2006, 05-03 Permit App: 06001613 ResidenceProject Number: 06001613 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/2006 Page 1 of 3
Project Information:
Permit Use: SFR, GAS HEAT ON SEWER
Setbacks: Front
Site Information:
Plat Key:
Parcel Number: 55073.2208
Left: Right: Rear:
Name: FLORA SPRINGS
Contact: ALEX HAIDER
Address: 10599 W LAKESIDE LANE
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 230-4000
Group Name:
Project Name:
District: East
Block:
SiteAddress: 1705 N TSCHIRLEY 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:
Review
Building Plan Review
Lot:
Owner: Name: ALEX HAIDER
Address: 10599 W LAKESIDE LANE
NINE MILE FALLS, WA 99026
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
5/3/2006 By: TMELBOU
Released;:
Sewer Review
Permits:
Originally Released: 5/2/2006 By: Mharnois
,Released By.
Operator: AMB Printed By: AMB
Print Date: 5/3/2006
Project Number: 06001613 Inv: 1
Contractor:
Address:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/2006 Page 2 of 3
ALEX HAIDER CONSTRUCTION
17503 N KIMBERLY RD
COLBERT, WA 99005
Description Grp Type
1&2 FAMILY 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
Notes
Building Permit
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
This Application:
Sq Ft Valuation
1,260 $108,826.20
130 $1,950.00
484 $9,196.00
Total Project:
Sq Ft Valuation
1,260 $108,826.20
130 $1,950.00
484 $9,196.00
Totals: 1,874 $119,972.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Contractor: R & R HEATING & AIR COND
Address: 4019 E CENTRAL
SPOKANE, WA 99207
Item Description
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
Permit Total Fees:
Mechanical Permit
1,874
Fee Amount
$1,105.75
$4.50
$442.30
$119,972.20
$1,552.55
Firm: R & R HEATING & AIR COND IN
Phone: (509) 484-1405
Units Unit Desc
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:
Print Date:
Fee Amount
$12.00
$4.00
$12.00
$30.00
$10.00
$10.00
$10.00
$88.00
5/3/2006
Project Number: 06001613 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/2006 Page 3 of 3
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Notes:
Payment Summary: ,.
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
3
1
1
1
1
1
3
Fee Amount
$1,552.55
$88.00
$84.00
$1,724.55
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
Permit Total Fees:
Invoice Amount
$1,552.55
$88.00
$84.00
$1,724.55
Fee Amount
$18.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$ 84.00
Amount Owing
$1,552.55
$88.00
$84.00
$0.00 $1,724.55
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: 5/3/2006
Project Number: 06001613 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/28/2006 Page 1 of 2
Proiect 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 LANE
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 230-4000
Group Name:
Project Name:
District: East
Parcel Number: 55073.2208
Block:
SiteAddress: 1705 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:
Lot:
Owner: Name: ALEX HAIDER
Address: 10599 W LAKESIDE LANE
NINE MILE FALLS, WA 99026
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Release
Landuse/Zoning/HE Conditions
Released
Sewer Review
Permits:
Released
Building Permit
Contractor: ALEX HAIDER CONSTRUCTION Firm: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Phone: (509) 468-1613
Operator: AMB Printed By: AMB Print Date: 4/28/2006
opmee.Permit Center II;
'
Spokane 11707 E Sprague Ave, Suit 6I
�.y(509)688-0036 FAX: (509)688-0037
Spokane
Spokane Valley, WA 99206
Community Development www.spokanevalley.org.cor� 1; i
Residential Construction New Construction
❑ Addition/Remodel
❑ Other:
/,/
PERMIT NUMBER: f (, ( 3
PERMIT FEE:
Permit Application
o Accessory Bldg
o Deck
SITE ADDRESS /70 ) N- ?5 i A.G"-/ L.#/ Z f b /3t /
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: f'4: y -C; 5/71, r' 6'7 '
Building owner
Name: /74r' //,;-d--t'
Address/'b _c ---em /ji) • ..Z.:,--i.C6,e-PSi df /p
City 4- Al) /r /mak Zip: q'/Q7
Phone C) —4 a C'.r Fax: 4,t‘7_. s'9 3
Contact Person
Name: / f
Phone:
3D-- oDO
Describe the scope of work in detail:
Contractor
Name:/ 7/ div
Address: /O.5'99 /J..4c.I"--*.5i Ciz -2 bt
City:/f()*e /0; 4'/04 Zip7go 2 C
Phone:23 0-40 /0o Fax: ly,(w s `7
Lic No:dL i -Q3 " xp. Date: /94 t72oo
City Business Lic No:
Cost of Project:
$ S 7 coo. cr
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PF,AK:
�4
DI ENSIGNS:
1`2 x 3 0
# OF STORI S:
TOTAL HA (TABLE SPACE:
P6v
MAIN FLOOR TO SQ.
