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2005, 01-06 Permit App: 050000066 Residence Project Number: 05000066 Inv: 1 • Application Date: 01/06/2005 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In ormation: 1 f Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: MANTSEVICH,ALEXSANDR&SVETL NATURAL GAS Address: 3508 E 26TH AVE C- S -Z: SPOKANE,WA 99223 Setbacks: Front 40 Left: 23 Right: 5 Rear: 184 Phone: (509)533-6963 Group Name: Site Information: Project Name: Plat Key: 000188 Name: BETTMAN'S ADD District: Sout Parcel Number: 35243.1030 Block: Lot: SiteAddress: 6120 E 15TH LN Owner: Name: MANTSEVICH,ALEXSANDR& SV Address: 3508 E 26TH AVE Location:: CSV SPOKANE,WA 99223 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 27,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: :>: ..... Review Site Plan Review Released By. Plan Review \ re. . , 0 , Released By 04 I i i leApproach/Drainage Released By: ) 'tie ^ Septic System Review Rd•.sed B f►f aas s /_, -o ,13) ' C2-°- * (6) . , a ,C .t u. I, (t ( /// J , �f� v\, ti�.� 140i 114 105—. i1 0 Operator: K_C Printed By: K_C Print Date: 01/06/2005 ---- -- .---,--4. FR TO 3241567 P.02/03 ..,;,!•ii- , . . • 05000066 Inv: 1 Date: 01/06/2005 Page 1 of 4 Application . THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit . i - Evect Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: MANTSEVICH,ALEXSANDR&SVETL NATURAL GAS Address: 3508 E 26TH AVE C-S-Z: SPOKANE,WA 99223 Setbacks: Front 40 Left: 23 Right: 5 Rear: 184 Phone: (509)533-6963 Group Name: Project Name: Plat Key: 000188 Name: BETTMAN'S ADD District: Sout Parcel Number: 35243.1030 Block: Lot: SiteAddress: 6120 E 15TH LN Owner:Name: MANTSEVICH,ALEXSANDR& SV Address: 3508 E 26TH AVE Location::CSV SPOKANE,WA 99223 ,....,..:. , —, •:'-&•-,% Zoning: UR-3.5 Urban Residential 3.5 _ .. Water District Hold: El Arca: 27,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: I Review Information: N;,,.,..:,i,,,,. !,.8.!:,.mi0,..i::::,,,,,,,,,,x,,,,,,,,,,,,,,,,,,:::,:.,,,.::„.k:: ,,,,,,,....,-,....-.„.,.,.;.,,,..:,,,,...:..,,,,..:,....... Review Site Plan Review ... .a:' :.:,. Plan Review ]i:Keii*,4:..*:i,-,i:i. !:: ; ,;::::,:;,::,:f:'..:•.':::,:':'::: '...r......--... i . r . Approach/Drainage ,....[. i ; ]E:.' :r*:'..::.';i::::-'::i,..z.::,::: :,.,.:!:::ii.:it1..:Hi' ::F ::4.-,;:... -;.....;,..;L:.:•.- ..= : 1 Septic System Review :iiA40iit. ..".•::::....:p. ,::::::', ::if..;q,5.:._..0 :. ___. ! ----------^ ..-- A .rt.PtDP:i4t:CHSE C7,7,II LI ot gemsit `,,,t' `:r,un 0]P:i011V ION A4P.1- 0D0 •L;_iC,,; t3 ,.4 10'swoolpact. •_ :_,.:-:_:..:',•::•L ! !„. ,:7''-.- 727 7 ,73,9 walsAS Ti •' Operator: K_C Printed By: K C Print Date: 01/06/2005 Project Number: 05000066 Inv: 2 Application Date: 09/01/2005 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: MANTSEVICH,ALEXSANDR&SVETLA NATURAL GAS Address: 3508 E 26TH AVE C-S-Z: SPOKANE,WA 99223 Setbacks: Front 40 Left: 23 Right: 5 Rear: 184 Phone: (509)533-6963 Group Name: Site Information: Project Name: Plat Key: 000188 Name: BETTMAN'S ADD District: Sout Parcel Number: 35243.1030 Block: Lot: SiteAddress: 6120 E 15TH AVE Owner:Name: MANTSEVICH,ALEXSANDR&SV Address: 3508 E 26TH AVE Location::CSV SPOKANE,WA 99223 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 27,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: , .. Review Site Plan Review Released By: Originally Released: 01/20/2005 By: KACUMMI Plan Review Released By: Per Tom M.,engineering received Originally Released: 01/20/2005 By: DDompier Approach/Drainage Released By: Originally Released: 01/20/2005 By: mturbak Operator: K_C Printed By: CJJ Print Date: 09/01/2005 Project Number: 05000066 Inv: / Application Date: 01/06/2005 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 Group: R-3 Type: VB Total Area 3788 Building Height 24 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,856 $27,840.00 1,856 $27,840.00 DECK R-3 VB 120 $1,800.00 120 $1,800.00 GARAGE U-1 VB 888 $16,872.00 888 $16,872.00 RESIDENCE R-3 VB 1,932 $144,281.76 1,932 $144,281.76 Totals: 4,796 $190,793.76 4,796 $190,793.76 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,503.35 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $601.34 Permit Total Fees: $2,109.19 Operator: K_C Printed By: K_C Print Date: 01/06/2005 Project Number: 05000066 Inv: 2 Application Date: 09/01/2005 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Septic System Review Released By: I Per Bob G. Originally Released: 01/20/2005 By: DADOMPI Permits: Approach Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Group: R-3 Type: VB Total Area 3788 Building Height 24 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation SQ Ft Valuation BASEMENT U R-3 VB 1,856 $27,840.00 DECK R-3 VB 132 $1,980.00 252 $3,780.00 GARAGE U-1 VB 888 $16,872.00 RESIDENCE R-3 VB 642 $47,944.56 2,574 $192,226.32 Totals: 774 $49,924.56 5,570 $240,718.32 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $255.00 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $102.00 Permit Total Fees: $361.50 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Operator: K_C Printed By: CJJ Print Date: 09/01/2005 Project Number: 05000066 Inv: 1 Application Date: 01/06/2005 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 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 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 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $107.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 4 NUMBER OF $24.00 SINKS 9 NUMBER OF $54.00 SHOWERS 1 NUMBER OF $6.00 TUBS 3 NUMBER OF $18.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $126.00 Operator: K_C Printed By: KS Print Date: 01/06/2005 Project Number: 05000066 Inv: 2 Application Date: 09/01/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be 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 Building Permit $361.50 $361.50 $0.00 $361.50 $361.50 $361.50 $0.00 $361.50 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: K_C Printed By: CJJ Print Date: 09/01/2005 Project Number: 05000066 Inv: 1' • Application Date: 01/06/2005 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit otes: ; ......................................................................... N CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Payment Summary Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $2,109.19 $2,109.19 $0.00 $2,109.19 Mechanical Permit $107.00 $107.00 $0.00 $107.00 Plumbing Permit $126.00 $126.00 $0.00 $126.00 $2,392.19 $2,392.19 $0.00 $2,392.19 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: K_C Printed By: K_C Print Date: 01/06/2005 BUILDING PERMIT APPLICATION WORKSHEET Skam City of Spokane Valley Community Development Department ane Building Division 11707 E. Sprague Avenue, Suite 106 400elle p `] Spokane Valley, WA 99206 a] Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: t/,?0. E. 6-/4 Sj m c. /t' /Via Assessor's Tax Parcel Number(s): 35:0N3—/010 0 1 Legal Description: Lav /7,4,..1 /g r`-r bla.K e . at Bei/n-Ais iQei;rp ,S�rA„t . P i t7,�+ I 0 � �` C\C--- /,‘ PERMIT DESCRIPTION: J�•1/iL ,l ii'/y ce 0 11 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ Owner: A/ecs.4,cir 1St/Cif/tile. ltiAYt-fstv/c 1 Applicant: lie , ,- `SC•c711.wi• ,1._'v c4 Phone: 35,%3 Fax: Phone: 333-6943 Fax: Address: ng. E ,?6 Address: 357(1. E a?b/`' -qlbr.-A-nom VJft- 22-3 Nt w4- 223 City State Zip Code City State Zip Code • Contractor: /t/ff ❑ Architect: 4k /-/Orae )esi5-k Phone: Fax: Phone: 36R- as 1y Fax: Address: Address: /lj(o. Al. //s;', 5,70c '/i720/ City State Zip Code City State Zip Code WA State Contractor License #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: .07q1DIMENSIONS: 7zw,/ #OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: 1932 NA- /ice FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG DECK/COV. PATIO SQ. FTG: d.20 /S/erg 1 OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: ,7iCK l---;',9,1e- /95 #OF BEDROOMS: 3TOTAL HABITnSPACE: IMPERVIOUS SURFACE AREA: • COST OF PRO CT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC /?00 prp SYSTEM? .Sepik- .5istef'i 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 n 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. ) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes • ordinances. Ownership of resulting development rights granted by any issued permit inure to/'���'• •perty o Print Name ñ/et5,? 1c/y 114,44/ ei4 Signature d d- Method of Payment: (Faxed permit applications will only be accepted with major bankcard ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: Os OC( �t LNI " _IN\\tu( Ccs v (. SZ) 00001NPermit Center Spokane ` 11707E ,: �1 e vQ�u 1 i6��I' r � � Valle Spokane •� 'FAX: I �'�' � ; [� �§ � (509)688-i I FAX: (509)688-0037. . � � ' " =� Community Development www.spok. eN•lley.org.com 11 \ Residential Constructio � U \\ L D NP w Construction o Accessory Bldg Permit Application r Addition/Remodel o Deck // o Other: SITE ADDRESS 6/ z701P ( T� yko -ae.4._c_ (2Q�/47, (,a•t 4 992 /Z ASSESSORS PARCEL NO: LEGAL DESCRIPTION: ,Bulding`owner Coltractor.;,;:Y.,,;,_," Name: ,r2 e 5Of GL LYS /i/o/Gc ¢..S'et,4, j Name: Address: 8/9_O E is- 1-4 Address: City: 3f 0,W Zip: 9 9 2 (R_ City: Zip: Phone: 533 —65'63 Fax: Phone: Fax: :(=.' e( 95'3 -- '( g 4Lic No: Exp.Date: Contact Person. ' ,', City Business Lic No: Name: SCK:YY\ O9. j0 ) Phone: Describe,es� the sco e of work in detail: Cost of Project: $ / S tNw ole;(4 ,4 n c./3 eV©/.c—t **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2' FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: '. D J AREA: `(-2 SF A J DL,r cC4 rc u 4.,lcc•,1 FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. ATIO SQ. FTG: 30% SLOPES ON SQ. FTG:1$ A v a / ,5Z_ f r PROPERTY: #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER O EPTICJ 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) Pia,: or dditional information may be required to be submitted,and subsequently approved before this application can be processey// �T Signature + e.:,-, Date 6 . —pE2 cis— Method of Payment: (Faxed permit applic. ions will only be accepted with major bankcard) ❑ Cash ❑ Check 0 Mastercard 0 VISA 0 Other Bankcard#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 Permit Center Spokane 11707 E Sprague Ave,Suite 106 ,�,,•'�Valle Spokane Valley,WA 99206 (509)688-0036 FAX (5094 .8-0037 www.spokanevalley.org.com Community Development Residential Plan Submittal Minimums ❑ Completed Building, Plumbing & 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 /'� MECHANICAL PERMIT APPLICATION Community Development Department *lune Building Division k. Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 Y� For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: _VIE,_j_ /14100_ Permit Use: Owner: AIersA- (/ AIUtI )JTSEV/C/� Phone (Daytime Contact): c -063 Mailing Address: ?cog. aW1" KA00._ GSH qct ZZ 3 C;ty State Zip Cooe Contractor: License#: Phone#: Mailing Address: Stale z Crtym CoJe DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 © X $12 00 = 0 2 FUEL BURNING APPLIANCE More than 100,000 0 X $15 00 = 0 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 ^O X $50 00 = Q 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 0 X $100 00 = 0 5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 Q X 550.00 = 0 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 l/ X $100 00 _ = O 7 BOILER/REFRIGERATION 1-100M BTU I X $12 00 = 0 8 BOILER/REFRIGERATION 101 -500M BTU 00 X $20 00 = /0 9 BOILER/REFRIGERATION 501 -1,000M BTU X $25.00 = , l0 10 BOILER/REFRIGERATION 1,001-1,750M BTU 0 X $35 00 , = ' /©� 11 BOILER/REFRIGERATION More than 1,750M BTU D X $60 00 = V 12 GAS LOG,GAS INSERT,GAS FIREPLACE 0 X $10 00 = 0 / 13 RANGE X $10 00 = /0 14 DRYER / , X $10 00 = /0 15 FUEL BURNING WATER HEATER / X $10 00 = iO 16 MISC FUEL BURNING APPLIANCE 0 X $10.00 = 17 GAS PIPING(each outlet) / X $1.00 = 4 1 f .oO 18 DUCT SYSTEMS pi X $10 00 , = p 0 19 VENTILATING FANS 7 X $10.00 = D 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM % 0 X $12.00 = 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $15 00 (j'`Jy� 22 EVAPORATIVE COOLERS 0 X $10.00 = V 23 TYPE I HOOD 0 X $50 00 = 24 TYPE II HOOD 0/ X $1000 = , //�] 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 00 = (>7� 26 AIR CONDITIONER 3-15 TON /0'') X $20.00 = 0 27 AIR CONDITIONER 15-30 TON (/ X $25.00 = 0 28 AIR CONDITIONER 30-50 TON O X $35.00 = 29 AIR CONDITIONER More than 50 TON 0 X $60 00 , = (7J1 30 LPG STORAGE TANK D X $10.00 = , J0 31 WOOD OR PELLET STOVE/INSERT 6 X $10 00 = (2 32 WOOD STOVE-FREE STANDING 0 X $25.00 = VD 33 REPAIR&ADDITIONS 0 X $15.00 34 VENTILATION SYSTEMS I X $12.00 = ra 35 VENTILATION MECHANICAL EXHAUST 1 X $12'00 36 INCINERATOR-RESIDENCE 0 X $19.00 = 37 INCINERATOR-COMMERCIAL o X $22.00 = / METHOD OF PAYMENT: SUBTOTAL -j/37 ❑CASH 0 CHECK 0 VISA 0 MC DATE' PROCESSING FEE , $35.00 EXPIRES: TOTAL PERMIT FEE DUE: ) /701 CARD AUTHORIZED SIGNATURE PLUMBING PERMIT APPLICATION , Community Development Department ,,, „ Die\bikBuilding Division Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106 do/Valley For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206 Project Address: wk. (, 1S Il 5.0064.1e_L Olt 47q2v2 Permit Use: Owner: 4/e 4,)l c 5(/c4/AAJA MeTSEVICI-I Phone (Daytime Contact): Mailing Address: ?SZ . E. gls,A S(OI 4A IVA- of 22-3 City State Zip Code Contractor: License #: Phone#: Mailing Address: City State Zip Code DESCRIPTION OF WORK #OF UNITS , X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = /O 2 URINALS 0 X $6 00 = 0 3 TUBS X $6 00 = a 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT X - $6 00 = /� LAYS/BASINS,BAR, FLOOR,KITCHEN, 5 SINKS LAUNDRY, UTILITY.JANITOR,PHOTO, /� X $6.00 = X-RAY,FOOD, PREP/CULINARY MEAT — (Q _� _ 6 DISHWASHER / , X $6 00 = 6 7 CLOTHES WASHER / X $6 00 = 6 8 GARBAGE DISPOSAL / X $6 00 = e 9 WATER SOFTENER D X $6 00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL / X $6 00 = (0 '- I 11_, FLOOR DRAINS AREA,CASE.COIL,TRENCH.CONDENSATE _ / X $6 00 = CO ROOF DRAINS/OVERFLOW 12 DRAINS 0 X $6 00 = hO 13 FOUNTAINS, DRINKING 0 X $6.00 = v WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP 0 X $6 00 = O ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER j) X $6 00 = D PROOFER,CARBONATOR,SWAMP COOLER (/ VACUUM BREAKER,CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R P.B P.D. FOR: VATS,TANKS,BOILERS 0 X $6 00 = D GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK O X $6.00 = O n 19 MEDICAL GAS(per outlet) _ NITROUS,OXYGEN O X $6.00 = r✓ MISCELLANEOUS PLUMBING O 20 FIXTURE DX $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS 6 / X $20 00 = 4) ao INDUSTRIAL WASTE /) 22 INTERCEPTOR V X $15 00 = 0 SUBTOTAL 1 a METHOD OF PAYMENT: Q(S PROCESSING FEE 0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: 1/a BANKCARD NUMBER: AUTHORIZED SIGNATURE: Payable To: Hoit Engineering, Inc 1/17/05 1423 E Lacey Ave Hayden, ID 83835 208-762-8717 (voice) 762-5742 (fax) Account of: Alex Mantsevich Statement No: 05-01 3508 E 26th Ave Spokane, WA 992232 509-218-3813 For Professional Engineering Services Date Description Amount Jan 17 6120 E 15th, Spokane Valley, WA RF1, RF3 Details $ 140.00 Professional services provided for the rigid frame details listed above are for application with the prescriptive provisions only for braced walls per the 2000 I.B.C. FOR USE AT THIS SITE ONLY Total Amount Now Payable $ 140.00 Net Due Upon Presentation of This Statement 2x6 TOP PLATE JOINTS LAPPED MINIMUM 48" 4 FULL SURFACE LOCATE HEADER 2x12 FILLERS FULL GLUED AND NAILED WITH 10d e 6"o.c. WHILE GLUE WET AT TOP OF SURFACE GLUED OPENING - FILL AND NAILED TO GLUE OUTSIDE 2x6 TRIM STUD TOABOVE WITH 2x6 HEADER WITH 10d 9 EDGE OF VERTICAL 2x12 AND NAILIIII`�� STUDS 16"o.c. 6"o.c. E.W. WHILE WITH 10d Q 6"o.c. WHILE GLUE WET N �1 GLUE WET (NOT FULL SURFACE GLUE ALL VERTICAL REQUIRED WHEN 411+ 2x12's TO LAPPED HEADER (WITH I* THICK NOTCHED BRUSH OR ROLLER) AND NAIL WITH 41 '%• FILLS THE 10d 9 4"o.c. E.W. WHILE GLUE WET 11/2" SPACE) VERTICAL FLAT 2x12 (TYPICAL AT ENDS OF DOOR AND BETWEEN DOUBLE DOORS AND CONTINUOUS TO TOP PLATE) -- „ NOTCH HEADERS 4"+ •4 1*•\_ THICK TO SNUG FIT I VERTICAL 2x12 VERTICALHEADERSIZED LOADS FOR BY 2\__ NOTCHING NOT /\ OTHERS BUT NOT LESS THAN 2xI2 (II 1/4" DEEP) REQUIRED FORTHICK HEADERS GLUE INSIDE 2x6 TRIM STUD TO �, (STOP AT 2x6 EDGE OF VERTICAL FLAT 2xI2 HEAD TRIMMER) AND NAIL WITH 10dg6"o.c. x WHILE GLUE WET (TYPICAL) `, FULL SURFACE 4'-0" GLUE SHEETING ✓ c, WITH NO JOINTS I- x -- I 4' FROM CORNER I INSIDE VIEW SHEETING JOINTz m `� 71- AN SIMPSON MSTA24 STRAP TIE BOTTOM S PANEL OVER SHEETING w/(18) 10d NAILS EXTERIOR SHEETING Y” NOMINAL PLYWOOD OR 055 3" HOLE CENTERED IN 2x12 OKAY NAILED WITH 8c1COMMON OR GALVANIZED BOX NAILS ADD 2x6 STUDS AS REQUIRED —/-...- AT 6"o.c. AT ALL EDGES (ALL EDGES MUST BE FOR HEADER SUPPORT —I BLOCKED) AND 12"o.c. AT ALL OTHER SUPPORTS INSTALL SIMPSON PAHD42 HOLD N FRAMING LUMBER 2x6 STUD WALL MINIMUM DOWN CONNECTED TO 2x12 OR ... cx DFL No. 2 OR BETTER OR INSTALL SIMPSON HD5AGLUE MUST BE HOLDOWN WITH %" EPDXIED A.B. IMPERVIOUS TO GOOD FOR 3000*TENSION AND SERVICE CONDITIONS l 'e r CONNECTED TO DBL INSIDE a STUDS WITH (2)3/4" DIA BOLTS ~► _ RELATED TO MOISTURE AND TEMPERATURE LL__ f'/ i( (2)%" x 10" A.B.'s 9 6" o.c. — AND PROVIDE SHEAR STRESS OF 50*/in2 *4 HAIRPIN or STIRRUP w/16" LEGS 6" MIN HOOKED AROUND LIP ANCHOR OF THIS DETAIL ONLY PER PAHD42 and EXTEND INTO STEM 0-30 deg 2000/2003 I.B.0/I.R.C. WALL and FOOTING IF STEM WALL (EXPIRES THEREAFTER) /(/C' IS SHORTER THAN REBAR LEGS OUTSIDE VIEW MANTSEVICW - 6.120 E 15th, Spokane Valley, 1114 1RF 1 © I-101T ENGINEERING, INC. (208) 162-81n DATE: 1/11/05 SCALE: 3/8" = 1'-0" 2x6 TOP PLATE JOINTS LAPPED MINIMUM OF 48" AND FULL SURFACE GLUED AND NAILED WIN 10d 6 6"o.c. WHILE GLUE WET6 1/2" OUT-TO-OUT WIDTH OF RF3 DETAIL 15 GLUE OUTSIDE 2x6 TRIM STUD TO EDGE 1 WINDOW SO. + 13" OF VERTICAL FLAT 2x4 AND NAIL WITH ;-„ (2'-8 MINIMUM) 10d a 6"o.c.WHILE GLUE WET #1.�I� �� OR I 70P VIEW OF FULL SURFACE GLUE ALL VERTICAL 2x4's TO LAPPED HEADER(WITH �� OR CORNER BRUSH OR ROLLER)AND NAIL WIN I0d 9 2"o.c. E.W. WHILE GLUE WET ;, NOTCHING NOT VERTICAL FLAT 2x4 (TYPICAL AT REQUIRED FOR BOTH ENDS OF WINDOW OPENING ` THICK HEADERS AND CONTINUOUS TO TOP PLATE) , (STOP AT 2x6 '4" , /1 HEAD TRIMMER) NOTCH HEADERS 4"+THICK 5i" MIN DEEP rOtlr t0 SNUG Flt VERtICAL 2x4 FILLERS FULL SURFACE GLUED HEADER SIZED FORAND NAILED TO VERTICAL LOADS BY HEADER E OTHERS BUT NOT LESS CROSS PIECE THAN 2x6 WITH 10d 9 6"o.c. E.W.WHILE GLUE 2x FILLER NOT REQUIRED IS STILL WET WHEN 4"+ THICK NOTCHED /1 HEADER FILLS THE Iii" SPACE) GLUE INSIDE 2x6 TRIM STUD TO FULL SURFACE EDGE OF VERTICAL FLAT 2x4 ../ GLUE SHEETING AND NAIL WITH I0d A 6"o.c. ON OUTSIDE WHILE GLUE WET (TYPICAL) 0*, FACE OF R F3 INSIDEAND NAIL WHILE GLUE WET MINIMUM 2x6 CROSS PIECE VIEW LAPPED AND FULL SURFACE GLUED (WITH BRUSH OR ROLLER) TO OUTSIDE EDGE OF VERTICAL FLAT 2x4's AT EACH END AND EXTERIOR SHEETING)i" NOMINAL PLYWOOD OR OSB NAILED WITH 10d 9 2"o.c. WHILE NAILED WITH 8d COMMON OR GALVANIZED BOX NAILS GLUE WET AT 6"o.c. AT ALL EDGES (ALL EDGES MUST BE HEADERS CAN BE SLOPED BLOCKED) AND I2"o.c. AT ALL OTHER SUPPORTS HEADERS CAN BE CUT AT MID-SPAN FRAMING LUMBER (AS FOR A CATHEDRAL CEILING)AND DFL No. 2 OR BETTER SPLICED WITH A MINIMUM 2x6 FULL MUST BE �r~� SURFACE GLUED TO BACKSIDE OF IMPERVIOUS TO 17-e HEADERS AT JOINT SERVICE CONDITIONS ,y RELATED TO MOISTURE k-'"-: r----- WHEN WALLS HAVE SPACE ABOVE AND TEMPERATURE AND/OR BELOW OPENING FILL WITH 2x6 AND PROVIDE SHEAR STUDS 6 16"o.c. STRESS OF 50*/in2 THIS DETAIL ONLY PER /1422000/2003 (.B.CJI.RC. (EXPIRES THEREAFTER). MANTSEVICI-L - 6120 E 15th, Spokane Valley, 1114 RF3 © I-IOIl ENGINEERING, INC. (208) 162-8111 DATE: 1/11/05 SCALE: 3/8" = 1'-0" J � On-site Sewage Disposal..System Informational Review NOTICE �. The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health District for the installation of an on-site sewage disposal system is not to be construed as a vesting of a right by the owner / representative to obtain a building permit for this property. At the time that a building permit is applied for the subject property must comply with all applicable federal, state or local laws,ordinances or regulations with the exception of those relating to the issuance of a permit for the on-site sewage disposal system by the Spokane County Health District,pursuant to this form. Accordingly,although as of the date of this document the subject property may meet certain state or local laws, ordinances or regulations, in the event such items change between the date of this document and application for a building permit, the owner / representative will be responsible for meeting such regulations in effect on the date of the applicationJforbuilding permit. 1 t gr 17 t ! 13 t z Stied �r (t Address: Ct 2 G-05+1' ' eftrxout5 Parcel Number. 3i3, /030 3�0 Z N ZS 415 C—13 Q_ Legal Description: 5-ee - 'I� _c___V Prope y OHner: C r h u C U Q ✓ d�Yl G c 4 ______ Phone: 3-3(-1-Cl /3 0 Mailing Address: 1/.� C / 7 .SSUF-Si (it--'4 J 2 fv4v2 Signature: -?.(. f/4C� - ?r2e-f "/f O -- Date: / /J - �!y a®s® PLANNING DEPARTMENT �� dicatory language within plat Subject property is legally divided Ill�i4 Certificate of exemption required _ _ Use authorized under the Zoning Code �L� Setbacks meet Zoning Codes requirements .2 w, .4,..( s`'�'� t"'�`.cc Shorelines permit required Variance required for the following reason: — Other: Reviewed by:<S4`?'ti� C Date: //j 37 DIVISION OF ENGINEERING A Site drainage review required )t it Maintained county road i ' + Approach permit required ;an Flood zone Variance requirements Q � 1/1/1 Other: h Y fl�=LC-t?) < Cd:- 41e___/ �- Reviewed by: �.... -�. I� ' A�� -:�;.r Date: l /3/� r DIVISION OF BUILDINGS TRANSACTION#: -r-c-N— 16 Z The Division of Buildings has advised the property owner/representative that an in depth review may be necessary when a formal building permit applicatio is submitted. Reviewed by: AL.L ,4 /Lb( FIL fi Date: "23." A,;71., O t: R SCREEN: LEGL USERID: --- LEGAL DESCRIPTION --- --. _,,, ' JURISDICTION= 11 ROLL= RE PARCEL= 35243 . 1030 YEAR=. 94 PAGE= 1 LINE DESCRIPTION 01- 1 10 BETTMAN'S ADD LTS 7&8&17&18 BLK 12 02- 03- 04- 05- 06- 07- 08- 09- 10- 11- 12- 02-*L009 HEADER CHANGE • 1 A 5I-011/47I ill.M. MOMMO MO..%MOM..IlantZin aMMUMMO 0.1 e).R.M.MMI ,. I 1 . .,...... ....le..........T Q///f"_.__\ °' I 1 APPRX. 1 1 ----) I SEPTIC I I , LOCATION (Ti., A_ ROAD WOW - c A In REViEWEd ' 1 1 1 - \ 9i 1 � I \ 12'-0n ipi„., 7I4 ♦ IH ' �,I��I i .. 11." , -0.., I Li- NI A Or/ _ ____ _4. _ 2 / I This sitepian is beingrera�i� obtaining oo, property I representationimWeb 0,, , arse :Lr. 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IH v „,'..-.wo..,...,. . 4' .4. ,'",,,,--'1. ,< ' .• Kk)::g1 f' I'''' 714' 'PalWiii Query 11 Buffer _ si , Markup € . ” r.:: ,...::,:::. ..11.t,,,...::;,,,,....„..•.. k. .. .�e � ,` , -=•,Aar-_ ", ., ,...... Help : 1�lindow�a s Query Results ® ' I area Dona Localintranet Tuesday,Jul 19,2005 04:13 PM FINAL AS-BUILT INSTALLATION J Address/Legal Description: (7/ oL L. f 5 Subdivision/BIockfLot: •/5r�y7rv;�,,a.S �, \I-\ Application#: 1 n —Oc1 6 �-O NORTH K °> ` 0. L' 1 - 1 _ ..6,_ Ib u 1 1 SY 1IIS � 1 1 I.a 1_ , 1 4,� 100 _ r c'?,c'?,N(i h °r z, jq' b TQ IN w P y c, Note: The location of the on-site sewage system represented by the drawing is not to be construed as an exact location of the system. Remarks: Septic Tank Size: I P P o gals. Drainfield: _ `/ 0.2 ft. ' Leachbed: sq. ft. Signature: Density is based on soil type: i. Date: Double Plumbing: ( 1 Yes n No final 2