2006, 08-02 Permit App: 06003013 ResidencePermit Center
pUkane 11707 E Sprague Ave, Suite 106
,,,,.•Valle Spokane Valley, 036 FAX: WA (509) 99206
(509)688 -0036 FAX: (509)688 -0
Community Development w'ww'.spokanevatley.orq
Residential Construction
Permit Application
AU
fi
2006
►�„ ' tonstructio
Other:
PERMIT NUMBERS
IT FEE:
Accessory Bldg
Deck
SITE ADDRESS (57J ( k). H`�4LQ LD
ASSESSORS PARCEL NO: 45-61 I.)-1 LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS
'X -�
Name: �' . 6 . o ,
TOTAL HABITABLE SPACE:
,...3.5C9 7
/
Name: �/ (�i= 6:0 ' 0 z /et
2Nu FLOOR SQ. FTG:
City:SPeI,uz L/AIIe Statew#
Address: /1 J i c-
✓ cc t
Phone: 2 10 _ Li 3 Fax: FL / „
76' y 9'
Contractor Lic No: Exp Date:
City: Siyolc .1it.Z �/ ;f /a4
State:u41
Zip: gc,
, G
Phone: y 1,0 /9 (f g
Fax:
Contact Person
Name: _iv"
Ph:etle 5 (7 jig
Describe the scope of work in detail:
Contractor: 0 �. _ ., ,p
DIMENSIONS
'X -�
Name: �' . 6 . o ,
TOTAL HABITABLE SPACE:
,...3.5C9 7
Address: 'SI) q ,,/ .f4 I T-/ e s E�.�1
2Nu FLOOR SQ. FTG:
City:SPeI,uz L/AIIe Statew#
Zip:
Phone: 2 10 _ Li 3 Fax: FL / „
76' y 9'
Contractor Lic No: Exp Date:
30% SLOPES ON
PROPERTY:
City Business Lic. No:
CONS UCTION TYPE:
Cost of Project: $ //o5 v
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSIONS
'X -�
# OF STORI S:
r' L.e 2, A
TOTAL HABITABLE SPACE:
,...3.5C9 7
MAIN FLOOR TO SQ.
FTG: l I7 iP 5'
2Nu FLOOR SQ. FTG:
UNFIN BA EMENT SQ. FTG:
4 1 7 Z
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAG SQ LL
�EGQ
DECK/COV. PATIO SQ. FTG:
! �—
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
3
CONS UCTION TYPE:
HEAT SOURCE:
Gos
SEWER R SEPTIC?
504P1-, c
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
Method of Payment:
❑ Cash
Bank -rd #:
)horized
REVISED 8/25/200
igna
❑ Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN #:
re:
Sloane
,.r
Milley
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 • Fax: 509.921.1008 ♦ cityhall @spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & 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
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevallev.orn
Mechanical Permit Application
.,jValley
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS:
1.5-0°1 .1/ /4 cc
Building Owner
4/1.
G CA� "' e&Ae tZt t /
Name:
._
-
Phone:
Fax:
Address:
1130 0 y
J
�' 1
City: ciov
. 14,34„41
State:
��f,�.
/
Zip: "7.e--72 a / •
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
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
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)
18
DUCT SYSTEMS
X
$1.00
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
22
EVAPORATIVE COOLERS
23
TYPE! HOOD
24
TYPE 11 HOOD
1
X
$12.00
X
$15.00
X
$10.00
X
$50.00
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:
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
, . Valley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevalley.ore
Plumbing Permit Application
Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
r_5-0 .i/ /lei/ es
Building Owner
Name: //r i ( -_ /�j �
Phone: 1 0 - 3 t7 Li ?
Fax: 2/
• 9 p
Address: I f S 7 (.j r
City: C p J 104,14 104
State: V///..
Zip: 7 w o 6
Contractor
Name:
c _n n /11�,Q�
UL/
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
1—
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
3
TUBS
4
SHOWERS (PER TRAP)
2
X
$6.00
X
$6.00
BATH, STALL, ON -SITE BUILT
5
SINKS
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
6
DISHWASHER
X
X
X
$6.00
$6.00
' $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
12
ROOF DRAINS /OVERFLOW DRAINS
$6.00
$6.00
13
FOUNTAINS, DRINKING
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
16
WATER USING DEVICE
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
s -
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
X
X
$6.00
$6.00
$6.00
X
$6.00
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
"SS:
99228 -0779
261
c •" , s�j,
CONSULTING ENGINEERS & LAND SURVEYORS
WASHINGTON • IDAHO
Spokane Regional Health District
1101 W College Ave
Spokane, WA 99201 -2095
OFFICE LOCATION:
14 W GRAVES ROAD
SPOKANE, WASHINGTON 99218 -2306
FAX (509) 467 -5262
August 9, 2005
Project No. 05132
Application No. 05 -7551
To whom it may concern:
Please be advised that Vitaliy Leshkevich has engaged our firm to design an on -site sewage disposal
system for property on North Arties Road, located in the NE1 /4 of Section 18, T25N, R45E, W.M.,
in Spokane County. We propose to design a conventional gravity drainfield, based on our soils
investigation.
The design will be for a 4- bedroom single family residence, located at 1509 N Arties Road.
I visited the site and selected an appropriate location for the proposed drainfield and replacement
area. We will be proceeding with the design work in the near future.
Thank you for your cooperation in this matter.
Very truly yours,
RAMER & ASSOCIATES, L.L.C.
ha2--
Peter M. Kruse, P.E.
Enclosure (1)
cc: Vitaliy Leshkevich w /enclosure
ti two,
y THIS IS NOT A PERMIi'707 E. Sprague Avenue, Suite 106
Penal es� l be assessed for commencing worlwitlioutageprilmi49206
Inv: 1
Application BUII Il o /1IVISI('N 1 of 3
Project Information:
Permit Use: SFR, GAS HEAT, ON SEPTIC
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name:
Contact: GAYDARZHI, NICK
Address: 11304 E 6TH
C - S - Z: SPOKANE, WA 99206
Phone: (509) 230 -3948
Group Name:
Project Name:
Ng
GREENACRES IRR DISTRICT A
Parcel Number: 55181.2138
SiteAddress: 1509 N ARTIES AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 11,550 Sq Ft
Block:
Urban Residential 3.5
Lot:
District: East
Owner: Name: GAYDARZHI, NICK
Address: 11304 E 6TH
SPOKANE, WA 99206
Hold: ❑
Width: 110 Depth: 105 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Originally Released:
Driveway /Approach
08/07/2006 By: TMELBOU
e
Originally Released:
Septic Sys Review
08/07/2006 By: amblake
per SRHD, LANCE
Originally Released:
Landuse /Zoning/HE Conditions
08/09/2006 By: a_blake
Operator: AMB
Originally Released:
Printed By: AB
08/03/2006 By: CJJANSSE
Print Date: 08/09/2006
1faIT°1
V TT THIS IS NOT A PERMh�'707 E. Sprague Avenue, Suite 106
Penal ies� 11 be assessed for commencing wor 't ta*I 11ii9206
Inv: 1
Application
BUILUP4012DIV ISI i N2 of 3
Permits:
Approach
Firm: OWNER
Phone: (000) 000-0000
Contractor: OWNER
Item Description
APPROACH -CONST IN ROW
Contractor: OWNER
Description Grp Type
1 &2 FAMILY R -3 VB
BASEMENT U R -3 VB
DECK OPEN R -3 VB
GAR WOOD U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor: OWNER
Item Description
DUCT SYSTEMS
HEAT PUMP OR A/C 0 -3 TONS
AIR HANDLER <= 10,000 CFM
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Firm: OWNER
Phone: (000)
This Application:
Sq Ft Valuation
1,765 $152,443.05
1,742 $26,130.00
315 $4,725.00
662 $12,578.00
000 -0000
Total Project:
Sq Ft Valuation
1,765 $152,443.05
1,742 $26,130.00
315 $4,725.00
662 $12,578.00
Totals: 4,484 $195,876.05
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
1
Operator: AMB Printed By: AB
4,484 $195,876.05
Fee Amount
$1,531.35
$4.50
$612.54
$2,148.39
Firm: OWNER
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
(000) 000-0000
Print Date:
Fee Amount
$10.00
$12.00
$12.00
$34.00
08/09/2006
fiOOiInv: 1 Application BUIDDINMOIVISION 3 of 3
411011.1°
PY1091l be TH NOT A PERMIJ707 E. Sprague Avenue, Suite 106
assessed IS for IS commencin world ' > e 206
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
WATER PIPING - DWV
Notes: zz�
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
(000) 000-0000
Fee Amount
$12.00
$18.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$90.00
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
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.
SEWAGE SYSTEM DESIGNED FOR A MAXIMUM OF 3 BEDROOMS OR 360 GALLONS PER
DAY, OCCUPANCY NOT ALLOWED UNTIL SYSTEM INSTALLATION HAS SRHD
APPROVAL.
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$2,148.39
$34.00
$90.00
Invoice Amount
$50.00
$2,148.39
$34.00
$90.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,148.39
$34.00
$90.00
$2,322.39 $2,322.39 $0.00 $2,322.39
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: AB
Print Date: 08/09/2006
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner.The permit applicant, by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes and that required
inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the
construction at the applicant's/permittee's or property owner's expense.At a minimum,the following inspections ARE
REQUIRED by City Code:
FOOTING—when forms and reinforcement are in place and prior to placement of concrete-all structures,including manufactured homes.
NOTE:This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane
Valley Ordinance.Curb lines and fence lines are not necessarily indicative of property lines.The responsibility to comply with applicable
setback provisions lies solely with the permittee-neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure.Failure to
properly locate the structure may require its relocation at the owner's/permittee's expense.
FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING—after rough-in,before covering,and final.
