2009, 06-02 Permit App: 09001547 AdditionCITYW
pokane
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Residential Constructionu
'
Permit Application
1\4111
PERMIT BER:9 52/7
PERMIT FEE:
New Construction
Addition/Remodel
her:
Accessory Bldg
Deck
SITE ADDRESS: gg
ASSESSORS PARCEL NO:
)vekc- 5(210-avie Vck II-e_y
LEGAL DESCRIPTION:
Building Owner:
Name:
ChriS foisowN
Address: )7).? 5. isoFvfx,r_ ,RA.
City: vo Hey State: \j,J,,4 Zip: nct37
PhoneK50c4 ye, ;. _5-g25 Fax(1-07)7) -0GO?
Contact Person
Name: Cir --).5 FoRov%A
Phone: (50?) "79—
Describe the scope of work in detail:
”a37
Contractor:
DIMENSIONS:
13' )( is'
# OF STORIES:1
Name:
MAIN FLOOR TO SQ.
FTG: i 95 57. -C4-,0
A bC.4 T(30
2Nu FLOOR SQ. FTG:
NA
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: N
City: ,
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
M 67a5
Contractor Lic No:
Exp Date:
City Business Lic, No:
Cost of Project: $ 000
etolcI);A5 add: kovi ow% SrdE 0-e-ecis-kun6:tre.E414-, ricKet
rbow,
e
Proposed Use: /(1--i-dmn a5emesni-coov" uv;1 I be 5"-tocrne_ rOctian
**************The following MUST be complete: (write N/A if not a licable)**********************
HEIGHT TO PEAK:
10' T"
DIMENSIONS:
13' )( is'
# OF STORIES:1
TOTAL HABITABLE SPACE:
/ c75 57,fii:
MAIN FLOOR TO SQ.
FTG: i 95 57. -C4-,0
A bC.4 T(30
2Nu FLOOR SQ. FTG:
NA
UNFIN BASEMENT SQ. FTG:
fr--- - - '
/ ci51.7. -C4-, o1/44.Nn-uta.1
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: N
GARAGE SQ. FTG:
NA-
DECK/COV. PATIO SQ. FTG:
NA
30% SLOPES ON , A
PROPERTY: N/ -i-
# OF BEDROOMS:
A/A
CONSTRUCTION TYPE:
5 4-; 4- Fro. R-- Adc4liciN
HEAT SOURCE:
M 67a5
SEWER OR SEPTIC?
The permitee 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: DATE: Cn 1 1
Method of Pa ent:
EJ Cash
Bankcard #:
Authorized Signature:
REVISED 2)15/07
Check 1:1 Mastercard
Expires:
D VISA
VIN#:
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
g SITE PLAN
Ci Property lines and dimensions
'ES Direction arrow pointing North and orientation to streets
14 Proposed/existing buildings (footprint and dimensions)
Utilities, septic tank/drain field locations and distances
V Setbacks to property lines
14 Distance between buildings
o Right of way/easement location & sizes
1A Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
El Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
'Ell Foundation Plan (crawlspace, basement or slab on grade):
4 Footing sizes and locations
lif Perimeter concrete foundation wall sizes
❑ Crawlspace ventilation
❑ Floor Plan of each level (finished or unfinished) with
1i Floor Joist direction, size and spacing
4 Header, beam or concrete lintel sizes
o Brace wall panel locations
o Water heater and furnace locations
4 Exhaust fan locations
d Deck or concrete patio sizes and locations
/
I Roof Plan:
Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
o Supporting wood cripple walls or beams
o Thickened concrete pads supporting
beams or girder trusses
dimensions:
d Window and door location and sizes
d Window well locations if applicable
4 Room usage labels
d Smoke detector locations
ti Attic and crawl space access locations
Fire Wall construction
❑ Wall Section Detail including:
Roof
d Slope/ roofing material/ underlayment/ ice dam protection
d Sheathing size and type
Ceiling
❑ Joist size and spacing
Wall
Height/ top plate/ stud size and spacing/ sole plate
LSI Exterior sheathing size and type
Floor
(Joist size and spacing
Foundation Wall
4 Concrete or Masonry unit width
V Earth to wood separation distance
Footing
d Size
Radon
'biPassive system with 6mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
dRidge, eave and valley lines
III Beam and girder size and location
Truss or rafter size, spacing & connection
4Attic insulation/ air space baffle/ ventilation
o Size of ceiling gypsum wall board
ei Siding/ exterior house wrap/ anchor bolts
ii Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor size/ insulation
t1Footing bottom to finished ground level depth
'Horizontal & vertical reinforcement if any
"Reinforcement if any
o Active system with 6 mil vapor barrier
o Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
Project Number: 09001547 Inv: 1
Application
Date: 6/2/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: KITCHEN ADDITION Contact: FOLSOM, CHRISTOPHER & PAULA
Address: 1722 S BOLIVAR RD
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 892-5225
Group Name:
Site Information: Project Name:
Plat Key: 001451 Name: LEMEN AIRPARK ADD District: East
Parcel Number: 45262.0907 Block: Lot:
SiteAddress: 1722 S BOLIVAR RD
Location:: CSV
Owner: Name: FOLSOM, CHRISTOPHER & PAUL
Address: 1722 S BOLIVAR RD
SPOKANE VALLEY, WA 99037
Zoning: R-2 SF Res Suburban District
Water District: 010 VERA
Area: 11,875 Sq Ft Width: 9012
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Hold: H
Depth: 5 Right Of Way (ft): 0
---
I Released By: _
Originally Released: 6/2/2009 By: TMELBOU
Landuse/Zoning/HE Conditions
SEE CONDITION
Permits:
Released By:
Originally Released: 6/1/2009 By: mharnois
Operator: jmm Printed By: JD
Print Date: 6/2/2009
Project Number: 09001547
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/2/2009
Contractor: OWNER
Description Grp
RES ADD R-3
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Type Notes Sq Ft Valuation Sq Ft Valuation
VB 13 X 15 195 $18,881.85 195 $18,881.85
ADDITION
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes:
Totals: 195 $18,881.85 195 $18,881.85
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
THIS PERMIT IS FOR THE KITCHEN ADDITION ONLY -MB
Payment Summa
Permit Type
Building Permit
Fee Amount Invoice Amount
$434.65 $434.65
$434.65 $434.65
Fee Amount
$307.25
$4.50
$122.90
Amount Paid
$122.90
$122.90
$434.65
Amount Owing
$311.75
$311.75
Page 2 of 2
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: JD Print Date: 6/2/2009
%r6
Tp° '
PLANNING DEPT.
APpRQV,
D
a5ecA
S1ru k re
r $'
0
Vie
fe4 cal Aide r
PNolnC/noble .�
6a - r:. �,///0
„605 frit+er
9
15"
13 posed r ion
PrapoSeo(
6c/ 's
Res i'o(ev,ce
17d -el- 5.
&7 /,ver g.
33'
A
dr iv`e"
1401,se ,'S corvvec-Feof '% 5e.0J-ec AT The 5-x-8€-}-
5