2004, 07-09 Permit App: BLD-04-07043 Mechanical FixturesTHIS IS NOT A PERMIT
S0TN� or ` Penalties will be assessed for
pokane commencing work without a permit
,,r,,OValley NEW SINGLE FAMILY RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Application #: BLD -04-07043
Job Address: 1207 S KAHUNA DR Applied: 07/09/2004
SPOKANE VALLEY WA 99212 Issued:
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Expires: 01/05/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: SHCHERBININ, SERGEY
Applicant: SHCHERBININ, SERGEY Phone: (509) 998-3207
Address: 912 E SITKA 509
SPOKANE, WA 99208
Contractor: Phone:
Address: Lic No:
General Information:
TYPE OF RESIDENTIAL PERMIT
sfr
VALUATION
130984
BUILDING HEIGHT TO PEAK
25
DIMENSIONS
52 X 28
# OF STORIES
2
# OF BEDROOMS
3
FRONT SETBACK
1,06¢g0+
REAR SETBACK
20
LEFT SETBACK
100+
RIGHT SETBACK
15
OCCUPANCY GROUP
r-3
CONSTRUCTION TYPE
5-n
STRUCTURES ON PROPERTY
1
CURRENT PROPERTY SIZE
19899
SERVED BY SEPTIC SYSTEM
no
WELLS LOCATED ON PROPERTY
no
TOILETS
3
TUBS
2
SHOWERS (PER TRAP)
1
SINKS
5
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
WATER USING DEVICE
2
FUEL BURNING APPL — 100,000
1
GAS LOG, INSERT, FIREPLACE
1
DRYER
1
FUEL BURNING WATER HEATER
1
GAS PIPING (ea. OUTLET)
3
VENTILATING FANS
5
TYPE II HOOD
1
Fees:
PLAN CHECK FEE
466.94
TYPE II HOOD
10.00
BASIC PERMIT FEE
1,167.35
WSBCC SURCHARGE
4.50
TOILETS
18.00
TUBS
12.00
SHOWERS
6.00
SINKS
30.00
DISHWASHER
6.00
CLOTHES WASHER
6.00
GARBAGE DISPOSAL
6.00
WATER USING DEVICE
12.00
FUEL BURNING APPL — 100,000
15.00
GAS LOG, INSERT, FIREPLACE
10.00
DRYER
10.00
FUEL BURNING WATER HEATER
10.00
GAS PIPING
3.00
VENTILATING FANS
50.00
Total Calculated:
1,842.79
Deposits/Receipts:
0.00
CITY OF SPOKANE VALLEY
4PPROVED FOR SUBMITTAL
Building
Planning
THIS IS NOT A RECEIPT
Due
1,842.79
5�.oa
S°'.., �
kNF VFLL ORY e t) utLoiCOWL1ANCE
/Jtf�le
Spokan�evaliq
49;001
Street Add ISS: L 0 t
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 906
Spokane Valley, WA 99206
Phone; (509) 688-0036; Fax: (509) 688-003,1
SITE INFORMATION
tocl_�_ i, K<x ggzz
Assessor's Tax Parckl Numberl,wY! V S
0
}1
Legal Description: Lo -t 7 % " I K Gtr-fy (VA I 6L S Z /VS A IJ r.0V�lT i q
PERMIT DESCRIPTION: _ Me W cDti's T ky C T l o al
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
WA State Contractor License #: VA Contact: (5-011 q 4 p --3 z O7
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: /
OWN1ER/1A, PPLIGANT INFORMATION
# OF STORIES: 2—
El Owner: .) el e
`tc t 2r° c `t 1A t
❑ ( I li n
,l r/
Phone: (S o C/9? - 2,2 o �
hone
ax:
Address: 4L2
HEAT SOURCE:
C/ �aS
ddr�
TOTAL HABITABLE SPACE:
VW
W A
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
City
state Zip Code
SYSTEM?
state, Zip Code
❑ Contractor: 0
wke r
❑rchitect:
Phone:
Fax:
Phone:
Fax:
Address:
Address:
city
state Zip Code
City
State Zip Code
WA State Contractor License #: VA Contact: (5-011 q 4 p --3 z O7
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: /
DIMENSIONS: �-2 I X 2? 1
# OF STORIES: 2—
MAIN FLOOR TO SQ. FTG: 812
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: S6
DECKlCOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
FprniL
CONSTRUCTION TYPE:.
.2x6 F,�,�
HEAT SOURCE:
C/ �aS
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
O
SYSTEM?
