2005, 10-27 Permit App: 05003942 ResidenceProject Number: 05003942 Inv: 1
Application .
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/27/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 25 Left: 5 Right: 5 Rear: 25
Site Information:
Plat Key:
Contact: ALEX HAIDER
Address: 10599 N LAKESIDE LANE
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 230-4000
Group Name:
Project Name:
Name: GREENACRES IRR DISTRICT A
District: East
Parcel Number: 55073.1548
Block: 2
SiteAddress: 1608 N TSCHIRLEY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 5,000 Sq Ft
Urban Residential 3.5
Lot: 3
Owner: Name: ALEX HAIDER
Address: 10599 N LAKESIDE LANE
NINE MILE FALLS, WA 99026
Hold: ❑
Width: 50 Depth: 100 Right Of Way (ft): 14
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,„_
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 10/27/2005 By: CJJANSSE
Released By:
Sewer Review
Permits:
Originally Released: 10/27/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 10/27/2005
Project Number: 05003942
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/27/2005 Page 2 of 3
Contractor: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Description Grp lym Notes
BASEMENT U R-3 VB
DECK R-3 VB
GARAGE U-1 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:
Sq Ft Valuation
1,059 $15,885.00
160 $2,400.00
440 $8,360.00
1,059 $79,086.12
Total Project:
Sq Ft Valuation
1,059 $15,885.00
160 $2,400.00
440 $8,360.00
1,059 $79,086.12
Totals: 2,718 $105,731.12
Units Unit Desc
1 SELECT
1 SELECT
1 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
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
2,718 $105,731.12
Fee Amount
$1,027.35
$4.50
$410.94
$1,442.79
Firm: R & R HEATING & AIR COND INC
Phone: (509) 484-1405
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
8 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$8.00
$12.00
$30.00
$10.00
$10.00
$10.00
$102.00
10/27/2005
Project Number: 05003942 Inv: 1
Application .
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/27/2005 Page 3 of 3
Plumbing Permit
Contractor: JACKSON PLUMBING Firm: RANDY JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
WATER USING DEVICES
Notes:
Payment Summary: WNWV _x$.
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Phone: (509) 926-7101
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
3 NUMBER OF
3 NUMBER OF
Fee Amount
$1,442.79
$102.00
$102.00
Permit Total Fees:
Invoice Amount
$1,442.79
$102.00
$102.00
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$18.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,442.79
$102.00
$102.00
$1,646.79 $1,646.79 $0.00 $1,646.79
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: CJJ Printed By: CJJ Print Date: 10/27/2005
$ -75i0cx9o00
_ Permit Center \I1 �� �� 1� �I
Spokane 11707E Sprague Ave, Su $ 6 CCS
YSpokane Valley, WA 992,1 '
.00.0 Valley (509)688-0036 FAX: (509\\0037 `~
Community Development www.spokanevallev.org.coM
R1g1
\ \IVJ
Residential Construction ,`� �� Construction ❑ Accessory Bldg
❑ Addition/Remodel ❑ Deck
❑ Other:
F
Permit Application
/6 /v / e"
SITE ADDRESS '27 3 #6,4/04--4.
%
J/ -
ASSESSORS PARCEL N0%575-0 45--4.g LEGAL DESCRIPTION:
*I in in 'o e
" ' .LF.I
Name: 4c-*.
Address:(-)jY‘z,,'ky;e,e-_(�
-evt -'
Addreess:: (0
,w , f...,-. D 5,x- 4-7'1--
City/Vitt/ 1Gl/t/ dr'e--'4.c Zip: c�o 2
Phone:2'3C CCVFax: 4t/�•L'- V9 s -
Name
Phone: , 7 c2 ' 4 O
Describe the sco e of work in detail:
(c
5-47
Contractor- " '
'
. _..._
Name: //,.C` 67,a -e; �,��
Address:(-)jY‘z,,'ky;e,e-_(�
Cityi'I4I*" �4.0 �'Z
S Zip: 7�(,��. (� s
Phone -23L% -'"C9-67C.2
Fax: 6 7j
Lic No;9Z1 � ,
Exp. Date: /C}:' C
DECK/COV. Tfl$Q TG:
3 Z_ - t '5-4- =_,[= /E_C'
��'"
City Business Lic No:
Cost of Project:
** ***The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:#
OF STORIES:
TOTAL HABITABLE PACE:
MAIN FLOOR TO SQ.
FTG: %(:2 J0 k
2"o FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
/0S-'9" :474'AREA:
C. K
IMPERVIOUS SURFACE
FINISHED BASEMENT
SQ. FTG:
GARAG,E SQ. FT •
t �. 1L
DECK/COV. Tfl$Q TG:
3 Z_ - t '5-4- =_,[= /E_C'
30% SLOPES O
PROPERTY: .e'__
#p,r B DROQMS:
Y4`'Gyr✓ I-�`�
CONSTRUCTION'TYP :
.5�Li>( �e l—
HEAT SOURCE: J
9'er S 17,-
SEWER OR S TIC?
J ,--4.....0e---y,
The permitee verifies, acknowledges and agrees by their signature that: 1) If this pen -nit 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-ea
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature:
REVISED 8/25/2005
Permit Center
Sp °Fle 11707 E Sprague Ave, Suite 106
Valle Spokane Valley,FAX: WA 990290)6688-0037
(509)688-0037
www.spolcanevalley.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 to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
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
❑ Fumace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Permit Center
Spokane 11707E Sprague Ave, Suite 106
Sr ley Spokane Valley, WA 99206
�/ (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.or2.com
Plumbing Permit Application /669 N. ❑ Commercial
Residential
SITE ADDRESS: /a f 3, / "`b''r-:k /I
PERMIT NUMBER:
PERMIT FEE:
Building owner
DESCRIPTION OF WORK
# OF UNITS
Name . f��, �� /Te
COST
Phone: ) � i) Fax:/5-
S ��
Address:/nT tie7 /0 .eLi / r cd.--
/.17
IZ3
i r''-4BaL%tL Zip: C
1
Contractor
$6.00
=
Name:7
�� :�,��.5 i:,,., ✓,7.C:,1•‘.W,/ay�'^,-tel!
URINALS
Phone: 2� " 6 a ey � Fax:
Address:
$6.00
City : State: Zip:
License No:
TUBS
City Business License No:
/
Contact
$6.00
=
Name: 4l/, Ir / l/Z,;c rt.,,---'
SHOWERS (PER TRAP)
Phone: Z -3- v : - .. Q 0 0
/
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
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
1
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
3
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
Card#
0 VISA 0 MASTERCARD
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokan �
.0,00Valley
Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. s pok an eval l ey. org. com
Application i60R o Commercial
✓5c4
SITE ADDRESS/Cl / 3 , /r. C. ..C/
WIT
,Residential
S/0 - /.17-75.
Building owner
Name: "L�. ,c, /i4 ' Phone: j -- 6-426-,c) Fax
Ire.:
Address; O5 e7 7 GL !// C �"5 ' de' .PCZ City f 'l (,7 L 4►te 'Lb"- Zipgge.7,‘_
Contractor
Name: fj(' / /16,--4-14(), - 1 Phone:,4 0 `j--"' 05 Fax:
Address: / e, Ci ' v el..
State 41-,26 Zip
License No: City Business License No:
Contact ...
'
Name: .ALe--.)... � '4-0 (DO
�'7,Lt"�.c ,.,�>'`L' - Phone: 2 3 _
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 AS FIREPLA
/
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
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 I HOOD
X
$50.00
24
TYPE II HOOD
1
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
$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 #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.
REVISED 8/26/05