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2006, 04-28 Permit App: 06001572 ResidenceProject Number: 06001572 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2006 Page 1 of 3 Project Information: Permit Use: SFR, GAS HEAT, ON SEWER Setbacks: Front Site Information: Contact: HAIDER, ALEX Address: 721 N PINES RD C - S - Z: SPOKANE VALLEY, WA 99206 - Left: Right: Rear: Phone: (509) 230-4000 Group Name: Project Name: Plat Key: Name: FLORA SPRINGS District: East Parcel Number: 55073.2207 Block: Lot: SiteAddress: 1701 N TSCHIRLEY LN Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: HAIDER, ALEX Address: 721 N PINES RD SPOKANE VALLEY, WA 99206 - Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Rele Originally Released: 04/28/2006 By: TMELBOU •Landuse/Zoning/HE Conditions Sewer Review Permits: Originally Released: 04/27/2006 By: CJJANSSE Rale Operator: AMB Printed By: AMB Print Date: 04/28/2006 Project Number: 06001572 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2006 Page 2 of 3 Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation So Ft Valuation 1&2 FAMILY R-3 VB 1,243 $107,357.91 1,243 $107,357.91 BASEMENT F R-3 VB 651 $13,020.00 651 $13,020.00 DECK OPEN R-3 VB 160 $2,400.00 160 $2,400.00 GAR WOOD U-1 VB 581 $11,039.00 581 $11,039.00 Totals: 2,635 $133,816.91 2,635 $133,816.91 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,184.15 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $473.66 Permit Total Fees: $1,662.31 Mechanical Permit Contractor: R & R HEATING & AIR COND Firm: R & R HEATING & AIR COND IN Address: 4019 E CENTRAL Phone: (509) 484-1405 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 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 Fee Amount $10.00 $12.00 $4.00 $12.00 $30.00 $10.00 $10.00 $10.00 Permit Total Fees: $98.00 Operator: AMB Printed By: AMB Print Date: 04/28/2006 Project Number: 06001572 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 04/28/2006 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: Plumbing Permit Page 3 of 3 Firm: RANDY JACKSON PLUMBING Phone: (509) 926-7101 Units Unit Desc 3 NUMBER OF 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 $96.00 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $1,662.31 $1,662.31 $98.00 $98.00 $96.00 $96.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,662.31 $98.00 $96.00 $1,856.31 $1,856.31 $0.00 $1,856.31 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: 04/28/2006 SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE ' SPOKANE, WA 99260-0050 Site Information Project Information 1 Site Address: 1701 N TSCHIRLEY LN Parcel Number: 55073.2207 Subdivision: RANGE Block: 1 Lot: 7 Zoning: UNK Unknown Owner: ALEX HAIDER CONSTRUCTION Address: 10599 W LAKESIDE LN NINE MILE FALLS, WA 99026 Building Inspector: Water Dist: Project Number: 06002634 Inv: 1 Issue Date: 5/1/2006 Permit Use: SEWER CONNECTION - FLORA SPRINGS Applicant: ALEX HAIDER CONSTRUCTION 10599 W LAKESIDE LN NINE MILE FALLS, WA 99026 Phone: (509) 230-4000 Contact: ALEX HAIDER CONSTRUCTION 10599 W LAKESIDE LN NINE MILE FALLS, WA 99026 Phone: (509) 230-4000 Setbacks - Front: Left: Right: Group Name: Project Name: Rear: Permits Sewer Connection Permit Contractor: ALEX HAIDER CONSTRUCTION License #: ALEXHC*035PA SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER 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 LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary 1 Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date 5/1/2006 Processed By: CUMMINGS, KATHY Printed By: HINTZ, FAITH Page 1 of 1 Receipt # 2139 Payment Amt $100.00 PERMIT NOTICE It is the responsibility of the applicant/permittee to see that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indica- tive of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. 3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION - prior to the installation of drywall. 5. PLUMBING - after rough -in, before covering, and final. 6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issuance of a Certificate of Occupancy. 8. MANUFACTURED HOMES - Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy; completed inspection record card must be available on site. Manufactured home installations must comply with the manufactures installation instructions. 9. SEWERS - prior to cover 10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion. In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS: TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE . PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS FROM MORE THAN ONE AGENCY. • Building, plumbing, mechanical and fire inspections, Department of Building and Code Enforcement 477-3675 • Construction in a flood plain, Division of Engineering & Roads 477-3600 • Electrical wiring, State Department of Labor and Industries 324-2640 • On-site waste disposal system, Spokane Regional Health District 324-1560 • Road cuts for utilities or driveways, Division of Engineering & Roads - 48-HOUR NOTICE REQUIRED 477-3600 or State Department of Transportation 456-3000 • Sewer connection, Division of Utilities 477-3604 or City Public Works Department 625-6300 PERMIT EXPIRATION AND REFUNDS Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations—please call us if you have any questions. Any refund requests must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment. Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized more than 180 days after fee payment. MISTAKE? