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2005, 03-17 Permit App: 05000770 RemodelProject Number: 05000770 Inv: 1 Application Date: 03/17/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: FINISH 814 SQ FT BASEMENT Contact: MELNIK, VASILIY Address: 513 S MOORE LN C - S - Z: SPOKANE VALLEY, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 891-5705 Group Name: Site Information: Project Name: Plat Key: 005862 Name: SHELLEY LAKE PUD District: East Parcel Number: 45242.1514 Block: 5 Lot: 14 SiteAddress: 513 S MOORE LN Owner: Name: MELNIK, VASILIY Address: 513 S MOORE LN Location:: CSV SPOKANE VALLEY, WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 1,050.00 Acres Width: 70 Depth: 115 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Plan Review Permits: Operator: DMD Printed By: MT Print Date: 03/17/2005 Project Number: 05000770 Inv: 1 Application Date: 03/17/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit ---- — Building Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Building Characteristics Group: R-3 Type: VB Total Area 814 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT R R-3 VB BASEMENT 0 $10,000.00 0 $10,000.00 FINISH Totals: 0 $10,000.00 0 $10,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $181.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $72.50 Permit Total Fees: $258.25 - ---- -- -- - -- - Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 Permit Total Fees: $10.00 Plumbing Permit - Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Operator: DMD Printed By: MT Print Date: 03/17/2005 Project Number: 05000770 Inv: 1 Application Date: 03/17/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4 BLOCK 5 - LOTS 2 THROUGH 6 & 19 BLOCK 6 - LOTS 1 THROUGH 10 Payment Summary' Permit Tyne Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $258.25 $258.25 $0.00 $258.25 Mechanical Permit $10.00 $10.00 $0.00 $10.00 $268.25 $268.25 $0.00 $268.2' ,? 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: DMD Printed By: MT Print Date: 03/17/2005 77-6) ) BUILDING PERMIT APPLICATION WORKSHEET �cIr1'tx��� D � �v,�,{ Pr T_U e ley Community Development Department j(�`" L, Building Division 11707 E. Sprague Avenue, Suite 106 %fleySpokane Valley, WA 99206 OD P o (509) 688-0036; Fax: (509) 688-0037 4;00 U P L On M REQUIRED SITE INFORMATION Street Address: SS ' V c Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: Ez Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other II OWNER/APPLICANT INFORMATION II ❑ Owner: Q S'� I �/ i ❑ Phone507, _60 i/s" Fax: Address: , cle t c S1.2 1 V, LU,- 95C3�-- Cify State Zip Code ❑ Contractor: ❑ Phone: Fax: Address: City State Zip Code WA State Contractor License #: Applicant: Phone: Fax: Address: City State Zip Code Architect: Phone: Fax: Address: City State Zip Code Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2 NLFLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINI ED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: O UPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT:�� Qfs 7 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? st'W� Width: Length: Manufacturer: Previous Address: Proposed Use: _ MANUFACTURED HOME Year: RELOCATION FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Tent: Fireworks Display: Blasting: Valuation: Above/Underground Storage Tank Size: Pit Set: Paint Booth: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: city State Inspector: Phone: Fax: Address: City State SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: Inspector(s): ❑ REINFORCEMENT Phone: Fax: 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 Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Authorized Signature: Expires: ❑ VISA ❑ Other VIN#: MECHANICAL PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, (Call (509) 688-0054 Project Address: S- '?P3 Owner: 1 y G, f G Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Confact . G - , . y .. City Contractor: License #: Mailing Address: Phone #: METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MC DATE: CARD #: EXPIRES: AUTHORIZED SIGNATURE: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 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 $50.00 = 4 UNLISTED APPLIANCE Additional Fee More than 400,000 X $100.00 = 5 USED APPLIANCE SEC min. AFUE ratio Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE SEC min. AFUE ratio More than 400,000 X $100.00 = 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 X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING each outlet X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 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 ductng) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE 11 HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 . AIR CONDMONER ' 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 $10.00 = 31 WOOD OR PELLET STOVEIINSERT 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: 0 CASH 0 CHECK 0 VISA 0 MC DATE: CARD #: EXPIRES: AUTHORIZED SIGNATURE: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: PLUMBING PERMIT APPLICATION lA 11 1/\It Phone: (509) 688-0036; FAX: (509) 688-0037 1 For Inspections, Call (509) 688-0054 Project Address: Owner: Mailing Address: Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): City State Zip Code Contractor: License #: Phone #: Mailing Address: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK * OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS' X $6.00 - 2 URINALS X $6.00 - 3 TUBS X $6.00 - 4 SHOWERS PER TRAP BATH, STALL ONSITE BUILT X $6.00 - 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILrrY, 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 woo - 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 r 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: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: 9 - o LC, SMOKE ALARMS SHALL BE INTERCUN- NECTED AND HARD WMED IN SUCH A II ALA M WILL ACTIVATE ALL ALARMS. III (BEDROOMS, AREAS APPROACHING BEDROOMS, VAULTED CEILING WITH RISE OF 24. 3 ON EACH FLOOR) 13 / lio Al u SL 1� q'. OR MEN va on ow ALMM � �� �TiU �a V 3 13 Q% C.j SMOKE DETECTO* J— )ET.L E•MER ENCY EGRESS REQUIREMENTS FROM SLEEPING ROOMS 1) NET CLEA GRADE FLOOR I OPENING 5.7 SQUARE FEET OPENING (MAX 44') 5.0 SQUARE FEET 2) NET CLE 3) NET CLEA OPENING HEIGHT 241NCHES R OPENING WIDTH 20 INCHES _ 4) MAX FINI 5) EMERGEt HED SILL HEIGHT 44' ABOVE FLOOR CY ESCAPE & RESCUE OPENING SHALL BE OPERATION TWT , �r t FROM THE OF THE�OOM WITHOUT ,R TOO l . 1 ki tchen tc SO CF bat lawn is hECTOR -- SMOKE ALARMS SHALL BE INTERCUN- NECTED AND HARD WMED IN SUCH A II ALA M WILL ACTIVATE ALL ALARMS. III (BEDROOMS, AREAS APPROACHING BEDROOMS, VAULTED CEILING WITH RISE OF 24. 3 ON EACH FLOOR) 13 / lio Al u SL 1� q'. OR MEN va on ow ALMM � �� �TiU �a V 3 13