2005, 04-26 Permit App: 05001341 ResidenceProject Number: 05001341 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/26/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 30 Left: 5 Right: 5+ Rear: 75
Site Information:
Plat Key: Name: RANGE District: Nort
Contact: KIRILLOV, ANATOLIY
Address: 1116 N A ST
C - S - Z: SPOKANE, WA 99201-1563
Phone: (509) 362-2214
Group Name:
Project Name: ROW
Parcel Number: 45172.0922 Block:
SiteAddress: 9415 E BOONE AVE
Location:: CSV
Lot:
Owner: Name: KIRILLOV, ANATOLIY
Address: 1116 N A ST
SPOKANE, WA 99201-1563
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,003 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Released By:
Released By:
Li, iv
Approach / Drainage
Sewer Review
Permits:
Released By:
n(
Released By:
�s- 2-T3 9.
Operator: K_C Printed By: K_C Print Date: 04/26/2005
Project Number: 05001341 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/26/2005 Page 2 of 4
Approach
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: OWNER
Group: R-3 Type: VB
Total Area 2481
Building Height 22
Stories 1
Dwelling Units 1
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
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VB 1,202 $18,030.00 1,202 $18,030.00
DECK R-3 VB 80 $1,200.00 80 $1,200.00
GARAGE U-1 VB 578 $10,982.00 578 $10,982.00
RESIDENCE R-3 VB 1,279 $95,515.72 1,279 $95,515.72
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,139 $125,727.72 3,139 $125,727.72
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,139.35
$4.50
$455.74
Permit Total Fees: $1,599.59
Operator: K_C Printed By: K_C Print Date: 04/26/2005
Project Number: 05001341 Inv: 1
' Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/26/2005 Page 3 of 4
Contractor: OWNER
Item Description
GAS WATER HEATER
GAS APPLIANCE >100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
WATER USING DEVICES
Operator: K_C
Mechanical Permit
Finn: OWNER
Phone: (000)
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
2
4
2
1
1
1
1
1
1
3
Printed By: K_C
000-0000
Fee Amount
$10.00
$15.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$99.00
Firm: OWNER
Phone: (000)
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
000-0000
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$102.00
04/26/2005
Project Number: 05001341
Notes:
Inv: 1 Application Date: 04/26/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,599.59
$99.00
$102.00
Invoice Amount
$50.00
$1,599.59
$99.00
$102.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,599.59
$99.00
$102.00
$1,850.59 $1,850.59 $0.00 $1,850.59
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: K_C Printed By: K_C
Print Date: 04/26/2005
oF
Siokane
Street Address:
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Done: (509) 688-0036; Fax: (509) 688-0037
R
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
ORMATION
Building Permit fl Change in Use ID Grading
F Relocation 0 Tenant Improvement E Fire Safety
7 Manufactured Home
E Other
OWNER/APPLICANT INFORMATION
[;ZI Owner: Ao-A-19(iy 4/RiZLo E] Applicant:
Phone:5014 Fax: 509 -2:1? -172i? Phone: Fax:
Address: A S7'. Address:
0/
City State
Contractor:
Phone: Fax:
Address:
Zip Code
City
State Zip Code
WA State Contractor License #:
City State Zip Code
[1 Architect:
Phone:
Address:
Fax:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: c") /
DIMENSIONS: i ,
X SO
# OF STORIES:
/
MAIN FLOOR TO SQ. FTG:
1 2.7 9
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
t -
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
7f
DECK/COV. PATIO SQ. FTG:
-,)
_ --
OCCUPANCY GROUP:
CONSTRUCTION TYPE: /A s.--
HEAT SOURCE: /75
# OF BEDROOMS:2
TOTAL HABITABLE SPACE:
7
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
/C/0
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HO
E
Width: Length: Year:
Manufacturer:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
L
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation:
# of Heads: Fire Alarm: Paint Booth:
Fireworks Display: Blasting: Date/Time:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
El BOLTING
Firm Name:
Inspector(s):
E CONCRETE
r"-- REINFORCEMENT
Phone:
Fax:
Li WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
El Cash El Check CI Mastercard [1 VISA El Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION.
ne Phone: (509) 688-0036; FAX: (509) 688-0037
F\illev For Inspections, CaII (509) 688-0054
Project Address:
Owner:
Mailing Address:
Contractor:
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
Mailing Address:
City
License #:
State Zip Code
Phone #:
City
State
Zip Code
METHOD OF PAYMENT:
❑ CASH
DATE
0 CHECK
BANKCARD NUMBER:
❑ VISA
EXPIRES.
