2005, 08-04 Permit App: 05002679 ResidenceProject Number: 05002679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/04/2005 Page 1 of 4
Project Information:
Permit Use: NEW SFR W/ ATTACHED GARAGE - ELEC HEAT
Setbacks: Front 25 Left: 5 Right: 16 Rear: 75.
Site Information:
Plat Key:
Name: BEVERLY HILLS 01ST ADD
Contact: ANDREY VAKULYUK
Address: 9913 E 14TH AVE
C - S - Z: SPOKANE, WA 99206
Phone: (509) 893-9123
Group Name:
Project Name: ROW
District: Sout
Parcel Number: 45193.0302
Block:
SiteAddress: 1018 S HIGHLAND DR
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 12,556 Sq Ft
Lot:
Owner: Name: AVDEEV, EUGENE & ANNA
Address: 7821 E NORA AVE
SPOKANE, WA 99212-2500
Hold: ❑
Width: 89 Depth: 140 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/02/2005 By: mturbak
Released By:
Special Reviews
Originally Released: 08/02/2005 By: TMELBOU
Released By:
ANNA AVDEEV CONFIRMED OWNER(S) AS CONTRACTOR(S).
Originally Released: 08/04/2005 By: mturbak
Approach / Drainage
Released By:
Originally Released: 08/02/2005 By: MTURBAK
Operator: MT Printed By: MT Print Date: 08/04/2005
Project Number: 05002679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a per it
Date: 08/04/2005 Page 2 of 4
Sewer Review
Permits:
Released By:
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 2792
Building Height 21
Stories 1
Dwelling Units 1
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
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 1,396 $20,940.00 1,396 $20,940.00
DECK R-3 VB 107 $1,605.00 107 $1,605.00
GARAGE U-1 VB 828 $15,732.00 828 $15,732.00
RESIDENCE R-3 VB 1,396 $104,253.28 1,396 $104,253.28
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,727 $142,530.28 3,727 $142,530.28
Units Unit Desc Fee Amount
1 SELECT $1,234.55
1 SELECT $4.50
1 SELECT $493.82
Permit Total Fees: $1,732.87
Operator: MT Printed By: MT Print Date: 08/04/2005
Project Number: 05002679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/04/2005 Page 3 of 4
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
DUCT SYSTEMS
WOOD/PELLET STOVE/INSERT
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Contractor: OWNER
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$10.00
$12.00
$1.00
$12.00
$30.00
$10.00
$10.00
$95.00
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
CROSS CONNECTION DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $96.00
Operator: MT Printed By: MT Print Date: 08/04/2005
Project Number: 05002679
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/04/2005 Page 4 of 4
LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO
ENGINEERS
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,732.87
$95.00
$96.00
Invoice Amount
$50.00
$1,732.87
$95.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,732.87
$95.00
$96.00
$1,973.87 $1,973.87 $0.00 $1,973.87
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: MT Printed By: MT
Print Date: 08/04/2005
Spokane
Dalley
BUILDING PERMIT APPLICATION WORKSHEET
ok pokane Valley Community Development Department
,
Building Divisioi,
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
e: (509) 688-0036; Fax: (509 688-00 l
VI)�M��D�W
Street Address:
REQUIRED SITE INFORMATION
Assessor's Tax Parcel Number(s):
1,-( h is id O r � ✓e -
If 1 3D D a
Legal Description: 13e.Verld 't 115 j a_
PERMIT DESCRIPTION: /17ecv /1-1(PU-5
Building Permit
Relocation
❑ Change in Use ❑
❑ Tenant Improvement 0
Grading 0 Manufactured Home
Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: ,t� �n R✓d.eQ✓
Phone: —Fax:
Address: i-' e No ra cx vo
Soo v\Ank ecci 3,,t
Zip Code
City State
O Contractor:
3 Phone: Fax:
Address:
H
City
State Zip Code
• WA State Contractor License #:
Spokane Valley Bus. Liscense #:
❑ Applicant: (1a. ' eL U l Ka
Phone: $`01 4l)\? Fax:
Address: (k6i l 3 C tG' ct ✓e
N)nI'iGtI1e
City State Zip Code
O Architect:
Phone: Fax:
Address:
City
Contact:
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"u -FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DEC COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
15D (TT
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
ti
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler.
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
nspector. Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ 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 Name7/_t
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PRISM - Microsoft Internet Explorer
elm
File Edit V'
avorites
Back • 4 ; SearchSiiiFav
Address http://dorado/mox42/index.cfm?action=mox42 f frameset
i Tools
o x
a'
inks
l.Cfn[to' IrensronArea
+G7 r r DNR Stream Typ
' r r Election Preen
r r Fire Stations
G+7 r :Flood Zones (Valley)
+ r r 'Hospilals
+ r r knage Bncl Pixxures
(t7 r r Imagery 2002 Pto ores
rr imagery 2003 NAIP
r r Imagery 2003 Pixxures
• r r Imagery 2004 DNR
+l r , 1--
intersections
i7 r i� Lakes Et Rivers
++i r i✓ Major Roads
r i✓ 'Municipalities (VaIIers
ft r r Parcel Streetnumters'
i«, r
17 Parcels
111111111111111111111111111111;1411
/SII11 ■W MI
1111911 IIIMM KIIMIBA WI
111111,111111111111111111{i 1111111 Si
Rf ill r01111111.W'111L 1u11
rat
11110,
11uIii ii11�11111.. rri
1110411111111II r
"Nj 11 q1 i ! !ill 1i 1
IIi*i 111 lilt 1:11111itta
traturrit_cilf
ilia 1E6 %ji 1IuI1111111i'
ll Min a
mum worm, VII' Ill .
MUM MI In win tr./
asicanauffing is :
0 /I
'111
it
Itin
i
up
Done
tocalintranet
Spy 5 leper
3 PP.I5M- i icro=oft Int...
5 AM
3U 16ZZ fc
Tuesday, Aug 02, 2005 07:35 AM
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: (410\ Vt(Ad_ Oa fe
Owner. 'T ,/d e I/
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Mailing Address $"a. I f, /1J€7 eZ Grille S7pc ka.(,te_ ( ((% tr 7'7 J,)2.,
City State Zip Code
License #: Phone #:
Contractor.
Mailing Address:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST .
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
o..
X
$6.00
=
2
URINALS
X
56.00
=
3
TUBS
n
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
c%
X
56.00
=
5
SINKS
lAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
L J '
X
56.00
=
6
DISHWASHER
I
X
56.00
=
7
CLOTHES WASHER
i
X
56.00
=
B
GARBAGE DISPOSAL
I
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
V K1--'
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
�
X
56.00
=
17
:1-1.:‘,..
CROSS CONNECTION DEVICE 1,01V.)
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
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
ne
al �J
Project Address:
Owner. 4e.rLE t VcipP,l/
Mailing Addre s: DA E., Ivo ra - 'VVe
Contractor.
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
4 h Ic,tA4 t) ( v
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99203
Permit Use:
Phone (Daytime Contact): q o'Z a - 36 2S
License #:
City
Phone #:
State
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
F,11iin ,
# Ot.,
` X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
144-74.,)
" " it 4..)
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
$50.01)
=
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
S100.00
=
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
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
01/1r-
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
/
✓
1
X
$1.00
=
18
DUCT SYSTEMS
✓
1
X
$10.00
=
19
VENTILATING FANS
e 0)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
$50.00
=
24
TYPE II HOOD
UP.77-11)
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
x,
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
X
$20.OD
=
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
,rte
4 `I
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
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
$22.00
=
METHOD OF PAYMENT:
O CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
SPUME COUSIN
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 1018 S HIGHLAND DR
Parcel Number: 45193.0302
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: AVDEEV, EUGENE & ANNA
Address: 7821 E NORA AVE
SPOKANE, WA 99212-2500
Building Inspector: F PALADICHUK
Water Dist:
Project Number: 05005861 Inv: 1 Issue Date: 8/10/2005
Permit Use: SEWER CONNECTION NEW HOME LOT 2 BLK 2
Applicant: H & S CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Contact: H & S CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Setbacks - Front:
Group Name:
Project Name:
Phone: (509) 926-8964
Phone: (509) 926-8964
Left: Right: Rear:
1 Permits
Sewer Connection Permit
Contractor: H & S CONSTRUCTION License #: HSCON**123KF
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
1 $15.00
$100.00
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington -State Dept of Labor and Industries,
including those related to trench safety.
1
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
8/10/2005 4739 $100.00
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dirnensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed:
Date:
7 -,-2,6----Z)5-
7
L.
sp`i ev
e\
C'.\\
iNt SR
rbr2irt-,3
tkt,_,e_r_k_sL1