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
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
CVallev
•,__ COMPLIANCE
lt.DING DNISION
REV'
• SPo
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CU$
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11
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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