FTG:/ r2 /, 0 V-
13(�
2N FLOOR SQ. FTG:
.__.^
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: ---,
GARAGkFTG:S
�
DECK/COV. PATIO SQ. FTG:
( / 3o
30% SLOPES ON
PROPERTY:
# OF BOOMS:NSTR
_.__.-----_/
ICTION TYPE:
Het�'C`-eer
HEAT SOURCE:
< 5Zcie,/_^
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 •e .rocessed.
Signature
t
Date 00 6'
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
SDI:Ac n
.. y
Community Development
rermlt enter
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wwww.pokanevallev. ore.corn
Mechanical Permit Application ❑ Commercial
SrrE ADDRESS: (7 (2 7 W.• 7-5
PERMIT NUMBER:
PERMIT FEE:
❑ Residential
Building owner fA kr-.. " 1--)a,, i41A4P-
Name: -
Phone:
Fax:
Address: (0 5-(1
to
, l' A h
City:
State:
Zip:
Contractor ..1
Name:
- I
t^J 'T� i
Phone:
Fax
Address:
1
City:
State:
Zip:
License No:
City Business License No:
Contact i,
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
x
COST
= TOTAL AMOUNT
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
6
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
J
x
$10.00
13
RANGE
x
$10.00
14
DRYER
1
x
$10.00
15
FUEL BURNING WATER HEATER
x
$10.00
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
4
x
$10.00
x
$1.00
x
$10.00
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
x
$10.00
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
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
3-15 TON
1
f
x
$10.00
x
$12.00
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
a
34
VENTILATION SYSTEMS
x
$12.00
35
VENTILATION MECHANICAL EXHAUST
x
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
a
37
INCINERATOR - COMMERCIAL
X
$22.00
a
METHOD OF PAYMENT:
❑CASH 0 CHECK ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
S35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
of Yermlt (-enter
Sefbkaile 11707 E Sprague Ave, Suite 106
..Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.sDokanevailev.ora.com
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
❑ Residential
SITE ADDRESS: tC 5 hi > ' L 1'•- 1
Building owner . r" t-/"
DESCRIPTION OF WORK
' 'II
X
Name:
=
TOTAL AMOUNT
1
Phone: Fax:
Address: ( lG/ iL •
4-
�
-5� L'"- �r1
/�
City.Nv�, I t t t , I State: A/ • Zip: "! Lj 2JContracor
l'e,(,�C .r,.
-
URINALS
1,.,._4 .-,
:
Name:
$6.00
=
I
Phone: Fax:
Address:
X
City : State: Zip:
License No:
4
SHOWERS (PER TRAP)
City Business License No:
Contat: ": , is : . !
X
$6.00
=
Name:
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,X
X-RAY, FOOD, PREP/CULINARY MEAT
Phone:
10 ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
11 I FLOOR DRAINS
ROOF DRAINS/OVERFLOW
12 DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
13 FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE, l NSTALLATION, ALTERATION, REPAIR,
14 VENT, PLUMBING, REVERSAL I REVERSALS
15 SEWAGE EJECTOR GRINDER, SUMP PUMP
16 1 WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X I $6.00 1 =
X I $6.00 1 =
X 1 $6.00 1 =
X 1 $6.00 1 =
X I $6.00 1 =
X I $6.00 1 =
X I $6.00 1 =
VACUUM BREAKER, CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK
19 MEDICAL GAS (per outlet) NITROUS, OXYGEN
MISCELLANEOUS PLUMBING
20 FIXTURE
21 PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
22 INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
0 VISA ❑ MASTERCARD
X I $6.00 1 =
X 1 $6.00 1 =
X I $6.00 1 =
X 1 $6.00
X 1 $20.00 I =
X 1 $15.00 1 =
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
✓
X
$6.00
=
3
TUBS1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,X
X-RAY, FOOD, PREP/CULINARY MEAT
$6.00
=
6
DISHWASHER
l
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
11 I FLOOR DRAINS
ROOF DRAINS/OVERFLOW
12 DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
13 FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE, l NSTALLATION, ALTERATION, REPAIR,
14 VENT, PLUMBING, REVERSAL I REVERSALS
15 SEWAGE EJECTOR GRINDER, SUMP PUMP
16 1 WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X I $6.00 1 =
X I $6.00 1 =
X 1 $6.00 1 =
X 1 $6.00 1 =
X I $6.00 1 =
X I $6.00 1 =
X I $6.00 1 =
VACUUM BREAKER, CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK
19 MEDICAL GAS (per outlet) NITROUS, OXYGEN
MISCELLANEOUS PLUMBING
20 FIXTURE
21 PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
22 INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
0 VISA ❑ MASTERCARD
X I $6.00 1 =
X 1 $6.00 1 =
X I $6.00 1 =
X 1 $6.00
X 1 $20.00 I =
X 1 $15.00 1 =
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
FROM :
jrcal Y C=+_I;r,
FPX NO. : 50`✓4E7E955
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