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2009, 06-02 Permit App: 09001119 Residence Permit Center Scrrr OF17 _. 11703 E Sprao e Ave, Suite B-3 �t� PERMIT NUMBER: pokane Spokane Valley,WA 99206 PERMIT FEE: Valley (509)688-0036 FAX: (509)688-0037 wwtiv.spokanevalley.org Community Development Residential Construction 4New Construction Accessory Bldg Permit Application Addition/Remodel Deck Other: SITE ADDRESS: ; 7 1 0 AN‘) ,F, ,Q. N.,,,, ,6kki ASSESSORS PARCEL NO: -_C-5— 7 / s 0 I "73 LEGAL DESCRIPTION: Lor L g,Loc( E /,,o T L. a C.a c jG , Building Owner: Contractor: Name: (n\ v_s_m,,c ,6_,,,,....,,,, Name: Address: Address: 1 ? `104- City: c7tp.. z cP\ S State: cj,_,A Zip:910) b City: State: Zip: Phone: s DI _9 �^ Lfa 83 Fax: ` Phone: Fax: Contractor Lic No: Exp Date: Contact PersonfJ City Business Lic.No: Name: .ov C. (4,./4t.Pe-i\c..xA Phone: 7 2 8" 44 5 8- 3 Describe the scope of work in detail: Cost of Project: $ c-L e--) \3 H Q es-1`Z cs'CrJ`T Proposed Use: **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: • '' AREA: FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON SQ. FTG: 8'00 PROPERTY: #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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.6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATURE: DATE: Method of Payment: 0 Cash heck 0 Mastercard 0 VISA Bankcard#: Expires: ' VIN#: Authorized Sign REVISED 2/15/07 7_,,, RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. o SITE PLAN o Property lines and dimensions ❑ Setbacks to property lines o Direction arrow pointing North and orientation to streets o Distance between buildings o Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes o Utilities, septic tank/drain field locations and distances ❑ Driveway approach size and location BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned) ❑ Elevations (Front/Rear/Sides)with roof peak and wall height including basement: ❑ Foundation Plan (crawlspace, basement or slab on grade): o Footing sizes and locations o Supporting wood cripple walls or beams o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting o Crawlspace ventilation beams or girder trusses ❑ Floor Plan of each level (finished or unfinished)with dimensions: o Floor Joist direction, size and spacing o Window and door location and sizes o Header, beam or concrete lintel sizes o Window well locations if applicable o Brace wall panel locations ❑ Room usage labels o Water heater and furnace locations ❑ Smoke detector locations o Exhaust fan locations o Attic and crawl space access locations o Deck or concrete patio sizes and locations o Fire Wall construction O Roof Plan: o Engineered truss direction and spacing o Ridge, eave and valley lines o Rafter and over frame direction, size and spacing ❑ Beam and girder size and location ❑ Wall Section Detail including: Roof o Slope/roofing material/underlayment/ ice dam protection o Truss or rafter size, spacing &connection o Sheathing size and type o Attic insulation/air space baffle/ventilation Ceiling o Joist size and spacing o Size of ceiling gypsum wall board Wall o Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts o Exterior sheathing size and type o Insulation, vapor barrier, gypsum wall board Floor o Joist size and spacing o Sheathing or concrete floor size/insulation Foundation Wall o Concrete or Masonry unit width o Footing bottom to finished ground level depth o Earth to wood separation distance o Horizontal &vertical reinforcement if any Footing o Size o Reinforcement if any Radon o Passive system with 6mil vapor barrier o Active system with 6 mil vapor barrier Miscellaneous Construction Details ❑ Deck: o Floor plan/side view/dimensions o Footings/post/and beam size and locations o Floor Joist/decking direction, size and spacing O Stairway tread rise & run and nosing 0 Handrail/Guard height&spacing Project Number: 09001119 Inv: 1 Application Date: 6/2/2009 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: .. t _._..... •-,m=-==_.xz_.xs% ass: _ ,:_; --- +"'.::s<.. ..,.:,a":t-.. .9 "mak. ni - .