Width:
Manufacturer:
Previous Address:
Proposed. Use:
MANUFACTURED HOME
Length: Year:
RELOCATION
FIRE SAFETY
Pit Set:
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone:
city
Phone:
city
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT
Firm Name:
I nspector(s):
Phone:
Fax:
Fax:
State
Fax:
Zip
Zip
❑ 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 f (' b I titin Signature µ e c )�FGt k<>r 1z rkr
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
F-1Cash ❑Check ❑ Mastercard ❑ .VISA
Bankcard #:
Authorized Signature: rhe r� e
Expires:
VIN#:
❑ Other
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address:l'\
L� �
U /-((,/ (VA 1)k gg2Z3 Permit Use:
# OF
UNITS
Owner: � e R G
nh
u J ' C k
e r-0 r K r Pt Phone (Daytime
Contact):
Mailing Address:
"7
C i t �h- t OC PO "(1-ct-C
(V A (? q 2 e) -p
X
$6.00
City
State Zip Code
Contractor:
URINALS
vie License #:
Phone #: %S a -3 07
Mailing Address:
R l,'
3o ;'W�'''�
,I
3
TUBS
City
State Zip Code
BANKCARD NUM
Q/
AUTHORIZED SIGNATURE: J C' ". C t'► �J l c 4 ''t"')I I Vt
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
C
2
URINALS
X
$6.00
-
3
TUBS
1
X
$6.00
=
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
Woo
=1
6
5
SINKS
LAYS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
J
X
$6.00
=
3
6
DISHWASHER
X
$6.00
=
O
7
CLOTHES WASHER
I
X
$6.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
1 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
INSTALLATION, 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
I
X
$6.00
=
L%
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 r outlet
NITROUS, OXYGEN
X
$6.00
=
20 1
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
❑ CASH p /CHECK ❑ VISA ❑ MASTERCARD
DATE: `� 1 O Y EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUM
Q/
AUTHORIZED SIGNATURE: J C' ". C t'► �J l c 4 ''t"')I I Vt
SI Ir of n
p"Rane ,;oAValley
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: /-C-/ / 6 /Cck Z, UF GW6 RR c1q'2'23 Permit Use:
Owner: S E RmL y S NC WR61&1j_)VPhone (Daytime Contact):
Mailing Address: /9 2 C_ i -&Ka <'Pt k'k A IV c s`f}
City State Zip Code
Contractor: (= RCSE 9 Phone #:
Mailing Address:
city State Zip Code
AUTHORIZED SIGNATURE: / C 1_ i �� e 4 e rb' I K e
DESCRIPTION OF WORK
# OF
UNITS
X
COST =
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00 =
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00 =
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 =
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
$15.00 =
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00 =
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39.00 =
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$57.00 =
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00 =
12
13
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
X
X
$10.00 =
$10.00 =
CQ
14
DRYER
/
r
X
$10.00 =
��
15
FUEL BURNING WATER HEATER
X
$10.00 =
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING each outlet
2
X
$1.00 =
2-
__
l0
I __
UUI+I JiJ1EMJ
I X
$10.00 =
19
VENTILATING FANS
X
$10.00 =
�
3
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ductingl
Greater than 10,000 CFM
X
$19.00 =
22
EVAPORATIVE COOLERS
X
$10.00 =
23
TYPE 1 HOOD
X
$50.00 =
50
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
$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 1
$10.00 =
31
WOOD OR PELLET STOVE/INSERT
X
$10.00 =
32
WOOD STOVE - FREE STANDING
X
$25.00 =
METHOD OF PAYMENT:
❑ CASH i] CHECK ❑ VISA ❑ MC
rnRn it.
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
AUTHORIZED SIGNATURE: / C 1_ i �� e 4 e rb' I K e
SEWER PERMIT
Applicant:
SERGEY SHCHERBININ
912 E SITKA #309
SPOKANE WA 99208
Phone:
PERMIT NO:
Connection:
Approval:
998-3207
P0404378
BL
C /� DEPARTMENT OF
SPOI<ANE ENGINEERING SERVICES
808 W. SPOKANE FALLS BLVD.
SPOKANE, WASHINGTON 99201-3343
(509) 625-6700
FAX (509) 625-6349/(509) 625-6124
wwwspokaneengineering.org
) I I 1111 ***
Phone:
Issued:
Completed:
Project No:
07/02/04
Applicant hereby consents and agrees:
1. To adhere to all rules and regulations in accordance
with Title 13.03 Spokane Municipal Code, City of Spokane
REMARKS:
*0406313
Inspection area: 4 Inspector
Validated by: DAL
Proj#/Prof#: KAHUN D(3)4 23-25-43
Sewer Name: KAHUNA DR
STREET: 1207 S KAHUNA DR YA
Parcel No: 35234.1307 'Right of Way: 0 Easement: 0
Legal Desc: KAHUNA HILLS 2ND ADD LT 7 BLK 1
"Y -Tap": 1+34
ENTERS PROPERTY:
Depth/Pipe Size & Type:
/
ENTERS BUILDING:
Connection to Cess Pipe:
Depth/Pipe Size & Type:
/
Fee description
Units Fee/Unit
Ext fee
Data
---------------------------------------------------------------------------
Application Fee? (YIN) . . . . .
