2009, 06-29 Permit App: 09001925 Finish Basement`ICITY or y
Spokane
jUalleyb
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
PERMIT NUMBER: e, /� e
PERMIT FEE:
New Construction
NVAddition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: 1 c (1E— (= (d �.. i . Lnr ,
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
DIMENSIONS:
# OF STORIES:
Name: .T Po f-Ernt �-
MAIN FLOOR TO SQ.
FTG:
2 "" FLOOR SQ. FTG:
Address: I g k 1 S— E.
?( t d a..- i. 10.11
FINISHED BASEMENT
SQ. FTG: 'LC-)
City: .> f c K -- �J� I t
State: 1N A
Zip: 94 o i 6
Phone: �`� k _2_,--71
Fax:
HEAT SUURCE:
1"v ^fie CA-.
Contact Person
Name: TT Po
Phone: `j 41-/ —
Describe the scope of work in detail:
Contractor:
DIMENSIONS:
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG:
2 "" FLOOR SQ. FTG:
Address: f'
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: 'LC-)
City:
State:
Zip:
Phone:
Fax:
HEAT SUURCE:
1"v ^fie CA-.
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project:
PI f• SL. a • n.+n Q n pi Land r. ��.:� . Adot 1,4".1 ! +�
00 w 0. nor
Proposed Use:
fJr•c�w -.�1.
I01c -r.,- t..- I
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2 "" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: 'LC-)
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: N,�4
# OF BEDROOMS:
.2—
CONSTRUCTION TYPE:
HEAT SUURCE:
1"v ^fie CA-.
SEWER OR SEPTIC?
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 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN #:
6-y7 —c'
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
❑ Property lines and dimensions
❑ Direction arrow pointing North and orientation to streets
❑ Proposed /existing buildings (footprint and dimensions)
❑ Utilities, septic tank /drain field locations and distances
❑ Setbacks to property lines
❑ Distance between buildings
❑ Right of way /easement location & sizes
❑ Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
❑ Elevations (Front/Rear /Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
❑ Footing sizes and locations
❑ Perimeter concrete foundation wall sizes
❑ Crawlspace ventilation
❑ Supporting wood cripple walls or beams
❑ Thickened concrete pads supporting
beams or girder trusses
❑ Floor Plan of each level (finished or unfinished) with dimensions:
❑ Floor Joist direction, size and spacing
❑ Header, beam or concrete lintel sizes
❑ Brace wall panel locations
❑ Water heater and furnace locations
❑ Exhaust fan locations
❑ Deck or concrete patio sizes and locations
❑ Roof Plan:
❑ Engineered truss direction and spacing
❑ Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
❑ Slope/ roofing material/ underlayment/ ice dam protection
❑ Sheathing size and type
Ceiling
❑ Joist size and spacing
Wall
❑ Height/ top plate/ stud size and spacing/ sole plate
❑ Exterior sheathing size and type
Floor
❑ Joist size and spacing
Foundation Wall
❑ Concrete or Masonry unit width
❑ Earth to wood separation distance
Footing
❑ Size
Radon
❑ Passive system with Emil vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/ side view/ dimensions
❑ Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
❑ Window and door location and sizes
❑ Window well locations if applicable
❑ Room usage labels
❑ Smoke detector locations
❑ Attic and crawl space access locations
❑ Fire Wall construction
❑ Ridge, eave and valley lines
❑ Beam and girder size and location
❑ Truss or rafter size, spacing & connection
❑ Attic insulation/ air space baffle/ ventilation
❑ Size of ceiling gypsum wall board
❑ Siding/ exterior house wrap/ anchor bolts
❑ Insulation, vapor barrier, gypsum wall board
❑ Sheathing or concrete floor size/ insulation
❑ Footing bottom to finished ground level depth
❑ Horizontal & vertical reinforcement if any
❑ Reinforcement if any
❑ Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
❑ Handrail / Guard height & spacing
�.�Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
wuw.spokanevalley.oro
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: ICI 1 IS— 3,101,..,„ Lti .
Building Owner
Name:
Phone:
Fax:
Address:
(9
1 1,(- F (3,t d w-
L )J.
City: SP o Kd,e V „it tN
State:
I., A
Zip:
g 4 D i 6
- entractor.