=:k- .. =.t m'd'«' ^'w:a`: Permit Use: NEW SFR-SEPTIC Contact: KVASNICKA,DOUGLAS G&SHEILA Address: 17904 E RIVERWAY AVE C-S-Z: GREENACRES,WA 99016 Setbacks:Front Left: Right: Rear: Phone: (509)928-4583 Group Name: Site Information: Project Name: Plat Key: Name: Range District: East Parcel Number: 55071.0193 Block: Lot: SiteAddress: 17908 E RIVERWAY AVE Owner:Name: KVASNICKA,DOUGLAS G&SHEI Address: 17904 E RIVERWAY AVE Location::CSV GREENACRES,WA 99016 Zoning: R-3 SF Res District Water District: 134 CONSOLIDATED ID#19 Hold: ❑ Area: 1.95 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: :� ogvq � : - . ..mom ... ,RVIa, r- Review Building Plan Review Released By: Originally Released: 5/20/2009 By: tmelbourn Driveway/Approach Released By: Originally Released: 6/2/2009 By: jdavis Septic Sys Review Released By: Originally Released: 5/28/2009 By: pwarne Landuse/Zoning/HE Conditions Released By: Originally Released: 4/29/2009 By: kkendall Operator: jmm Printed By: JD Print Date: 6/2/2009 Project Number: 09001119 Inv: 1 Application Date: 6/2/2009 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sci Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 2,204 $213,413.32 2,204 $213,413.32 BASEMENT U R-3 VB 1,800 $27,000.00 1,800 $27,000.00 DECK OPEN R-3 VB 192 $2,880.00 192 $2,880.00 GARAGE U-1 VB 700 $13,300.00 700 $13,300.00 Totals: 4,896 $256,593.32 4,896 $256,593.32 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,872.95 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $749.18 Permit Total Fees: $2,626.63 Septic designed for 3 bedrooms. Residential driveway must be paved pursuant to SVMC 19.40.020(B) Payment Summary: sv krr ar area ...w ;�, ,- e�, �� ., �a. a. _ Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $2,626.63 $2,626.63 $742.46 $1,884.17 $2,626.63 $2,626.63 $742.46 $1,884.17 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: jmm Printed By: JD Print Date: 6/2/2009 Permit Center Scm 11703 E Sprague Ave, Suite B-3 PERMIT NUMBED_ ///5 pokane Spokane Valley,WA 99206 PERMIT FEE: (509)688-0036 FAX: (509)688-0037 jValley www.spokanevallev. v p, lE VALLEY or Community Development C111 V Residential Construction New Construction n Accessory Bldg Permit Application t"r `'ts� rt�Addition/Remodel Deck a -- ,. n Other: i`iyc: £ RwEgkm,A� AvE SITE ADDRESS. ASSESSORS PARCEL NO: .SS v 71 •D) `t 3 LEGAL DESCRIPTION:Sre kaw L 1 ALt.ef. Ave«L a 01- R 6 (//F/4 itt S3-.7q9,5-0) Building Owner: Contractor: Name: D0,GL,As 6 V�+rSl11Name:t0(414 ©r.)•=v T4s G RV IVS?N%CkR Address: 17`)04 E rLv,C&Wt" Ave, Address: 71 c y E f w e kwa`t City: G it.C:`►J es State: W A Zip: /ct ct l,. City: G ' State: (1,_) p, Zip:cicf o l ip Phone:J t1-72 'Y b'3 Fax: Phone:5-Ll 9, _cix a_ (lc s'3 lits ci 13 ' L. c rt, Contractor Lic No: Exp Date: Contact Person City Business Lic.No: Name: I),o..1c> 1.�.,1 AS f•J Phone: 5c79 - 1 2$3' - 4 S-S"3 Describe the scope of work in detail: Cost of Project: $ /S o,06 n R LY I i b N c7.-AA" (4 D vs c., Proposed Use: Si N G"C FAQ\ --`1 h"`t \--`k�"G **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: j DIMENSIONS:J / „ #OF STORIES: j TOTAL HABITABLE SPACE: jt 7 2 ` c Y 2 `t- s/ MAIN FLO�SO Z2°T 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: 1 Fo 0,,,,1/4 AREA:- 0 27-47 FINISHED BASEM NT GARAG SQ. FTG: 0,----- DECK/COV. PATIO SQ. FTG: 30% SLOPES ON n , SQ. FTG: ' 7 UO 1 `1 2. PROPERTY: /U /4 #OF BEDROOMS: 4 CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 1-- \A/ 0c, p GATS' S in 1C 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 viola",,cif federal,state or local laws,codes or ordinances.6) Plans or additional information may be required to be submitted, and subs this application can be processed. �Pi° C0( �--� � t,�0._„.1,.., DATE: / /2,/ 30e1 /6e_,,,--- Method e-, iMethod of Payment: 4e/A(g) ❑ Cash Check 0 Mastercard 0 VISA Bankcard#: Expires: VIN#: Authorized Signature: 11-77-7-41 1J 4 e/� REVISED 2/15/07 � • For City Use Only Sjö TY PLUS Project Number , kaneProject Address , 440000 a f ° 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org As part of our on-going commitment to customer service during the review process of your project application, we are providing you with a TARGET DATE for the initial technical application review. If for any reason we cannot meet this date, we will contact you with a revised target date. Your application review TARGET DATE is The TARGET DATE is the date we estimate your project application will have had its initial technical review. It is not the date for approval or permit issuance. Tips for a Smoother Project Application Review ➢ Submit complete, accurate plans and documents. Extra time may be required for re-submittals as project application reviewers work on multiple applications and it may be several days before they can look at your new or revised information. ➢ Designate a specific contact person to communicate with the City. While the person designated as the applicant's contact person with the City can be changed, one individual with the expertise for dealing with reviewer comments would be the best choice for the entire review process. ➢ Call staff regarding the status of your project only after the target date shown at the top of the page. Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us by your target date. Staff may contact you before the target date if the initial review is complete. By following this procedure,you will save time and allow the reviewers to complete the work more expeditiously. Steps in the Permit Process 1. Counter Complete. Your application has been accepted as counter complete. This means all of the required documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred submittal. This does not prevent technical staff from requesting additional information as a result of their technical review. 2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free from substantive flaws that would prevent technical staff from completing the technical review once it is started. When this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it comes up for review. 3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by phone,fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete. 4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re- submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections of the application are received, a Permit Specialist will process the application and contact the person specified on your application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by the Permit Specialist at that time. WHITE-APPLICANT PINK-BUILDING FILE REV 9/07 • Permit Center PERMIT NUMBER: SCITY 11703 E Sprague Ave,Suite B-3 pok°fane Spokane Valley,WA 99206 PERMIT FEE: Valley® (509)688-0036 FAX: (509)688-0037 www.spokanevallev.org Community Development Approach Permit Application PROJECT ADDRESS I 7 ctLi kA L A ,V ( V START DA 1"E M A `'I 1 C c,`i ANTICIPATED COMPT,FTION DA lE act ,_0(:),---i Building Owner. Contractor: C, Name: D Z, <,,f, S U ({Lf R .4r.31 GK 1 Name: ?. Address: ( `7 ei C% G g,N v a ' 4'1 Address: 5N City: v P--::-.-- "..:;NAG P.. ..0 State: apt Zip:%I r h City: 0 State: Zip: Phone: c i,1 — 1.).k--_cy c-&-_:2 Fax: Phone: Fax: Contact Person Q Contractor Lic No: Exp Date: Name: c,y C m S (% i c J Ac S N t �-v A City Business Lic.No: Phone: licci9It_645 y i '193' U8'4- PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Commercial/Industrial Driveway l Existing Curb&Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction Other Conditions Bond/Insurance certification must be on file with the city. DISCLAIMER The permittee verifies,acknowledges and agrees by their signatures 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 applic:::- . be processed. 9 Signature -j _) (' Date q 7 Z .jam Method of Payment ❑ Cash Check ❑ Mastercard ❑ VISA Bankcard#: • Expires: VIN#: Authorized Signature: REVISED 3/9/06 AutoCAD 2004 - IC:1New_Hous _Rhodes 4_14-2009\H0USE-PIat1-999.dwg] t) Fie Edit v9 ByLayer Insert Format Tools Programs Draw tg 4D window text R1 VERWAY 549 / 19 Douglas $ SheIa Kvasnscka 17904 E Rrverwa PARCEL. #: 5.0371.0193 51'-6" 243'-5 [3 DR?42`rW4Y unary 1 Mat —serrre srsre94 " 51.8,2 440'-1--" NOTE: 1. HOUSE FOUNDATION PERIMETER SHOWN, 24 INCH ROOF OVERHANG 2. LAND = 85393 sq 4 i 4 i) 11 Model Archhectural Title Block / 4s,„ o t Ing0 „( °,..,rArchitectur 1AAZN a] lei dtri .. •� ; �` / X x @JOU % ° A 17kommand : AutoCAD Mouse '-72,11", -531;:91/4", 0,0' SNAP GRID ORTHO, POLAR'; OSNAP OTRACK LWTMODEL m Communication Center (.x The easy way to keep you and your software up-to-date. Click here. start p c CAN AutoCAD 2004 ... 5 Permit Center Spokane 11703 E Sprague Ave, Suite B-3 ValleSpokane Valley, WA 99206 y (509)720-5240 FAX: (509)688-0037 permitcenter(c�spokanevalley.org May 20, 2010 KVASNICKA, DOUGLAS G & SHEILA M 17904 E RIVERWAY AVE GREENACRES WA 99016 RE: Address Verification - Parcel # 55071.0193 In partnership with Spokane Valley Fire, our office has verified your current address as: 17908 E RIVERWAY AVE For emergency response purposes, it is important to verify the posting of this address as soon as possible. The International Fire Code (section 505.1) requires address numbers to be: 1. Placed in a position that is plainly legible and visible from the street or road fronting the property. 2. A minimum of 4 inches in height, a half-inch stroke and of a contrasting color to the background on which they are mounted. The City of Spokane Valley Permit Center notifies the following agencies: Master Street Address Guide (MSAG) -911 Combined Communications Center(CCC) City of Spokane Valley GIS Spokane County Assessor Spokane County Elections Department Spokane County Sherriff's Office Spokane County Utility Department Spokane Regional Health Department Spokane Valley Fire Department United States Post Office Comcast Qwest Waste Management Consolidated Irrigation Water District If you have additional questions regarding this verification, please contact the Permit Center at 509.720.5240 or permitcenter@spokanevalley.orq.