2006, 03-28 Permit App: 06001047 Residence •
Project Number: 06001047 Inv: 1 Application Date: 3/28/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
..,,gym....:114 Aw«n„b'.A#`TWA'40t5F-FL'B"t�WrSffii8!YYRw,w&at..efxRxA.v _...v.:. wdi.ad nPe.&i.% ......i xa w1 Pbt_.CC. b-.•='a+n, X3^<x`?"fAi
Permit Use: SFR,GAS HEAT ON SEWER Contact: SHUR,LEONID A&GALINA
Address: 6921 E 10TH AVE
C-S-Z: SPOKANE VALLEY,WA 99212
Setbacks:Front Left: Right: Rear: Phone: (509)891-5210
Group Name:
Site In formation: Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 35243.0809 Block: Lot:
SiteAddress: 6119 E 11TH AVE Owner:Name: SHUR,LEONID A&GALINA
Address: 6921 E 10TH AVE
Location::CSV SPOKANE VALLEY,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,750 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: emetaggegigagoseggemigaggar AMINISSEISNIMUSINSMINNIOF
Review
Building Plan Review °bed By1
Driveway/Approach
eaed By �, u
Landuse/Zoning/HE Conditions 4'
Sewer Review eka d By .. °
Originally Released: 3/28/2006 By: AMBlake
ermits: r a m, m a irea sr .,� s r •a a Amb .t:re
Operator: AMB Printed By: AMB Print Date: 3/28/2006
Project Number: 06001047 Inv: 1 Application Date: 3/28/2006 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
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
BETTMAN'S ADDITION- LOTS 7 THROUGH 18 OF BLOCK 8;AND LOTS 9, 10, 15 AND 16
OF BLOCK 5 HAVE BEEN PULLED OUT OF THE FLOOD PLAIN. SEE PLAT FILE.
Payment Summary:
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: AMB Printed By: AMB Print Date: 3/28/2006
Project Number: 060,01047 Inv: 1 Application Date: 3/31/2006 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR,GAS HEAT ON SEWER Contact: SHUR,LEONID A&GALINA
Address: 6921 E 10TH AVE
C-S-Z: SPOKANE VALLEY,WA 99212
Setbacks:Front Left: Right: Rear: Phone: (509)891-5210
Group Name:
Site Information Project Name:
Plat Key: Name: Range District: Sout
Parcel Number: 35243.0809 Block: Lot:
SiteAddress: 6119 E 11TH AVE Owner:Name: SHUR,LEONID A&GALINA
Address: 6921 E 10TH AVE
Location::CSV SPOKANE VALLEY,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,750 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 Rete `. j3yyw'
Originally Released: 3/31/2006 By: TMELBOU
Driveway/Approached By: `°r arm
Originally Released: 3/31/2006 By: amblake
Landuse/Zoning/HE Conditions �� �' �` �
Front yard setback is measured from property line outside border easement
Originally Released: 3/28/2006 By: mbasinger
Sewer Review Released By:
Originally Released: 3/28/2006 By: AMBlake
Operator: AMB Printed By: AMB Print Date: 3/31/2006
Project Number: 06001047 Inv: 1 Application Date: 3/31/2006 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits: w � r �s •f .y a < .« � . , s 7, was n h .,m o : m . war ,a r A- ^in,i
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 So Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,294 $111,762.78 1,294 $111,762.78
BASEMENT U R-3 VB 882 $13,230.00 882 $13,230.00
DECK OPEN R-3 VB 143 $2,145.00 143 $2,145.00
GARAGE U-1 VB 504 $9,576.00 504 $9,576.00
Totals: 2,823 $136,713.78 2,823 $136,713.78
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,200.95
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $480.38
Permit Total Fees: $1,685.83
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
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 2 NUMBER OF $12.00
WATER PIPING-DWV 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Operator: AMB Printed By: AMB Print Date: 3/31/2006
Project Number: 06001047 Inv: 1 Application Date: 3/31/2006 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
BETTMAN'S ADDITION- LOTS 7 THROUGH 18 OF BLOCK 8;AND LOTS 9, 10, 15 AND 16
OF BLOCK 5 HAVE BEEN PULLED OUT OF THE FLOOD PLAIN. SEE PLAT FILE.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,685.83 $1,685.83 $0.00 $1,685.83
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,837.83 $1,837.83 $0.00 $1,837.83
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: AMB Printed By: AMB Print Date: 3/31/2006
,.n. - Permit Center
Spokane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:c lt,q7
Salle Spokane Valley,WA 9 266, /
i117r, 1•r i PERMIT FEE-
(509)688-0036(509)688-0036 FAX: (510)•: 0t Ii_, I; \ � f ' ^+
Community Development www.spokarevaLley.orgi ._ • I
3 L
MAR 2 7 20
Residential Construction [D) tg New Constr c.'i n o Accessory Bldg
Permit Application I_ ) (UhdAiiidillidniiiii.el A el o Deck
o Other:
f
SITE ADDRESS e//i / // a , b'( 5��,��1/c �'k y` G1t4 --y:2/z
ASSESSORS PARCEL NO: 3`)31 0101 LEGAL DESCRIPTION:
Building owner ✓ :, Contractor Q.
