2006, 06-07 Permit App: 06002085 ResidenceProject Number: 06002085 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/7/2006 Page 1 of 3
Project Information:
Permit Use: SFR, GAS HEAT, SEWER Contact: KOZUBENKO, PAVEL & OLGA
Address: 515 S FERRALL
C - S - Z: SPOKANE, WA 99202
Setbacks: Front Left: Right: Rear: Phone: (509) 532-1490
Group Name:
Site Information: Project Name:
Plat Key: Name: BETTMAN'S ADD District: ENG
Parcel Number: 35243.0983 Block: 8
SiteAddress: 1303 S BETTMAN RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District.
Lot: 9
Owner: Name: KOZUBENKO, PAVEL & OLGA
Address: 515 S FERRALL
SPOKANE, WA 99202
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
Building Plan Review
.
Released By: -•
Originally Released:
Driveway/Approach
6/7/2006 By: TMELBOU
Released By:, - P;
Originally Released:
Landuse/Zoning/HE Conditions
6/2/2006 By: amblake
Released By:
Originally Released:
Sewer Review
6/2/2006 By: CJJANSSE
Released By:-
Originally Released: 6/1/2006 By: amblake
Permits: , ..
Operator: AMB Pnnted By: AMB
Pnnt Date: 6/7/2006
Project Number: 06002085
Inv 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/7/2006 Page 2 of 3
Contractor: OWNER
Item Description
APPROACH -CONST IN ROW
Contractor: OWNER
DescriptionGrp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR 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
Contractor: OWNER
Item Description
DUCT SYSTEMS
WOOD/PELLET STOVE/INSERT
GAS APPLIANCE<=100,000BTU
BOILER/REFER 1-100M BTU
VENTILATING FANS
CLOTHES DRYER
RANGE
AIR HANDLER <=10,000 CFM
HOOD -TYPE II
Approach
Firm: OWNER
Phone: (000)
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
000-0000
Fee Amount
$50.00
$50.00
Firm: OWNER
Phone: (000) 000-0000
This Application:
Sq Ft Valuation
1,298 $112,108.26
1,316 $98,278.88
1,328 $19,920.00
132 $1,980.00
470 $8,930.00
Total Project:
Sq Ft Valuation
1,298 $112,108.26
1,316 $98,278.88
1,328 $19,920.00
132 $1,980.00
470 $8,930.00
Totals: 4,544 $241,217.14 4,544 $241,217.14
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,788.95
$4.50
$715.58
$2,509.03
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Punted By: AMB
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$12.00
$12.00
$30.00
$10.00
$10.00
$12.00
$10.00
$116.00
6/7/2006
Project Number: 06002085 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/7/2006
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
FLOOR DRAINS
Notes:
Plumbing Permit
Firm: OWNER
Phone
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 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
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$12.00
$102.00
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 $50.00
Building Permit $2,509.03 $2,509.03 $0.00 $2,509.03
Mechanical Permit $116.00 $116.00 $0.00 $116.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$2,777.03 $2,777.03 $0.00 $2,777.03
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: AMB Print Date: 6/7/2006
Project Number: 06002085 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/1/2006 Page 1 of 2
Project Information:
Permit Use: SFR, GAS HEAT, SEWER
Setbacks: Front
Left: Right: Rear:
Contact: KOZUBENKO, PAVEL & OLGA
Address: 515 S FERRALL
C - S - Z: SPOKANE, WA 99202
Phone: (509) 532-1490
Group Name:
Project Name:
Site Information: •
Plat Key: Name: BETTMAN'S ADD District: ENG
Parcel Number: 95343:093 Block: 8
B5213. CRS-%iteAddress: 4-3±SSBETlMAtt-RD
1303 S -Erni tNI
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot: 9
Owner: Name
Address
KOZUBENKO, PAVEL & OLGA
515 S FERRALL
SPOKANE, WA 99202
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: rn ,
Review
Building Plan Review
Released By: --
Driveway/Approach
Released By: - - - - - -
Landuse/Zoning/HE Conditions
Released B
UJA
Sewer Review
Permits:
Released By:: -
Originally Released:
6/1/2006 By: amblake
Operator: AMB Printed By: AMB
Print Date:
6/1/2006
Project Number: 06002085 Inv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/1/2006 Page 2 of 2
Approach
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Notes:
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 -
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: ' AMB
Print Date: 6/1/2006
Permit Center
Sfiokane0,0307N11707 E Sprague Ave, Suite 106
1*Vallw Spokane Valley, WA 99206
.. (509)6S8-0036 FAX: (509)68S-0037
Community Development www.spokanevallev_org
•
Residential Construction
Permit Application
PERMIT NUMBER: 0`/O
PERMIT FEE:
IZNew Construction n Accessory isidg
❑ Addition/Remodel f] Deck
❑ Other:
SITE ADDRESS / o 9 131 oc lc g 1 -L n-]a�' s Add, • i'0'1-
ASSESSORS PARCEL NO: 3 5 a y 3. og 13 LEGAL DESCRIPTION:
3(ililding 0*—ii Is I. I r l y ', z ,� V ,'
Name: Pave/ kn7-uz .k,,d
# OF STORIES:
Address: 515 5 r �,..� / i
i`
Name:
City: S boor cline,
State: iv A
Zip: qqa 0.2
Phone: (soq) 532-1 if 90 Fax:
Address:
Name: Pa V.e
Phone: 5 3 l - 1 tt 9O (7 (,¢, - i c- L/ )
•+ Describe the scope of work in detail:
Cost of Project: $
**************The follovFi MUST be co m Tete: (writeapplicable)**********************
HEIGHT TO PEAK: O
The
DIME ti 0ONS: a t
# OF STORIES:
r
Name:
FLOOR SQ. FTG:
Il.�r�13/6'
UNFIN BASEMENT SO. FTG:
, _ /32"
IMPERVIOUS SURFACE
AREA:
Address:
GARA E SQ. FTG:
'f7 o U—"
DECK/COV. PATIO SQ. FTG:
/ 3 2- o te,
30% SLOPES ON
PROPERTY:
City:
# OF BEDROOMS: i,
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
•
.
