2003, 04-08 Permit App: BD03-058 Residence City of
SPOKANE VALLEY
PERMIT # — C�
BUILDING PERMIT APPLICATION
Box 1 OWNER 61' ree P (-043—(rYOB tC i N /0 l 3z E 16 ;1 -
OWNER'S ADDRESS )41?1 h), cITY ZActhiPHONE 5re)9-"/51J- j60
/til catfCnex7 4Ave,_tJ11
DESCRIBE JOB
Alo_L (( i-t (.-r t."( '4? rr •ect �,rr
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME (s-i e.;'ts t`Cane �'cnr15h,r+k, 1'h*UNE 5? 1—1('‹-e 5153
CONTRACTOR'S ADDRESS (4/2 ( �, jy l ,.de,c t,;,k,r:rnc)( CITY 2-i`to f4 Li Leh, ke L,cJ,'' `fes(
CONTRACTOR'S REG.# C3iRF f M C_ L (D41'( RC,L. EXPIRATION DATE (/3 i/a 5
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT /17,", (7)e)ri,qurrky*+ PHONE 6?)
-x.52- '757)`7 X1pS-
ADDRESS )4f z( ki /1'1 re-4e'
>uh4.)e(-4 ACITY L,`be/11 L c �G '/ W} -ZIP 9 gc9/ 7
BOX 4 SEWER AVAILABILITY C"—c /' : WATER AVAILABILITY f c& -: O a 4±-
BOX
1BOX 5 ESTIMATED PROJECT COST$ 'Yy/ 5-CX? EXISTING BLDG.VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER '/521L, cJ IZo (c rz, *) (11 77-367.
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing/ proposed) 1ST FLOOR • / 890 2ND FLOOR — / ,--
3RD FLOOR / OTHER --- / BASEMENT FINISHED / ---
BASEMENT UNFINISHED --- / 719 DECK r--- / GARAGE -- / y
CARPORT ` / `' TOTAL / %63? HEIGHT TO PEAK OF BUILDING 21 FT.
BOX 8 (>< SINGLE FAMILY (-\<-) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY 3 Z zj'S--- SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS,WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size(if known) Also see BOX 4
BOX 11 Septic Tank-Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT / � '` DATE 41 �-e ' (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder Signature
OFFICE USE ONLY-PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. �p =
BUILDING SQ. FT. �p =
BUILDING SQ. FT. p� _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
(9TP tlF
d ' 11707 E. SPRAGUE, STE 106 ' q
SPOKANE VALLEY, WA 99206 '
(509)688-0036 FAX(509)688-0037 PROJECT TRANSMITTAL:
TRANSMITTAL DATE: 11/4/23
SITE INFORMATION PERMIT INFORMATION
Site Address: /of 32 E Ito Ave_ Permit Number:8D03 osi Issue Date: t//g/03
Permit Use: 2 8.<,,42 f6k9n-, Re-st G("eij tc.
/ovo9 Le)/Ar*IetC-A <-(2 (stet
Parcel Number: L/5 2'q/. Applicant:duLDever
Subdivision: D t3 h rla r CO vv%m '3
Block: Lot: 4 6 Phone:
Zoning: 12_-12_ Water Dist: Contact: M
Owner:( r'cevt 61eryNe 0 o,^S r-LA_c -ice Phone: 26-2-760-7
Address: 14 zi Uponcp Lvx Contractor: e'` 105
Building Inspector: k v\ 1,kSetbacks—Front:2g Left:5- Right:5,,Rear:22_(P
APPROVALS
jj
BUILDINGS: c,t, O j/ /�
PLANNING:Wilb: /4 , ii S -73Vi4J,SJA6,a66,7 S o CJ Z. `-w/a,..,
/ �j
ENGINEERS: Plo mGk_ p(,k) 63 l 04 Le )/9-14,7,1_, #023
H ;T'1i: J
SEWER: Q �
7DsTib 12 p cijitAA_k_ 4 IcCID�
1 4 1
A •
WATER DIST: APPROVALS ,
0
ilbi Ju, u )..Luic__ 4 I qia3
STORMWA R:
()THE :
51'9 0 . Cct)> 7- 340 —
-7 Li 0 S, 5 4797,OD
LIW ( 5 ( 3ocW,5-0
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4000. Valley
MECHANICAL PERMIT APPLICATION
PROJECT PERMIT
ADDRESS: 1 O i 3z_ E. f j tJ.- i,,,,,rt USE:
OWNER: PHONE(Daytime Contact):
C"rr -I"s 1e_. - ,, �ti
i� c i"!,7z LL,4,
: 5 �,0 i -z57.-7S-z)7 i//G
MAILING ADDRESS: , p
) 121 A) rtwie,eg.-r`l' la1P G,iP_7"
✓Jr L. i4 e_ L'.' ��f_,/
(street) ' (6ity/state) J (zip)
CONTRACTOR: LICENSE#: _
LOk'vt ft -e_c_Anca�:c t 60 M t-'o PACO 5 8 V.Cr‘
MAILING ADDRESS: PHONE#: _
SC:y `— GIZg`ac_ i
' ! colb L I . -to .,- ri''JY i pc, VC,n� ci4 92LG ��
(street) (city/state) (zip)
DESCRIPTION OF WORK #of wan X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 i X $15. = t!
2 FUEL BURNING APPLIANCE >100,000 X $19 =
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 =
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 r X $100 =
5 USED APPLIANCE(WSEC min.AFUE rating) =OR<440,000 X $50 =
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 =
7 BOILER/REFRIGERATION 1-100M BTU X $15 =
8 BOILER/REFRIGERATION 101-500M BTU X $28 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 =
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 =
11 BOILER/REFRIGERATION +1750M BTU X $95 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 =
13 RANGE - I X $10 = /o
14{DRYER - X $10 =
15 FUEL BURNING WATER HEATER - . ( X $10 = /0
16 MISCELLANEOUS FUEL BURNING APPL - X $10 =
17 GAS PIPING(ea.Outlet) - 3 X $1 = 3
18 DUCT SYSTEMS - X $10 =
19 VENTILATING FANS - X $10 = 3-0
20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 =
21 AIR HANDLER(DOES NOT include ducting) >10,000CFM X $19 =
22 EVAPORATIVE COOLERS - X $10 =
23 TYPE I HOOD - X $50' =
24 TYPE II HOOD - 1 X $10 = /C'..)
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 =
26 AIR CONDITIONER 3-15 TON X $20 =
27 AIR CONDITIONER 15-30 TON X $25 =
28 AIR CONDITIONER 30-50 TON X $35 =
29 AIR CONDITIONER +50TON X $60 =
30 LPG STORAGE TANK - X $10 =
31 WOOD OR PELLET STOVEIINSERT - X $10 =
32 WOOD STOVE-FREE STANDING - X $25 . =
1111111111111 ' ,_,9 -7 I SUBTOTAL
Ws.A , >: t 7
0 CASH 0 CHECK ❑ ammo o
FAXED PERMITS WILL ONLY BEACCEPTED WITH PAYMENT pale
PLUS PROCESSING
OF A MAJOR CREDIT CARD FEE
TOTAL PERMIT FEE
DUE l`
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
CITY
]ey
PLUMBING PERMIT APPLICATION
PROJECT PERMIT
ADDRESS: i b 13 L. F l t 2_01Y1 &_ USE:
OWNER: ire-ekt_S ,,_e__ Lei-A., m-,10 Vm—N._ L, L,�t PHONE(Daytime Contact): '5-01-2_52-'75-o-7 X•/6"T
MAILING ADDRESS: r(fI2-1 Ai Ps
�60vu.caryi 4cavlC' f �r''h�rr'i�� !'0t1��-�, it i 4- 9 c/o/(street) (city/state) (zip)
CONTRACTOR: LICENSE
1 LICENSE#:
MAILING ADDRESS: PHONE#:
5-C9 -CIZ- 7-- qt E
f aI 5 v 3 U /t--- - %1-Je_kiLC('f 5 4 c IGC, v\e- . G 90 3 7
(street) c (city/state) (zip)
PLUMBING FIXTURES
DESCRIPTION DETAILS *(IF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS 7 X $6 = i
2 URINALS • X $6 =
3 TUBS 7• X $6 = l .2
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 = •_
5 SINKS LAVS/BASINS,BAR,FLOOR, X $6
KITCHEN,LAUNDRY,UTILITY,
, JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT 3 • i"7S
6 DISHWASHER ` X $6 = r
7 CLOTHES WASHER ( X $6 = (�
8 GARBAGE DISPOSAL / : X $6 = (e
9 WATER SOFTENER X $6 =
10 ELEC HOT WATER TANK NOTE:IF GAS SEE MECHANICAL X $6 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, $6
CONDENSATE i X =
12 FOUNTAINS,DRINKING X $6 =
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION, X $6
WASTE,VENT, REPAIR,REVERSALS
PLUMBING REVERSAL
14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 =
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, * X $6
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLER 3 I C‘
_
16 CROSS CONNECTION VACUUM BREAKER,CHECK X $6
DEVICE VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS =
17 SPRINKLER SYSTEM / X $25
18 INTERCEPTORS GREASE TRAP,SAND TRAP, $6
CHEMICAL HOLDING TANK X =
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 =
20 MISC PLUMBING FIXTURE X ' $6 ' _
-
- SUBTOTAL
1--.711.= 31, ��• I U
Q CASH ID CHECK Q .— 1:3PLUS PROCESSING
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAY2HENT
OFA MAJOR CREDIT CARD FEE
TOTAL PERMIT FEE
DATE: DUE ►=�igo'.
EXPIRES: ,
BANXCARD NUMBER:
•
AUTHORIZED SIGNATURE:
4
CITY OF SPOKANE VALLEY DIVISION OF PLANNING
ADMINISTRATIVE VARIANCE
•
A. GENERAL INFORMATION File No: AV - peZc 0.3
.al Dcj
Tax parcel no(s): qc q MOO (PT,"{—, Section: 2-q Township: ZS-Ai Range: ily E
Legal description: 1-o-� II '3 -o - (3/(oc le Z D s 5 i wa.� CQ„+� •,,ia y.S
Applicant 6t s n , s -cvc ti: Z,L.C Agent? Yes No X
Mailing address: i1.{2 4 &J . +'��s��l a ,.ice 1.e ei e S'� ;4-e_ € 2 C
City L; 64ar-4.1 e State: LU t Zip: ?le,/ `j
Phone: - (home) 6-01-Z_cz-75 )7 ext&. /0 5- (work)
Current zoning: - 1-2 Comprehensive plan: LO R
Current use of parcel: V‘. -f
.B. SPECIFIC INFORMATION
Administrative variance requested: (describe in terms of the standard from which you are seeking relief)
Re t'e5ftncs Fro AA-- Ve,r,r,( -B k 0,441 :"I; e �' 4
)
t-e)Lie_red Poi-- J 4e3 �Y1G1rc, J� M1✓l -i �� l'4 t.t'd ',vii kt..eKo
A1,56 n.SKin3- 7)r tS%othr-ianrp.fts'- 4) nn l0+ frn+as =
Applicable chapter/section of code: rn,64., 3 z S 0)
Explain reason for request: To eakenio i'' ,,r( ?car?
V�4�iC-l4f 5 Ei=r7p"1a '610e_k_ a-U(1 wriL,/ ek-e _e_5St
I am the owner of record or authorized agent for the proposed site. All of the above responses and those
on the supporting documents are made truthfully and to the best of my knowledge.
Signed: /�/t-�' / Date:
THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
NOTE: The applicant or an interested party may file an appeal within 14 calendar days of the above date of signing. The
appeal must be accompanied by the proper The. Appeals may be filed at the City of Spokane Valley Division of Planning,
11707 E Sprague,Suite 106,Spokane Valley,WA 99206 (Section 14.412.041 of the City of Spokane Valley Zoning Code).
► •
POR STAFF USE ONLY:
File No: AV ,5' - -03
City of Spokane Valley Division of Planning finds that the information provided by the applicant along
the required compliance with the City of S Valley Zoning Code and all other development
regulations, described in 2)below, does toes not .•verse affect on the adjacent properties nor the
public's general health, safety and welfare. ".is ii ents (if applicable):
•
The City of Spokane Valley Division of Planning approves/denies this"administrative variance"for
the property described above,pursuant to the Zoning Code of the City of Spokane Valley, Section
14.404.090.
This administrative variance is subject to the following conditions and/or stipulations:
1) The applicant and property owner shall comply with all requirements and regulations of the Zoning
Code.
2) The applicant and property owner shall comply with all City of Spokane Valley development
regulations, such as but not limited to water, sewage,.stormwater, grading, critical areas, access, approach
permits and others. -
•
3) The applicant and property owner shall comply with the following additional conditions:
This administrative exception shall run with the land.
Dated this`/ day of 0)Q/1 /1 ,20 DO
`--771yzel.6 //at/Liza)
Division of Planning Signature
ct OF 16th LANE
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\ — 42.50' � � � _ 42.50'
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S89'10'45"E
"STILLWATER RE"
10132 E. 16th LANE
SPOKANE,WA. 99203
LOT 4B -OF- BLOCK 2
DISHMAN COMMONS
LOCATED IN THE NORTHEAST 1/4 OF
SECTION 29,T25N.,R44E.,W.M.
SPOKANE COUNTY,WASHINGTON
LOT AREA. 5,245 SF.
SCALE: I" a 20'
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0 I I I
42.50' — ± — — 42.50'
SS9°10'45"E
"STILLWATER RE"
10132 E. 15th LANE
APPROVED SPOKANE,WA. 99203
LOT 4B -OF- BLOCK 2
/ DISHMAN COMMONS
OF LOCATED IN THE NORTHEAST 1/4 OF
i SECTION 29, T.25N.,R.44E.,W.M.
SPOKANE COUNTY,WASHINGTON
LOT AREA= 5,245 SF.
SCALE: I" = 20' 4
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