2007, 06-25 Permit App 07002421 Residence, GarageApplication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Project Number: 07002421 Inv: 1
Setbacks: Front 34 Left: 21 Right: 8 Rear: 119
Site Information:
Date: 6/25/2007 Page 1 of 3
Contact: ALEX FILIPANKO
Address: 4715 E 15TH
C - S - Z: SPOKANE, WA 99212
Phone: (509) 844-8763
Group Name:
Project Name:
Plat Key: 000188 Name: BETTMAN'S ADD
District: Sout
Parcel Number: 35243.1037 Block:
SiteAddress: 1413 S FANCHER RD
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: .00 Acres Width: 91 Depth: 200 Right Of Way (t): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: FIELDS, LOUIS & JOYCE
Address: 6024 E 11
SPOKANE VALLEY, WA 99212
Review
Building Plan Review
Released By:
Driveway/Approach
Released By:
Septic Sys Review
Landuse/Zoning/ItE Conditions
Permits:
Released By:
Released
Operator: JD Printed By: JD
Print Date: 6/25/2007
JJl` 25 2007 15:18 FR COSU PERMIT CENTER
Project N lu n Jer. 67002421
5096880037 TO 3241567
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project . rn i;rmation:
Permit Ltsc : SFR W/ATT GAR
P.01/02
Date: 6/25/2007 Page 1 of 3
Setbacks: Front 34 Left: 21 Right. 8 Rear: 119
Site In frrn n ation:
Plat K.:3 : 000188 Name: BETTMAN'S ADD
Pa rca 1 Number: 35243,1037 Block:
Contact: ALEX FIL1PANKO
Address: 4715 E 15TH
C - S - Z: SPOKANE, WA 99212
Phone: (509) 8444 3763
Group Name:
Project Name:
w
S teAddress: 1413 S FANCHER RD
Lot:
District: Sout
Owner: Name: FIELDS, LOUIS & JOYCE
Address: 6024 E 11
Location:: CSV SPOKANE VALLEY, WA 99212
Zoning: UR-3S Urban RestdentiaI 3.5
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: .00 Acres Width: 91 Depth: 200 Right Of Way (g): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review If 16» oration:
Rcvimt
Buiklijg Plan Review
Dr ivi :v 'ay/Approach
Sei•tii: ;;ys Review
Sewage system des( 1
bec►rooms, or por
OCCllEANQY NOT ALLOWED until system •
installation has SRHD approval.n'l--
-S}iP.•••.ih rr� r� ��.�j-��1M7 ..,�2 '�fi': ,`. .� 4,.^. �;j,.•Y�v"�••�� �
Lar di is e/2 oning/HE Conditions
• ram::, _„ �. •"'`�' �,�gg���77�' {y��'
Permits: MI
sv
Opera to : J"p Printed By. JD
Print Date: 6/25/2007
Project Number: 07002421 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 34 Left: 21 Right: 8 Rear: 119
Site Information:
Date: 6/25/2007 Page 1 of 3
Contact: ALEX FILIPANKO
Address: 4715 E 15TH
C - S - Z: SPOKANE, WA 99212
Phone: (509) 844-8763
Group Name:
Project Name:
Plat Key: 000188 Name: BETTMAN'S ADD District: Sout
Parcel Number: 35243.1037 Block:
SiteAddress: 1413 S FANCHER RD
Location:: CSV
Lot:
Owner: Name: FIELDS, LOUIS & JOYCE
Address: 6024 E 11
SPOKANE VALLEY, WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: .00 Acres Width: 91 Depth: 200 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Driveway/Approach
Septic Sys Review
Released By: G AG /pZ
Released By:
Released By:
Landuse/Zoning/HE Conditions
Permits:
Released By: 1
Operator: JD Printed By: JD Print Date: 6/25/2007
Project Number: 07002421
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Inv: /
Item Description
APPROACH-CONST IN ROW
Contractor: OWNER
Building Height 0
Description
1&2 FAMILY
BASEMENT U
DECK •OPEN
GARAGE
Date: 6/25/2007 Page 2 of 3
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Finn: OWNER
Phone: (000) 000-0000
Building Characteristics
R-3 VB
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes
This Application:
Su Ft Valuation
/63n 1 664 $152,023.04
/416 104 $24,960.00
32' 3'0t $4,500.00
-7t% 762 $14,478.00
Totals: 4,390 $195,961.04
Units Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Total Project:
Su Ft Valuation
1,664 $152,023.04
1,664 $24,960.00
300 $4,500.00
762 $14,478.00
4,390 $195,961.04
Fee Amount
$1,531.35
$4.50
$ 612.54
$2,148.39
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
5 NUMBER OF
8 NUMBER OF
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$30.00
$48.00
$12.00
$18.00
$6.00
$ 6.00
$18.00
$138.00
Operator: JD Printed By: JD
Print Date:
6/25/2007
Water requested: Number of residential taps 1 or convnercial•flow of GPM..
BuildingPermit (Attach map or Iegal description , if necessary)
Short Subdivision Rezone or other
FIRE DEPARTMENT REVIEW
Water is / or will be available at the rate of flow and duration indicated below at no less than 20 psi measured at the
nearest fire hydrant which is feet from the building /property above (Or as marked 0 on the map attached).
