2005, 11-23 Permit App: 05004444 ResidenceProject -Number. 05004444 Inv. I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/23/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE NV/ATTACHED GARAGE Contact: GRIGORIY CHERNYY
Address: 4515 E 15TH AVE
C - S - Z: SPOKANE VALLEY, WA 99212
Setbacks: Front 30 Left: 5 Right: 5 Rear: 50 Phone: (509) 535-2004
Group Name:
Site Information: Project Name:
Plat Key: Name: BETTMAN'S ADD District: West
Parcel Number: 35243.0982
Block: 8 Lot: 8
SiteAddress: 1307 U S BETTMAN RD Owner: Name: GRIGORIY CHERNYY
Address: 4515 E 15TH AVE
Location:: CSV SPOKANE VALLEY, WA 99212
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information •
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 11/22/2005 By: cjjanssen
Released By:
Sewer Review
Permits.
OnginallyReleased: 11/21/2005 By: TMELBOU
--132 ale �
Released By:
Operator: CJJ Printed By: CJJ
Print Dale: 11/23/2005
Project Number: 05004444 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/23/2005 Page 2 of 3
Contractor: OWNER
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: OWNER
DescriptionGrp Type Notes
2ND FLOOR R-3 VB
BASEMENT U R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: OWNER
Item Descnption
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE >100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: OWNER
Phone: (000) 000-0000
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,374 $102,610.32 1,374 $102,610.32
1,401 $21,015.00 1,401 $21,015.00
170 $2,550.00 170 $2,550.00
517 $9,823.00 517 $9,823.00
1,421 $106,120.28 1,421 $106,120.28
Totals: 4,883 $242,118.60 4,883 $242,118.60
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,794.55
$4.50
$717.82
$2,516.87
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
6 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$15.00
$4.00
$20.00
$60.00
$10.00
$10.00
$10.00
$149.00
11/23/2005
Project Number: 05004444 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/23/2005 Page 3 of 3
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc
TOILETS/BIDETS 3 NUMBER OF
SINKS 7 NUMBER OF
SHOWERS 1 NUMBER OF
TUBS 2 NUMBER OF
DISH WASHERS 1 NUMBER OF
GARBAGE DISPOSAL 1 NUMBER OF
CLOTHES WASHER 1 NUMBER OF
ELECTRIC HOT WATER TANK 1 NUMBER OF
ROOF DRAINS 1 NUMBER OF
WATER PIPING - DWV 1 NUMBER OF
Notes:
Permit Total Fees:
Fee Amount
$18.00
$42.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$114.00
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
BETTMAN'S ADDITION - LOTS 7 THROUGH 18 OF BLOCK 8; AND LOTS 9, 10, 15 AND 16 OF
BLOCK 5 HAVE BEEN PULLED OUT OF THE FLOOD PLAIN. SEE PLAT FILE.
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 550.00
Building Permit $2,516.87 $2,516.87 $0.00 $2,516.87
Mechanical Permit $149.00 $149.00 $0.00 $149.00
Plumbing Permit $114.00 $114.00 $0.00 5114.00
$2,829.87 $2,829.87 $0.00 $2,829.87
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: CJJ Printed By: CJJ
Print Date: 11/23/2005
Spokane
Valley
Community Development
Permit Center
11707 E Sprague Ave, S
Spokane Valley, WA 99
(509)688-0036 FAX: (50 1)6
amu•.spokanevalley.ore.c. -
■
■
of cCE V
0037 ( , fU
ew Construction
o Addition/Remodel
o Other:
Residential Construction
Permit Application
I
I-PERMIT-3T'AO
r£_
o Accessory Bldg
o Deck
SITE ADDRESS
ASSESSORS PARCEL NO: 35x43. OQdo?l LEGAL DESCRIPTION:
.Ctutaetl rson :.
Name: 0>2'dc2Cr7 C' e/r'7l'y
Phone: S3S-300r we 2,44- ffQ-/OG,,
Describe the scope o work in detail:
-1
e CW:4- aaALL-.
T 8 &'L 8, &-at\AFINI6 Y3
.-___.
17
:.Budden : _ Er 1:-' ' :: S .-..w
--.... ---g .:ter=-� �._�-���,�..:� n.�,��
Name:( I L
PRe,i *j
Name:
�
Address: 11S�Q-6dco, Cul 6-}-1
6.
City:� , i ll Zip: ponalte1,
Phone:() )S3v RWF
: I `S, -& ij
.Ctutaetl rson :.