0 MASTERCARD
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
N OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
a
X
56 00
=
2
URINALS
X
56 00
=
3
TUBS
/
X
56 00
=
4
SHOWERS (PER TRAP)
E3ATH, STALL, •
?.-
X
56 00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, • • PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
LI
X
56.00
=
6 DISHWASHER
X
56 00
=
7 CLOTHES WASHER
/
X
56 00
=
8 GARBAGE DISPOSAL
/
X
$6 00
=
9 WATER SOFTENER
X
5600
=
10 ELECTRIC HOT WATER TANK
•
X
56 00
=
11 FLOOR DRAINS
AREA, CASE, COIL.• • /
X
56 00
ROOF DRAINS/OVERFLOW
12 DRAINS
X
56 DO
=
13 FOUNTAINS, DRINKING
X
56 00
WATER PIPING/DRAIN-IN WASTE,
14 VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56 DO
15 SEWAGE EJECTOR
GRINDER, SUMP PUMP /
X
56 00
=
16 WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER 3
PROOFER, CARBONATOR, SWAMP COOLER
X
56 00
17 CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P B P D FOR' VATS, TANKS, BOILERS
X
56 00
= '
18 INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19 MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56 00
MISCELLANEOUS PLUMBING
20 FIXTURE
X
56 00
21 PRNATE SEWAGE DISPOSAL/SYS
X
520 00
INDUSTRIAL WASTE
22 INTERCEPTOR
X
51500
=
METHOD OF PAYMENT:
❑ CASH
DATE
0 CHECK
BANKCARD NUMBER:
❑ VISA
EXPIRES.
0 MASTERCARD
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
SPokane
MECHANICAL PERMIT APPLICATIOPt
Phone: (509) 688-0036; FAX: (509) 688-0037 '
For Inspections, CaII (509) 688-0054
Project Address: 9 /
9 CafJ ,r s .r
Owner: /‘„,, /4* 70 ' /z / 0
Mailing Address: / 'r, /' J . 2:
Contractor:
Community Development Department
Building Division
11707 E Sprague Avenue, Suite 106
Spokane Valley, WA 99206
):....?;Permit Use:
Phone (Daytime Contact): .i> - 2 ry /
License #:
City
Phone #.
State
Zip Code
Mail ng Address:
State
c
Zip Code
AUTHORIZED SIGNATURE
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512 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
550 00
:._-
4
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 (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
520 00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525 00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535 00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE/
X
$10 00
=
?
13
RANGE
i
X
$10 00
=
2
14
DRYER
/
X
$10 00
=
15
FUEL BURNING WATER HEATER
/
X
510 00
=
16
MISC FUEL BURNING APPLIANCE
X
510 00
=
17
GAS PIPING (each outlet)
/
X
51 00
=
/
18
DUCT SYSTEMS
i
X
510 00
=
/,`,2
19
VENTILATING FANS
X
510 00
4,f
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512 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
$12 00
=
26
AIR CONDITIONER
3-15 TON
X
$20 00
=
27
AIR CONDITIONER
15-30 TON
X
525 00
=
28
AIR CONDITIONER
30-50 TON
X
535 00
=
29
AIR CONDITIONER
More than 50 TON
X
560 00
=
30
LPG STORAGE TANK
X
$10 00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10 00
=
32
WOOD STOVE - FREE STANDING
X
525 00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR — RESIDENCE
X
$19.00
=
37
INCINERATOR — COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
ElCASH 0 CHECK 0 VISA 0 MC
CARD #
SUBTOTAL
D
/
DATE
PROCESSING FEE
535.00
EXPIRES
TOTAL PERMIT FEE DUE:
/ `,
AUTHORIZED SIGNATURE
AOONESS
ZONE L
i+OMR RANKING
COMMENTS
REVIEWED Wt
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct 1
representation of the proposal. All kr own property
1
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands.
bodies of water, stgap opes or other critical areas.
Signed' .ca<^• 7
Date. v
e/os
4E1 WO
EAST
-- --�--
51.18
1
1
10,003 SQ FT
9415 E BOONE
PARCEL 45112.0922
1
1
4It
PROPOSED
RESIDENC
t
51-0"
30' SETBAC
30'-0" 11 22'-0" 23'\0'\
1 I/
1
10' EASEMENIT
80.00
1 1s
--
5' DEDICATION 1
E BOONE AVE
6ITE PLAN
SCALE: 1' = 20'
-- CENTER OF ROAD
t
t
co
m