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2005, 10-25 Permit App: 05003972 Residence Project Number: 05003972 Inv: I Application Date: 10/25/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ....... Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: ALEX HAIDER Address: 10599 N LAKESIDE LANE C-S-Z: NINE MILE FALLS,WA 99026 Setbacks:Front 35 Left: 10 Right: 8 Rear: 30 Phone: (509)230-4000 Group Name: Site Information: Project Name: Plat Key: Name: FLORA SPRINGS District: East Parcel Number: 55073.1548 Block: 2 Lot: 2 SiteAddress: 1606 N TSCHIRLEY LN Owner:Name: ALEX HAIDER Address: 10599 N LAKESIDE LANE Location::CSV NINE MILE FALLS,WA 99026 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 6,675 Sq Ft Width: 0 Depth: 102 Right Of Way(ft): 28 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: t :{: _ .u._;. :.. e Review Site Plan Review Released By: Originally Released: 10/21/2005 By: CJJANSSE Plan Review Released By: Originally Released: 10/25/2005 By: TMELBOU Sewer Review Released By: Permits: gam . .- . .v, fG��.� _ ..,.,�.wm�`r6a fi ..r,x_ "=''"•: arIl`tld �.,-c., -.:�_:,�,��` Operator: CJJ Printed By: CJJ Print Date: 10/25/2005 Project Number: 05003972 Inv: I Application Date: 10/25/2005 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 Firm: ALEX HAIDER CONSTRUCTION Address: 17503 N KIMBERLY RD Phone: (509)468-1613 COLBERT,WA 99005 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation DECK R-3 VB 90 $1,350.00 90 $1,350.00 GARAGE U-1 VB 567 $10,773.00 567 $10,773.00 RESIDENCE R-3 VB 1,131 $84,463.08 1,131 $84,463.08 Totals: 1,788 $96,586.08 1,788 $96,586.08 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $972.75 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $389.10 Permit Total Fees: $1,366.35 Mechanical Permit Contractor: R&R HEATING&AIR COND INC Firm: R&R HEATING&AIR COND INC Address: 4019 E CENTRAL Phone: (509)484-1405 SPOKANE,WA 99207 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 8 #OF UNITS $8.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00 CLOTHES DRYER 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $82.00 Operator: CJJ Printed By: CJJ Print Date: 10/25/2005 Project Number: 05003972 Inv: 1 Application Date: 10/25/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit --_--_-- Plumbing Permit Contractor: JACKSON PLUMBING Firm: RANDY JACKSON PLUMBING Address: P.O.BOX 7272 Phone: (509)926-7101 SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $102.00 Payment Summary: ,a ., �W...„.;,p Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,366.35 $1,366.35 $0.00 $1,366.35 Mechanical Permit $82.00 $82.00 $0.00 $82.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,550.35 $1,550.35 $0.00 $1,550.35 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: CJJ Printed By: CJJ Print Date: 10/25/2005 Permit Center S�+ �',,„0000/N11707 E Sprague Av: to fl N -- I1 �' , pokanei bin \ , Il, PERIVIII? $ERu 1 ValleSpokane Valley, WA '• i6t1.; 7 _�; ��PE � " Y (509)688-0036 FAX: • 688-0037 " SEE " .t,',,"7-1r.., ,~ 'fi Community Development wv.w.spokanevalley.o 7.com `. Residential Construction jC [�_�j '�\on truction o Accessory Bldg Permit Application ❑ Addition/Remodel ❑ Deck /r5064/. o Other: SITE ADDRESS Z :;) t,2 '6 i..r• k / i r 44 % ,..,p.a.// tadt-t .,'//7:.5 ASSESSORS PARCEL NO:55O 3 /5 .03 LEGAL DESCRIPTION: Building )wnel`_`- _ "4 fi Y :"' '° Contractor " , x ' 7.t Name j4 "- ,Zi779,e-'-- Name: /ic7,- /7� 2`. -- AddreesJ/ s:(0) e / . ,:e1:‘ ..5, 'le/C. / r 1 Address:/O C7 7 -ZG-t'S cle' � /'L City/kif/ _1(//e/ , '- ZiP: 9qO r 6.-'' Cityy'y - 46 r lr /5AZiP: DoC— - Phone::7317)-.L/0Ltil Fax: 4.6-7— V C'-S-ci phone.230 .-4--0 4.)0 Fax: 467-W:S Lic No:/ f„ �- Exp.Date: //`2 ,-7..i.96- f eL '" 19 City Business Lic No: �s S Name: 9/e-7)c, Phone: /-7(..-z,k _ ..' 3 --4 c-0 li Describe the scope of work in detail: Cost of Project: $ '2 /00 0 'c)O 1' 'hr,ewe- A-cl-J' .s 1/04 /Q fl,-; �0—. **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSI Ci 57' n 0 #OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: j ,., vi// 31 _ �) _ AREA: FINISHED BASEMENT GARAGE_S� I / DECK/COV. ATIO Q. FTG: 30% SLOPES ON SQ. FTG: C.) _. .5— Jt L) PROPERTY: C_3 #OF BEDROOMS: CO1L9TRUCTI N TYPE: HEAT SOURCE: , SEWER OR SEPTIC? / L�G-i(7 6'e''' �-t S C,...1 s&'iu -- 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-be-processed. Signature / 4 . ! Date /6 /f.) S~` Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash 0 Check 0 Mastercard 0 VISA 0 Other Bankcard#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 Permit Center S ° e ® 11707E Sprague Ave, Suite 106 j Spokane Valley,WA 99206 (509)688-0036 FAX: (509)688-0037 www.spolcanevallev.orz.com Community Development • Residential Plan Submittal Minimums ❑ Completed Building, Plumbing & 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. ❑ All braced wall panel types: show locations and details of installation, including engineered design. ❑ 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. ❑ 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 ❑ Roof framing plan and details • • ❑ Furnace and hot water heater location. • ❑ All header locations: type, size, and connections • ❑ Foundation plan ❑ Insulation information Permit Center emir e 11707 E Sprague Ave,Suite 106 � ley Spokane Valley,WA 99206 PERMIT NUMBER: (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.ore.com Plumbing Permit Application /606 ❑ Commercial Xr Residential SITE ADDRESS: i 74 4 A S !/t sare Z die' < I' 0"% Building o JJf�- / 'ner Name: /`� ,G,(0_,rpt/ // Phone:230'--4 g0 Fax: ,.. --6-7:__.K� Address* S 4'�Ai,. ,1 %'5-;Cli N� City/VI/ell/ r'/State: 07-74Zip: eiW 02 Contracto r , r��� Name: q LI 01._ /—'/_.r./-- ‘,7Phone: c2 ) 3'? Fax: Address: City: State: Zip: License No: City Business License No: Contact /�`/ Name: (Q G%e k /-7/64 EAR.-41 Phone: 730 .."--4'0 c2 Gj DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS 2 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 = LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 3 X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER I 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 X $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / 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 3 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 3 X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00 Card# EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: ' �°C"--L.►4 .� REVISED 8/26/05 Permit Center Spokane 11707 E Sprague Ave,Suite 106 Spokane Valley,WA 99206 elle (509)688-0036 FAX:(509)688-0037z�, Community Development www.spokanevalley.org.com Mechanical Permit Application/ o Commercial ,"Residential J v SITE ADDRESS /606' N. f ScAi d Building owner • y Name: �e>. , y /-7�.0 e�z`�'L�� Phone:2 30-Verar _/�� Fax 46 l� S /j LJ. f-�S Ctc" di City4 ,' L22/A-State �/ Zip D Address: G'l i Contractor Q -.:. . : Name: `T" /J e-ex f'� 4/'C Phone: 4 /4 O3 Fax: Address: ie'CY i►r City State J,4 Zip License No: Ci Business License No: Name: PL..\e„: //-7/2, Phone: 0 -4-00 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 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 /r X $10.00 = 15 FUEL BURNING WATER HEATER r X $10.00 = 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 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/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: SUBTOTAL ❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE:4 G VW G7 _ REVISED 8/26/05