2010, 04-05 Permit AppL 10000898 Finish BasementSpokane
Valle
Community De
Residenti
Permit A
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -11 , -. • 09 .88 -0037
'C r1 'lilv.org
lopment 1��. C1.E�ly�'TER
1 Cqa tIl f ?. n New Construction n Accessory Bldg
licatio0 02 2 ® Addition/Remodel n Deck
ect #. -- Other:
PERMIT NUMBER:
PERMIT FEE:
ASSESSORS PARCEL NO: 451 1 1 . 140-1- LEGAL DESCRIPTION: Lb4 4- 1 13)w, k 1 , FQ i4 12-cL
Su roCh V l 51 U v'-
Building Owner:
C 1
Name: J\ R 1 I) -C ) .T 2 1.1(7
Address: 11 0 z /V _ c, 1 iN U v' c4
City: v State: w 6 Zip 9'o 40
0 rwm c V;A I' .t
Phone: P Y
r10°I--.4-'LI —cn WO Fax:
Contact Person
Name: bfi, Vt l 2 1 0 42S 1'e fa t"0
Phone: (y — (,100
Contractor:
DIMENSIONS:
# OF STORIES:
es,
Name: S c 1
MAIN FLOOR TO SQ.
FTG:
Ko f9 l4
2 "" FLOOR SQ. FTG:
/� ^
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BA V ENS
SQ. FTG: 5 320
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE: ,
Fvi•vw.0 e
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail: Co t of Project: $ 5 16 d —
OK
FVcn vl1.e 1rb V7 P 1 Uw► L t w7 1004%, rbu vvi / 0+1 ) r'bn v'!
` C I
.F-ciAnft . - iln�S`n. 1"1 roovh , P ) cJ -e_5✓e55 Lil b rio LJ
Proposed Use: I e robe. 1•6.41Acit vv►
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
es,
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
Ko f9 l4
2 "" FLOOR SQ. FTG:
/� ^
UNFIN BASEMENT SQ. FTG:
5
IMPERVIOUS SURFACE
AREA:
FINISHED BA V ENS
SQ. FTG: 5 320
GARAGE SQ. FTG:
-7--OQ
DECK/COV. PATIO SQ. FTG:
2.00
30% SLOPES ON
PROPERTY:
# OF BEDRO• ,.:
CONSTRUCTION TYPE:
\,Jw 6
HEAT SOURCE: ,
Fvi•vw.0 e
SEWER OR SEPTIC?
Se W 4' r
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 ordliIpanc-s. 6) ' Ian or additional information may be required to be submitted, and subsequently approved before
this application can be p' ce
SIGNATURE:
Method of Payment
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: lzTho
❑ VISA
VIN #:
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
El 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
Spun° e```°`
.0.0Valle`
Community Development
Plumbing Permit Application
SITE ADDRESS: 1 1. 0 A V 13 C—f €1, V ✓ l /�
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter (a,spokanevallev.org
PERMIT NUMBER
PERMIT FEE:
❑ Commercial Residential
kG lo.- 1/ct i t e y y.P A- ca, CP
Building Owner
Name: (An t e I D.Q5 } y, D Phone: Sit ) - -o Fax
Ci Vii State: zip:
Address: ty' 71JU 1'�G n e e / � .�i— �( Zb is
Contractor 1
Name: Phone: Fax: ill
Address: City: State: Zip:
License No: a m E.c* 061 P 7 C iRE`iltp 1 y 3 V K City Business Lic:
Contact/Project Manager:
Name: Da VI le,1 -DR S -1-? -a, op Phone: 50 `1 —' 3(4 _ 6,) a 0
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
.... 1
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN /OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING /DRAIN -IN WASTE
Installation, Alterations, Repair, Reversals
Ak
WATER USING DEVICE
Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http : / /www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http : / /wwwspokanevalley. org /uploads /Community_Development /Documents /Forms/ Building/ PlumbingPermitApplication040309 .doc
Project Number: 10000898
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT - BATHROOM/UTILITY &
BEDROOM/EGRESS WINDOW
Date: 4/5/2010 Page 1 of 2
Setbacks: Front Left:
Right: Rear:
Site Information:
Plat Key: 000000 Name: Range
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
DESTEFANO, DANIEL E
1103 N BALFOUR
SPOKANE VALLEY WA 99206
(509) 714-6100
District: Nort
Parcel Number: 45171.1407
Block:
SiteAddress: 1103 N BALFOUR CT
Location:: CSV
Zoning: R -3
Water District: 011
Area: 12,150 Sq
Nbr of Bldgs: 0
Review Information:
SF Res District
MODERN
Ft Width: 0
Nbr of Dwellings: 0
Lot:
Owner: Name: DESTEFANO, DANIEL E
Address: 1103 N BALFOUR
SPOKANE VALLEY WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
4/2/2010 By: tmelbourn
Contractor: OWNER
Description
BASEMENT F
Grp
R -3
Type
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: jmm
Building Permit
Notes
BASEMENT
FINISH
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
0 $5,000.00 0 $5,000.00
Totals: 0
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Printed By: jmm
$5,000.00 0 $5,000.00
Fee Amount
$111.25
$4.50
$44.50
Permit Total Fees: $160.25
Print Date: 4/5/2010
Project Number: 10000898
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/5/2010 Page 2 of 2
Contractor: OWNER
Notes:
Summary:
Permit Type
Building Permit
Plumbing Permit
Firm: OWNER
Phone: (000) 000 -0000
Fee Amount Invoice Amount
$160.25 $160.25
Amount Paid Amount Owing
$44.50 $115.75
$160.25 $160.25
$44.50 $115.75
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: jmm Printed By: jmm
Print Date: 4/5/2010