2009, 01-27 Permit App: 09000159 Repair Water DamageCfl'Y Of
Spokane
Community Development
\ •
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
,
PERMIT NUMI3ER: j/- C/
PERMIT FEE:
/lc C 2
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: Zs -0 7
'2- LA vrvz
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name:
E4.7-ali 4 ..y.k,i- ,s:/v ce fStiliZ,D5
Address: STY7
Lexic 6.&.),--- Da.)c-
& ROLJ-W<- a T
City:
State: Zip:
Phone: wa _
Fax:
Contact Person
Name:
Phone:
Contractor:
DIMENSIONS:
Name:
Lexic 6.&.),--- Da.)c-
Address:
eu FLOOR SQ. FTG:
City:
'E
State:
State:kA) Zip990)
Phone: 9_
Fax:
Contractor I1j4•
6st,i_rIxp Date: A i
City Business Lic. No:
CONSTRUCTION TYPE:
Describe the scope of work in detail: Cost of Project: $ ,7,29 b
IAQA 1)v[ _10vt.Qtt I & AT7i3,J
Proposed Use:
**************The followingMUST be com lete: (write **********************
HEIGHT TO PEAK:
DIMENSIONS:
t'A OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:AREA:
eu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
. , .
IMPERVIOUS SURFACE
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 pokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or Of al information may be required to be submitted, and subsequently approved before
this applicatio •e processed.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Chec
DATE:
0 Mastercard 0 VISA
Expires: 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 dimerisions
o Direction arrow pointing North and orientation to street
o Proposed/existing buitdings (footprint and dimensions)
o Utilities, septic tank/drain field Iocations and distances
o Setbackto property lines
o Distance between buildings
o Right of way/easement location & sizes
o Driveway approach size and Iocation
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 (raw\spmoe basement or stab on grade):
o Footing sizes and locations
o Perimeter concrete foundation wafl sizes
o Crawlspace ventilation
o Supporting wood cripple walis or beams
o Thickened concrete pads supporting
beams or girder trusses
O Floor PIan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing
o Header, beam or concrete Iintelsizes
o Brace wall panel locations
o Water heater and furnace Iocations
o Exhaust fan locations
o Deck or concrete patio sizes and Iocations
O 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/ underlaymentl ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Height/ top plate/ stud size and spacingl sote 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 6mi! vapor barrier
MisceltaneouS Construction Details
O Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direcbon, size and spacing
o Stairway tread rise & run and nosing
o Window and door Iocation and sizes
oWindow well locations ifapplicable
o Room usage labels
o Smoke detector locations
o Attic and crawl space access Iocations
o Fire Wall construction
o Ridge, eoveand valley lines
o Beam and girder size and location
o Truss or raftesize, spacing & connection
o Attic insulation/ air space baffle/ ventilation
o Size of ceiling gypsum wall board
o Sidingexterior house wrapanchor bolts
o Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor sizel 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 post/ and beam size and tocations
o Handrail / Guard height & spacing