2007, 09-20 Permit App: 07003576 Residence' Project Number: 07003576 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/20/2007 Page 1 of 3
Project Information:
Permit Use: NEW SINGLE FAMILY RESIDENCE -SEWER
etbacks: Front 20 Left: 5 Right: 5 Rear: 30
Site Information:
ONSIONEMIEVAMENESIMMIAMEMEE
Plat Key: Name: Range
Contact: HAIDER, ALEX
Address: 10673 W LAKESIDE LN
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 467-8959
Group Name:
Project Name:
District: East
Parcel Number: 55073.2201
Block:
SiteAddress: 1603 N TSCHIRLEY LN
Location:: CSV
Lot:
Owner: Name: HAIDER, ALEX
Address: 10673 W LAKESIDE LN
NINE MILE FALLS, WA 99026
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 5,367 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Driveway/Approach
Originally Released: 9/20/2007 By: TMELBOU
Originally Released: 9/20/2007 By: jdavis
Landuse/Zoning/HE Conditions
Originally Released: 9/18/2007 By: mpalaniuk
Sewer Review
Originally Released: 9/20/2007 By: jdavis
Permits: a4.3.t 4
Operator: jmm Printed By: JD Print Date: 9/20/2007
Project Number: 07003576 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/20/2007 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor:
Address:
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,260 $115,113.60 1,260 $115,113.60
130 $1,950.00 130 $1,950.00
80 $1,200.00 80 $1,200.00
484 $9,196.00 484 $9,196.00
Totals: 1,954 $127,459.60 1,954 $127,459.60
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
R & R HEATING & AIR COND
4019 E CENTRAL
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR AIC 0-3 TONS
VENTILATING FANS
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,150.55
$4.50
$460.22
$1,615.27
Firm: R & R HEATING & AIR COND IN
Phone: (509) 484-1405
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
5 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$5.00
$12.00
$30.00
$10.00
$10.00
$89.00
9/20/2007
Project Number: 07003576 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/20/2007
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Plumbing Permit
Page 3 of 3
Firm: RANDY JACKSON PLUMBING
Phone: (509) 926-7101
Units Unit Desc
2 NUMBER OF
3 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
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
FLORA ESTATES -REFER TO ADE -19-06 FOR LOT WIDTH/FRONTAGE-MH
FLORA ESTATES -SEE FILE ADE -19-06 FOR LOT FRINTAGE/WIDTH-MH
Payment Summary:
Permit Type Fee Amount
Building Permit $1,615.27
Mechanical Permit $89.00
Plumbing Permit $84.00
Invoice Amount
$1,615.27'
$ 89.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$84.00
Amount Owing
$1,615.27
$89.00
$84.00
$1,788.27 $1,788.27 $0.00 $1,788.27
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: jmm Printed By: JD
Print Date: 9/20/2007
Permit Center
Secru or 11703 E Sprague Ave, Suit ��'•Y
pokane Spokane Va1IREGEN j �FY
alleyy (509)688-6p0 O> O§Vg§/-* 'T" www.spo •anevalle �rg no
1
Community Development St"
Residential Construction PERMIT CENT
Permit Application
PERMIT NUMBER: 3s-/�
PERMIT FEE:
Construction
Addition/Remodel
n Other:
Accessory Bldg
Deck
SITE ADDRESS: /6O N /11
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 49
F r
Building Owner�j
D N X2
LL
Name: a4/T, L /
7/ :/ d r
Address
Name: ,446,0 /�6-6,q%„
4�tJ
(J.: �0 ' �i / z,".-4,1 de. /,
Ci �(/' / State:
ty% i, .. "/!/ j� a`S
,/� Zi /�G�
1'7 p L `0,2‘
Phone: 467_ 7 l!v5y Fax:
7 3'ri'
Contact Person
Name: /14—x ---
Phone:
Z o 4 oo O
Describe the scope of work in detail:
Contractor:
D N X2
LL
# OF STOR)ES:
Name: ,446,0 /�6-6,q%„
4�tJ
Address:/0673 %�..�t �i'!�'/�
"t G/7
City: v r
UNFIN BASEMENT SQ. FTG:
ovZ � a C r
; State:60g Zip:L o4
Phone: /67
[}�c
9.
