2005, 08-18 Permit App: 05002985 RemodelProject Number: 05002985 Inv: 1
Application
THIS IS NOT A PERMIT
Date: 08/18/2005 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REPLACE WINDOWS, SIDING / REPAIR Contact: YAKOVLEVA, ALEKSEY & NATALIA
DRYWALL, PLUMBING, KIT & BATH Address: 222 N PROGRESS RD
Setbacks: Front
Left:
Right:
Site Information:
Plat Key: 002757 Name: VERA
Rear:
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 953-3952
Group Name:
Project Name:
oliannows. Immo
District: Nort
Parcel Number: 45144.1317 Block:
SiteAddress: 222 N PROGRESS RD
Location:: VER
Zoning: UNKN Unknown
Water District:
Area: .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Permits: gfflowilam.�4
Contractor: OWNER
Lot:
Owner: Name: YAKOVLEVA, ALEKSEY & NATA
Address: 222 N PROGRESS RD
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
MMIwatENVI
Building Permit
MaKall
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
RESIDENCE R-3 VB REMODEL 0 $10,000.00 0 $10,000.00
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
Permit Total Fees: $185.75
Operator: MT Printed By: MT Print Date: 08/18/2005
Project Number: 05002985
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/18/2005
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
WATER USING DEVICES
Notes
Plumbing Permit
Firm: OWNER
Phone: (000)
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
000-0000
Fee Amount
$12.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$78.00
NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY
individual freestanding or monument signs for Tract A-E of BSP -03-04. See project No. 05-001343 for
multi -business complex sign. (4-26-05) KK
On 08/17/05 a stop work order was placed on this parcel. They were advised to come in a get the
permits that are needed for the property. Please advise Code Enforcement with the permits are issued.
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Fee Amount
$185.75
$78.00
Invoice Amount
$185.75
$78.00
Amount Paid
$0.00
$0.00
Amount Owing
$185.75
$78.00
$263.75 $263.75 $0.00 $263.75
Page 2 of 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: MT Printed By: MT
Print Date: 08/18/2005
pikane
MiIley
4-mLit-T 13(1
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 683-0036; Fax: (509) 638-0037
REQUIRED SITE INFORMATION
D5 -2'.(h-
Street Address:
222 N; PPoress Pd
Assessor's Tax Parcel Number(s):
Legal Description: f
PERMIT DESCRIPTION: Q f (ack Ui rad OOS
❑ Building Permit ❑ Change in Use ❑ Grading
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety
d Ryi �` -1 A)
p
❑ Manufactured Home
❑ Other
NPh 1 iA '(AV -coiled OWNER/APPLICANT INFORMATION
Owner. fQC€/ IVS l lei l W ❑ Applicant:
Phone: 53- S Fax: Phone: Fax:
Z.
Address: 2. Pia„kci Address:
City
❑ Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address:
'941037 -
tate Zip Code
City
State Zip Code
Address:
City
State
Zip Code City
State Zip Code
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
21441" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/GOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJEC4101000
30% SLOPES ON PROPERTY:
SEWER OR ON-Sf SEPTIG
SYSTEM?
City
State
Zip
MANUFACTURED HOME
Nidth:
Length: ' Year
Manufacturer.
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
=ire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
rent: Fireworks Display: Blasting: Date/Time:
✓aluation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner.
address:
Phone:
Fax:
City
nspector. Phone:
address:
State
Fax:
Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE
=irm Name:
❑ REINFORCEMENT
Phone:
nspector(s):
Fax:
0 WELDING
)ISCLAIMER
-he permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
!welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
)roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this
ransaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
Zeferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley
'ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
)wnership of resulting development rights granted by any issued permit inure to t - property owner.
ALxe/ /vI?rjek)A►'
'rint Name
Signature
4ethod of Payment: (Faxed permit applications will only be accepted with major bankcard)
] Cash
:ankcard #:
authorized Signature:
0 Check ❑ Mastercard
❑ VISA
Expires:
VIN#:
❑ Other
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509)688:0037
For Inspections, Call (509)" 688-0054
Project Address: 22 2 IV
Owner. .1\ . �1�v 2, , KY
c
Mailing Address: a 2 kl eCre.
Contractor.
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Da Ime Contact):
9903
tate Zip Code
Phone #:
City
License #:
Mailing Address:
Zip Code
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST .
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETSA--
X
$6.0D
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
I
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILI Y, JANITOR, PHOTO,�-7
X-RAY, FOOD, PREP/CULINARY MEAT
.
X
$6.0D
=
6
DISHWASHER
!
X
$6.00
=
7
CLOTHES WASHER
�
X
$6.00
=
8
GARBAGE DISPOSAL
1
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
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.0D
=
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 (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
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
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 638-0()54
Project Address:
Owner.
Mailing Address:
Contractor:
License #:
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone (Daytime Contact):
city
State
Phone #:
Zip Code
Mailing Address:
Ci
State
Zip Code
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
$100.0D
=
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
$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
I
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 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
j
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
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
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
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE: