2005, 08-09 Permit App: 05002812 Residence Project Number: 05002812 Inv: 1 Application Date: 08/09/2005 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/AITTACHED GARAGE-GAS Contact: YEFREMOR,GENNADIY
Address: 1928 W 16TH AVE
C-S-Z: SPOKANE WA 99224
Setbacks: Front 20 Left: 5 Right: 5 Rear: 47 Phone: (509)747-5457
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: BETTMAN'S ADD District: Sout
Parcel Number: 35243.0939 Block: 5 Lot: 15
SiteAddress: 6116 E 12TH AVE Owner:Name: YEFREMOR,GENNADIY
Address: 1928 W 16TH AVE
Location::CSV SPOKANE WA 99224
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,637 Sq Ft Width: 50 Depth: 132 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
Originally Released: 08/09/2005 By: cjjanssen
Plan Review Released By:
Originally Released: 08/03/2005 By: TMELBOU
Approach/Drainage Released By:
Originally Released: 08/09/2005 By: cjjanssen
Sewer Review Released By:
Permits:
Operator: CJJ Printed By: CJJ Print Date: 08/09/2005
Project Number: 05002812 Inv 1 Application Date: 08/09/2005 Page 2 of 4
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 INSPECTION 1 NUMBER OF $25.00
CONST IN ROW-APPROACH 1 NUMBER OF $25.00
Permit Total Fees: $50.00
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Building Characteristics
Total Area 3756
Building Height 21
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 1,854 $138,456.72 1,854 $138,456.72
DECK R-3 VB 81 $1,215.00 81 $1,215.00
GARAGE U-1 VB 457 $8,683.00 457 $8,683.00
RESIDENCE R-3 VB 1,902 $142,041.36 1,902 $142,041.36
Totals: 4,294 $290,396.08 4,294 $290,396.08
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $2,063.35
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $2,067.85
Operator: CJJ Printed By: CJJ Print Date: 08/09/2005
Project Number: 05002812 Inv:' 1 Application Date: 08/09/2005 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 5 #OF UNITS $5.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $109.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 1 NUMBER OF $6.00
SHOWERS 2 NUMBER OF $12.00
DISH WASHERS 4 NUMBER OF $24.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
Permit Total Fees: $66.00
Operator: CJJ Printed By: CJJ Print Date: 08/09/2005
Project Number: 05002812 Inv: 1 Application Date: 08/09/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will lie assessed for commencing work without a permit
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:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $2,067.85 $2,067.85 $0.00 $2,067.85
Mechanical Permit $109.00 $109.00 $0.00 $109.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$2,292.85 $2,292.85 $0.00 $2,292.85
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: 08/09/2005
_ _- - 0--LL`,I/ BUILDING PERMIT APPLICATION IO�u' WORKSHEET
Siciaalle
- City of Spokane Valley Community Development Department
RECD
Building Division
Cr �� f 1170 E. Sprague Avenue, Suite 106
''' lieSpokane Valley, WA 99206
Valley :Lha se: (509) 688-0036, Fax (509) 688-0037
REP I1 �DaBiL-5110C = -. ATION
Street Address: (5//6 ,E /o�� •71� l7 'e
Assessor's Tax Parcel Number(s): .3 1 3 , cfj., 9' 3 9 tir
Legal Description: 1 G .4 j5 8 Joe * 6 Ai Tip 4 . A D L)
PERMIT DESCRIPTION: IV CF1C
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
W Owner. ' /* .i e 0- ',,,w .J Applicant: l 1 .
Phon4 - 7 , Fax: Phone: Fax:
Address: I' • 'lb 4 v Address:
Stowe WA 4fl)
Ci State 7b Code City State Zip Code
P ,
K1 ' Contractor:- r ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
. WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMITIBUILDING INFORMATION
HEIGHT TO PEAK: a1 DIMENSIONS: /; o t x Lt( #OF STORIES: i
MAIN FLOOR TO SQ. FTG: krc. 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG• ,,, S
4
FINISHED BASEMENT SQ. FT .�j GARAGE SQ.FTG: 1 DECK/COV. PATIO SQ. ,
o
OCCUPANCY GROUP: 1 CONSTRUCTION TYPE:(' ( J HEAT SOURCE:
I 4 ev
#OF BEDROOMS: 3 TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
170.000 30%SLOPES ON PROPERTY:
: SEW R ,OR ITf�SEPTIC�1/41
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler. # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner. Phone: Fax:
Address:
City State Zip
Inspector. Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner
Print Name gEw/v/i D 1 Cl ?E f-et/y0USignature- ge1/445L99
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash Ei Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature: /'-moi wOcartV
MECHANICAL PERMIT APPLICATION Community Development Department
Sfif5kane - Building Division
�A ' Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
1 For Inspections, Call (509) 688-0054 • Spokane Valley,WA 99206
Project Address: 61/6 I) '(4 Ave Permit Use:
Owner. • Phone (Daytime Contact). • 57
Mailing Address: /i 1/1/ • " 1/Q S 0 Jca lie 4
40, Ai
City .te Zip Code
Contractor: License#: Phone#:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = i
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 1,001-1,75DM BTU X $35.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = nn
