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2008, 05-15 Permit App: 08001848 Duplex Foundation
Spokane jValley� Community Development Residential Construction Permit Application Permit Cent' 11703 E S ue Ave, Suite B -3 Spokane Valley, 8 (509)688 -0''- ' 90egM -jY Sit VINI 15 Deena cENj� New Construction r-� Addition/Remodel ❑ Other: PERMIT NUMBER: V—/i� PERMIT FEE: Accessory Bldg Deck SITE ADDRESS: (l 742 / 7 7/ l 9't i� / G (1Q� �i�(d( ASSESSORS PARCEL NO: SS ^' - OS' 6 9 LEGAL DESCRIPTION: 1{ -t)- � 4i �`'Cd.'' Building Owner: DIMENSIONS: Name: ( t 4 c- 4 -ret Ot- Name: AA) kJ_ �. Address: t �$ Q' (Di? ,e 141 2 "D FLOOR SQ. FTG: City: vl; e a. State: al lit... -.� Zip iq 0(' 6 Phone: b 3 8(Fax: City: Contact Person Name: Phone: Describe the scope of work in detail: Contractor: DIMENSIONS: # OF STORIES: Name: AA) kJ_ �. MAIN FLOOR TO SQ. FTG: 2 "D FLOOR SQ. FTG: Address: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: City: State: Zip: Phone: Fax: HEAT SOURCE: Contractor Lic No: Exp Date: City Business Lic. No: Cost of Project: $ ( O Fo � a /`'l ou Proposed Use: * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2 "D FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: - ' IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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 ordiggances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be gfocessed. SIGNATURE: Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 pt Check ❑ Mastercard Expires: DATE: CO • 1 ' ©g ❑ VISA VIN #: *Wane 11703 E Sprague Ave Suite B -3♦ Spokane Valley WA 99206 ♦509.688.0036 • Fax: 509.688.0037 • 13 13 13 Ei Valley* Completed Building and Mechanical Application with: Accurate address, Parcel Number and /or Legal Description, description of work, owner and contractor information, signature and date. Three (3) sets of plans including Site Plan, elevations, floor plans, foundation plans with details, roof plan, framing plans and 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. Egress windows: Provide at least one window or exterior door approved for emergency escape or rescue from basement and in every room for sleeping. 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 Decks and Stairway details All braced wall panel types: show locations and details of installation, including engineered design Smoke detector locations 22" x 30" attic access location 18" x 24" crawl space access One -hour separation detail: between house and garage Project Number: 08001848 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/2008 Page 1 of 2 Project Information: Permit Use: FOUNDATION ONLY FOR NEW DUPLEX @ 17712/17714 E ALKI Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Parcel Number: 55183.0569 Contact: Address: C - S - Z: Phone: Group Name: Project Name: BURLAKOV, PAVEL & LUBOV N 18902 E 2ND AVE SPOKANE VALLEY, WA 99016 (509) 000-0000 FOUNDATION ONLY District: East SiteAddress: 17712 E ALKI AVE Location:: CSV Zoning: R -3 Water District: Area: 33,456 Sq Ft Block: SF Res District Width: 0 Lot: Owner: Name: BURLAKOV, PAVEL & LUBOV N Address: 18902 E 2ND AVE SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: , Review Building Plan Review Permits: Contractor: OWNER Description FOUNDATION Grp R -3 eased By: Originally Released: 5/15/2008 By: MTURBAK Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Type Notes Sq Ft Valuation VB FOUNDATI 0 $15,000.00 ON ONLY Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $15,000.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: jmm Printed By: JD Permit Total Fees: Print Date: Total Project: Sq Ft Valuation 0 $15,000.00 0 $15,000.00 Fee Amount $251.25 $4.50 $100.50 $356.25 5/15/2008 Project Number: 08001848 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/2008 Page 2 of 2 Notes: Payment Summary: Permit Type Building Permit Fee Amount Invoice Amount Amount Paid Amount Owing $356.25 $356.25 $0.00 $356.25 $356.25 $356.25 $0.00 $356.25 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: jmm Printed By: JD Print Date: 5/15/2008 77,2? E s Cc 6 kAl‘ 09 o HL4 .EL6tri 0 0 j PLANNING DEPT. APPROVED BY: CI: V3 _4 ( PATE: