2002, 11-01 Permit App: 02009772 ResidenceProject Number: 02009772 Inv: 1
Application
Date: 11/1/2002 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
AIR GAS
Setbacks: Front 20 Left: 5 Right: 12 Rear: 20+
Site Information:
...........................
Plat Key: 006266 Name: LONGVIEW PUD
Contact: ALEX HAIDER
Address: 17503 N KIMBERLY RD
C - S - Z: COLBERT, WA. 99005
Phone: (509) 468-1613
Group Name:
Project Name:
District: G
Parcel Number: 55192.2408
Block: 3
SiteAddress: 203 S TSCHIRLEY RD
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 12,132 Sq Ft
Urban Residential 3.5
Lot: 8
Owner: Name: HUME, MIKE & WADE, DAVID
Address: 221 S TSCHIRLEY RD
GREENACRES, WA 99016-9318
Hold: ❑
Width: 67 Depth: 181 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:>::...................................................................
Review
iew
Release
0 By_ .,00
Plan Review
Approach / Drainage
oaF G1s
Sewe / ,wry
IUTICS
Permits:
Released By
1(•10
Operator: RMB Printed By: RMB Print Date: 11/1/2002
Project Number: 02009772
Inv: 1
Application
Date: 11/1/2002 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
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Building Characteristics
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
GARAGE U-1
RESIDENCE R-3
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type Notes
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height: Stories:
Sprinklers: El
Critical Materials: 11
This Application: Total Project:
Su Ft Valuation Sq Ft Valuation
400 $4,800.00 400 $4,800.00
1,253 $82,698.00 1,253 $82,698.00
Totals: 1,653 $87,498.00 1,653 $87,498.00
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
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$817.50
$4.50
$179.85
Permit Total Fees: $1,001.85
Mechanical Permit
Units
1
1
3
4
1
1
Operator: RMB Printed By: RMB
Firm: R & R HEATING & AIR COND IN
Phone: (509) 484-1405
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$85.00
11/1/2002
Project Number: 02009772 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/1/2002
Contractor: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Plumbing Permit
Units
2
3
1
1
1
1
1
2
Page 3 of 3
Firm: ALEX HAIDER CONSTRUCTION
Phone: (509) 468-1613
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Payment Summa
Permit Type Fee Amount Invoice Amount
Building Permit $1,001.85 $1,001.85
Mechanical Permit $85.00 $85.00
Plumbing Permit $72.00 $72.00
$1,158.85 $1,158.85
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$72.00
Amount Owing
$1,001.85
$85.00
$72.00
$0.00
$1,158.85
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: RMB Printed By: RMB Print Date: 11/1/2002
Ailmit
SPOKE COWTY
nousc
02-9114
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
03 r s eY/ '2 —> ,moo �9i�
Assessor's Tax Parcel Number(s):
Legal Description:
51 a a• a40(1
Lors5v i ew L -S 6-3
Project Description:
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear.
Left: Right:
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
EI Indicate who should be ,ontarted renardin this rt *ea
❑ (Tyner: Phone:
avid WadP--4 /;/ponte,/n/
Building height to peak
/� �
❑ Applicant:
/e..[ -7/ct;
Mailing Address:
Phone:
Fax:
Mailing Address: -7/id,
_ / ,/ ?q/''''‘,Q
Qf %q,/
City, State, Zip
Total habitable space
Cin, State, Zip
Finished basement sq. ft.
7practorPync
/7,4, ,,' vi..x//3S
Constriction type
,P � ,,,,
Architect inghneer
(2 Z -s; .-,
Phone
address
(7S-0 3 /V ‘<' 04A-4 A'cP
1 kat source (electric, gas, etc.)
aQs
Ncling address
City, Sta J/sp// 0/4
ciLT %J P% _
Cit}, State Zip
WC'A to Contractor license #
4St/�`Xh/C7r0-3 Pel
Contac[ name:
PROTECT INFORMATION
Building Information
Building height to peak
/� �
# of stories
Main Floors ft. '2
/ r3
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"dI floor sq. ft.
