2010, 12-10 Permit App: 10004001 RemodelSpot e�
Valley°
Community Development
Residential Construction New Construction
Permit Application 4Addition/Remodel
n Other:
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: (4 `V,3`
PERMIT FEE•
Accessory Bldg
Deck
SITE ADDRESS:
i1 0 3 6: NAA -cc
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Buildirig'Owner: .
: `1
ContractorU Com STro c 18f\1 '
1
-?� )1 `-sl_
Name:\TOiiN a - k \ cf.)
Name: d10.4_ LCtgPri�2
Address: I\ O 3 6, 8c k. L
''\\
Address: ) 5- in a N_ tM ch N mom R V
City:5 S n (c-ic'm v nu cz.) State: WA_ Zip: n� l' (/
I 1
City: ma,(IiTJ State: j1 r Zip: clot:
Phone: P-07 ti'Wr 6/ // Fax: 3d a 1/-ao 30
Fax:
Phone: ea 6f_ cre/?
GARAGE SQ. FTG:
Contractor Lic No: 3LcouRft axp(Dl,(e:
��tt 55
Contact Person
# OF BEDROOMS:
City Business Lic. No:
HEAT SOURCE:
SEWER OR SEPTIC?
Name:
Phone:
Describe the scope of work in detail: Cost of Project: $
Rc 040 CI la- e tint 'I i 3 i 000
tVvM\tc 0x 11 W 1� �/� \IOL2\ 4 1 /NSCX ftt(
Proposed Use: L3197 f/g6° 1 / Llit AIP2X PQM
**************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:
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
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 ty-processe
SIGNATURE:
Method of Payment:
❑ Cashes
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: /2_7006
❑ VISA
VIN#:
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:
❑ 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
❑ Floor Plan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing ❑ Window and door location and sizes
o Header, beam or concrete lintel sizes ❑ Window well locations if applicable
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
❑ 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 6m i1 vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
O Stairway tread rise & run and nosing
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
Sp"o"kane
.,2000Valley
Permit Center
11703 E Sprague Ave, Suite 8-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevallcv.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
1103
PERMIT NUMBER:
PERMIT FEE:
Fl Commercial Rifaidential
Building Owner O H NI + 1 c &' t) Au HI
p
Name: Phone: q,„? /�_ / Q/ G Fax:
I/tLL(y
Address: 1/ 0 3 S, 3) A Kir_ City S h%1,.7j N 67.-. v /
V v state: r x/ 1!t 1T Zip: 9vie
Contractor — L (pmS�T' R U C rie
Name:
T‘ YV\. ( Q 3-e hn.1e Phone: 6 -0Y -Y66,-6 /1 / Fax: 5j a7/ -?,0 3 o
Address:' 5-6,A 6 , / Flo fre , gj City: Iq L4-/) State wA_ Zip:GfQ2 /
( r
License No- T L C ohsO 1 (0 3 City Business Lie:
J
Contact/Project Manager: - _
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
I
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
I
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
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 D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT- http-//www spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www. spokaneval ley.org/u ploads/Community_Development/Documents/Tones/Building/PlumbingPennitAppl ication040309. doe