2008, 08-13 Permit App: 08003028 ResidenceProject Number: 08003028
Inv: t Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/13/2008 Page 1 of 3
Proiect Information:
Permit Use: NEW SFR -SEWER Contact: KIOURKAS, DANNY & MARGARET
Address: 19411 E 4TH AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 671-2197
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55202.2606 Block:
Lot:
SiteAddress: 19411 E 4T11 AVE Owner: Name: KIOURKAS, DANNY & MARGARE
Address: 19411 E 4TH AVE
Location:: CSV SPOKANE VALLEY, WA 99206
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 13,645 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 8/13/2008 By: tmelbourn
Landuse/Zoning/HE Conditions
Released 13y:
Sewer Review
Permits:
Originally Released:
8/5/2008 By: cjjanssen
Released By:
Operator: jmm Printed By: jmm
Print Date: 8/13/2008
Project Number: 08003028 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/13/2008 Page 2 of 3
Contractor: OWNER
Description Gr Type Notes
1&2 FAMILY R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor. OWNER
Item Description
DUCT SYSTEMS
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER HEATER - ELECTRIC
MISCELLANEOUS FIXTURES
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application:
Sq Ft Valuation
1,724 $163,762.76
244 $3,660.00
1,083 $20,577.00
Total Project:
Sq Ft Valuation
1,724 $163,762.76
244 $3,660.00
1,083 $20,577.00
Totals: 3,051 $187,999.76 3,051 $187,999.76
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,486.55
$4.50
$594.62
$2,085.67
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1
1
1
1
1
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: jmm
Permit Total Fees:
Fee Amount
$10.00
$1.00
$12.00
$10.00
$10.00
$10.00
$53.00
(000) 000-0000
Print Date:
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$84.00
8/13/2008
Project Number: 08003028 Inv: 1 Application Date: 8/13/2008 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$2,085.67
$53.00
$84.00
Invoice Amount
$2,085.67
$53.00
$84.00
$2,222.67 $2,222.67
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$2,085.67
$53.00
$84.00
$0.00 $2,222.67
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: jmm
Print Date: 8/13/2008
Sioliane
PERMIT CENTER
11703 E. Sprague Ave., Suite B-3
Spokane Valley, WA 99206
509-688-0036; Fax 509-688-0037
www.spokanevalley.org
Affidavit in Lieu of General Contractor Registration
State of Washington )
County of Spokane )
I D a- K n y M , 0 e v 11 a S, state as follows:
(Print name as signed)
1. I have made application for a building permit from the City of Spokane Valley, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of
which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Spokane Valley must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. / a. , and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
?° 1/140.
• s` Z
�� 4 :pS
4 A� • a l�
9_09 s
OF ; \W
Siowed and s . m to • efore me this
Day of 0o
•
Notary's Name (Print)
NOTARY PUBLIC in and for the State of
Washington, residing atCounty
My Commission expires: 9-9- 11
October 15, 2007
Page 1 of 2 P:\Community Development\Forms\Building Forms
Revised Code of Washington
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within the scope
of their office;
3) Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their
own business;
4) Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise that are not actually
fabricated into and do not become a permanent fixed
part of a structure; .
6) Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer
or manufacturer licensed under chapter 46.70 RCW who
shall warranty service and repairs under chapter 46.70
RCW;
7) Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8) Any person who only famished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance ot; the work of the contractor;
9) Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection does
not apply in any instance wherein the work or
construction is only a part of a larger or major operation,
whether undertaken by the same or a different
contractor, or in which a division of the operation is
made into contracts of amounts less than five hundred
dollars for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he or she is a contractor, or that he or she
is qualified to engage in the business of contractor;
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farting, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is
performed by a registered contractor;
11) An owner who contracts for a project with a registered
contractor, except that this exemption shall not deprive
the owner of the protections of this chapter against
registered and unregistered contractors. The exemption
prescribed in this subsection does not apply to a person
who performs the activities of a contractor for the
purpose of leasing or selling improved property he or
she has owned for less than twelve months;
y person working on his or her own property, whether
ccupied by him or her or not, and any person working
on his or her personal residence, whether owned by him
or her or not but this exemption shall not apply to any
person otherwise covered by this chapter who constructs
an improvement on his or her own property with the
intention and for the purpose of selling the improved
property;
13) Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14) A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of the
state of Washington or licensed by a political
subdivision of the state of Washington while operating
within the boundaries of such political subdivision. The
exemption provided in this subsection is applicable only
when the licensee is operating within the scope of his or
her license;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16) Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17) A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work
to actively registered contractors. This exemption only
applies to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18) An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a
certified journeyman electrician, a certified residential
specialty electrician, or an electrical trainee meeting the
requirements of chapiggrl)9i2$r jJW to perform
plumbing work tl atitsk‘ipglent k f,..drectly, and
immediately app;;rthriate'to the' ike- trepkacement
of a householct`1-household
utilization equipment t 1 req ted electric power
and limited was and/or water connections. An
electrical trainee%pust bd,.ysupe)vise`d by a certified
electrician while perfornungplitivjbing work.
October 15, 2007 Page 2 of 2
P:\Community Development\Forms\Building Forms
SSiokan�e�
jUalley
For City Use Only
PLUS Project Number - 3 0 2 6
Project Address /9' /1 1
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.
3//a/v,
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
/
PLANNING DEPT. APPROVED
MOM AA
DATE: BiqCS
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30
- 76 ' -->
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/1}4, 990/6
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPUME
Site Information
Project Information
Site Address: 19411 E 4TH AVE
Parcel Number: 55202.2606
Subdivision: RANGE
Block: Lot:
Zoning:
Owner: KIOURKAS, DANNY & MARGARET
Address: 19411 E 4TH AVE
SPOKANE VALLEY, WA
Building Inspector:
Water Dist: CONSOLIDATED ID,#19
Project Number: 08004372 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - COVEY GLEN
Applicant: KIOURKAS, DANNY & MARGARET
19411 E 4TH AVE
SPOKANE VALLEY, WA
8/5/2008
Phone: (509) 671-2197
Contact: KIOURKAS, DANNY & MARGARET
19411 E 4TH AVE
SPOKANE VALLEY, WA
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (509) 671-2197
Rear:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
1
Total Fees AmountPaid AmountOwinv
$100.00 $100.00 $0.00
Tran Date
8/5/2008
Processed By: DOMPIER, DAWN
Printed By: Lemley, Linda Page 1 of 1
Receipt #
3782
Payment Amt
$100.00
PERMIT