MECHANICAL—rough-in of piping,before covering,metal chimneys before concealment,and final.
FRAMING—after all framing,bracing and blocking is in place,rough electrical,plumbing and mechanical systems are complete,and prior to
concealing.
FINAL—when complete and prior to occupancy and/or use.All permits require final inspection.
NOTE: In addition to inspection of the structure,this inspection includes review of site improvements(typically depicted on the approved site
plan)required by ordinance or as a condition of approval of this permit.Items such as the installation of fire hydrants,fire department access,
on-site drainage('208'swales),road improvements,parking and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES—Final inspection required when complete,stairs,handrails,skirting,etc.installed,and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS—prior to cover.
RIGHT-OF-WAY/APPROACH—prior to placement of concrete/asphalt or,if gravel approach,after completion.
In addition to the above,any plumbing or mechanical systems or material which would be concealed by framing,drywall,concrete,etc.must
be inspected prior to cover.Check with the Building department for"special inspections"in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency.
Building,plumbing(includes interior reversals for sewer)and Road cuts for utilities or driveways,City of Spokane Valley
mechanical,City of Spokane Valley Building Division 688-0054 Public Works 688-0195 or State Dept of Transportation
324-6000
Permits and inspections for electrical wiring,State Department of Labor Permits and inspections for Sewer Connection,Spokane County Utilities Division
And Industries 324-2640 477-3604
Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections,Spokane Valley
Health District 324-1560 Fire Department 892-4122
State law RCW 19.122 requires that prior to any excavation the"CALL BEFORE YOU DIG"center must be notified.Call before you dig at least 2 working days in advance,456-8000.
PERMIT EXPIRATION AND REFUNDS
All permits shall expire by limitation and be declared void if a)work is not started within 180 days of obtaining a permit,or b)work is
abandoned for 180 days or more after beginning work,or c)after two years from the date of permit issuance,regardless of whether the work is
finished.If a permit is expired for time,a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
finish the original permit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100%refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80%of a permit fee may be
authorized when no work has been done under the permit issued.Refunds of not more than 80%of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner/Agent Date
Staff Approval Date
Project Number: 06003013 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit t. J
Project Information:
Permit Use: SFR, GAS HEAT, ON SEPTIC
Date: 8/3/2006 Page 1 of 2
Setbacks: Front Left:
Site Information:
Plat Key:
Right: Rear:
Contact: GAYDARZHI, NICK
Address: 11304 E 6TH
C - S - Z: SPOKANE, WA 99206
Phone: (509) 230 -3948
Group Name:
Project Name:
Name: GREENACRES IRR DISTRICT A
District: East
Parcel Number: 55181.2138 Block:
SiteAddress: 1509 N ARTIES AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 11,550 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Lot:
Owner: Name:
Address:
GAYDARZHI, NICK
11304 E 6TH
SPOKANE, WA 99206
Hold: ❑
Width: 110 Depth: 105 Right Of Way (ft): 50
Nbr of Dwellings: 1
Review
Building Plan Review
Released By:
Driveway /Approach
Septic Sys Review
Landuse /Zoning/HE Conditions
Permits:
Released
Released By:
Contractor: OWNER
Operator: AMB
Printed By: AMB
Approach
Firm: OWNER
Phone: (000) 000 -0000
Print Date:
8/3/2006
08/09/2006 10:53 5093241567 SRHD EHS
FUJI: T t 2006 15:34 FR
Project Nun* er: 06003013 Inv: 1
PAGE 01/01
TO 3241567 P.01/03
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/3/2006 Page 1 of 2
ProlacI1nti; nation:
Permit Use 5ER, GAS HEAT, ON SEPTIC
Contact: GAYDARZ RI, NICK
Address: 11304 E 6T11
C - S - Z: SPOKANE, WA 99206
Setbacks: F rant Left: Right: Rear: Phone: (509) 230 -3948
Group Name:
MIKinfQrt i,ztf0a: Project'Nan a:
Plat Key Name: GREENACRES IRR DISTRICT A
pact 1 Number. 55181.2138 Block: Lot:
3i teAddress: 1509 N ARTIES AVE
District: East
Owner: Name: GAYDARM1, NICK
Address: 11304 E 6TH
Location:: CSV SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3 5
Water District:
Area: 11,550 Sq Ft Width: 110 Depth: 105 Right Of Way (ft): 50
Nbr of 13ldgs: 1 Nbr of Dwellings: 1
Hold: ❑
Reyieiv I( r matirri:
110..1 tt
Buildi ng Plan Review
Dtiv et vaay /Apprdach
ceased=
Sept a Sys Review
view
s a state ektsic �d fora maximum of 3
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_ iPAA1CVNOT ALLOWED until system
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Lana u se/Zoning/AE Conditions
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• Contractor OWNER
Opetat;fr: AMB
AI1r 219 2171171 12:13
Printed By: AMB
Approach
Firm: OWNER
Phone: (000) 000-0000
Print Date: 813/2006
5093241567 PAGE.01
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