. >
30.00
Y
Inspection Fee? (YIN) . . . . .
. >
50.00
Y
Was Annexation Covenant Signed?
N
Subtotal Inspections:
50.00
Total Fees .............>
80.00
Method Check #
Receipt No. Date
Payment
CC 0004
P4#03736 07/02/04
80.00
TOTAL THIS DATE
*********
80.00
S` UTILITY' - 0)
F EASEMENTS
O 6$
O 6 4 .
' ooADDIMMa
,N 6
ZONE.
@) R = 5 O O Ro�oT�1_
E O COMMENT8
K A H vI'A R 0) REVIEWED BY
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,r104Y 11: 00 . _Y 509-626-0696 JOHN L SCOTT R/E �.j PAGE 02
w
9309280260
b T Yill. 14 91 Pot
THIS AGRE> MENT made and entered into this day of - 1993. by,
the undersigned property awners, Thomas A. Brovm: and.Vieid L —9, n' who arc gratttinn
this easement across their. property legally, deseriW as Lot 8, Block I, Kahuna
Second Addition, as per plat reeorded in volume 17� of Plats, page 19, records of Spo
aunty, situat ounty of tze, State eyf ttzj�n.
t'
THE GRANTORS HEREDYCONVEYANDWARRANTS TOGtLA.ty' EE, the record own
of Lot 7, Block 1, Kahuna Hills, Swond Addition, 'as per plat recorded in volume 17 0�
• Plats, page 19, records of Spokane County; situatd in the County of Spokane, Stato ofr
Washingtion, its heirs, successors andfor assigns, a perpetual. noaexclusive easement under
over, through and across the property described as Lot 8, Block 1, Kahuna Hills, Second.'•,
Addition, as recorded in volume 17 of Plats, page 19, records of Spokane County, situate.,
in the County of Spokane, State of Washington,: for the purpose of ingress, egresM
installation of utilities and maintenance, as pea attached MAP, identified as Schecule
WHEREAS this easemeiat is created as a medium old ingress, egress and the lusWlatiam of.;
utilities for the benefit of the dominant estate legally described as Lot 7, Block I, Kahuna;
Hi11s, Second Addition, as per plat recorded in voli=6 17 of Plats, page 19, recards'6tf
S ane County, situate in the County of Spokane, State of washington.
TIi CQof ton, tnaintenan , t r emE �, a�'r� ye9tstructioo
reconstruction, or any improvementsin any shape or form whatsoever thereto shall be borne
by the grantee.
THE GRANTEE shall have the right at all times to enter upon this easement for the '..
purpose of inspecting, maintaining, improving, repairing,eonstructirng,xeconstructiug, in any.,".',
manner whatsoever. A. of the date of execution of this easement, the roadway has neither
been surveyed or constructed, therefore a totally,specigo legal description is unavailable. at
this time. The parties therefore agree that said easeaaent shall be approximated in length
and location as per attached Schedule "A", which made apart herein by reference, and shall
be further delineated And set forth with greater. particularity as such time a survey is
obtained.
THE EASEMENT created herein shall not exceed i width of 20 feet and shad have its
beginning o4 the culdesac of Kahuna Drive, and proceed in an approximate Southeasterly
arc intersecting a point approximately 170 feet South of the Northern most point cin the..
co;anton boundary line between Lot 8 and Lot 7, Block 1, .Kahuna Hills, Second Addition.
FOR THE PURPOSES' OF THIS PAS NX', Lot,7, Block 1, Kahuna Hills, Setciad�•1''a
Addition, as per plat recorded in vmlurne 17 of.Plats, page 19, records of Spokant County,
situate in the County of Spokane, Stato of Washingt in, shall become the dominant estate,
and Lot 8, Block 1, Kaduna Hills, Second Addition, as recorded to volume 17 of flats, page..
NUVAIT. ROAD? AND'U" TY EASEMENT PAGE 1 E