Cost of Project: $
**************The follovFi MUST be co m Tete: (writeapplicable)**********************
HEIGHT TO PEAK: O
The
DIME ti 0ONS: a t
# OF STORIES:
TOTAL H4ABITABLE
MAIN FLOOR TO SQ.-Nu
FTG:/ 7 / 2-C,
FLOOR SQ. FTG:
Il.�r�13/6'
UNFIN BASEMENT SO. FTG:
, _ /32"
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
GARA E SQ. FTG:
'f7 o U—"
DECK/COV. PATIO SQ. FTG:
/ 3 2- o te,
30% SLOPES ON
PROPERTY:
SQ. FTG: --'"
# OF BEDROOMS: i,
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER EPTIC?,9s/P��
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, stale 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 tate.e.." % ecV ! 40--%-•
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 8/252005
. /
0 Check
Date
❑ Mastercard ❑ VISA
Expires: VIN#:
r
DS/26
fs'tt
Valley
11707 E Sprague Ave Suite 106 4 Spokane valley WA 99206
509.921.7000 , Fax 509.921.1008 ♦ cityhall@spokanev-aiiey.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/al 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 resale from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30° attic access location
C7 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 pian 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
51� Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www spnkanevallev.org
Mechanical'Permit Application ❑ Commercial
PERMIT NUMBER
PERMIT FEE:
Residential
SITE ADDRESS: .2-0 L `/ rcJ /�l//v p /JCILT (, r)%Q�2 r.5 Add; -& kr...
Building Owner S) ' 7 _ i
s
_ i
_
Name: F%Z.l Ko'tvt
49
Phone: 7 /' (7 /54'g Fax:
Address:I /
5/5 eS Perrot_
City: C' O(DOn� a -n State: 1,1/ A-- Zip: 990t0 Q
!
Contractor - - _
.r. .r � :: n. -""u
17
Name: i'I-Qiiu--
Phone: Fax:
Address:
City: State: Zip:
License No:
City Business Lic:
_-:.-.�._.__.
_Contact•.'t-=
___
_. __ _. .. .... _
—,6____c..c.-r=::,:-,-•, ;.•„v .;-r>:c ._-;_..'.=4 ... r.
t'«_. h.',„
r':3���-'i..�..,_r
.a �i..:i�k.,..„,_. bt�+,.o
\/76A
Name: (�Gii/a
J,:_t�-���..
Phone: ,,-3aX990 /v'o }t
- iS7P /
DESCRIPTION OF WORK
N 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
$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 (W SEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$1200
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)
X
s1.00
18
DUCT SYSTEMS
1
X
$10.00
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
33
X
$10.00
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
$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
1
X
$10.00
32
WOOD STOVE - FREE STANDING
x
$25 00
33
REPAIR & ADDITIONS
X
515.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑CASH PJ CHECK 0 VISA 0 MC
CARD ft
AUTHORIZED SIGNATURE:
REVISED 126/05
EXPIRES'
VIN
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
1
Permit Center
$`m ^3cane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.snokanevallev.or2
Elulg.Permlt Application Commercial U Residential
....0,00Ualley •
PERMIT NUMBER: o t 0 V
PERMIT FEE:
SITE ADDRESS: 35Th 'I ,3. 0g I / Lo L & 17 I oc'E b ) IJf'l>; mail -'s 4dt bon—
Building
Name: Patie l KO?WestAtAct2
Phone: 74 6 - / r I, bFaz:
Address: 51s s
Fe rra I I
City: S p o ya4te, State:
W F+ A
Zip: 9947240-9947240a
-Contractor. --
_,.• - -, — _
e.
-
r. _ _.,--;moi;,�i1 __ ___
— ---
_- —.
-
Name:
Phone: Fax:
--
'Address:
City: State:
Zip:
License No:
City Business Lic:
'45. ,_ ...
''``'?: �`'
n {
� r ,. ;a.o` ;,tii; tes,-yE.'
.�- � . ra.� .l i
=
Name: Paiv p /
Phone: 5 ?J a _ It./ 90
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6 00
1,,
2
URINALS
X
$6.00
0
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6 00
6
5
SINKS
LAVS/BASINS, BAR, FLOOR. KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
5-
X
$6.00
30
6
DISHWASHER
X
$6.00
6
7
CLOTHES WASHER
X
$6.00
6
8
GARBAGE DISPOSAL
X
$6.00
6
9
WATER SOFTENER
x
$6.00
0
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
1
X
$6.00
6
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
x
$6 00
0
13
FOUNTAINS, DRINKING
X
$6 00
0
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
0
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6 00
0
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR. SWAMP
COOLER
X
$6.00
0
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
0
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
0
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6 00
0
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
0
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
0
METHOD OF PAYMENT:
UCASH CHECK U VISA UMC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES.
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: