Loading...
2007, 10-26 Permit App: 07004185 Residence Project Number: 07004185 Inv: 1 Application Date: 10/26/2007 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW SFR W/ATT GAR Contact: YAKOV BANAR Address: 6528 PINEBURR CT C-S-Z: ORANGEVILLE,CA 95662 Setbacks: Front 25 Left: 5 Right: 5 Rear: 98 Phone: (509)225-2836 Group Name: Site Information: Project Name: Plat Key: Name: BETTMAN'S ADD District: Sout Parcel Number: 35243.0987 Block: Lot: SiteAddress: 6105 U E 14TH AVE Owner:Name: BANAR,YAKOV Address: 6528 PINEBURR CT Location::CSV ORANGEVILLE,CA 95662 Zoning: UR-3.5 Urban Residential 3.5 Water District: 100 SPO CO WATER DIST#3A 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: = G . .. .. 4mgawg,. , tt,b . -:=a {5,. Review Flood Plain Released By: 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. Originally Released: 10/26/2007 By: MTURBAK Building Plan Review Released By: Originally Released: 10/23/2007 By: tmelbourn Other Reviews Released By: RECORDED TITLE DOCUMENT BROUGHT IN 10/23/07 Originally Released: 10/23/2007 By: jdavis Operator: JD Printed By: jmm Print Date: 10/26/2007 Project Number: 07004185 Inv: 1 Application Date: 10/26/2007 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Driveway/Approach Released By: Originally Released: 10/24/2007 By: jdavis Potable Water Review Released By: PER GEORGE-SCWD#3-VIA PHONE-10/24/2007-MT Originally Released: 10/24/2007 By: mturbak Landuse/Zoning/HE Conditions Released By: Originally Released: 10/26/2007 By: MPALANI Sewer Review Released By: — J 07007429 Originally Released: 10/24/2007 By: JLMain Permits: s .. .$ xZ.MIVAES ::. ;. Operator: JD Printed By: jmm Print Date: 10/26/2007 Project Number: 07004185 Inv: 1 Application ' Date: 10/26/2007 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Group: R-3 Type: VB Group: U-1 Type: VB Total Area 3040 Building Height 25 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,042 $95,197.12 1,042 $95,197.12 2ND FLOOR R-3 VB 1,285 $95,963.80 1,285 $95,963.80 COV DECK R-3 VB 40 $600.00 40 $600.00 GARAGE U-1 VB 673 $12,787.00 673 $12,787.00 Totals: 3,040 $204,547.92 3,040 $204,547.92 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,581.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $632.70 Permit Total Fees: $2,218.95 Mechanical Permit Contractor: OWNER Finn: 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 3 #OF UNITS $3.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $65.00 Operator: JD Printed By: jmm Print Date: 10/26/2007 Project Number: 07004185 Inv: 1 Application ' Date: 10/26/2007 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 3 NUMBER OF $18.00 SINKS 5 NUMBER OF $30.00 SHOWERS 1 NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00 Permit Total Fees: $96.00 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. 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: �.. y ��� .� .,.� mw ,ff" ' . ._ ;rnd Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $2,218.95 $2,218.95 $0.00 $2,218.95 Mechanical Permit $65.00 $65.00 $0.00 $65.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $2,379.95 $2,379.95 $0.00 $2,379.95 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: jmm Print Date: 10/26/2007 Permit CenterI lio .,_w,�_ 11703 E Sprague Ave, Suite B 3 PERMIT NUMBER: i � Skane Spokane Valley,WA 99206 PERMIT FEE: jVallevi (509)688-0036 FAX:(509)688-0037 • www.spokanevalley.org Community Development Residential Construction , New Construction Accessory Bldg Permit Application nAddition/Remodel Deck n Other: SITE ADDRESS: - F 1H A j,,r) ASSESSORS PARCEL NO: ��CAI , l LEGAL DESCRIPTION: Building Owner: CO\(U Vv 17'.. k 1l 0,v. Contractor: (4.it-o v A nct j/ � Name: Al i LA'C/1ct"-- Name: YCO'/ Address. C i - Address: / L.�� i/ ( 'Li 7 City:, y+ State: Zip: I. Ci alikr State: A Zip: J i Phori� i W) , �U3 Lax: Phone:R (Y 4'2�7 2 Fax: Contractor Lic No: Exp Date: Contact Person City Business Lic.No: Name: y u DV ,(, ! ► f i IA Phone:1C-'l l .Q) t 7i �- 2 geJ CO Ci)u Describe the scope of work in detail: Cost of Project: $ 6 j -w .�f Proposed Use: k. ,LW,-'e 4A. **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT T¢ DE I1: DIM I,S O #OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: ji/ - /0V 2— /-2 --( I2 S` �% AREA: FINISHED BBASSEME GARAGE Q. FTG: DECK! OV. PATI• SQ. FTG: 30% SLOPES ON SQ. FTG: ( _ G 73 40 PROPERTY: I:\ #OF BEDROO : CONSTR IU d CTION TYPE: HEAT S•• : 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. ) Plans or additional information may be required to be submitted, and subsequently approved before this application can be p es d. SIGNATOZe :AI DATE: ,/O / .7 0% Method of _ent:: " RECEIVED BY 0 Cash (.Check 0 Mastercard 0 VISA(;ITY OF SPOKANE VALLEY Bankcard#: / Expires: VIN#: OCT 1. 7 7007 Authorized Signature: REVISED 2/15/07 ')r:t%l T CENTER dP" 1 SCITYOF1 pokane Valley 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ 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 7'�� \ Permit Center Wiliam �a 11703E Sprague Ave,Suite B-3 PERMIT NUMBER: P Spokane Valley,WA 99206 Waller (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevallev.ore Mechanical Permit Application ❑ Commercial 0 Residential SITE ADDRESS: 6/0 S f/'n ,fre . Building Owner //�� ,9 /� aloft- t 83 6 Name: Vida ' fc./�l/719i�'� Phone:MO Fax: �? Address:`Y�1" Y;rebGr�k� L'1� City: `04i/'1,eaafie State: 1 /0 Zip: 9 (, Iv 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 I X $12.00 = (Z_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 = 1 13 RANGE X $10.00 = /f 14 DRYER - X $10.00 = (%: 15 FUEL BURNING WATER HEATER c X $10.00 = /i;.' 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) 3 X $1.00 = .�-13 18 DUCT SYSTEMS 1 X $10.00 = .az% t 0 19 VENTILATING FANS X $10.00 = ,i-r) 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 4-15 TON X $20.00 = 2 0 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 D CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 ,'A„ Permit Center SiTM°�kane 11703E Sprague Ave,Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER: 4, Valley$ (509)6p8-kanevalley.org0036 FAX:(509)688-0037 PERMIT FEE: tvww.s o Community Development j Plumbing Permit Application2n Commercial 'dential ` SITE ADDRESS: 3 1�) . o/,y Building Owner '//o.�C v\ / L,��YVI 1( .4 Sh t4it.CJv Sk�tj l a ►I t t :r) Name: )1 0-4 V I va.Ir\rt�r v �Plhone: ' ip_A J 7�'ax: Address: 1 _ ' ( 1Y c+. City: ( ti /t l�State: c f\ Zip: qs vags ContractorlY�/�`t( ho. wl r- Name: /IAA, I v Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact\i: �1 ((eV 34e)city al7r- �h/ <h I V eri f (n Name: 1 y c c VYa/n rc � Phone: fie) ) a —( Gc s t - _DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS -- X $6.00 = 15?. 0 2 URINALS !-_ X $6.00 - 3 TUBS OP X $6.00 = , ''LO V , •T 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT ‘ X $6.00 = / t 0 LAVS/BASINS,BAR,FLOOR,KITCHEN, \ 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, r X $6.00 = C/J1 X-RAY,FOOD,PREP/CULINARY MEAT UVJ\ d 'O/ 6 DISHWASHER X $6.00 = , 4 0 0 7 CLOTHES WASHER 1 X $6.00 = [ `0 6 8 GARBAGE DISPOSAL ' X $6.00 = c l! Q 9 _Er SOFTENER X $6.00 = 10 .— OT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =NT P7. ,� AREA,CASE,COIL,TRENCH, 11 •OR i-.•INS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PU X $6.00 = ICE AN/OR COFFEE MAKE HOSE BIB, 16 WATER USING DEVICE STEAMER ---- g- X $6.00 = '� /\�\ PROOFER,CARBONATOR,SWAMP �J LJ 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 X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = R SUBTOTAL 02, DO METHOD 0 ENT: REC E °Y-q l A'' it5kNGE F CITY OF SPOa CASH CHEC 0 VISA 0 MC EXPIRES: $35.00 / Card# VIN: OCTOT�Lr%EINI pEE DUE: / `J (/�0 AUTHORIZED SIGNATURE:AleIA , -- �jy PER If EN T E�' REVISED 8/26/05 Sr u l r l A 3 • f I U.S-DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 I Federal Emergency Management Agency Expires February 28. 2009 j National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Y� V Policy Number cr,r J _ Veniamin Shiskovsklv xnv A2- Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or O.Route and Box No. Company NAIC Number City _Spokane Valley State SIA ZIP Code A3, Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,(etc.) lot 14, Block 8, BRettman's Add . Parcel No . 35243 .0987 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential _ A5. Latitude/Longitude:Lat. Long. Horizontal Datum: ❑NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number A8. For a building with a crawl space or enclosure(s),provide: AA A9. For a building with an attached garage,provide: n a) Square footage of crawl space or enclosure(s) I'r!/A sq ft a) Square footage of attached garage I l/A sq ft b) No.of permanent flood openings in the crawl space or III/A b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name&Community Number ' B2.CountyName B3.State Spokane County 530174 Sookane WP. 84.Map/Panel Number ' B5.Suffix I 86.FIRM Index I 87.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 1 Date Effective/Revised Date Zone(s) AO,use base flood depth) 530174 03001 C 9/30/1992 A 2002 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ❑FIRM n Community Determined ❑Other(Describe) 511. Indicate elevation datum used for BEE in Item B9:ri NGVD 1929 ❑NAVD 1988 ❑Other(Describe) 812. is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 21 No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: F 1 Construction Drawings` ❑ Building Under Construction* ❑ Finished Construction -A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30.AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the butlding dia ram suecified J;Ite � Benchmark Utilized spokahe CCounty r HCVD 29 M #64 Vertical Datum Conversion!Comments 1� Check the measurement use/d. a) Top of bottom floor(including basement,crawl space,or enclosure floor) N/A .feet ❑m6� re140 a tkl0 sy b) lop of the next higher floor ISI _ feet ❑meths(PirtSlik0i�yq' E VALLEY c) Bottom of the lowest horizontal structural member(V Zones only) ^'=1 ._❑feet El meters(P °('Rico only) d) Attached garage(top of slab) t^'i/A . ❑feet ❑meters(Natal Rido bnly�067 e) Lowest elevation of machinery or equipment servicing the building N/A . ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) 1��r P. • IT CENTEF� f) Lowest adjacent(finished)grade(LAG) +/ feet ❑ -.._ Pu.rt. Rico on y g) Highest adjacent(finished)grade(HAG) �i �.[feet ❑meters(P r.o -r i . ) i SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION '.i -- ar( This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation ,.,. information. i certify that the information on this Certificate represents my best efforts to interpret the data available. S .N 1 I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. �t Check here if comments are provided on back of form. ti , 'Cr'''4},.. _ ,„..iii.;, ' -- License Number 4' .k7,-;:q3• „�E J Certifier's Name 8740 _ Forl F. Sanders O �� c'�, Title- Company Name ' . 15740 �{! Land Surveyor/Owner K.A . Durtschi & Assoc . Inc `, ,s Address City State ZIP Code __ ,O . Box 70:0 Hoyden lake Idaho 83835 " �"`i�-uk .S Date 10/12/2r.tthone 208-772-2233__ PlaES(S -a � 'itee- FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions - • IMPORTANT_ In these spaces,copy the corresponding information from-Section A. For Insurance Company Use: • Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number Unknown City State ZIP Code Company NAIC Number Spokane Valley WA SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Vacant Lot _SeI_ TBM on face of 18" Pine, Flev. 2030.36' Marked down 26.36 feet to lowest finish flo r . SignatureDate 10/12/2007 df Gt��-, [A Check here if attachments SES►ION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A, B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑ meters ❑above or ❑ below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or u below the HAG. E3. Attached garage(top of slab)is ❑feet❑meters ❑above or O below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B.C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. 01. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) 02 0r A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 03. u The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: 0 New Construction ❑Substantial Improvement 08.Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet 0 meters(PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions 10/23/2007 03:21:26 PM 5603538 Recording Fee $40.00 Page 1 of 1 Quit Claim Deed BANAR YAKOV Spokane County Washington 11111111 TIM����111111111111111111111111111111111III1111111111IIIII11111111 Return to: !. trPt-Q_ WA-WV i).-5-dg Ph?€6,412 i! 'cu a /- e ,6, QUIT CLAIM DEED .���► PACIFIC NORTHWEST MILE THE GRANTOR Sr\14 V VQfl \a r 1 n for and in consideration of C-i I -c f conveys and quit claims to � (��a.r-� 1 �� k\\I va e in the following described real estate,situated in the County of S o\cc'.. State of Washington,together with all after acquired title of the graritor(s)therein: r -�-brna n s / rck L+ \z--1 131--g Additional on page Assessor's Tax Parcel ID# SSa.1(2 Dated 49, ,;23. 07 0 r - ry 0.) N fv O Notary Seal .01111111111/01, STATE OF WASHINGTON, tt+ �`Q�:��gS10M f�A..Oma% ss. '�l 9'.2 y t OTAHp °• County of u�cin /1-�- _ _e, PURL% ' I hereby certify that II know or have satisfactory evidence 9•'9ic �`18 that \f G,.1Cti) 1),L1-AF' �.,���t`'•••.......••. Sk�Shl�tt( Vero c- iv, �'�,,,°FwAs ift D"i is the person(s)who appeared before me,and said person(s)acknowledged that(he,she,they)signed this -- d instrument and acknowledged it to be(his,her,their)free and voluntary act for the uses and purposes mentioned y" in this instrument. ro Dated c 1± oeSt'-°( 0061 L-k V2v — 0 p f7 Notary Public in and for the State of Washington ky residing at S j)k -k �j My appointment expires LApyi 1� K n ecY1 t q Printed Name CD LPB-12(i)11/96 t • Building Photographs Continuation Page Per:Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg_ No.)or P.O. Route and Box No_ Policy Number Unknown City State ZIP Code comPaftyNAICNuitter Spokane Valley 1AJA If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all 1 photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." l.00k..h-toy k .,,,A\, i . , 0 I. 11 '** M •r.ir' `I a\'r 4 �• . ,k ;•,1t�''l, �� r ac ' tit ' .� 24,4,1 '' 'k .y • y, ��77 I qi\\t riAW IR r��' ;-1141 -4111 fr!7b. . .' ::*7-.. .yyvar.. -- .. .. br _ • , k_cc,,k-,k.ci t-h N Zvi • ,e,*,-�7y5•-*� . a '; w 1m r'. '4'''N.0104 4.. F t � Y hr F Y yRlr r K �YvC7l:':A1�111 1 F -,,E, �+ a , ri, ,. -t z • 6.'• :— r ,, -", 9cX F Gu 4 '1", Lbe• ..zj i I ,c() • La,c,tz PLANNING DEPT. APPROVED co BY: DATE: /0464 0.2 . , Er-7 1 NrY $10 I -2 V .. t , . REGE •N. CI1Y OF SPnv ' OCT t, /q /% Adz,e Sr-Z.-LK, 0/ FE ril4-- (G-d) CJIVVV I UINV VI 1l =IZ)VdV:J IV��M1ytf - „ - .-- - bZOE 03S uen 82d NOLLVM38AONVdnOOO HM IL L-- ------------------- tiZ (INV 9HlS 3�09b 9£ ❑ a, i -�L „9-,9 ,�6 „04-�E X9-8 d(1 uZ-�E Z-HOZ '�JNLLOOd OlNI �� ��. JNI0N31X3 'a3llid 3.L3a0N00 ' 3did 1331S 'bIO' ��E 3A08 O 3NIMl ' OG 9 X 96 NNIS 30ABS SUV908313U 1bN011.d0 OZ _ MO lldM 4 S ti/E L 4 w ennnA�a u I IM u I mnlanw .ti tin ..ti r�nG 'nae { dl�d� Of11S tiXZ X 999Z �w� a