Name: 2 j ///I e c+ '////e Name: JQCa j0/Gf J{i/4
Address: X� 92/ 1" 2C ,'/�/� Address: 614/ G . i//Tir /7 G/{
ll
City: She' 'C V/7 Zip: g9,t/of Cid _Sr i/a/t' ' 1f/, Zip: S '//
Phone: jf/`sZJ ' Fax: Phone: Fax:
Lic No:
. Exp.Date:
COlttiCt PerSOII E _g , ,_r
City Business Lic No:
Name: .k.c.,t,/Rt s//me
Phone: S'9/- S.2/0
aJ
Describe the scope of work in detail: Cost of Project: $ 1®, Oi7Q `p
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL H 1 ABLE SPACE:
2. K./ aX -3 ' 2/76 S re /-77-6:MAIN FLOOR TO SQ. 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: r; ali
J7 OK AREA:
FINISHED BASEMENT GARAGE SQ. FTG: •- /, DECK/COV. PATIO FTG: 30% SLOPES ON
SQ. FTG: AV O tL -5(�7pJt-- ` / J PROPERTY:
#OF BEDROOMS: . CONSTRUCTION, TYPE: HEAT S�E: � SEWER OR SEPTIC?
A'e`/def/. !e7/ . 3eiU,,ie
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 proceesssedd.
Signature f`l7//1- 1- Date
Method of Payment: axed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 825/2005
.0,00VValley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org
Residential Plan Submittal Minimums
❑ Completed Building & 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 sleeping.
❑ 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
Permit Center
$041i......*Valley
11707 E Sprague Ave,Suite 106 PERMIT NL7MBER:
Volley Spokane Valley,WA 99206
• (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.snokanevallev.ore
Plumbing Permit Application n Commercial frgi Residential j ��
SITE ADDRESS: €// 9 —/-- 11.217 W P. )�6�k1/1/' k Y GIJ/`l 9 9-G f z
Building Owner
/
Name: Littriri i d iSlii&/e
Phone: 2.7/... Fax:
Address: /92/ t' /0 77,1 "II e City: SIVE01i?'� vl./ State: k/Ij�' Zip: if��y
Contractor ,eQ,4,//,9 3,0404 �I
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = 18
2 URINALS 0 X $6.00 = I
3 TUBS 2 X $6.00 = /(^C
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6.00 = p
LAVSBASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, j� X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT —l
6 DISHWASHER I X $6.00 = 66
7 CLOTHES WASHER I X $6.00 =
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER 0 X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL 0 X $6.00 =
AREA,CASE,COIL,TRENCH, pQQ �(2_11 FLOOR DRAINS CONDENSATE X $6.00 =
(�
12 ROOF DRAINS/OVERFLOW DRAINS 0 X $6.00 =
13 FOUNTAINS,DRINKING 0 X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS O X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP 0 X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER 3 X $6.00 = i(�
PROOFER,CARBONATOR,SWAMP
o
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK 0 X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN 0 X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE 0 X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR 0 X $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: $335.00
Card# VIN: TOTAL PERMIT FEE DUE: /17. o'1
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
P
o"kane 11707 E Sprague Ave,Suite 106 •
.Valley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037 PERMIT FEE: •
Community Development www.spokanevallev.or,
Mechanical Permit Application P Commercial ix Residential
SITE ADDRESS:
Building Owner
Name: s/.Cd% 'dw -3/fli ' Phone:
✓/`5-', f t) Fax:
Address: ,oyvll 4' ' /G"e' iyCt :0/14,./C ,t State: 14 Zip: yy,?/4
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
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 $100.00 =
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 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 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: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
City of Spokane Valley
Building Dept
Receipt
Receipt Number: 4855 Customer Number
Projects
Full
Project Nbr Inv Nbr Fee Amt Inv Amt Owing PAID Pint
t��
((1. '6.(J *---- 6001042 1 $1,831.83 $1,831.83 $1,831,83 ' $1,831.83 ti
toll `�-''"�f 01047 1 $1,837,83 $1,837.83 $1,837.83 $1,837.83
/
Total: $3,669.66 $3,669.66 $3,669:66 ', $3,669.66
O ` 2 015M Lr✓C' ?e r)/.4.5
Miscellaneous Items
Total PAID: $3,669.66
Tender
T e Check Acct Balance CC Nbr Exp Date TENDERED
Cash ' 3,000.00
Payer:
VI xxxxxxxxxxxx7795 08/2007 669.66.':
Payer:
• Total TENDERED: 3,669.66
Over /(Short) $0.00
Change $0.00
Notes:
Tran Date/Time: 13/31/2006 :21:10 PM
By: J_main
Logon User: bidgdesk
Station: CX SV00015
Override By:
Printed: 11/16/2010 12:48:49 PM COPY Page 1 of 1