2005, 09-14 Permit App: 05003378 Addition, RemodelProject Number: 05003378 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/14/2005 Page 1 of 2
Project Information:
Permit Use: ADDITION & REMODEL OF RESIDENCE Contact: ZERBIN, EDWALD & KRYSTYNA
Address: 9405 E BROADWAY
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 928-7195
Group Name:
Project Name:
Site Information:
Plat Key: 001852 Name: OPPORTUNITY TR # 01-354 District: F
Parcel Number: 45163.0294 Block:
SiteAddress: 11113 E VALLEYWAY AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 65 Depth: 320 Right Of Way (ft): 40
Is br of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: ZERBIN, EDWALD & KRYSTYNA
Address: 9405 E BROADWAY
SPOKANE VALLEY, WA 99206
Review
Plan Review
Sewer Review
Permits:
Originally Released: 09/13/2005 By: TMELBOU
Originally Released: 09/14/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
Project Number: 05003378 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/14/2005 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB 2ND 29 $2,165.72 29 $2,165.72
FLOOR
ADDN
Totals: 29 $2,165.72 29 $2,165.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $83.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $33.30
Notes:
Permit Total Fees: $121.05
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $121.05 $121.05 $0.00 $121.05
$121.05 $121.05 $0.00 $121.05
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: CJJ Printed By: CJJ Print Date: 09/14/2005
'Permit Center
`"' 11707 E Spra
`Xpokane
.4000 Valle Spokane V,
.7 (509)688 00
Community Development www.s. • a
0
Residential Constr t
Permit Application
ey 206
(9)688-00
a11e '.or • .com
o New Construction
❑ Addition/Remodel
•
o Other:
o Accessory Bldg
o Deck
0 —o07
SITE ADDRESS ` / / / 3 F /e y �,f
ASSESSORS PARCEL NO: `1,]! , 0267"/ LEGAL DESC/RIPTION:
Building owner
J1 `a
Name: C L) Ii✓ 4 2 7F I L/ At
Address: c% / Q S4` E d8 /T1e-i cl `L.' c2 %
City: S r) rc VL/ Zip: e7 206
Phone: r;?49- 7/9,`jl`Fax: _S-142 Yid P
Contact Person
Name:
Phone:
Contractor
DIMENSIONS:
Name:
TOTAL HABITABLE SPACE:
Address:
2Nu FLOOR SQ. FTG:
IN L�
Zc)SF
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
CONSTRUCTION TYPE:
0 aD
ACYL' Aa 1r pz) 54oLe-) r �c� Lrt T f Sl i-1
**************The following MUST/be complete: (write N/A if not applicable)**********************
Describe the scope of work in detail: Cost of Project: $ 2, 0 0
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
IN L�
Zc)SF
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Sr
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
c�-/2_03-
❑ Other
Authorized Signature:
REVISED 8/25/2005
ookane
S.,sValley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org.com
Residential Plan Submittal Minimums
❑ Completed Building, Plumbing & Mechanical application with: Accurate address,
Parcel Number and/or Legal Description, description of work, owner and
contractor information, signature, and date.
❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide -at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for bleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
*4„
Return to:
Edwald Zerbin
11113 East Valleyway
Spokane, WA 99206
I CERTIFY THIS IS A
TRUE AND GOR RiLCT"COW-
707-2712 I
OPY
707-27121n
STATUTORY WARRANTY DEED
THE GRANTORS, Michael E. Connors and Vicki L. Connors, husband and wife, for and
in consideration of Ten Dollars ($10.00) and other valuable consideration in hand paid, conveys
and warrants to Edwald Zerbin and Krystyna Zerbin, husband and wife, the following
described real estate, situated in the County of Spokane, State of Washington:
The East 65 feet of the West 196.6 feet of Block 111, OPPORTUNITY, as per
palt recorded in Volume "K" of Plats, page 20, records of Spokane County;
EXCEPT the North 320 feet thereof;
Situated in the City of Spokane Valley, County of Spokane, State of Washington.