Name: 0>2'dc2Cr7 C' e/r'7l'y
Phone: S3S-300r we 2,44- ffQ-/OG,,
Describe the scope o work in detail:
-1
e CW:4- aaALL-.
T 8 &'L 8, &-at\AFINI6 Y3
.-___.
DIMENSIONS:
Ctin_tracioT_-t_ Y- _- .;;.F:, :F,:_:
Name:
Address:
City: Zip:
Phone: Fax:
Lic No: Exp. Date:
City Business Lic No:
Cost of Project:
$ 181 1QDQ
**************The following MUST be complete: (write N/A if not applicable)**********************
�HEIGHTjTOIP.EAK
DIMENSIONS:
# OF STORIES: Al
Ai
TOTAL ABITABLE SPACE:
e---
MAIN
MAIN FLOOR TO SQ.
FTG: 14 `{z/
2Nu FLOOR SQ. FTG:
1).12487 3 79-
'UNFTN BASETIIENT'StQ$'FTG:
,�fJ �'/N/
IMPERVIOUS SURFACE '
AREA:
FINISHED BASEMENT
SQ. FTG:
GABA SQ. FTG:
f 7
DECK/COV. PATIO SQ. FTG:
i 7O
30% SLOPES ON
PROPERTY:
pflI.FJBEDIMMS3
nler, AIRACo
CONSTRUCTION TYPE:
HEAT S(�9�r'JR/C�E: /� (
\ ' t'll_'n C1Q2 J'
SEWER OR SEPTIC?
Semite,
The permitee verifies, acknowledges and agrees by their signature that 1) If this perrnit 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 perrnit or approval for any violation of federal, state or
local laws, codes or ordinances. 6)_P-lans or additional information may be required to be submitted, and subsequently approved before
—this-application-cat: be piw -5 a
S'gnature
_ [DateL; 7/ - 0 9- a5
Method of Payment (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED Bf252005
0 Other
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 '
Community Development www.spokanevalley orn.com PERMIT FEE:
Mechanical Permit Application n Commercial Residential
45607 C 6einuagtd 4 &re 4W 99a/4
PERMIT NUMBER:
SITE ADDRESS:
Building owner ze7 y+
7% 1..ACW
Name . if AO %
PSes,
Phone: i r Jar I 0 , �r Fax.
Address.
/�to
"7171( e c •• eA
City. d�10 ?. vfi� ,tate:
``,,,,
(.1/#
�i/y , �j
Zip: L7di^'
Contractor
-_
a.
Name:
(P14/461
--""'"
v
Phone:
Fax:
Address:
City:
State:
r
Zip:
License No
City Business License No
.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
7
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
5
USED APPLIANCE (W SEC min AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (VJSEC 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
1'
X
$10 00
13
RANGE
7
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
1
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
$15 00
22
EVAPORATIVE COOLERS
X
$10 00
23
TYPE I HOOD
X
550.00
24
TYPE 11 HOOD
X
$ 10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12 00
26
AIR CONDITIONER
3-15 TON
1
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
525 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
f
X
$10 00
32
WOOD STOVE - FREE STANDING
4,
X
525 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.o0
METHOD OF PAYMENT:
DCASH 0 CHECK D VISA 0 MC
CARD #
AUTHORIZED SIGNATURE:
DATE:
EXPIRES.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26'05
Permit Center
Spdkane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcv or¢ com
Plumbing Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS:
,' Building owner-....
DESCRIPTION OF WORK
.. ... .. .. _ �.� -i.r.�,. r.-.. .
Name.
X
COST
Phone:
Fax:
Address:
TOILETS
WATER CLOSET, BIDETS
City State:
Zip:
$6.00
=
2
URINALS
Name
X
Phone:
- Fax.
Address:
3
TUBS
City: State:
Zip:
License No:
$6 00
=
City Business License No:
4
Contac[
}�
7.- _ -
X
Name:
5
Phone:
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
j
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
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
7
X
$6.00
=
6
DISHWASHER
7/
X
$6.00
=
7
CLOTHES WASHER
X
$6 00
8
GARBAGE DISPOSAL
J
7
X
$600
=
9
WATER SOFTENER
X
$600
10
ELECTRIC HOT WATER TANK
NOTE. IF GAS, SEE MECHANICAL .
/
�J
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
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$600
=
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
$6 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
$600
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
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 0 CHECK 0 VISA 0 MASTERCARD
Card# EXPIRES'
SUBTOTAL
PROCESSING FEE
135.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05