2007, 01-04 Permit App: 07000038 Basement�U
Spokane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite �r1106
Spo Va1I'ey�1WA 9q?. I
(509)88L0036 FAX: (509)688 -003
t?'ww spo1canevalleY.or coTT
u JAN ;.
Residential Constru
Permit Application
PERMIT NUMBER: D7- X.
PERMIT FEE:
w Construction
• Additio
❑ Accessory Bldg
❑ Deck
❑ Other:
SITE ADDRESS
tc6ti N . Pac_ c-*1 VAu / ,WIN GA0040
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building owner t � bePnNI P,
Name: QAUt.— ��PNIID ■,\
Address: Vac( N. Pt 20
City: c*Icp.vg VA (7./ Zip: 4 Ol lv
Phone:�t0)70C -ctl$Z Fax:
Cflufact Person ;
Name: il<ox_ �Cifms0P, JiL
Phone: (°.o) 70S-00.`62._
Contractor.
Name: M l kC(, N I KO ! get.- vc -Aptc J1,2_
Address:
City: Zip:
Phone: ( b'1) M "( Li Fax:
Lic No: Exp. Date:
City Business Lic No:
Cost of Project:
$ (800.°°
Describe the scope of work in detail:
\ V O t N.0 ecot-k ktso Tv...) o '0ootS . ANA vJ -- 000 (--S &NO Fl NA SH tM6
i tF-1 -o'\ pc-Nip 1-i A t_P w k-- GO i,t r6 v p ArtQ Pe_ov XD 12.0 o .
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable)**********************
STORIES:
HEIGHT TO PEAK:
DIMENSIONS:
# OF
MAIN FLOOR TO SQ.
FTG:
2"" FLOOR SQ. FTG:
UNFI
I
FINISHED BASEMENT
GARAGE SQ. FTG:
DECI
SQ. FTG:
# OF BEDROOMS:.
CONSTRUCTION TYPE:
HEA-
BASEMENT SQ. FTG:
(.0C2 sQ c-'r5
COV. PATIO SQ. FTG:
SOURCE:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE
AREA:
30% SLOPES ON
PROPERTY:
SEWER OR SEPTIC?
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a we Ing,
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 proc s ed.
Signature
Method of Payment: (Faxed permit applications will only be accepted with
❑ Cash ❑ Check ❑ Mastercard
Bankcard #: Expires:
Authorized Signature:
REVISED 6252005
Date
major bankcard)
❑ VISA
VIN #:
o, f fo T
❑ Other
siimatealley
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.
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
p,7 Insulation information
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development wwwspokanevallev.orZ
.Valley
Plumbing Permit Application
SITE ADDRESS: N A-C \-2-C) Se" ^ c Q `L--/ 990\(.0
1 1
PERMIT NUMBER:
PERMIT FEE:
Commercial if Q Residential
Building Owner
Name: 'R ic150 pf Ptr O 4 /�
Address: � ■U (7 Atc_. �O
Contractor
Name: f'1P&)\ )NJ pr. J (L
Address:
License No:
Contact
Name: 1C L- S.%srrNin
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
DESCRIPTION OF WORK
TOILETS
URINALS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
Phone:6,(;) 7oc-_clt 82_ Fax:
City: �, U State: w
Phone0\ ) 105-_c\"3-z___ Fax:
v State:
City:
City Business Lic:
Phone: \ .
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
17
18
19
20
21
22
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
WATER CLOSET, BIDETS
BATH, STALL, ON -SITE BUILT
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
NOTE: IF GAS, SEE MECHANICAL
AREA, CASE, COIL, TRENCH, 7
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
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
COST
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00 =
$6.00
$6.00 =
$6.00
$6.00
$6.00 =
$20.00
$15.00 =
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
Zip: atgpl(v
Zip:
TOTAL AMOUNT
$35.00
Project Number: 07000038 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/9/2007
Project Information:
Page 1 of 2
Permit Use: FINISH BASEMENT
Setbacks: Front
Site Information:
Plat Key:
Parcel Number: 55073.2103
SiteAddress: 1817 N ARC RD
Left: Right: Rear:
Contact: DEANDA, RAUL & ANNE M
Address: 1817 N ARC RD
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (208) 762 -9106
Group Name:
Project Name:
Name: Hidden Valley
District: East
Location:: CSV
Zoning: UR -3.5
Water District:
Area: .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Block:
Urban Residential 3.5
Review Information:
Lot:
Owner: Name: DEANDA, RAUL & ANNE M
Address: 1817 N ARC RD
SPOKANE VALLEY, WA 99016
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
I Released By:
Originally Released:
Permits: ... mwz._
Contractor: OWNER
Description
BASEMENT R R -3 VB
Grp Type Notes
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: JD
1/9/2007 By: TMELBOU
Building Permit
Firm: OWNER
Phone: (000) 000 -0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
966 $4,830.00 966 $4,830.00
Totals: 966 $4,830.00 966 $4,830.00
Units Unit Desc Fee Amount
1 SELECT $111.25
1 SELECT $4.50
1 SELECT $44.50
Printed By: JD
Permit Total Fees: $160.25
Print Date:
1/9/2007
Project Number: 07000038 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/9/2007 Page 2 of 2
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
Plumbing Permit
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Notes 511MMUSAWAWAVOLSOMMINSIMECOMMOSNIUMMWOMMatetiM6
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Permit Total Fees:
Fee Amount
$6.00
$6.00
$6.00
$18.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$160.25 $160.25 $0.00 $160.25
$18.00 $18.00 $0.00 $18.00
$178.25 $178.25 $0.00 $178.25
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: JD
Print Date: 1/9/2007
Project Number: 07000038 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/4/2007
Project Information:
Permit Use: FINISH BASEMENT
Setbacks: Front
Page 1 of 2
Contact: DEANDA, RAUL & ANNE M
Address: 1817 N ARC RD
C - S - Z: SPOKANE VALLEY, WA 99016
Left: Right: Rear: Phone: (208) 762 -9106
Group Name:
Project Name:
Site Information:
Plat Key: Name: Hidden Valley District: East
Parcel Number: 55073.2103 Block: Lot:
SiteAddress: 1817 N ARC RD Owner: Name: DEANDA, RAUL & ANNE M
Address: 1817 N ARC RD
SPOKANE VALLEY, WA 99016
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Contractor: OWNER
Released By:
Building Permit
Firm: OWNER
Phone: (000) 000 -0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R -3 VB 966 $4,830.00 966 $4,830.00
Totals: 966 $4,830.00 966 $4,830.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $111.25
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $44.50
Permit Total Fees: $160.25
Operator: JD Printed By: JD
Print Date: 1/4/2007
Project Number: 07000038 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/4/2007 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $160.25
$160.25 $160.25
$160.25 $160.25 $0.00 $160.25
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: JD
Print Date: 1/4/2007