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 1 X $10.00 = /0
16 MISC.FUEL BURNING APPLIANCE X $10.00 = '
17 GAS PIPING(each outlet) t''9 X $1.00 = /V
18 DUCT SYSTEMS I X $10.00 =
/ 7
19 VENTILATING FANS /7 X $10.00 = 0
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 t 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 '7 q
DATE: PROCESSING FEE $35.00
0 CASH 0 CHECK 0 VISA ❑MC r,
CARD#: EXIS: TOTAL PERMIT FEE DUE: /6-
AUTHORIZED SIGNATURE: f"!' ' . ;;,/ -e7v--?' --
i
PLUMBING PERMIT APPLICATION Community Development Department
'tiBuilding Division
11:\kgt,
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
siValky
Project Address: 6//e, - /,, /� Ave Permit Use:
Owner. Phone(Daytime Contact):
Mailing Address: /9 22 W /6 Ih Ave S)O 10217e �+J 4 qq, ,Y
Ci State .Zip Code
Contractor. License#: Phone#:
Mailing Address:
City State Zip Code
DESCRIPTION OF WORK #OF UNITS X COST . = TOTAL AMOUNT
11/ TOILETS WATER CLOSET,BIDETS pc X $6.00 = (�[
2 URINALS X $6.00 = \
3 TUBS X $6.00 =
4 V SHOWERS(PER TRAP) BATH,STALL ONSITE BUILT DL X $6.00 = /R
LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, / X $6.00 =
I/ X-RAY,FOOD,PREP/CULINARY MEAT
6 Y DISHWASHER 7 X $6.00 =
C>til
7 i/ CLOTHES WASHER X $6.00 = 6
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER ''�-. X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE 1 X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING ~- X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLAT1ON,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER `._ X $6.00 =
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE, —
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS `- X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK " — X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAIJSYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR 1- X_ $15.00 =
SUBTOTAL
METHOD OF PAYMENT: C, 4:
PROCESSING FEE
0 CASH 'v
CHECK 0 VISA 0 MASTERCARD
$35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE: 9 r
BANKCARD NUMBER: 1
AUTHORIZED SIGNATURE: it 14, :4/7riJ I.. 4✓e-7,.-, 121'"
,alb `�'"_'.----- _ -------------.�
' z_
/ rl> r � �
-_ _ ES DENT AL ��,%' LDt'I�IE — 7
Prkitile
STANDAR
- ' lei DS
v Community Develo meet
P Department ('
• . ]LAIsmwe D
UR-3.3 — --_-
gI UR 7�'xt� —
r�xti UR t2°x�+ -
Sin o
Single l
Multi- Single Residential
Farm Duplex Fatnil Du.lex Multi• single
LotArea/Dwelling famml Family llu.lex Multi- PUDs°xn
Unit 10 000 20 a t fait F ! pu,lex famil
Lot Pron 0 I 6 000 11 000 15.000 i 4 200 5 000 6 000 18:0I0
80 It o� 65 90 ]00 50 6p 6.000
3 00 , 1 600
Lot D-, SU 20 40 60
Frort!Yard Setback") Ar 80 gp �� SU 1� 30
15 15°) 1 Stt= 1 Sw 15cz> ]5a� 50
( ,.•, .,_., , !SJ 20(2) 1 2 0
°20(2) 2011 20(=) 2x17
Rear Yard Setback 20(4
20m 201) zoo 20RJ +
MOO) 205 20"1
20 20 20 1aaaai.io
20ORUMIal
nx�x°J1111111M
5 11.115
Side Yard Setback
flank' .Street rs> r 5czt 15(, l y<4 13° 15'2' 15(3, 1.5(2' 1542) 15(2j r 5�'� a>
Open SpaceMM. =in
r 5 10
rt ,. ' 10%:oss arta
Dens` DUWAcrei v 7
1 Lot Cove �.e 50.0'° 50.0% 55 0% 55.0% 55.0% 60.0% 60 0% 60.0%222 � 22 I 7.Ott�y.Bonus
Building Height(in
65,0% 65,0°k 65.0% 60.0%
i feet 35 3S 35 El
Building Height(in 35 40 40 50 50 SO Zone
stories 2'ii 4 4 4
(3) IIIIIIMEIFIIII
Zone
"Clear view"Triangle required —.
(2) Measured from Property line outside border easement,if any
Zero sett+cks.01.:-.71 r_ar;lot ot.'s ie re al,it. <rovi,'et that L".0"r n.Tact of an r air, e..:ice casement(s)is ;„+
cn to issuance.`; 'oultd ng 7Ct..t M:ni nun ear yt•d!.t.tar cs In zero'.it lir.••a akar do r'•••.� . the,ith stheoftheSpokane County Auditor prior
L' n _oe less �p�+.± (50�,.�r or the sum of the roar yards required by
the ut►det.,-..ig z,,:.e,whi4ficver is greater.
CO
Minimum si,ie yer i setbicks C et awn div l;ir:g ur its lot stiisc:nt,++t;.hail uct bt.!tss thin 10 feet Cr the side opposite the z4a. - a zero lot rine configuration
{,) Institutional and Office uses have the same setback as residential uses in zones where permitted. Attached garasts lnac is , e may have the same setback as
a principal structure.
it /
Permittedaccessory s�rt(etnres shall main , f]jf42t �.)sidezg A_ 1 .' Lam=r
1.
ACCESSORY STRiEr 5: ., it
i ” \101
/
1.The following calculations 1 for ro erties located in a UR-3.5,UR-7 or UR-12 zone:
LOT SIZE TOTAL S( UAP.E FOOTAGE OF ALL Ace ��
'���`�.St;;.. . � E�at3R.Y STRUCTURES
Less than i , 1,000 sq.ft. or i: :/;.of iVi size; vvnicheve s gr
30,000 sq.ft. to 1 Acre
43j000 sq.ft.
Greater;ht,-t 1 acre to 2 acres 000 sq.ft
Greater brda a;.res ]It°/r,of lot size
2.The UR-22 zoning designation allows only one detached structure per single-family residence or duplex. , ,°t�
There is no size requirement for the detached structure,however setbacks and maximum building4.
coverage shall follow development standards noted above.
Updated 12/17/04
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