APN: 45163.0294
SUBJECT TO: (1) Restrictive covenants, easements and encumbrances of record;
(2) taxes not yet due or payable; and (3) visible easements and underground easements of
records. (4) Exceptions disclosed by the Commitment for Title Insurance issued by
Spokane County Title Order No. 129416, which Purchasers have reviewed, and approve
and accept the exceptions therein contained.
DATED: September 6, 2005.
/Mi hael E. Connors Vicki L. Connors
STATE OF WASHINGTON )
) ss.
County of Spokane )
On this day personally appeared before me Michael E. Connors and Vicki L. Connors, to me
known to be the individuals described in and who executed the within and foregoing instrument,
and acknowledged that they signed the same as their free and voluntary act and deed, for the uses
and purposes therein mentioned. y�
GIVEN under my hand and official seal on September (9/47 2005.
WAStOIIIII
Notary IJublic in and for the State of
Washingto , residing at Spokane.
Name: (& )n& ct.gt a fie,
My commission expires: 3—,30
Y
Permits
BUILDING DIVISION
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
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Permit fl BLD -04-07276
Permit Type !RESIDENTIALADDITIONJREM0
1 Group Action Code Acton Description
9
'Permit Counter '-Routed
Address
11113 E VALLEYWAY AVE
SPOKANE VALLEY WA 99206
Completion Date
110 100101 ISETBACKS 108/12/2004 04:29.36 PM
10 100102 'FOOTINGS 108/12/2004 04:29:37 PM
110 100103 'REINFORCEMENTS
110 100104 1BOND BEAMS
100105 ROOF DECK
110
10
110
00107 'FRAMING
100108
Complete Code
INSULATION
10 [00110
FIREPLACE/CHIMNEY
10 00111
EXTERIOR FINISH
110 00112 DRYWALL/FIREWALL
10 100113 'SITE DRAINAGE "208"
110
00116 SPECIAL PROVISIONS
110 00117 'HYDRANTS/STANDPIPES
lir- 100119 'GENERAL INFORMATION
110 100120 GLAZING
1:16- 100129 iACTIVE RADON SYSTEM
ho 400130 'SUB -SLAB PASSIVE SYSTEM 1
Group Status [Working
Group Title Building Inspections
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Record: 1 of 1
start
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Thursday, Sep 08, 2005 09:36 AM
IEEE
4:36 AM
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes and that required
inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the
construction at the applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE
REQUIRED by City Code:
FOOTING — when forms and reinforcement are in place and prior to placement of concrete -all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane
Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable
setback provisions lies solely with the permittee -neither the City of Spokane Valley nor Its authorized representatives assume any
responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to
properly locate the structure may require its relocation at the owner's/permittee's expense.
FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING — after rough -in, before covering, and final.
MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to
concealing.
FINAL — when complete and prior to occupancy and/or use. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site
plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access,
on-site drainage (208' swales), road improvements, parking and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES — Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover.
RIGHT-OF-WAY/APPROACH — prior to placement of concrete/asphalt or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc. must
be inspected prior to cover. Check with the Building department for 'special inspections' in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency.
Building, plumbing (includes interior reversals for sewer) and
mechanical, City of Spokane Valley Building Division 688-0054
Road cuts for utilities or driveways, City of Spokane Valley
Public Works 688-0195 or State Dept of Transportation
324-6000
Permits and Inspections for electrical wiring, State Department of Labor Permits and inspections for Sewer Connection. Spokane County Utilities Division
And Industries 324-2640 4773604
Peants and Inspections for on-site septic systems. Spokane Regional
Health Dstrict 324-1560
Fire sprinkler and alar systems and private access road inspections. Spokane Valley
Fire Department 692-4122
State law RCW 19.122 requires That prior to any excavation the 'CALL BEFORE YOU DIG- center must be notified. Call before you dig at least 2 working days in advance. 45618000.
— P� ERMILEXRIRATIeN- tNU REFUN
All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is
abandoned for 180 days or more after beginning work,. or c) after two years from the date of permit issuance, regardless of whether the work is
finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
• • • - •i•Inal •ernit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be
authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner / Agent
Date
Staff Approval Date
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