Finished basement sq. ft.
Occupancy croup
/,'
' i
Constriction type
,P � ,,,,
Garage sq. ft.
.z7ov7/9
Deck sq. ft.
fir
Cost of project
„0,
1 kat source (electric, gas, etc.)
aQs
E.M. I IJ EES
UT►LiTle5
Manufactured Home
Sign `
Width:
Length:
What is the square footage of the sign
face?
flow high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Ycs 0 No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? O Ycs O No
Paint booth
Pire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Ycs 0 No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Ycs O No
Plans ILxaminer
Phone
inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 0 No
:Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( 'o) 0 Ycs 0 No
Are critical or hazardous materials used or stored on site?
0 Ycs 0 No
Address
inspector
Phone
O Concrete
O Welding
O Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
.Are there structures on the property? 0 Ycs O No
Ifyes, identi on site plain
AX'hat is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identi an site plan O Ycs O No
What is the current use of this property?
Is your property m a designated wildlife habitat area?
O Don't know Cl Ycs 0 No
Will the site be served by a septic system? O Ycs O No
Is any part of the property within a 100 yr flood plain?
Ifyes, identO, on site plan
0 Maybe O Don't know O Yes 0 No
Arc or will there be wells located on the property?
I_fyes, idem , on the site plan O Ycs O No
.Arc there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, itlenti6, on site plan 0 Ycs 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
:Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( 'o) 0 Ycs 0 No
Are critical or hazardous materials used or stored on site?
0 Ycs 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
0 Ycs 0 No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Ycs 0 No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ c:vsl I ❑ CHECK ❑111111111111111❑ .
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1).1T
EXPIRES:
BANKC:ARI) NUMBER:
.\U 1 11ORIZIE1) SIGN.1TURI{:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.ADPLEASE
MAKIS CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
r�
N
Ld
LI -
STA 11+61.07, 20' RT ---1
TYPE A DRYWELL
W/ SOLID LID
RIM EL. = 2034.00
10 LF OF 10" H.D.P.E.
S = —0.0100
IE(W)=2029.00
IE(E)=2029.10
STA 11+48.81 RT
TYPE 2 CURB INLET
TC EL = 2033.88
SPOKAW— WA — DENVER. CO
707 West 7th 'Suite 200 (=(
)458-6840
Spokane, WA 99204 509) 4
UTILITY
u
EASEMENT
01
.1
cn
11(0 STA.11 1-53.61, 29.44' #
TYPE 1 INLET
RIM *= 2033.50
50' 4
\
F
4�
19# 99 -o
4 1 40' \ / - I C-4
--2034,—
�i
-------- — — --
.POND
POND BOTTOM ELEV=2032.83
POND BOTTOM AREA=360 S.F.
MINIMUM BERM ELEV=2034.08
NOTE:
BUILDER TO ADD IRRIGATION
AND TURF GRASSTOPOND
LOT 8, BLOCK 3
LONGVIEW
BOUNDARY OF
FLAT LEVEL
POND BOTTOM
DRAINAGE
EASEMENT
181' - I
-TOUR Ism A
8 O
181,
NOT PART PLAT
OF PROJECT BOUNDARY
This
ObtMijit�!-,_'
e p ro Cj ccr„ect
All kr,
felt ay. b
"Ocut rl' Myen s
tMed'
t
bodies 0
, , , * z,
AIDDRESS cP Or ofhe�;,
,ep
Sgt ed:
ZONE
-- - %—V—k-
ROAD WIDTH 5b
FRONT—' NK 1 N G
C 0 M-i'vI, *'E', -7—
REVIF� .'w SY
k
0
PROPERTY
BOUNDARY
;1� K
s
NK S,
00 6212
♦ GIST0'-
SION A It -
EXPIRES 05-18
SCALE: 1"=20'
DATE:- 12/07/00