2013, 12-10 Permit App: BLD-2013-2497 Gas PipingSpokane
_#Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterOsookanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
FProject # 901 3
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION D
NEW CONSTRUCTION ® ADDITION/REMODEL I ® ACCESSORYjB,UItDING
IIDECK I OTHER i (✓
SITE ADDRESS: CSV PERMIT CENTER
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:e j—f
BUILDING OWNER^N//A//ME: (
NAME: V I L ' Crl/ v YW(%Y�C iL l4f
ADDRESS:
CITY:
PHONE:
STATE:
T »7
FAX: CELL:
ZIP:
CONTACT NAME: g S, o
PHONE:
.5vo / G22 S,, //` U FAX:
pts
CONTRACTOR NAME:
CELL:
MAILING ADDRESS:
CITY:
PHONE:
C
3I -1I N� Nfivig-. Ct
STATE:
ZIP:
20X h' ( 0SR
CONTRACTOR LICENSE No.:
FAX:
CELL:
208 691 O53�
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $
•
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or an 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 repr ent the property owner in this transaction. 4) All construction is to be done In full compliance with the City of
Spokane Valley Developme cod Referenced des are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is t a percnit or app or any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be req ed to be ubmitte• nd ; y/equently approved before this application can be processed.
Signature
Date: /)-" 10– (3
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit__Residential_11-11-11.doc
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions
o Direction arrow pointing North and orientation to streets
o Proposed/existing buildings (footprint and dimensions)
o Utilities, septic tank/drain field locations and distances
o Setbacks to property lines
o Distance between buildings
o Right of way/easement location & sizes
o Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
O Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
o Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations
o Perimeter concrete foundation wall sizes
o Crawlspace ventilation
o Supporting wood cripple walls or beams
o Thickened concrete pads supporting
beams or girder trusses
O Floor Plan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing
o Header, beam or concrete lintel sizes
o Brace wall panel locations
o Water heater and furnace locations
o Exhaust fan locations
o Deck or concrete patio sizes and locations
❑ Roof Plan:
o Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
o Wall Section Detail including:
Roof
o Slope/ roofing material/ underlayment/ ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Height/ top plate/ stud size and spacing/ sole plate
o Exterior sheathing size and type
Floor
o Joist size and spacing
Foundation Wall
o Concrete or Masonry unit width
o Earth to wood separation distance
Footing
o Size
Radon
o Passive system with 6mil vapor barrier
Miscellaneous Construction Details
o Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
o Window and door location and sizes
o Window well locations if applicable
o Room usage labels
o Smoke detector locations
o Attic and crawl space access locations
o Fire Wall construction
o Ridge, eave and valley lines
o Beam and girder size and location
o Truss or rafter size, spacing & connection
o Attic insulation/ air space baffle/ ventilation
o Size of ceiling gypsum wall board
o Siding/ exterior house wrap/ anchor bolts
o Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor size/ insulation
o Footing bottom to finished ground level depth
o Horizontal & vertical reinforcement if any
o Reinforcement if any
o Active system with 6 mil vapor barrier
o Footings/ post/ and beam size and locations
o Handrail / Guard height & spacing