2007, 05-14 Permit App: 07001629 ResidencePermit Center
Sccm e 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley, WA 99206 pp
400
Ua11eY (509)688-0036 FiA (509)688888-0037 E
wwwspokanevall�.gri
11
Community Development
Residential Construction
Permit Application
PERMIT NUMBER: ) &79
PERMIT FEE:
*New Construction
,➢ f , r- ddith emodel
alti
I"Other:
Accessory Bldg
n Deck
SITE ADDRESS: 4O0? s.- 607'Cs ' SV 5/0 L4AJ
fr4 iii. , Gt/A 992-.04
ASSESSORS PARCEL NO: 4,6-331y. 04/ / LEGAL DESCRIPTION:
Buildin'g'Owner: Z L,! ' ;
Contractors r :-$:" 'i'r _ _ i
Name:
Name:
Address: 9 tf1 SE.a,00Ax /f K
Address:
City: 5r0 E4 Ue_ l/a //e7 State: iv/ Zip: 9924,4
City: State: Zip:
Phone: for_ 3L2 -22/y Fax:co9_373,7,._/,‘ 5-
Phone: Fax:
GARAGE SQ. FTG:
At2c,
Contractor Lic No: Exp Date:
"Contact Pel'SOII '' . - . = _ .,.� it-' .'-
# OF BEDROOMS: :
City Business Lic. No:
S• . -' '
4 9S
SEWER OR SEPTIC?
Se...,.e.c
Name: f%..q ',old 7 tt, c, 41-43v
Phone: 5-09- 362—Z2/7
Describe the scope of work in detail:
Cost of Project: $ //f_ roo-o
5/A ie. ted7nr/L7 /'C3/OC.tre
Proposed Use: M!1-44.../ not/ c
**************The followine MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
/a /
DIMENSIONS:
55.0'6 n y it '
# OF STORIES:TOTAL
/
HABITABLE SPACE:
/3 08 SF
MAIN FLOOR TO SQ.
FTG: • (44-
/30o S.F,
2"D FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
oK
IMPERVIOUS SURFACE
AREA:
774/ .$ A.
nod.,. /.:..% .si..
FINISHED BASEMENT
SQ. FTG: 7
GARAGE SQ. FTG:
At2c,
DEC OV. PATI • SQ. FTG:
'IV 3 Z
30% SLOPES ON co
PROPERTY:
# OF BEDROOMS: :
CONSTRUCTION TYPE:
V -/V
S• . -' '
4 9S
SEWER OR SEPTIC?
Se...,.e.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 Penn' 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 ..,nances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can= - processed.
SIGNATURE:
Method of Payme
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2J15/07
Check
❑ Mastercard
Expires:
DATE: 1 el-- o7
❑ VISA
VIN#:
*Wane
Walleye
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall@spokanevalley.org
,
•
Residential Plan Submittal=Minimdms
❑ 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.
O 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
engineergit design.
O 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.
O Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
O One-hour separation detail:-betweenhouse and garage
❑ Floor framing details: Joist type, size, spacing and installation details
O Roof framing plan and details
❑ Furnace and hot water heater location.
❑ ' . All header locations: type, size, and connections
O Foundation plan
O Insulation information
Permit Center
1 1707
11707 E Sprague Ave, Suite 106
Spoka�7�7 Spokane Valley, WA 99206
aoezliaIFValley (509)688-0036 FAX (509)688-0037
Community Development "'PtYsookanevallzv.ore
Mechanical Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 49 3 S. 66/es 5/
Building Owner
Name: #2ImMLry ,er.e.4LGo✓
Phone: 5.09-,362-22/Y Fax: 5T09
-53Y
-/Q65'
p
Address: / y/S E. 4700,, 41
City. Spa k„,,„
fri„ if "State:
f/nt
Zip:
9 q 24p6
Contractor: _ . - e - -. -
_:, =R '..-.,_
- - -
- _
v
Name: Se. L F
Phone:
Fax:
Address:
City:
State:
Zip'
License No:
City Business Lic:
Contac[ -: .'..-:- :' ,., - ..
- -
•_ ..
.,
Name. yN/J sioLy K/,e / LLO-✓
Phone: 5'09 —
3 6 2 —22. /
4/
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
515 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550 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 (W SEC 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
520 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
51000
15
FUEL BURNING WATER HEATER
X
$10 00
16
MISC FUEL BURNING APPLIANCE
x
51000
17
GAS PIPING (each outlet)
4
X
$1.00
18
DUCT SYSTEMS
/
X
$10.00
19
VENTILATING FANS
4
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
550 00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512 00
26
AIR CONDITIONER
4-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25 00
28
AIR CONDITIONER
30-50 TON
X
535 00
29
AIR CONDITIONER
More than 50 TON
X
$60 00
30
LPG STORAGE TANK
X
510 00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR — RESIDENCE
X
$19.00
37
INCINERATOR — COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 6126'05
EXPIRES:
VIN:
SUBTOTAL
lot
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/9 3
Permit Center
Spokan� 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev ors
Plumbing Permit Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
Building Owner ."
'.
Name:
g/ d-,'ott,r /-//_J 1. -Phone:
Kit./ 'e
/
5o9-3,42_22/vax: 3?.'
!
y—/96 ✓
Address:
[/ t/ /5— 61- fj,mon.. a five
City' spo h a.v c 1,
/7 State: W A
Zip:
9eiZo-d
.Conti -actor
-.
.,_ .... .. - ,.
Name:
Se Lee
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lie:
...
. .
Name:
Ai/nip Goy it/A / GZo ie-
Phone. .5-09 .
6 L — 2 Z pi
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
2—
X
$6 00
2
URINALS
X
$6 00
3
TUBS
X
86 00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6 00
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
86 00
6
DISHWASHER
/
X
86 00
7
CLOTHES WASHER
/
X
$6 00
8
GARBAGE DISPOSAL
X
86.00
9
WATER SOFTENER
X
86.00
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
86 00
13
FOUNTAINS, DRINKING
X
$6 00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, 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, CARBONATOR, SWAMP
COOLER
/
X
86.00
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
86 00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6 00
20
MISCELLANEOUS PLUMBING FIXTURE
X
86.00
21
PRIVATE SEWAGE DISPOSAL/SYS
x
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15 00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES'
VIN'
SUBTOTAL
7g
PROCESSING FEE
835.00
TOTAL PERMIT FEE DUE:
//3
Project Number: 07001629 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/2007 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 20 Left: 15 Right: 10 Rear: 15
Site Information:
Plat Key:
Contact: Anatoliy Kirillov
Address: 9415 E Boone Ave
C - S - Z: Spokane Valley, WA 99206
Phone: (509) 362-2214
Group Name:
Project Name:
Name: WATKINS ADDITION District: Sout
Parcel Number: 45334.0611 Block:
SiteAddress: 4003 S BATES RD
Location:: CSV
Zoning:' UR -7* Urban Residential -7*
Water District:
Lot:
Owner: Name: Anatoliy Kirillov
Address: 9415 E Boone Ave
Spokane Valley, WA 99206
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
5/7/2007 By: TMELBOU
Released By: -
As per ADE -07-07
Sewer Review
Permits. t
Originally Released: 5/11/2007 By: tschmidt
Released By:
Operator: JD Printed By: JD Print Date: '5/14/2007
Project Number: 07001629
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/2007 Page 2 of 3
Contractor: OWNER
Item Description
APPROACH -CONST IN ROW
Contractor: OWNER
Description Type Notes
1&2 FAMILY R-3 VB
BASEMENT U R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Firm: OWNER
Phone: (000) 000-0000
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,300 $118,768.00 1,300 $118,768.00
1,281 $19,215.00 1,281 $19,215.00
32 $480.00 32 $480.00
192 $2,880.00 192 $2,880.00
•420 $7,980.00 420 $7,980.00
Totals: 3,225 $149,323.00 3,225 $149,323.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,273.75
$4.50
$509.50
$1,787.75
Firm: OWNER
Phone: (000) 000-0000
Umts Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$4.00
$12.00
$40.00
$10.00
$10.00
$108.00
5/14/2007
Project Number: 07001629 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/2007
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
MISCELLANEOUS FIXTURES
Notes:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Page 3 of 3
(000) 000-0000
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$78.00
Payment Summary:
Permit Type
Fee Amount Invoice Amount
Approach $50.00
Building Permit $1,787.75
Mechanical Permit $108.00
Plumbing Permit $78.00
Amount Paid
550.00 $0.00
$1,787.75 $0.00
$108.00 $0.00
$78.00 $0.00
Amount Owing
$50.00
$1,787.75
$108.00
$78.00
$2,023.75 $2,023.75 $0.00 $2,023.75
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: .10 Printed By: JD Print Date: 5/14/2007
Project Number: 07001629 Inv: 1
Application
Date: 5/7/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 20 Left: 15 Right: 10 Rear: 15
Site Information:
Plat Key:
Contact: Anatoliy Kirillov
Address: 9415 E Boone Ave
C - S - Z: Spokane Valley, WA 99206
Phone: (509) 362-2214
Group Name:
Project Name:
Name: WATKINS ADDITION
District: Sout
Parcel Number: 45334.0611 Block:
SiteAddress: 4003 S BATES RD
Location:: CSV
Zoning: UR -7*
Water District:
Urban Residential -7*
Lot:
Owner: Name: Anatoliy Kirillov
Address: 9415 E Boone Ave
Spokane Valley, WA 99206
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information •
Review
Building Plan Review
Released By:
Originally Released: 5/7/2007 By: TMELBOU
Landuse/Zoning/HE Conditions
r
-C$
Released By:
5/1/),
Sewer Review
Permits:
Released By:
D^ -
Contractor: OWNER
Approach
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc
APPROACH -CONST IN ROW 1 NUMBER OF
Operator: JD Printed By: ,JD
Fee Amount
$50.00
Permit Total Fees: $50.00
Print Date: 5/7/2007
Project Number: 07001629
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/7/2007 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
BASEMENT U R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,300 $118,768.00 1,300 $118,768.00
1,281 $19,215.00 1,281 $19,215.00
32 $480.00 32 $480.00
192 $2,880.00 192 $2,880.00
420 $7,980.00 420 $7,980.00
Totals: 3,225 $149,323.00 3,225 $149,323.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,273.75
$4.50
$509.50
$1,787.75
Firm: OWNER
Phone
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
(000) 000-0000
Fee Amount
$10.00
$10.00
$12.00
$4.00
$12.00
$40.00
$10.00
$10.00
$108.00
Operator: JD Printed By: JD ' Print Date: 5/7/2007
Project Number: 07001629 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/7/2007
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
MISCELLANEOUS FIXTURES
Plumbing Permit
Firm: OWNER
Phone
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF'
I NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Page 3 of 3
(000) 000-0000
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
578.00
Notes: c __
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
J
Fee Amount
$50.00
$1,787.75
$108.00
$78.00
Invoice Amount
$50.00
$1,787.75
$108.00
$78.00
$2,023.75 $2,023.75
Amount Paid
$0.00
$0.00
$0.00
$0.00,
Amount Owing
$50.00
$1,787 75
$108.00
$78.00
$0.00 $2,023.75
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: JD Printed By: JD Print Date: 5/7/2007
J