2006, 03-28 Permit App: 06001042 Residence Project Number: 06001042 • 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:
Permit Use: SINGLE FAMILY DWELLING,GAS HEAT,ON Contact: SHUR,LEONID A&GALINA
SEWER 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:
5w^,@'w a Fie4`SS'9' 'Si.?➢v:5"M1 -A//A lul k!C,. a a.8 :,?, .G9'&4i.fid fnU'tl9f@kl.'4£,-:@;r�•S.Gc§'>„'Y'.,..b:Xa�t"Xi�M1 AA ,�.,5'.5z%1,w-e.3k.w+2-Yx'85�"tiYh.°.'.AAA A/AAA-S m s.m?A.«24 °:��'.+.to-n,v.c:L x„ rcP' .i” A
Plat Key: Name: Range District: Sout
Parcel Number: 35243.0810 Block: Lot:
SiteAddress: 6121 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 In formation: vats, IOW AMINSONNOWOMMONOR
Review
Building Plan ReviewRetea ` ���t j .r .
Driveway/Approachow' o
Landuse/Zoning/HE Conditions B' 0.1
Sewer Review
Originally Released: 3/28/2006 By: amblake
Operator: AMB Printed By: AMB Print Date: 3/28/2006
Project Number: 06001042 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
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.Summal'y: ,as ii.... �n o- �� i i air uaav 7.� . .,� si ��,
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: 06001042 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 In formation:
Permit Use: SINGLE FAMILY DWELLING,GAS HEAT,ON Contact: SHUR,LEONID A&GALINA
SEWER 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: 35243.0810 Block: Lot:
SiteAddress: 6121 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 In formation:
Review
Building Plan Review Re1o' ed=By: Nefr.. . 'im r , , ....
Originally Released: 3/28/2006 By: TMELBOU
Driveway/Approach 1e ,:. , * A g
Originally Released: 3/28/2006 By: amblake
Landuse/Zonin /HE Conditions t
Originally Released: 3/28/2006 By: mbasinger
Sewer Review Releasee' °° 'g
Originally Released: 3/28/2006 By: amblake
Permits: f Wax rwa .A ,rrr ,. . , .
Operator: AMB Printed By: AMB Print Date: 3/31/2006
Project Number: 06001042 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
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 1,294 $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 150 $2,250.00 150 $2,250.00
GARAGE U-1 VB 504 $9,576.00 504 $9,576.00
Totals: 2,830 $136,818.78 2,830 $136,818.78
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
FLOOR DRAINS 2 NUMBER OF $12.00
WATER PIPING-DWV 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Operator: AMB Printed By: AMB Print Date: 3/31/2006
Project Number: 06001042 • 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
Notes. , e �
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:
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 $96.00 $96.00 $0.00 $96.00
$1,831.83 $1,831.83 $0.00 $1,831.83
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB Print Date: 3/31/2006
.cr . Permit Center
Spokane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER: J/
, .7
Valle Spokane Valley,WA_99206
.,� (509)688-0036 F • . 1506 8-0037 PERMIT FEE:
Community Development ww'•;�spokanez'aLi I[..;.CfeC Cn I�` rj \\/' `-, r-7'.
MAR J
l
Residential Construction 177-3 71$Co truction o Accessory Bldg
Permit Application I fi ; =14.1titi4emodel o Deck
SITE ADDRESS 67.9/ G // - //G'e ,,Y/0,�' (.l�f�� I/,` l is, .�.J,�/, .
ASSESSORS PARCEL NO: Z'-{3 I PEGAL DESCRIPTION:
Building owner : :, �- :... :.: Contractor :. : . ,
Name: ized/L/ Swthe
Name: /P6/1//C� 5#4',
Address:�y f_LP pr /e'rN /re Address:Qé2/ /, /t r// �`/e //
City: .�J�I443'C W Zip: .,9 7A, City:c,,Tpo it,,e �/Z y Zip: x.,9,0, .
Phone: cff/-, 2/d Fax: Phone:// P5/--,51/,2 Fax:
Lic No: Exp.Date:
C011taiCt Person. City Business Lic No:
Name:
Phone: ff1 —S2/0'
Describe the scope of work in detail: Cost of Project: $ -9U, 60ae 0
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: T TAL HABITABLE SPACE:
1¢"(I1 .2Y3 i x lit' 5 /47-
MAIN FLOOR TOOQ. 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG:g.9' l 1 - AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO Q. FTG: 30% SLOPES ON
SQ. FTG: 2 0(4... Coif 0 fL /5-0 PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SO RCE: SEWER OR SEPTIC?
V iee3/RfPylle7 8g3 serve
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 ee�iZ/�_ Date
Method of Payment: Faxed 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 8/252005
Valley
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 118") 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
SSolkane 11707 E Sprague Ave,Suite 106
Walley Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development w«.�ti..spokanevallev.ore -' " �-'-
Plumbing Permit Application n Commercial n Residential
SITE ADDRESS: 4/..,1 7 i �� T /4/e '"--7/064/17e/17e l/, V 14f gia/>
z
Building Owner
Name: eel 7�//[./� .,/G, �/ Phone: /)f/" .s:2/-0-
/ Fax:
Address: /L66�,. j L i /tTh''e City: N�w/d /Y� p, y State: /i/,(� Zip: qg�/-z
Contractor v��i - eg,i4�' /,
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 X $6.00 = /412
2 URINALS e X $6.00 =
3 TUBS ,Z X I $6.00 = /
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT / X $6.00 = 6
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = 'f/'
X-RAY,FOOD,PREP/CULINARY MEAT °C. �'C
6 DISHWASHER 4 X $6.00 = Veld711. U
7 , CLOTHES WASHER J x , $6.00 = 6
8 GARBAGE DISPOSAL 11/ , X $6.00 = '6-
9 WATER SOFTENER 0 X $6.00 = _
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL /2 X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 = /2
12 ROOF DRAINS/OVERFLOW DRAINS �qX $6.00 =
13 FOUNTAINS,DRINKING W X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, /,�
14 VENT,PLUMBING,REVERSAL REVERSALS V X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP D X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP 3 !r
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 62 X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN 0 X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE e X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS 0 X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR 0 X $15.00 =
SUBTOTAL
METHOD OF PAYMENT: •
PROCESSING FEE
OCASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE: /-3 7 at)
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center •
S`i" ne 11707 E Sprague Ave,Suite 106 '1
Spokane Valley,WA 99206 PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037 ,
Community Development www.spokanevallev.orc PERMIT FEE:
Mechanical Permit/ Application
E ❑ Commercial ❑ Residential/ //� �� 9
SITE ADDRESS: E/1/- /� ' "fife $4l% t' I/, It// �,b-z
Building Owner
Name: zi.,,,f,,irt/ Phone: Fax:
Address: cOji City: State: Zip:
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 100,000X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,000 ..r7r-'. 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 5/26/05