2010, 08-18 Permit App: 10002505 AdditionSpokane
jValley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Spragu - ' ve, Suite B-3
Spokane ValleyA -99206 ,
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
P-ZiRMIT NUMBER: 2_SC%
MIT FEE:
n New Construction n Accessory Bldg
Addition/Remodel Deck
Other:
SITE ADDRESS: le t k
ASSESSORS PARCEL NO: ` I S Li 1 , 1 1 LEGAL DESCRIPTION: f3tc x, tiff &l
Building Owner:
OLO
# OF STORIES:,TOTAL
Name:
Name: Th \
?Gtr_ Q. iti 1
Address:
IMPERVIOUS SURFACE
AREA:
Address: Gl`
.eijs.
Q.
Zip:
City: 01<cAvz
vWitI?
State: wlA
Zip:ggzud
Phone:(9-).....0 ....(46. _.i.)
Fax: C5cd() C „:k.
Contact Person
Name:
Phone:
O�1-
Contractor:
OLO
# OF STORIES:,TOTAL
Name:
MAIN FLOOR TO SQ.
FTG: / /20
2Nu FLOOR SQ. F :
t 3 1�
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: �`'
City:
State:
Zip:
Phone:
Fax:
HEA URCE:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in de ail: Cost of Project: $
-(tit cu3 \ wt, t9t 2 Y -c-.-5
Proposed Use: booroom LUmj
**************The following MUST be complete:
Ct6
write N/A if not applicable)**********************
HEIGHT TO PEAK:
2Li I
DIMENSIONS:
e -fl_
# OF STORIES:,TOTAL
HABITA LE SPACE:
5
MAIN FLOOR TO SQ.
FTG: / /20
2Nu FLOOR SQ. F :
t 3 1�
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: �`'
GARAGE SQ. FTG:
C13-1 d K
DEC COV. PATIO S FTG:
7e`'6e
30% SLOPES ON
PROPERTY:
# OF BROOMS:
CONSTRUCTION OIL
s,(,��ti ��1 C-'
HEA URCE:
SEWER OR SEPTIC?
<,c,.:Cv
<
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: i v--%.
Method of Payment:
0 Cash Check 0 Mastercard
Bankcard #: Expires:
Authorized Signature:
REVISED 2/15/07
DATE:
❑ VISA
VIN#:
RESIDENTIAL CcCK 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:
,ES Foundation Plan (crawlspace, basement or slab on grade):
• Footing sizes and locations
• Perimeter concrete foundation wall sizes
Cd Crawlspace ventilation
o'Supporting wood cripple walls or beams
o Thickened concrete pads supporting
beams or girder trusses
m Floor Plan of each level (finished or unfinished) with dimensions:
0 Floor Joist direction, size and spacing
o Header, beam or concrete lintel sizes
p Brace wall panel locations
4 Water heater and furnace locations
• Exhaust fan locations
E Deck or concrete patio sizes and locations
❑ Roof Plan:
a' Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
qi Slope/ roofing material/ underlayment/ ice dam protection
m'Sheathing size and type
Ceiling
i:i Joist size and spacing
Wall
at Height/ top plate/ stud size and spacing/ sole plate
0 Exterior sheathing size and type
Floor
Joist size and spacing
Foundation Wall
0 Concrete or Masonry unit width
0 Earth to wood separation distance
Footing
a Size
Radon
[Passive system with 6mi1 vapor barrier
Miscellaneous Construction Details
El Deck:
0- Floor plan/ side view/ dimensions
d Floor Joist/ decking direction, size and spacing
(Stairway tread rise & run and nosing
0 -Window and door location and sizes
❑ Window well locations if applicable
o Room usage labels
❑Smoke detector locations
o Attic and crawl space access locations
o Fire Wall construction
'Ridge, eave and valley lines
«Beam and girder size and location
q'Truss or rafter size, spacing & connection
0 Attic insulation/ air space baffle/ ventilation
Q Size of ceiling gypsum wall board
Siding/ exterior house wrap/ anchor bolts
OK -Insulation, vapor barrier, gypsum wall board
a Sheathing or concrete floor size/ insulation
❑<Footing bottom to finished ground level depth
[Horizontal & vertical reinforcement if any
c'Reinforcement if any
[Active system with 6 mil vapor barrier
-0-Footings/ post/ and beam size and locations
❑' Handrail / Guard height & spacing
Spokane
Community Development
Mechanical Permit
Permit Center
11703 E Spra: Ave, Suite B-3
Spokane Val,,,,'f,VA 99206
(509)688 -0036 -AX: (509)688-0037
permitcenter@spokanevallev.org
Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial 7 Residential
SITE ADDRESS:
Lc)vs
Building Owner
ai . -`fart Fax: Et -,A "(A --(055-1-4
City: ArlexotA.c"`t ElState:wA_ Zip: C%. i'Name: cr,b-
Address: taw peCecc,
Contractor Phone:
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
i
#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
7
HEAT PUMP/AIR CONDITIONER
0-3 TON
1
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
ft)
AIR CONDITIONER
Over 30-50 TON
�'
AIR CONDITIONER
Over 50 TON
�'
GAS WATER HEATER
e'
GAS PIPING SYSTEM (each outlet)
t�'
GAS LOG, FIREPLACE, & GAS INSERT
Q
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
g
