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2005, 06-20 Permit App: 05002089 Finish BasementProject Number: 05002089 lnv: / ')f-,IC:?L1Git Date: 06/20/2005 Cage 1 of 2 TF1IS IS NW A PERMIT Penalties will be assessed for colnm,,neing work without a permit Project Information: Permit Use: FINISH BASEMENT - (4) BEDROOMS, Contact: ZUBRITSKIY, ICOR BATHROOM & MECH ROOM Address: 5211 N CALVIN RD C - 5 - Z: SPOKANE VALLEY, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 924-2074 Group Name: Site Information: Project Name: Plat Key: Name: SUMMERFIELD EAST 05TH ADD District: East Parcel Number: 46353.4503 Block: 24 Lot: 3 SiteAddress: 5211 N CALVIN RD Location:: CSV Zoning,: UR -3.5 Water District: Urban Residential 3.5 Area: 10,122 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Plan Review Permits: Owner: Name: ZUBRITSKIY, IGOR Address: 5211 N CALVIN RD SPOKANE VALLEY, WA 99216 Hold: 1_ J Depth: 0 Right Of Way (ft): 0 6-11 Released By: Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT R R-3 VB BASEMENT 0 SI0.000.00 0 510.000 00 FINISH Totals: 0 SI 0,000.00 0 510,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT S181.25 STATE SURCHARGE 1 SELEC"I 54.`•0 RESIDENTIAL PLAN REVIEW I SELECT 57.50 Operator: K_C Printed Bv: K C Permit Total Fees: $258.25 Print Date: 06/20/2005 Project Number. 050026,0 Inv: fl' r' Dale: 06/20/206 f`w4e 2 oft TL1IS IS NOT .1 YERI'vt Penalties will be assessed for commencing work witEwut a permit Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description VENTILATING FANS Units Unit Desc Fee Amount 2 NUMBER OF 820.00 Permit Total Fees: $20.00 Plumbing Permit - Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF 86.00 SINKS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 Notes: Payment Summary: Permit Type Building Pen -nit Mechanical Permit Plumbing Permit Permit Total Fees: 818.00 Fee Amount Invoice Amount $258.25 $258.25 $20.00 $20.00 $18.00 $18.00 $296.25 8296.25 Amount Paid 80.00 80.00 50.00 80.00 Amount Owing 8258.25 820.00 818.00 $296.25 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 he true and correct, and agrees that all pro inions of laws and/or regulations governing this type of work will he complied with_ Subsequent issuance of a permit shall not be construed to he a permit for, or an approval of, anv violation of any of the provisions of the code or of anv other state or local laws or ordinances. Signature: Operator: K_C Printed Bv: K_C Print Date: 06/20/2005 Spokane Vai1e E cif JUN 1 5 2005 0 BUILDING PERMIT APPLICATION WORKSHEET ne Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 hone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 5 2-11 N C 4/ V/ Kl Assessor's Tax Parcel Number(s): Legal Description: B S vv‘ -v Iv l� PERMIT DESCRIPTION: Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION 0 Owner. v r.i G rzA s'y 0 Applicant: Phone: q, tt 2. e 7L Fax: Phone: Fax: Address: „5 L 1 1 Al Cm f it i Int. Address: 50,c, vve `n/4 9' 9;21( City v State Zip Code City ❑ Contractor: Phone: Fax: Address: City State Zip Code ❑ Architect: Phone: Fax: Address: State Zip Code City State Zip Code • WA State Contractor License #: Contact: Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 1 A DCV , 30% SLOPES ON PROPERTY: SOR ON-SITE SEPTIC TEM? Width: Manufacturer: MANUFACTURED HOME 4.10 Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler. # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Valuation: Above/Underground Storage Tank Size: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner Address: Inspector. Address: Phone: Fax: City Phone: State Fax: Zip City State Zip 1 SPECIAL INSPECTIONS ❑ BOLTING Firm Name: ❑ CONCRETE ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ WELDING DISCLAIMER The perrnitee 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 /y w jZ f 1 -Kw. Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) Cash Bankcard #: 0 Check 0 Mastercard Authorized Signature: 0 VISA ❑ Other Expires: VIN#: PLUMBING PERMIT APPLICATION Ast Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, CaII (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: Permit Use: Owner. Phone (Daytime Contact): Mailing Address: City State Zip Code Contractor. License #: Mailing Address: Phone #: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 0 OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X S6.00 = 2 URINALS X $6.00 = 3 TUBS I X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS IAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 = 6 DISHWASHER X $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 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 $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 $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 $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL. WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD DATE EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: CVallev •,__ COMPLIANCE lt.DING DNISION REV' • SPo �n CU$ sHALt 8S ;tffeRC4i 11 ALARMSi3f US. t BE RSeOF & W1Sk4 F118� OF 7 J EMERGENCY EGRESS REQUIREMENTS FROM SLEEPING ROOMS b) NET CLEAR OPENING: 5.7 SQUARE f GRADE FLOOR OPENING (MAX 44") 5.0 SQUARE i) NET CLEAR OPENING HEIGHT 24 INCHES NET CLEAR OPENING WIDTH 20 INCHES 4 MAX FINISHED SILL HEIGHT 44` ABOVE FLOOR 8 EMERGENCY ESCAPE & RESCUE OPENING SHALL BE OPERATIONAL FROM THE INSIDE OF THE ROOM WITHOUT THE USE Of KEYS OR TOOLS • ESE= pLANMUST BE ONT L JOB SITE