2006, 08-28 Permit App: 06003345 Residence Project Number: 06003345 Inv: 1 Application Date: 8/28/2006 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR,GAS HEAT,ON SEWER Contact: HAIDER,ALEX
Address: 10599 W LAKESIDE LN
C-S-Z: NINE MILE FALLS,WA 99026
Setbacks:Front Left: Right: Rear: Phone: (509)230-4000
Group Name:
Site Information: Project Name:
Plat Key: Name: FLORA SPRINGS Disti" . s `
trict: East
Parcel Number: 55073.2301 Block: Lot:
SiteAddress: 1602 N TSCHIRLEY LN Owner:Name: HAIDER,ALEX
Address: 10599 W LAKESIDE LN
Location::CSV NINE MILE FALLS,WA 99026
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: iffemx- _ : v -S
Review
Building Plan Review Released By:
Originally Released: 8/28/2006 By: TMELBOU
Driveway/Approach Released By: J
Landuse/Zoning/HE Conditions Released By:
Originally Released: 8/24/2006 By: cjjanssen
Sewer Review
Released By:
Permits: . z.
a°1' VW"-A .. .,aF , � :,�, � � mss: "„e„ .� .���:�_ �. �e�x
Operator: AMB Printed By: AMB Print Date: 8/28/2006
Project Number: 06003345 Inv: I Application Date: 8/28/2006 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,268 $109,517.16 1,268 $109,517.16
BASEMENT F R-3 VB 260 $5,200.00 260 $5,200.00
BASEMENT U R-3 VB 1,227 $18,405.00 1,227 $18,405.00
DECK OPEN R-3 VB 18 $270.00 18 $270.00
GAR WOOD U-1 VB 450 $8,550.00 450 $8,550.00
Totals: 3,223 $141,942.16 3,223 $141,942.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,228.95
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $491.58
Permit Total Fees: $1,725.03
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 5 NUMBER OF $50.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $97.00
Operator: AMB Printed By: AMB Print Date: 8/28/2006
Project Number: 06003345 Inv: 1 Application Date: 8/28/2006 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
ROOF DRAINS 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Notes: MEV ASP..z .:5- ._-oan, . .. a r ... u :_,
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line,5'from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16'wide,maximum of 30'wide and combined
approach width not to exceed 50%of total frontage.
Payment Summary: x.: M� .;mAAP,Nom.: .. _. ar.7, mom: 4,W.,==&%, . . .:. «Off
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,725.03 $1,725.03 $0.00 $1,725.03
Mechanical Permit $97.00 $97.00 $0.00 $97.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,974.03 $1,974.03 $0.00 $1,974.03
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB Print Date: 8/28/2006
Project Number: 06003345 Inv: 1 Application Date: 8/23/2006 Paige 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR,GAS HEAT,ON SEWER Contact: HAIDER,ALEX
Address: 10599 W LAKESIDE LN
C-S-Z: NINE MILE FALLS,WA 99026
Setbacks:Front Left: Right: Rear: Phone: (509)230-4000
Group Name:
Site Information: Project Name:
Plat Key: Name: FLORA SPRINGS District: East
Parcel Number: 55073.2301 Block: Lot:
SiteAddress: 1602 N TSCHIRLEY LN Owner:Name: HAIDER,ALEX
Address: 10599 W LAKESIDE LN
Location::CSV NINE MILE FALLS,WA 99026
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: Awa _$. ' k .:.:_ ._ - - ' w = . m � =war,
_ _...,
Review
Building Plan Review Released By: 7-141/4 r o 6
Driveway/Approach Released By;
Landuse/Zoning/HE Conditions Released Bye - 'r `� L"At0
Sewer Review Released By:
Permits: .._ :;
1. -.�"�i6T.c?�. ,� ,. _,,yr44, bs`NA%" �"h �xac?�` s�E9 �:F �mAVMm »e IV' .ii�X
Approach
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Operator: AMB Printed By: AMB Print Date: 8/23/2006
Permit Center / ii '% ITh
Sj 61 11707E Sprague Ave, Suite 106 PEM #'TIMBER: -33(6
......*ValleySpokane Valley,WA 99206 P:2
��(509)688-0036 FAX: (509)688-0037 /) 2 ?E _! E:
Community Development www.spokanevalley.org.com 1,/7 ,a r
J L .1
LI\fl �1. /
Residential Construction XNew Construction if Accessory Bldg
Permit Application ❑ Addition/Remodel ❑ Deck
o Other:
SITE ADDRESS /602 IY^ f 5G-4,t 7
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: /071 / /3LDC Z
/-----X0/ .42 ,.S- //S' ;:`-...5
Building owner Contractor
_ , JQ
Name: ��/ 17,9/,2E. Name: /914X /47//1/127<2
Address: "/ �S i Ck //1 Address:/0 c�►I �� f //L,
IDSA lt,�.�� s � � � cl
City/1/f kt 1//[/lr falfS Zip: gQo2 ' City:/ 7 / (Zip: ggo2 c
Phone:467 i?,5- ax: 46 7 '9 S-9 Phone: /67'59 Fax:
Lic No: Exp.Date:
COIItact Person
City Business Lic No:
Name: ,C
Phone: -Z.3* 0--4 00 O
Describe the scope of work in detail: Cost of Project: $ 9g, 00.9. 04
:,. E.R
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STO SES: TOTAL HABISPACE,;--
/60 4 Z
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: ���%/..0 /
— — q."37..-.2" I Z 2 AREA:
FINISHED BASEMENT GARAG SQ. F G' DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: ,2G ) 4 � /� PR PERTY: (11 (I)#OF BEDROOMS: CONSTRUCTION TYPE: HEAT OURCE: E ER R SEPTIC?
3 ,A( -14-/ O, S he
c�r.-
DISCLAIMER
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 :•ocessed. ,}
Signature a _ i .�– Date 8/G / t(
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash 0 Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
7r� Permit Center
r. fiok tII` e11707E Sprague Ave,Suite 106 PERMIT NUMBER:
Val ey Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.sookanevallev.ora.com
Mechanical Permit Application ❑ Commercial Residential
SITE ADDRESS: /6 02 A(.._ ;.ce.611 a'/7 41
Building owner 47' 60{,7(."1//
Name: • 1, Phone: Z O 10013 Fax:
Address: I0 5� G0 r iC�� l/A_ City: ,tl2 State: 1J Zip: 07C4
_:Conirador . ,P� .4 . f 7's of i _
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Contact:
Name: Phone:
DESCRIPTION OF WORK J #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 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 X $10.00 =
15 FUEL BURNING WATER HEATER / X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 3 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 / X $12.00 =
26 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/INSERTX $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-RESIDENCEX0 $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
OCASH 13CHECK 13VISA 13MC DATE: PROCESSING FEE $35.00
EXPIRES:
CARD#: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: L '---"--CI: REVISED 8/26/05
Permit Center
S Oka e - 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
s 7eY Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development wv.'w.sookanevallev.ore.com
Plumbing Permit ApplicationEI Commercial� 0 Residential
SITE ADDRESS: /6 0 2 /h/r ( /4 1' rs/ Z,04-‘
Building owner
Name: Phone: 70- Fax:
Address:/0?? ci , / / £fc �/n /
0 ZCv
Contractor = .
Name: VC„C, S b h PIL/$I'L Phone: Fax:
Address: City: State: Zip:
License No: City Business License No:
Contact.
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X 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 X $6.00 =
LAVS/BASINS,BAR FLOOR KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER / X $6.00 =
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL I 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 J X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
Card# EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: Ii - REVISED sf26ro5