Rate of flow Duration
Less than 500 gpm. (approx. gpm) Less than one hour
_ 500 to 999 gpm
_ 1400 gpm or more I hour to 2 hour
Calculation of 2 hours or more
gpm (Commercial building permits require a flow test or calculation)
Flow test of gpm
Water system is NOT capable of providing fire flow.
Fire flow is satisfactory
Fire District
PURVEYOR
NAME .
Purveyor'sAddress
Fire slow is NOT satisfactory
Signatory name
Date of Signature
Telephone Number
�- A-.1%-1s �yr YYx1LKAYA1LAtS1L1'1'Y
APPLICANT'S NAME 4 1 e 5. r� ! V. FJ L e i j .
LOCATION r;, s Iv Q
(ADDRESS) `�J 3 F a/14, ate,‘Q .
PROPOSEDUSE
PHONE NUMBER (-� 'E-' 8j 4 Le - 3 7 A' ex
Preliminary Plat
Pole
•
r
t•
cn2 /1- 1187
WATER PURVEYOR INFORMATION
Watebe provided by service connection only to the existing_ isiela--
0.� S�� V G ° ${
"f' feet from tike..site. f dt,Nej4 1Q* Ai) /N se-1-1yya.e+
Water service will require an improvement to the water system by the contractor
of
— (1) feet of water main to reach the site; and/or
_ (2) the construction of a distribution system on the site: and/or
(3) other (describe) elimination of temporary water services through District
participation, which will require a public hearing.
The proposed project is consistent with the water purveyor's DOH approvedwater
system plan.
The water system has a current Washington Department of Health Operating
permit, allowing the number of new taps or water requested.
COMMENTS / OeNtrlarfeNs
1.
a.
OR b.
2. a.
b.
w = -Se
5 Lac
I hereby certify that the above water purveyor information is true. This certification shall be valid or one
year from the date of signature.
Sc-kJL 3
Agency (District) name
Signatory n
Signatory date
6 7 - w
_
--
_____
v:c
`
Spokane
.0.00Va11ey
Permit Center
11707 E Sprague Ave, Suite 1
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)6
Community Development www.spokanevalley.org
Residential Construction
Permit Application
E C E lIl IE
7JUN2I B1
``PRMIT NUMBER: Z21\
_4ERMIT FEE:
IgL►I
w-CLita cti n Accessory Bldg
Addition/Remodel n Deck
Other:
SITE ADDRESS
lti13 S FumAek 2b Spok,aivie l/ct,Q,2QJ UCr4(q1io2.
ASSESSORS PARCEL NO: 35-c2 . (037 LEGAL DESCRIPTION: 1310iik IOCo± "1=1
Building Owner:
Name: if 1eiiCSAivoiR ki/, FLi Perw0
Address: I/ 7,5 E ) 5 +h Ave.
City: spoicsole V
State: t ,f i A*1Zip: cici ld
Phone:is 0 q) 5 35 — l� r 0 itA Fax:
a,
Contact Person
Name: 74 i e> i L I P 2 n 1C o
Phone: 8 4 y -- 8 7 6*3
Describe the scope of work in detail:
Contractor:
Name: 0 u7 ���
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $ aEO, 000
t 0-14fuz, wo k k PJjC 'f- i# �' ►'t7t i ►rt e ee,th,i i 04 i ciAtcl P ir-w7 o/
**************The following MUST be complete: (write N/A if not aanlicablel******************* *
HEIGHT TO PEAK:
DIMENSIONS: �,O
# OF STORIES: /
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: �/ �°6017
2N° FLOOR SQ. FTG:
/V /4
UNFIN BASEMENT SQ. FTG:
it C°6t /
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: %//A.
GARAGE SQ. FTG:
76�
DECK/COV. PATIO SQ. FTG:
/a x a 5
30% SLOPES ON j
PROPERTY: T
# OF BEDROOMS:
4
CONSTRUCTION TYPE:
Res/d, Y-; tql
HEAT SOURCE:
G'aS
SEWER OR SEPTIC?
S ep+ i c
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) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
❑ Check
Date
❑ Mastercard ❑ VISA
Expires: VIN#:
.•
Spokaneo
jUalley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ 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.
�d 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
1 / 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
Oa' Insulation information
Permit Center
�t 11707E Sprague Ave, Suite 106
4000*` alley Spokane Valley, �509)688-0
po 99206
g8-0036 FAX:037
�so9�
Community Development w++u s nokanevallev.ora
Plumbing Permit Application
SITE ADDRESS:
Building Owner
Address:
Contractor
Address:
License No:
Contact
DESCRIPTION OF WORK
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
ELECTRIC HOT WATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL GAS .er outlet
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAUSYS
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Commercial
PERMIT NUMBER:
PERMIT FEE:
Ei Residential
City: o k c V\ e
City Business Lic:
Phone:
WATER CLOSET, BIDETS
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, LAUNDRY,ITKITCHEN,
UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREPICULINARY MEAT
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL TRENCH,
CONDENSATE
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS, OXYGEN
EXPIRES:
VIN:
# OF UNITS
State:
$20.00
$15.00
PROCESSING FEE
TOTAL PERMIT FEE DUE:
TOTAL AMOUNT
$35.00