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Division of Building and Code Enforcement at the below address. Spokane County Department of Building and Planning 1026 West Broadway Avenue, Spokane, WA 99260 Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133 www.spokanecounty.org/bp bp@spokanecounty.org FORM 30-06/06 BLDG PERMIT Spokane �jValley Community Development Permit Center jP)) ( (t 11707 E Sprague Ave, Suite l9E- 1 1 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-007 www. spokanevalley. or (.4. com ii'ilt,i f New Construction D Addition/Remodel ❑ Other: Residential Construction Permit Application A PERMIT NUMBER: 15.r/ a• PERMIT FEE: r"--; • o Accessory Bldg o Deck SITE ADDRESS /7&/ A 4✓ et.A. I Zo 7 7 h/06, ASSESSORS PARCEL NO: r: Jbiz) c)Tb 7 LEGAL DESCRIPTION: -77 5(9r' Building owner . Name: lir,„./E-A' 1---6_.-- - 3.-- Addressie Address::lC S g 0. 46t1-,...5-; cf /P) City// iP ,kill,- ✓---a 5 Zip: %q0 2 aS Phone:230-1(007) Fax: —9959' Contact Person' • Name: /Z!', 3 O --- 4- c, o - Phone: Describe the scope of work in detail: Contractor �/ Name: 4��/-'fc, !7 .i dei--- Address:/os i ' -‘_r�5,c 4,7 / City://44r"tieM- Zip: T1,0 ZG- r Phone:2 3 0-40o0 Fax: /l5-/— 958 Lic No f1TX/ r03j Exp. Date: /`f/dam/7 Z)e-- City Business Lic No: gq Cost of Project: $3 oVVboo **************The following MUST be complete: (write N/A if not annlicablel********************** HEIGHT T9�EAK: DNMFN9I9S , FG: #�OjF,/S�T�Or RHS: lCh TOTA�HABI LE SPACE, MAIN FLOOR TO SQ. FTG: /2_32_7243 2 FLOOR SQ. UNFIN BASEMENNT SQ. FTG: ....---. IMPERVIOUS SURFACE / AREA: FINISHED BASEMENT, `� SQ. FTG: !? i GARAG S¢. FTG: S i D CK/COV. PATI /LO /. FTG: 30% SLOPES ON PROPERTY: --_ # OF BE4OOMS: CONSTR CTION PE: HEAT SOURCE: 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 // li/plc Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash 0 Check 0 Mastercard 0 VISA 0 Other Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/252005 o°kane � y Community Development Permit center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 wv.w.sookanevallev.org.com Mechanical Permit Application ❑ Commercial SITE ADDRESS: / 70 r l ' 7A /d) PERMIT NUMBER: PERMIT FEE: Residential Building owner ' Z.,.••••x- {--y c�,iGt-f / Name: Phone: 3 0 ' c747 O Fax: #6z..- Y95 Address:/D 40 - J 7J >:',X-. Zgi City/ , �C t i%{ r State: ,7* ZipC t97/ :•Contractor .. fl 1/- i .Pt i-1 Name: ✓ Phone: Fax - /4©S Fax: Address: City: State: Zip: License No: City Business License No: Contact Name: Phone: 4,04e- /4.'17 S - DESCRIPTION OF WORK X OF UNITS X COST a TOTAL AMOUNT FUEL BURNING APPLIANCE Equal to or less than 100,000 r 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, GAS FIREPLACE x $10.00 13 RANGE x $10.00 14 DRYER l 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 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 s10.00 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 8/26/05 'SpoQkane Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.snokanevalley.ore.com Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: ❑ Commercial ®'Residential SITE ADDRESS: / 707 A/ % 5 ai ! Building owner „42,4),.-, /1;1-44 - f "-reGi DESCRIPTION OF WORK Name: # OF UNITS X Phone: 239- €00 0 Fax: 4 W c q Address: JO , j he'S ;e;ge Zel City/i/i/e>le'-f State: 4.2/F Zip: Qq a; E Contiactor -7/S/7,4' . / Al - Name: �� ✓,_ P� Phone: Z2C9 `� 37 y Fax: Address: $6.00 = City : State: Zip: License No: TUBS City Business License No: $6.00 = 4 Name: BATH, STALL, ON-SITE BUILT / X Phone: 2 2e9 -- 6 ,w4 12 DRAINS 13 14 FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR REVE-RSALS 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 DISPOSAUSYS INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: ❑ CASH Card# 0 CHECK AUTHORIZED SIGNATURE: 0 VISA 0 MASTERCARD EXPIRES: X $6.00 X $6.O0 X $6.00 X $6.00 X $6.00 x $6.00 X $6.00 X $6.00 X $6.00 X $20.00 X $15.00 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED a/26ros DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS -3 X $6.00 = 2 URINALS X $6.00 = 3 TUBS 1 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 Dnnc nen 11.10 I", .•.,., / X $6.00 = 12 DRAINS 13 14 FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR REVE-RSALS 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 DISPOSAUSYS INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: ❑ CASH Card# 0 CHECK AUTHORIZED SIGNATURE: 0 VISA 0 MASTERCARD EXPIRES: X $6.00 X $6.O0 X $6.00 X $6.00 X $6.00 x $6.00 X $6.00 X $6.00 X $6.00 X $20.00 X $15.00 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED a/26ros Project Number: 06001572 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/26/2006 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: HAIDER, ALEX Address: 721 N PINES RD C - S - Z: SPOKANE VALLEY, WA 99206 - Phone: (509) 230-4000 Group Name: Project Name: District: East Parcel Number: 55073.2207 Block: SiteAddress: 1701 N TSCHIRLEY LN Location:: CSV Zoning: UR -3.5 Water District: Area: .00 Acres Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: HAIDER, ALEX Address: 721 N PINES RD SPOKANE VALLEY, WA 99206 - Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Landuse/Zoning/HE Conditions Sewer Review Permits: Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000-0000 Operator: AMB Printed By: AMB Print Date: 4/26/2006 Project Number: 06001572 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/26/2006 Page 2 of 2 Mechanical Permit Contractor: R & R HEATING & AIR COND Firm: R & R HEATING & AIR COND IN Address: 4019 E CENTRAL Phone: (509) 484-1405 SPOKANE, WA 99207 Plumbing Permit Contractor: JACKSON PLUMBING Firm: RANDY JACKSON PLUMBING Address: P.O. BOX 7272 Phone: (509) 926-7101 SPOKANE, WA 99207 Notes: Payment Summary: 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: 4/26/2006