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)
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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
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1� q'. OR MEN va on ow
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