2009, 11-16 Permit App: 09003632 Residence Project Number: 09003632 Inv: I Application Date: 11/16/2009 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR Contact: PAUL BURLAKOV
Address: 18902 E 2ND
C-S-Z: SPOKANE VALLEY,WA 99016
Setbacks:Front Left: Right: Rear: Phone: (509)879-5872
Group Name:
Project Name:
Site Information:
Plat Key: Name: Range District: Sout
Parcel Number: 45213.0614 Block: Lot:
SiteAddress: 10803 E 9TH AVE Owner:Name: PAUL BURLAKOV
Address: 18902 E 2ND
Location::CSV SPOKANE VALLEY WA 99016
Zoning: R-4 SF Res Urban District
Water District: 007 MODEL Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: p", nv"vvr" .. MEN/.. , 35 - v,--0/17".
Review
Building Plan Review Released By:
Originally Released: 11/13/2009 By: tmelbourn
Driveway/Approach Released By:
Originally Released: 11/16/2009 By: WMCGAV
Landuse/Zoning/HE Conditions Released By:
Originally Released: 11/10/2009 By: tschmidt
Sewer Review Released By: J
Originally Released: 11/13/2009 By: JLMain
Operator: JD Printed By: JD Print Date: 11/16/2009
Project Number: 09003632 Inv: 1 Application Date: 11/16/2009 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,572 $152,216.76 1,572 $152,216.76
BASEMENT U R-3 VB 1,568 $23,520.00 1,568 $23,520.00
GARAGE U-1 VB 664 $12,616.00 664 $12,616.00
Totals: 3,804 $188,352.76 3,804 $188,352.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,492.15
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $596.86
Permit Total Fees: $2,093.51
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $11.00
VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $11.00
Permit Total Fees: $76.00
Operator: JD Printed By: JD Print Date: 11/16/2009
Project Number: 09003632 Inv: 1 Application Date: 11/16/2009 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: OWNER Finn: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
Permit Total Fees: $66.00
Notes• ,.. , ... AN4. :;,......, mom..,.,, A. ..;..
saw cutting of existing curb is not allowed within the city's jusrisdiction.Driveway is to be inspected by
the city's ROW inspector prior to concrete placement.
Payment.Summary: rc...:_ ;x;,. . ._� �, i _ � .��r„ . ..• ...
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $2,093.51 $2,093.51 $578.94 $1,514.57
Mechanical Permit $76.00 $76.00 $0.00 $76.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$2,285.51 $2,285.51 $578.94 $1,706.57
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: JD Printed By: JD Print Date: 11/16/2009
' Permit Center
Scruor 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: C�-'�(P-5Z
pokane Spokane Valley,WA 99206 PERMIT FEE:
, Valley (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Residential Construction 7New Construction Accessory Bldg
Permit Application Addition/Remodel Deck
n Other:
SITE ADDRESS: 10 F 0 Q ` 4 01.17
ASSESSORS PARCEL NO: 41 S P j"z=06 (LI LEGAL DESCRIPTION:
Building Owner: Contractor:
Name: IAt7 vo iq,re 4,
Name:
Address: 9 2 /1� 2$4' Address:
City: coo7 4State: /4Zip: Ci • State: Zip:
Phone: q 79 ,... .-.A‘7,2 Fax: Phone: Fax:
Contractor Lic No: Exp Date:
-
Contact Person // City Business Lie.No:
I
Name: O CI (
Phone: q 7 q — X ? 412
Describe the scope of work in detail: Cost of Project: $ / 3 S
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
/57 2--
MAIN
MAIN FLOOR TO SQ. 2NU FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: 1. /ill I is- g. AREA:
FINISHED BASEMENT GARAGE SQ. FTj• DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: le 'f PROPERTY:
#OF BEDROOMS: S 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 proces ed.
SIGNATURE: )1L . DATE: f(• !?9, 0 4
Method of Payment:
0 Cash ❑ Check 0 Mastercard L#:
VISA
Bankcard#: Expires:
Authorized Signature:
REVISED 2/15/07
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 o Setbacks to property lines
o Direction arrow pointing North and orientation to streets ❑ Distance between buildings
❑ Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes
❑ 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 ❑ 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 ❑Window and door location and sizes
o Header, beam or concrete lintel sizes o Window well locations if applicable
o Brace wall panel locations o Room usage labels
o Water heater and furnace locations ❑ Smoke detector locations
o Exhaust fan locations ❑ Attic and crawl space access locations
o Deck or concrete patio sizes and locations o Fire Wall construction
❑ Roof Plan:
o Engineered truss direction and spacing o Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing o Beam and girder size and location
0 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 ❑ Attic insulation/air space baffle/ventilation
Ceiling
o Joist size and spacing ❑ 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 ❑ 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:
❑ Floor plan/side view/dimensions o Footings/post/and beam size and locations
o Floor Joist/decking direction, size and spacing
❑ Stairway tread rise & run and nosing 0 Handrail/Guard height &spacing
Permit Center
• Sfxikane
�1 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
.0,00Valley. (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development permitcenter@spokanevallev.oru
Mechanical Permit Application I I Commercial Residential
SITE ADDRESS:
0 2°0 `vs'—
Building Owner
Name: p014.