REPAIRS OR ADDITIONS
t
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
q
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp -100,001 to 500,000 BTU
(a`
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 - 30 hp - 500,001 to 1,000,000 BTU
V
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
�r
V
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
a',ot
EVAPORATIVE COOLERS(other than portables)
0
VENTILATION AND EXHAUST
Each fan connected to a singe duct
7
VENTILATION AND EXHAUST
Each ventilation system
f
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
64
INCINERATORS
Installation or relocation of residential
0
INCINERATORS
Installation or relocation of commercial
OC
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
r(5
UNLISTED APPLIANCES
Over 400,000 BTU
,K//
(L
HOOD
Type 1
V
HOOD
Type II
a
L P STORAGE TANK
4:ryry,,
WOOD OR PELLET STOVE INSERT
`F
WOOD STOVE SYSTEM - FREE STANDING
'
`I
❑CASH r2cCHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley. org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
SOlane
,j%alley.
Permit Center
11703 Ere Ave, Suite B-3
Spokane , WA 99206.
(509)688-0036 FAX: (509)688-0037
permitcenter@u,sookanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: t8t5 3 „ vJe („ k -e.,
(1 Commercial ix Residential
Building Owner
Name: a /
Phone: Fax:
Address: 18v1 .05` V _t•�19:240 t�t0
K�L4 Cityt,vet,itt1 State: i,J1A Zip: q2 t _
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
s
Name: `1�xC-L,Ad0� CtiV iVt"\ - Phone: (C��.) C + _9 8V
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
Z,
URINALS
2 -
TUBS
TUBS
2 -
SHOWERS (per trap)
2.-
SINKS
Lav/Basins,
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
-
DISHWASHER
I
CLOTHES WASHER
S%j
GARBAGE DISPOSAL
l/-'
WATER SOFTNER
V
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
0
pt
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
(r
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
.l
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
V
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
9'
REPAIR OR ALTERATION
Water piping, drainage or vent piping
t
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
a
MEDICAL GAS
0
INCEPTORS
❑CASHCHECK EI VISA ❑ MC
Card# T�
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
Project Number: 10002505 Inv: 1
Application
Date: 8/18/2010 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 2 STORY 3563 SQFT ADDITION Contact: PARENT, DANIEL
Address: 1815 S BLAKE RD
C - S - Z: SPOKANE, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 701-6554
Group Name:
Site Information: Project Name:
Plat Key: 002752 Name: VERA District: Sout
Parcel Number: 45271.1143
SiteAddress: 1815 S BLAKE RD
Location:: CSV
Zoning: UR 3.5
Water District:
Area: .00 Acres
Block: Lot:
Owner: Name: PARENT, DANIEL
Address: 1815 S BLAKE RD
SPOKANE, WA 99216
Hold: 11]
Width: 143 Depth: 232 Right Of Way (ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
[ReleasedBy:
Originally Released: 8/17/2010 By: tmelbourn
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 8/17/2010 By: tschmidt
Operator: .ID Printed By: JD Print Date: 8/18/2010
Project Number: 10002505
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/18/2010 Page 2 of 3
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT WORK SYSTEM
GAS APPLIANCE<=100,000BTU
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS 1 DUCT
HOOD - TYPE I
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
WATER HEATER - ELECTRIC
URINAL
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
Building Permit
Firm: OWNER
Phone:
(000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,820 $180,089.00 1,820 $180,089.00
1,315 $97,586.15 1,315 $97,586.15
469 $7,035.00 469 $7,035.00
437 $8,303.00 437 $8,303.00
Totals: 4,041 $293,013.15 4,041 $293,013.15
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$2,080.15
$4.50
$832.06
$2,916.71
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Fee Amount
$11.00
$13.00
$13.00
$22.00
$52.00
$111.00
(000) 000-0000
Print Date:
Fee Amount
$12.00
$12.00
$12.00
$12.00
$6.00
$6.00
$12.00
$12.00
$6.00
$90.00
8/18/2010
Project Number: 10002505 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/18/2010 Page 3 of 3
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $2,916.71 $2,916.71 $793.98 $2,122.73
Mechanical Permit $111.00 $111.00 $0.00 $111.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$3,117.71 $3,117.71 $793.98 $2,323.73
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: 8/18/2010