2001, 12-07 Permit App: 01010703 ResidenceProject Number: 01010703 Inv: 1
'tApplication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 25 Left: 10 Right: 10 Rear: 88
Site Information:
Plat Key: 006113 Name:
Contact: HAIDER, ALEX
Address: 17503 N KIMBERLY RD
C - S - Z: COLBERT WA 99005
Phone: (509) 468-1613
Group Name:
Project Name:
TURTLE CREEK 3RD ADDITION
District: G
Parcel Number: 55194.1318
Block: 3
SiteAddress: 18609 E TURTLE CREEK LN
GREENACRES, WA USA 9901
Location:: GRE
Lot: 18
Owner: Name: HAIDER, ALEX
Address: 17503 N KIMBERLY RD
COLBERT WA 99005
Page 1 of 3
Zoning: UR -3.5 Urban Residential 3.5
Water District: 008 CONSOLIDATED IRRG #1 Hold: ❑
Area: 15,259 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
� o c1,0ca-_0a L S I yl H 2_,Osi
Sewer Review Jl ', )L (),f) 24_-6(
(6L- W -
Permits:
Operator: JAS Printed By: JAS
Print Date: 12/7/01
Project Number: 01010703 Inv: 1
Applicat to '
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/7/01 Page 2 of 3
Contractor: ALEX HAIDER CONSTRUCTION
Address: 17503 N KIMBERLY RD Phone: (509) 468-1613
COLBERT, WA 99005
Building Permit
Firm: ALEX HAIDER CONSTRUCTION
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 25
Bldg W x D: 44 x 53 Building Sq Ft: 2800 Sprinklers: Ell
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp Tvpe Notes Sa Ft Valuation Sa Ft Valuation
2ND FLOOR R-3 VN 600 $37,200.00 600 $37,200.00
BASEMENT U R-3 VN 1,100 $12,716.00 1,100 $12,716.00
DECK R-3 VN 64 $471.04 64 $471.04
GARAGE U-1 VN 650 $7,800.00 650 $7,800.00
RESIDENCE R-3 VN 1,100 $68,200.00 1,100 $68,200.00
Stories: 2
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 3,514 $126,387.04 3,514 $126,387.04
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
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
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Fee Amount
$1,030.00
$4.50
$226.60
$1,261.10
Firm: R & R HEATING & AIR COND INC
Phone: (509) 484-1405
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$4.00
$20.00
$10.00
$10.00
$10.00
$76.00
12/7/01
Project Number: 01010703 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/7/01
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
SEWAGE EJECTOR
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
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
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1,261.10 $1,261.10
$76.00 $76.00
$102.00 $102.00
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,261.10
$76.00
$102.00
$1,439.10 $1,439.10 $0.00 $1,439.10
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 contrued 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: JAS Printed By: JAS Print Date: 12/7/01
l�l
Alt
SPOKANE COUNTY
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:
/ Czl; c- /?c,t'
Assessor's Tax Parcel Number(s):
Legal Description: •
/
1,AiLe
(1„,k
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
El Indiidle who ybnnlrl be onluded n ordine Ibis Paim'
❑ Owner: Phone
/' Ge - eta. � de- �r e� �lef 3
I�acget.,
❑ plicant:
#/ ek /77C-3,••( e
Phone:
I�a.:
Mailing Address :
€75 , ,.J. l i W41 IQ,
Mailing Address:
# of stories
2
City, State, Zip
�� (di4 9 e cz a 7'
City, State, Zip
I)in,isiu /l
y S`
/
Phone
❑ Contractor �1 6ie-/ i•/
` )Ci I' c'iLi cie� I.ax/L� /vn
m
❑ Architect/I ngineer
f,'..
---PhCine
Iran
6A
Mailing address
(7 5"-e, A- 44. - -A-A- -2 ,s'
Mailing address
s-"'
06.1.)��
City, State Zip � /�
City, State Zip
Cost of protect
/2OeJc.<�
VV A State Contractor license #
Contact na
PROTECT INFORMATION
Building Information
Building luight to peak
2S(
# of stories
2
i\ fain flour sq. tt. z
'lav X�
Unfinished basem t sy.
(%bc
I)in,isiu /l
y S`
/
otal habitable space
2 d floor ti. tt. g 7
Finished basement sq. ft.
occupancy grroup %
,S; 4-1 (e" ,{cam. ,
Construction type
? v� G �'
06.1.)��
Garage s 1. ft. 4
1) ck sy. ft.
Cost of protect
/2OeJc.<�
1 lin source (electric, g s, etc.)
Manufactured Home
Sign _
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
O Ycs O 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 0 No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
O Ycs O 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 0 No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Ycs O No
;Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( °'o) O Ycs O No
Are critical or hazardous materials used or stored on site?
O Ycs O No
Address
O No
Is the property located within 1000 feet of a Natural Resource Arca?
O Yes O No
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Are there structures on the property? O Yes 0 No
If yes, identj' on site plan
WY/hat is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identijj, on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs O No
Will the site be served by a septic system? O Ycs 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identi/p on site plan
0 Maybe O Don't know 0 Ycs O No
Are or will there be wells located on the property?
If yes, identify on the site plan O Ycs O No
Are there any wetlands, streams or ponds within 200 feet of the property?
I/)'es, identill on site plan 0 Ycs O No
Is there evidence of fill or excavation on the property?
O Ycs O No
;Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( °'o) O Ycs O No
Are critical or hazardous materials used or stored on site?
O Ycs O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes
O No
Is public sewer available to the site?
O Ycs
O No
Is the property inside the ASA?
O Yes
OYes
O No
0 N
Is public water available to the site?
O Yes
O No
Is the property inside the PSSA?
O Yes
O No
Is the property located within 1000 feet of a Natural Resource Arca?
O Yes O No
Daft Rcccnrd:
Staff Represcntaticc:
METHOD OF PAYMENT
VISA
❑
CASH ❑ CIII{CK ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRI{S:
B.ANKC:ARI) NUNIRI?R:
\Ull IO1211.Fl) SI( N.C111R1{:
S U BTOT \ I,
TOTAL FEE
MINIMUM PERMIT FEE IS $35.0011 E :\SE
DI.. \hl' (:I 11'0:S P:\]": \B1.E "1O SPOK;\NI:
COL '\7Y l'l:It\IIT CI -.N I ER
ADORES
ZONE
ROAD W DTha ?)(—:
FRON _„) _
FLNNG
COMM& 'TS
REVIEW D 6;1'
The.. IL,
I 13 ir3zo, 3
, ,
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1
Thi•s s plan is being submitted for thepurposa ot
t
obtaini g a Pulding pern-iit and is a true and correc
e
repres ntation of the proposal. All known property
lines/'- curb \\nes. structures and easements
have en identified.•cated ai-e we'tands,
,
bode of watel, eep s.:: .2 critical areas.
/'• ••,,, - .----- - C_-_ _-
Signe
Date 7
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