2006, 06-12 Permit App: 06002178 ResidenceProject Number: 060021 78 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/12/2006 Page 1 of 2
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER Contact: KUROPATKIN, ANATOLIY N & YEKAT
Address: 3728 E 32ND AVE
C - S - Z: SPOKANE VALLEY, WA 99223-3723
Setbacks: Front Left: Right: Rear: Phone: (509) 389-0986
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Nort
Parcel Number: 45172.0923 Block:
SiteAddress: 1215 N LOCUST RD
Location:: CSV
Zoning: UR -3.5
Water Distnct:
Urban Residential 3.5
Area: 10,012 Sq Ft,
Lot:
Owner: Name: KUROPATKIN, ANATOLIY N & Y
Address: 3728 E 32ND AVE
SPOKANE VALLEY, WA 99223-37
Hold: ❑
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:
Driveway/Approach
Originally Released: 6/12/2006 By: TMELBOU
Released By:.
Originally Released: 6/12/2006 By: amblake
Landuse/Zoning/FIE Conditions
Released By: - --. -
Sewer Review
Permits -
Originally Released:
6/6/2006 By: CJJANSSE
Released By:.
Originally Released: 6/6/2006 By: amblake
Operator: AMB
Printed By: AMB
Print Date: 6/12/2006
Project Number: 06002178
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Date: 6/12/2006
Contractor: OWNER
Item Description
APPROACH -CONST IN ROW
Contractor: OWNER
Description Grp Type
1&2 FAMILY 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
Notes •
Notes
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Page 2 of 2
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,404 $121,263.48 1,404 $121,263.48
1,358 $20,370.00 1,358 $20,370.00
197 $2,955.00 197 $2,955.00
517 $9,823.00 517 $9,823.00
Totals: 3,476 $154,411.48 3,476 $154,411.48
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$1,301.75
$4.50
$520.70
$1,826.95
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,826.95 $1,826.95 $0.00 $1,826.95
Disclaimer:
$1,876.95 $1,876.95 $0.00 $1,876.95
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: 6/12/2006
Project Number: 060021 78 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/06/2006 Page 1 of 2
Project Information:
Permit Use: SFR, GAS HEAT, ON SEWER Contact: KUROPATKIN, ANATOLIY N & YEKAT
Address: 3728 E 32ND AVE
C - S - Z: SPOKANE VALLEY, WA 99223-3723
Setbacks: Front Left: Right: Rear: Phone: (509) 389-0986
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Nort
Parcel Number: 45172.0923 Block:
SiteAddress: 1215 N LOCUST RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 10,012 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: KUROPATKIN, ANATOLIY N & Y
Address: 3728 E 32ND AVE
SPOKANE VALLEY, WA 99223-37
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Building Plan Review
Released By: -- 'i nn 6
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Released By.
Sewer Review
Released By:
Originally Released: 06/06/2006 By: amblake
Permits:
Operator: AMB Pnnted By: AMB
Print Date: 06/06/2006
Sliorkane
Valley
Community Development
Permit Center
11707ESp.i eAve,S ityJ0 p E
Spokane V.1� V 5 0 1 V
(509)688-0 A..:(509)683-0037
www.s • oka
Residential Constructio
Permit Application
%0/S
PERMIT NUMBER: cQ (7¢,
PERMIT FEE:
struction Accessory Bldg
Addition/Remodel
❑ Other:
ri Deck
SITE ADDRESS 1±-5- tJ • LOC US r RD
ASSESSORS PARCEL NO: 4/5/ 72092 3
LEGAL DESCRIPTION:
1311ildile0W ei `:rf'
,r::�a-rg��'=':':r--�'. ._ � . . - = - ---- - -_ -- -�.._, a:•�.��..._
Name: 4UP0PATK(A(t 4AJr3(�(!.._
Name:
Address:;77g .c... 3 7 4,..a._ A_U C
Address:
City: Spot AI E State:W A Zip:cr
223
City: State: Zip:
Phonetesocl) 536.-7172_ Fax:
Phone: Fax:
It _ 1
qL_
509.— .?-,c1_
Contractor Lic No: Exp Date:
l
_Co`ntacnres illi iii -e --'6. =' --';-' `�" ?
HEAT SOURCE.
C-, 'S
City Business Lic. No:
Name: kid gnPA-r-cl /U /*AlA-TOLIy
Phone: (-6-0°0 %8 Q —OCf ?A
Degscribe the scope of work in detail: Cos of Project: $ 00 0
P5L.'/d eg Fla tic -1iPr t014.4 .pas// 1.?. -r ,'ched h<,cemfM
• . /vrr:fn N/A if not anntirahlel
**********************
HEIG T TO PEAK:
�t'
DIMENSIONS:
5 0 X LI 0
# OF STORIES:
1 /
TOTAL HABITABLE SPACE:
So. 4-t
MAIN FLOOR TO SQ.
t J}Q
FTG: ' .�Q S; +
2Nu FLOOR SQ. FTG:
/�
NI N
UNFIN BASEMENT � G:
' 2
%tel `' 51.-r
I E VIOUS SURFACE
AREA:
Nfick
FINISHED�BASEMENT
SQ. FTG M / A-
CGARAAGEE SQ. FTG:
511 f-. sq. -I-1-
DECK/COV ATIO SQ. FTG:
(97‘.2--1-501 - "-1
30% SLOPES ON
PROPERTY: n{ U
# OF BEDROOMS:
2.
rdNSTRUCTIOIJ TYPE:
NEW coN S112UCria1
HEAT SOURCE.
C-, 'S
SEWER OR SEPTIC?
_Sgv./4 R
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 13/252005
0 Check
❑ Mastercard
Expires:
Date 06.0Z 0,6
VISA
VIN#:
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