/k
,1 ;,.a fjcidriar;
P 0 G..
Sik y
Spa 4--v o-. Vclfvd --
, wQ
99bi�
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
/
/Qo 1--/—/-e)1-1.—
Phone: 9 7 if' Z 7 / y
DESCRIPTION OF WORK
1 TOILETS
2
URINALS
WATER CLOSET, BIDETS
# OF UNITS
2_
X
COST
TOTAL AMOUNT
X
$6.00
X
$6.00
3
TUBS
X
$6.00
4
5
6
SHOWERS PER TRAP
SINKS
DISHWASHER
BATH, STALL, ON -SITE BUILT
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
1
X
$6.00
$6.00
$6.00
1
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS /OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
$6.00
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
16
17
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
GRINDER, SUMP PUMP
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
18
INTERCEPTORS
19
MEDICAL GAS (per outlet)
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS, OXYGEN
x
X
X
$6.00
$6.00
$6.00
$6.00
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
S o"1iaIIe
.000 Valley.
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX (509)688 -0037
permitcenter@spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
H Commercial FrResidential
SITE ADDRESS:
Building Owner
1(I S E
LN.
Name: T'
t 19115 E ga1dw;,. LN
Address:
Contractor MN l 1 n
Name:
Address:
License No:
Phone:
'1'1 y -2-7 Id
Fax:
fictotPeV
/0'
Contact/Project Manager:
Name:
0 1303c
s�
City: Sp 4 k4 ne l/ e l tug State: k"4
S o - ...._ V.I /G , tv71 9'Yo/ '
Phone:
Fax:
Zip: 9q01‘
City:
State:
Zip:
City Business Lic:
PoH- rafi�
Phone: c ct i
0
.
#UNITS
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP /AIR CONDITIONER
0 -3 TON
AIR CONDITIONER
Over 3 -15 TON
AIR CONDITIONER
Over 15 -30 TON
AIR CONDITIONER
Over 30 -50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp- 100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp — 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http: / /www.spokanevalley. org / uploads /Community_Development/Documents /Forms / Building/ MechanicalPermitApplication040309. doc
Project Number: 09001925 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT
Date: 7/1/2009 Page 1 of 2
Setbacks: Front
Site Information:
Plat Key: 005835 Name: RIVERWALK 07TH ADD PUD
Left: Right: Rear:
Contact: POTTRATZ, TY N
Address: PO BOX 584
C - S - Z: SPOKANE VALLEY, WA 99016
Phone: (509) 325 -4865
Group Name:
Project Name:
District: East
Parcel Number: 55083.2204 Block:
SiteAddress: 19115 E BALDWIN AVE
Location:: CSV
Zoning: UR -7
Urban Residential -7
Lot:
Owner: Name: POTTRATZ, TY N
Address: PO BOX 584
SPOKANE VALLEY, WA 99016
Water District: 134 CONSOLIDATED ID #19
Area: 8,948 Sq Ft Width: 63 Depth: 115 Right Of Way (ft): 35
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Hold: ❑
Review
Building Plan Review
Permits:
Released By:
Originally Released: 6/30/2009 By: tmelbourn
Contractor: OWNER
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 267 $1,335.00 267 $1,335.00
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 267 $1,335.00 267 $1,335.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $4.50
1 SELECT $27.70
Operator: JD Printed By: JD
Permit Total Fees: $101.45
Print Date: 7/1/2009
Project Number: 09001925
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/1/2009
Contractor: OWNER
Item Description
VENTILATION MECH EXHAUST
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
MISCELLANEOUS FIXTURES
Mechanical Permit
Firm:
Phone:
Page 2 of 2
OWNER
(000) 000 -0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$13.00
$13.00
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Notes:
OK TO ISSUE SEWER PERMITS PER ROGER 12/16/97
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$12.00
$12.00
$6.00
$ 6.00
$36.00
Fee Amount Invoice Amount
$101.45 $101.45
$13.00 $13.00
$36.00 $36.00
$150.45 $150.45
Amount Paid
$27.70
$0.00
$0.00
Amount Owing
$73.75
$13.00
$36.00
$27.70
$122.75
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: 7/1/2009