2000, 10-17 Permit App: 00009491 Residence Project Number: 00009491 Inv: 1 Application Date: 10/17/2000- 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 Contact: ALEX HAIDER
AIR GAS Address: 16610 N HIGHLAND LN
C-S-Z: COLBERT,WA.99005
Setbacks: Front 25 Left: 27 Right: 27 Rear: 35 Phone: (509)468-1613
Group Name:
Site Information: Project Name:
Plat Key: 005979 Name: TURTLE CREEK 2ND ADD District: G
Parcel Number: 55194.0611 Block: 3 Lot: 11
SiteAddress: 18012 E 9TH AVE Owner:Name: ALEX HAIDER
GREENACRES,WA USA 99 Address: 16610 N HIGHLAND LY
Location::GRE COLBERT,WA 99005
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,393 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review
BUILDING Site Plan Review
Released B,
Hold Reasons: 6,Crtf C.(C c
Permit Conditions: 1 C` ( 7 L
BUILDING Plan ReviewReleased By: r
-
Rea LC
Permit Conditions:
AILM
ENGINEER Approach/Drainage Released By:411.111111r
y►iti...[r• °
Hold Reasons:
Permit Conditions: t )
BUILDING Special Reviews i Released By:
old Reasons: f L J '
Permit Conditions: - ,
UTILITIES Sewer Review r Released By: I
Hold Reasons: l :L.
Permit Conditions:
Permits: �. .
Project Number: 00009491 Inv: 1 Application Date: 10/17/2000 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Conthtor: UNKNOWN N\ Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Building Chiracteristics
Const Category:`Nrw-- -_ "-- Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 20 Stories: 1
Bldg W x D: 45 x 54 Building Sq Ft: 3542 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,771 $20,472.76 1,771 $20,472.76
DECK R-3 VN 150 $1,104.00 150 $1,104.00
GARAGE U-1 VN 450 $5,400.00 450 $5,400.00
RESIDENCE R-3 VN 1,771 $109,802.00 1,771 $109,802.00
Totals: 4,142 $136,778.76 4,142 $136,778.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,080.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $237.60
Permit Total Fees: $1,322.10
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 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Project Number: 00009491 Inv: 1 Application Date: 10/17/2000 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 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
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
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 1 NUMBER OF $6.00
Permit Total Fees: $90.00
Payment Summary: „ ��. . � ��
Operator: RMB Printed By: RMB Print Date: 10/17/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,322.10 $1,322.10 $0.00 $1,322.10
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,507.10 $1,507.10 $0.00 $1,507.10
Notes• . .,a�. , . � ._ �
CRUMCC DEPARTMENT OF LABOR AND INDUSTRIES CRIS
ID: 01
CONSTRUCTION CONTRACTOR INFORMATION
?OPTION (ADD,CHG,REN,REP, INQ or Screen ID)
?LICENSE NUMBER: ALEXHC*035PA ?Status: A ACTIVE
?Contractor Type: CC CONST CONT
Contractor Name: ALEX HAIDER CONSTRUCTION UBI : 601739968
Parent Company : FIVE MILE ENTERPRISES INC
Search Name ALEX HAIDER CON
Address Line 1 : 16610 N HIGHLAND LN
Address Line 2 :
City,State, Zip : COLBERT WA 990059758
Telephone 5094681613 County: 32 SPOKANE
?Reg Reason Code:
Effective Date : 100197 ?Business Type: C CORP
Expiration Date: 100101 ?Grandfather Code: U UPDATED
Suspended Date : 000000 ?Specialty Code 1: 01 GENERAL
?Specialty Code 2 : 00 UNUSED
Nbr of Type Chg: 0
F1=Hlp F3=End F5=Pry F6=Nxt
Record Review successful
00 -61 (IC((
t , PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
`/''/
1026 WEST BROADWAY AVENUE / n J�
leill
SPOKANESPOKANE,WA 99260 c-O
L Comer 509-477-3675
SPECIFIC SITE INFORMATIO1N�
Street Address: O! �= L t..W V"
Assessor's Tax Parcel Number(s):
Legal Description: 7-2.4 v/ C �� AI D /�C k 3
Project Description:
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign
El Tenant (New/Change) CI Other
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Water£ , ...--.7.7.,;;;, fes,y ..t„1.,,,„` PRrveyor urate 3y i' - ,Road widt a w� l Setbacks '`' pro.:.,•,,,,,,o; ° h r
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OWNER/APPLICANT INFORMATION 1 Z
0 Indicate who should be contacted regarding this project
❑ Owner:
Phone: L//`j�Sp�—`�J/ ❑Appliiccantr:— ,�//� /� Phone:
FI4 N f1,9 l/12 ' Fax:�/L D —a 7�L. l//7/X7 4 Fax:
Mailing Address: Mailing Address:
/6,6./0 /C(' /1;9 ?i 10/C, l,77
City,State,Zip City,State,Zip
Phone Architect/Engineer❑ Phone
❑ Contractornt/ /� J +l /
AH� C✓ //7 Fax fid '7' �t i �. Fax
Mailing address ac-e
ling redO 1 .,City,State Zip '/
0'
WA State Contractor license# / Contact name:
P LEX
PROJECT INFORMATION
Building,Information
Building height to peak #of stories ' Main or sq.fr. Unfinished basement sq.ft.
V.c7 7 7 /7?/
Dimensions/ Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group7z2 G 1 P Const io � Garage sq.ft. �� 2 Deck sq.ft. e�
Cost of project Heat source(electric,gas,(tc.)
dil'
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
� . ori'.., < „,„-.,..•,•,, °, „ ...� .., .�.., $ a _,. <„,. v
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding El Bolting El Reinforcement Address
ADDITIONAL SITE INFORMATION
onsite plan
Are there structures on the property? O Yes No What is the current property size? 2�
If yes,identify (square feet or acres) �j /L700 . �'Q
Is any part of the property within 250 feet of a shoreli e? What is the current use of this property?
If yes,ident on site plan O Yes t No l_
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O YesNo
O Don't know D Yes 051/No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes No
O Maybe O Don't know O Yes it(No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes �No
If yes,identify on site plan O Yes t✓No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on sit
( /%) O Yes12/
No O ye
sNo
DEPARTMENT USE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
1111.111111 'fib s : ;. ':JC V SUBTOTAL
❑ CASH ❑ CHECK 11:1 . ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES: "T6.'I'AL FE)E
BANKCARD NUMBER: niruu0,prra3saQrAs
MAKE CHECKS PA,1 ABIE TO SfOFRNE
AUTHORIZED SIGNATURE: COU rYPEItMtI CENTER,„
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