2005, 03-29 Permit App: 05001009 Addition Project Number: 05001009 Inv: 1 Application Date: 03/29/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2ND STORY BEDROOM&BATH ADDITION Contact: KVASOV,OLEG
OVER EXISTING GARAGE Address: 11706 E 31ST AVE
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks:Front EXI Left: 18+ Right: N/ Rear: EX Phone: (509)927-3590
Group Name:
Site Information: Project Name:
Plat Key: 002392 Name: SKYVIEW ACRES ADD District: Sout
Parcel Number: 45284.1804 Block: Lot:
SiteAddress: 11706 E 31ST AVE Owner:Name: KVASOV,OLEG
Address: 11706 E 31ST AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review Released By: [' ii 1. 1
,
Plan Review
Released By: r/ ,zepr)
'
II
Operator: K_C Printed By: K_C Print Date: 03/29/2005
Project Number: 05001009 Inv: 1 Application Date: 03/29/2005 Page 2 of 3
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
Total Area 476
Building Height 24
Stories 2
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB 476 $35,547.68 476 $35,547.68
Totals: 476 $35,547.68 476 $35,547.68
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $502.35
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $200.94
Permit Total Fees: $707.79
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 1 NUMBER OF $10.00
Permit Total Fees: $32.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
WATER PIPING-DWV 2 NUMBER OF $12.00
Permit Total Fees: $42.00
Operator: K_C Printed By: K_C Print Date: 03/29/2005
Project Number: 05001009 Inv: 1 Application Date: 03/29/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary: -map--.. . 3. z v..G
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $707.79 $707.79 $0.00 $707.79
Mechanical Permit $32.00 $32.00 $0.00 $32.00
Plumbing Permit $42.00 $42.00 $0.00 $42.00
$781.79 $781.79 $0.00 $781.79
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: 03/29/2005
BUILDING PERMIT APPLICATION WORKSHEET
on COY of �S�poka Valley Community Development Department
polianeILE C 1 1�� E Building Division
E
U 11707 E. Sprague A4000 venue, Suite 106
ei Spokane Valley, WA 99206
e
0 one: (509) 688-0036; Fax: (509) 688-0037
D 11 IL -3-) 11V , 7
REQUIRED SITE INFORMATION
Street Address: //70G' f 3/- '� - ot-e,es
Assessor's Tax Parcel Number(s): 45092. . 1 i2 ocz code : o7 ft
Legal Description:
PER IT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading n Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ig]0 Other 4'u-c/
OWNER/APPLICANT INFORMATION
IR Owner: (9Z .90___ le/e1S4 l/ 111 Applicant: 2 � ow e40 ae
J\,1 Phone: ,9'x17 320 Fax: Phone: Fax:
[-\().\X„
\1 Address: //7&6 e .3/- ,01p.., Address:
9. �2A cue G6( u4 992"(
City State Zip Code City State Zip Code
n Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: ¢U / DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: •2" FL O R`SQ. FTG: /LiKs-s UNFIN BASEMENT SQ. FTG:
�d/ c9-41---'
. 77
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 7�
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: �G' e e
#OF BEDROOMS: / TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJEC /� �0 dc? '30% SLOPES ON PROPERTY: SEWER O ON-SITE SEPTIC
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 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION Community Development Depa
�n , Building C
Phone: (509) 688-0036; FAX: (509) 688-0037 _ 11707 E. Sprague Avenue, Sui
For Inspections, Call(509)688-0054 Spokane Valley, WA
4110.1S1
Project Address: /170 6 t /4v.r d car 0.1/7 Permit Use:
- Owner: % Kvc-Z/ Phone (Daytime Contact): 09/.2 -6/ 70
Mailing Address: 1/706' t �4✓-e c 44- _ . c...45 g92-0,6
City (J' State Zip Code
Contractor: - License#: Phone#:
Mailing Address: • - • - - •
City State Zip Code
DESCRIPTION OF WORK - - I OF UNITS X .COST- = TOTAL AMOU
1 TOILETS WATER CLOSET.BIDETS- I , X -$6.00. _ =
2 URINALS X $6.00 =
3 TUBS • . - I _ X $6.00 = .
4 SHOWERS(PER TRAP) _ BATH,STALL,ON-SITE BUILT • . I X $6.00 =
LAVS/BASINS,BAR FLOOR,KITCHEN,
5 SINKS 'LAUNDRY,UTILITY,JANITOR.PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT
6 DISHWASHER X $6.00 =
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL - " . X $6.00 =
9 WATER SOFTENER X 46.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6.00 =
`ROOF DRAINS/OVERFLOW .
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION.REPAIR,
14 VENT,PLUMBING,REVERSAL _ •REVERSALS p7' 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.O.FOR VATS,TANKS,BOILERS X $6.00 =
GREASE TRAP,SAND TRAP, V
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 = -
. V •
21 PRIVATE SEWAGE DISPOSAL/SYSX $20.00 = .
INDUSTRIAL WASTE . •
22 INTERCEPTOR X $15.00 = -
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD • .$35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER: .
AUTHORIZED SIGNATURE: •
/S MECHANICAL PERMIT APPLICATION Community Development Departrr
o j Building Divit
" �,tkY Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite
r�u For Inspections, Call(509)688-0054 Spokane Valley, WA 99:
Project Address: 1/ 706 t l/,4 ..q 0-Le vcr//�y Permit Use:
Owner: '/P ✓G od (' Phone(Daytime Confact): o9/$ -6/70
Mailing Address: '1/706 3/ .vfe . ane /G /-_y tvA •g 5'2-06
(/ City State Zip Coc
Contractor: License#: Phone#:
Mailing Address:
City - State' . zip Coo
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUN
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $t2.00 =
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 X . 9100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101-500MBTU X $20.00 = -
9 BOILER/REFRIGERATION 501-1,000M BTU X 525,00 =
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 Fro✓rj 1 A /0. it. I X $10.00 =
19 VENTILATING FANS I 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 3-44-TON/H WS 1/ X $20.00 _
27 AIR CONDITIONER15-30 TON - X $25.00 =
28 AIR CONDITIONER30-50 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 125.00 =
33 REPAIR&ADDITIONS - _ X $15.00 =
34 VENTILATION SYSTEMS X • $12.00 = •
35 VENTILATION MECHANICAL EXHAUSTX $12.00
36 INCINERATOR-RESIDENCE ' X $19.00 ' =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK ❑VISA ❑MC DATE 1 j PROCESSING FEE $35.00
ADDRESS 1'l(X f . I .
ZONE 14
' ROAD WIDTH
FRONT Yi JFLANIKING N
COMMENTS
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. 31th AVENUE