11 g/ /2 (�( a' V Phone: q 7e? S�j '7 Q Fax:
Address: t g g 0 g r`�' c t a-- City: yole_q vial/State: a„..,A Zip: q (-
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UN ITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TON
AIR CONDITIONER Over 30-50 TON
AIR CONDITIONER Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM(each outlet)
GAS LOG,FIREPLACE,&GAS INSERT
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT
REPAIRS OR ADDITIONS
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM — Over 3-15 hp—100,001 to 500,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15—30 hp -500,001 to 1,000,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp—1,000,001 to 1,750,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 50 hp—over 1,750,000 BTU
AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 dm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 dm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fa;l ronnected to a singe duct
VENTILATION AND EXHAUST Each ventilation system
VENTILATION AND EXHAUST Each hood served by mechanical exhaust
INCINERATORS Installation or relocation of residential
INCINERATORS Installation or relocation of commercial
APPLIANCES Range,Clothes Washer
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM—FREE STANDING
EXPIRES: VIN:
❑CASH ❑CHECK VISA ❑MC
CARD#: SIGNATURE
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitAppli cation040309.doc
Permit Center
Spo• kane 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
\alleyx (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
permitcenter ,spokanevall ev.org
Community Development
Plumbing Permit Application n Commercial Residential
SITE ADDRESS: 101
Building Owner C�
Name: pve" A L pia,tot, Phone: 4!-7 q �A Fax:
Address: t5 qv a (2 x01 :¢— City:Se 0g4 � ii:afizr State: A Zip: qj qO(4
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: ho(i(. Phone: 4/ 247 Cg7202
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER JJ
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH ❑CHECK VISA ❑ C EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
•
ProjectNetvp7nject ,-
'r f , Previous pre-app meeting ,=,
6 o ne
Transmittal Plan revisions
City of Spokane Valley
Transmittal Date.
4010110°ValleY
Community Development
Monday,Nozember09, 2009
Department
11703 E.Sprague Ave,Suite B3
Spokane Valley,WA 99206
Phone:509.688.0036
Site Address: 10803 E 9TH AVE Project Number: 09003632
Parcel Number: 45213.0614
Zoning: R-4 Water District: MODEL
Fire District: FD 01
Applicant: PAUL BURLAKOV Owner: PAUL BURLAKOV
18902 E 2ND 18902 E 2ND
SPOKANE VALLEY, WA 99016 SPOKANE VALLEY WA 99016
(509) 879-5872
e-mail: e-mail:
Contact: PAUL BURLAKOV Occupant:
18902 E 2ND
SPOKANE VALLEY, WA 99016 e-mail:
(509) 879-5872
e-mail:
Contractor: OWNER Arch/Engineer:
1 1 i ii
t �
( ) - 0
1 f-Th
e-mail: ._,�
i _'r '
Project SFR W/ATT GAR
Description:
Building Landuse Engineer Utilities Health Fire Dist Assessor
APPLICATION I
SITE PLAN Z
PLANS n
Please send all plan review and project comments via e-mail to the
highlighted individuals.
1
CITY OFk dile Development Engineering
galley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 10803 E. 9th Ave.
Project No: 9-3632
Accepted Not Accepted
Approach X
Building Location
Paved Access
Notes: Saw cutting of existing curb is not allowed within the City's
jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior
to concrete placement.
Reviewed By: �r �` Date: ///// ,'
i-
, itgolet\iftat. Newproject
Project Previous pre-app meeting i
e"."1 Cal'oFka.
o ne
Transmittal Plan revisions 0
City of Spokane Valley Transmittal Date:
400°
Community Development Friday,November 13,2009
Department
11703 E.Sprague Ave,Suite B3
Spokane Valley,WA 99206
Phone: 509.688.0036
Site Address: 10803 E 9TH AVE Project Number: 09003632
Parcel Number: 45213.0614
Zoning: R-4 Water District: MODEL
Fire District: FD 01
Applicant: PAUL BURLAKOV Owner: PAUL BURLAKOV
18902 E 2ND 18902 E 2ND
SPOKANE VALLEY. WA 99016 SPOKANE VALLEY WA 99016
(509) 879-5872
e-mail: e-mail:
Contact: PAUL BURLAKOV Occupant:
18902 E 2ND e-mail:
SPOKANE VALLEY. WA 99016
(509) 879-5872
e-mail:
Contractor: OWNER Arch/Engineer:
( ) - 0
e-mail:
Project SFR W/ATT GA ,�
Description: I,/44 A
Building Landuse �ngmeer Utilities Health Fire Dist Assessor
APPROACH SITE PLAN i
APPROACH
APPLICATION
Please send all plan review and project comments via e-mail to the
highlighted individuals.
1
'>� Permit Center PERMIT NUMBER: 0 I— 36 S`Q
SQTS' 11703 E Sprague Ave,Suite B-3
pokane Spokane Valley,WA 99206 PERMIT FEE:
Valley® (509)688-0036 FAX: (509)688-0037
r�nuw.spokanevalley.ori
Community Development
Approach Permit Application
PROJECT ADDRESS i 0 50 g E Q Ctv..Q_-
//a(/e
START DA 1'b Cod E " ,901,0 r
,6
ANTICIPA 1'.bD COMPLETION DA 1'L
Building w •••er• ,,, :Contractor: -m
Name: & V i/ or •C/ Name: pig.(1/, pc,x( q ro
C/
Address: 1 /V _ v z— Address: ‘1269t''-�
,o,
City: 'Si q�-\'r a"7' State:l)/ ►, Zip: q9 173 City: 4,c,—.14 146 4 C7 State: Zip:
Phone: Fax: Phone: 17 9''-S',g 7a Fax:
Contact Person' )0(_.,(, Contractor Lic No: pa((C,C4Exp Date:
Name: () City Business Lic.No: q'-8,,!. X34
Phone: /7
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway Commercial/Industrial Driveway
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
application can be proces -d.
i C
Signature Date 7" 43 . O f
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
NOV 1 2 los
REVISED 3/9/06
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I rn Ie- PLANNING DEPT. APPROVED
BY:J'r
DATE: //IO/ ►
•
For City Use Only
CITY OF PLUS Project Number
po1IfleProject Address
40000
a QVy()
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
Aspart 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 isa 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