2004, 07-30 Permit Application: BLD-04-07193 Residence W/GarageSpokane
.00•OValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
12706 E ALKI AVE
SPOKANE VALLEY WA 99216
NEW RESIDENCE W /ATTACHED GARAGE - GAS
OWNER CONTRACTOR 1" 9�
Lot: Blk:
PARSHAKOV, SERGEY & ALENA
PARSHAKOV, SERGEY & ALENA
12707 E VALLEYWAY AVE
SPOKANE, WA 99206
Phone:
Phone:
Lic No:
Application #: BLD -04 -07193
Applied:
Issued:
Expires:
Parcel No: 45153.1934
Zoning:
07/30/2004
01/26/2005
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
198065
25
46X41
2
4
25
100+
5
12.36
r -3
5 -b
1
65.36 X 619.02
no
no
3
2
4
1
1
2
1
1
0
1
1
3
4
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits /Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building
Planning
Public Works
THIS IS NOT A RECEIPT
619.26
10.00
1,548.15
4.50
18.00
12.00
24.00
6.00
6.00
12.00
15.00
10.00
10.00
10.00
3.00
40.00
2,347.91
0.00
2,347.91
ALKI EAST ADDITION
1-
O
0
z
0
cc
S 89 °47'31" W 652.71'
in
N
L3
M
c)
F--
0
0
0
z
0
N
0
13
7' wide border
easement
65.36'
ON
J p
0 0
co
ALKI AVENUE
TRACT 119 OPPORTUNITY
10' wide access
easement
Setla mag nail with a
ss tag stamped "PLS
37" in concrete.
L
11' wide border
easement
0
653.45'
lent
Found a boat spike 7
N39 °54'34 "E 0.54'
from calculated position.
TRACT 122
OPPORTUNITY
Found a 120D spike;
N83 °32'38'E 0.29'
from calc'd. position.
VALLEY WAY AVENUE
OPPORTUNITY
0
N 00 °11'22" W
0
O
672.7
S 89 °47'31" A
S 89°47'12" W
TRACT
673 4E
Point determi
cross -fired d-
on manhole r
Sparliane
iValley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688 -0036; Fax: (509) 688 -0037
REQUIRED SITE INFORMATION
Street Address:
0-901p
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
❑ Building Permit
❑ Relocation
ct,W1 atA-e
46-
❑ Change in Use
n Tenant Improvemen
�7a
OWNER/APPLICAN INFORMATION
Grading 2004
Fire Q S .fIN ov
anufactured Home
ther
❑ Owner:
Phone: 8c101/4.5 Fax:
Address: 102o? b—Ult►e� c,cJ
40 kcal e U41(ey c✓/
City • State
40( Cv
Zip Code
11 Contractor:
Phone: Fax:
Address:
City
State
❑ Applicant:. t 3 yj �G�sh.e%✓
Phone: pi.-/u 3 7 Fax:
Address: l ,2 ?(7) Uglle
q,.c-t lhi fiat Le) p q9,24.E
City State Zip Code
Architect:
Phone:
Address:
Fax:
Zip Code City
WA State Contractor License #: Contact:
State
Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK:
xDIMENSIONS:
rf , (j
OF STORIES:
MAIN FLOOR TO SQ. FTG: 1-,
2"" FLOOR SQ. FTG: l0 S1
UNFIN BASEMENT SQ. FTG: cp9
FINISHED BASEMENT SQ. FTG:
�GARAGE
SQ. FTG: 64
E'lECKICOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
,
e
It- EAT SOURCE: cCA S
# OF BEDROOMS: LI /
TOTAL HABITABLE. SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
EWER OR ON -SITE SEPTIC
YSTEM? Sew Ri -
MANUFACTURED HOME l
r
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
Q BOLTING ❑ CONCRETE
❑ REINFORCEMENT f WELDING
Firm Name: Phone: Fax:
Inspector(s):
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN #:
Authorized Signature:
S
jValley
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688 -0036; Fax: (509) 688 -0037
FOR INSPECTIONS, CALL (509) 688 -0054
Project Address: Permit Use:
Owner: Ge-rrjeJ 1 Pam -,ha ko✓ Phone (Daytime Contact): 9.* •- Sig`/
Mailing Address: v/i7e7 (✓re71e LJ $ .E- kris' ov„, ` ' '
City State Zip Code
Contractor: License #: Phone #:
Mailing Address:
Ci
State
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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
$15.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
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)
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
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE 1 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
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA 1:1 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
S`pokaane
Valley
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688 -0036; Fax: (509) 688 -0037
FOR INSPECTIONS, CALL (509) 688 -0054
Project Address: Permit Use:
Owner: �� Po-r5 ha k-vc/
Mailing Address: i:9 ?b.1 g C.A 11eey Wax'
Phone (Daytime Contact):
S)o a4'L(- Vglley
City State Zip Code
Contractor: License #: Phone #:
Mailing Address:
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
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
=
5
SINKS
LAVSIBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X -RAY, FOOD,
X
$6.00
=
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
=
12
ROOF DRAINS /OVERFLOW DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, 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,
X
$6.00
=
CARBONATOR, SWAMP COOLER
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
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
SCITY OF
pilk rittak
1LF ill
ii.11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
Inspections performed 10 days after
scheduled completion to schedule call
(509)688 -0195 or Fax (509)688 -0037. Any re-
inspection will incur an additional $25.00
charge.
ROW Construction Permit
Permit # ROW 04 -583 Issue Date 7/30/2004 Account #
Completion Date Issued by Ddompier Construction Utility
Location of Property Project Description
12706 E ALKI AVE driveway
Comments
CONSTRUCT NEW DRIVEWAY
Applicant SERGEY PARSHAK
Contractor Name CRN #
INDIVIDUAL
Address
Bond Origination Date Bond $
$0.00
Permit Fee Inspection Fee
$25.00 $25.00
Individual Name
Contractor Phone #
Account #
Total Fees Collected
$50.0
Permittee Signature Approved
Q Date ' -`�
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Credit Card # Expiration Date
Name of Holder Signature
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (signed) Date
PERMIT MUST BE KEPT ON SITE
7
ADDRESS f . I" ""_,u,
ZONE ...2_2w 3 .6- �`
ROAD WIDTH i4?
FRONT `~ FLANKING _
COMMENTS ..<--
REVIEWED Ef k r -a
This site plan is being submitted tor the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. AN known property
Tines /dimensions, curb tines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed:
Date:
9 c IC I
e`
4'
25, 37
1'
■
3
1
ADDRESS 12 j Z70('
ZONE u , T.5'
ROAD WIDTH 40
FRONT Z.S_ FLANKING
COMMON TS
REVIEWED B
'V
0
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. AM known property
lines /dimensions, curb lines. structures and easement$
have been identified. Also indicated are wetlands,
bodies of water, steep slopIO other critical areas.
Signed: r 5-94-o.
Date: - 0 _ 0
Prp
cC7
SUM
213'44 32 '*