIZED SIGNATURE: e�stJt4'TYPi?Rl't'GEJT£R -'- ,�� K
ADDRESS 5,ap 2b sc - tC W c,
ZONE ' AIL
ROAD WIDTH Sc'
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COMMEN `��%���- f-/. (7/ /"4 d 7r
REVIEWED = i Za7L 7 .1G'`GICk ,V
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This sit• plan is being submitted for the purpose of
obtaini , a building permit and is a true and correct
represe tation of the proposal.All known property
lines/di ensions,curb lines.structures and easements
have ben identified.Also indicated are wetlands,
bodies o water,/ slo e o er criticalareas. ,0 t�
Signed:, /,�7/ L ( � 0V
Date: -5_--�- 2 0 r / N.
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