Fax: / f7 5j T
Contractor
c
/20 o'3
„ p Date: 0/o 6120 �✓C/
035
City Business Lic. No:
HEAT SOURCE:
qr-t S
Cost of Project: $ ?O/ 000 o 0
/1(rr� C—,)p4, / 2 erO 2
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHa `T�O PAK:
,.LL
D N X2
LL
# OF STOR)ES:
TOTAL HABITABLE SPACE:
/ 2 L_. c `
MAIN FLOOR TO SQ.
FTG:
/.2& 0 vt-
2 FLOOR SQ. FTG:
---,
UNFIN BASEMENT SQ. FTG:
ovZ � a C r
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARA E SQ. F G: /� r�1y.�
j� `Ti`s
BECK/ V. P . FTG:.
�'' L = Le
30% SLOPES ON
PROPERTY: /VC,
# OF BEDROOMS:
Z
CON�vvSTRUC ION TYPE:
1 4..r oto-
HEAT SOURCE:
qr-t S
SEWER OR SEPTIC?
'A.,t”
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:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
;- DATE:
0 Check
❑ Mastercard ❑ VISA
Expires: VIN#:
Spokane
Ua11e3,.
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & 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.
O All braced wall panel types: show locations and details of installation, including
engineered design.
O 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.
O 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
O Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
Spokan'' ems``
jValley.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
RECEIVED LiY
CITY OF SPOKANE VALLEY
I I •
SEP i 1. 2007
PERMIT CENTER
mercia
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: /6j 6 3 ,/y:
/S( /•
Building Owner
Name:
�; mss/
/-��� /(--22.:,t97/7"
Phone:
3�J .-/;t2,,,
Fax:
F.:��7 yS �
/
Address: /D!% r$ yeZ L/7
�/z
City/6 %LP /�i��� /FZ*S
'�^
State: Zip: poz6
Contractor /'
Name:
! //`
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
-.Z.--)eZ Li`
Name:
Phone: 1 f �.. /4
7
0
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
4
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
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
X
$10.00
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
/
X
$10.00
X
$10.00
17
GAS PIPING (each outlet)
5-
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
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
l
X
$12.00
26
AIR CONDITIONER
4-15 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 ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
7/4
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane
Spokane Valley, WA 99206
www. pokane FAX: (509)688-0037
www.spokanevalley.org
Community Development
Plumbing Permit Application
RECEIVED BY
CITY OF SPOKANE VALLEY
SEP 1 1 2007
PERMIT C-
❑ Ctihercial
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS: /6' 0 3 ,
Building Ownerne
,L �/�
Name: �/�C/x! ! �A !le
'/Il6
Phone: 2 30 , `.�o/0� Fax: .- Jam`
`
q,
J
' dt 4,7
'Vie) �l /� / SState:
{ -'
Zip: ! �0 z6""
! f�
Address:
73 A y , i�{:x�
(�
Contractor
Name: a 051`3 11
77/—C/^I
Phone:Z 76,- 7q9 Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact _�%
Name: {"�
/�
Phone: 'Z 2 f l — !7 3g67
DESCRIPTION OF WORK
# OF UNITS
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
I
x
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
$6.00
6
DISHWASHER
1
X
$6.00
7
CLOTHES WASHER
I
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
A
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 DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOKARE kitetWfmation
Project Information
Site Address: 1603 N TSCHIRLEY LN
Parcel Number: 55073.2201
Subdivision: RANGE
Block: 1 Lot: 1
Zoning: UNK Unknown
Owner: FIVE MILE ENTERPRISES INC
Address: 10599 W LAKESIDE LN
NINE MILE FALLS, WA 99026
Building Inspector:
Water Dist:
Project Number: 07006397 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - FLORA SPRINGS
9/18/2007
Applicant: FIVE MILE ENTERPRISES INC
10599 W LAKESIDE LN
NINE MILE FALLS, WA 99026 Phone: (509) 230-4000
Contact: FIVE MILE ENTERPRISES INC
10599 W LAKESIDE LN
NINE MILE FALLS, WA 99026 Phone: (509) 230-4000
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Rear:
1 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
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
9/18/2007
Receipt # Payment Amt
5445 $100.00
1
Notes / Conditions of Approval
FIRE DISTRICT #1 - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #1.
Processed By: CUMMINGS, KATHY
Printed By: HINTZ, FAITH
Page 1 of 1
PERMIT
F2(9/
/ 603 /V 7 /A Xa4,7
6/0 cDk-e;/i/e-- VG/ile-;19"
52/3 1r RECEIVED BY
I, OF SPOKANE VALLEY.
SEP 1 2007
?►MIT CENTER
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s.
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DATE:
�07
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