2008, 09-22 Permit App: 08003757 Windows, Mechanical FixturesPermit Center
Scrn or 11703 E Sprague Ave, Suite B-3
pokane Spokane Valley, WA 99206 �ttCEIVED BY
:00,Valley. (509)688-0036 FAX: (50Q(p8=D032POKANE VALLEY
•cu ,J www.stokanevalley.org JrGP 2. 9, %Intl
m
Comunity Development
Residential Construction
Permit Application
PERMIT NUMBER:$
PERMIT FEE:
New Construction Accessory Bldg
f Addition/Retnodel ❑ Deck
n Other:
SITE ADDRESS:
I)3o3 c. l&c n) AVE-
ASSESSORS
UG
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
i .r *...-x :. " �.
B nldmgOwner ? ., s s $. - . F r *'3
7Contractor x .A,. .'.. -7 . I
°t, r C7- ?. — ' t: :,_ . .- rte, €- _ tom
Name: 1 �om A J \IIWUC3FlL Gov/F/) j
Name:
Address: 1 130 3 0, -3604,06.
Address:
City: 5Pok4,7E vl ac-, Statewitt Zip:55aaz
City: State: Zip:
Phone:892 ^ 4,-) 87 Fax:
Phone: Fax:
DECK/COV. PATIO SQ. FTG:
Ail /4
Contractor Lic No: Exp Date:
� lit , , t . Y1C, ,fi r
;Contact;Person ,; ? . _ . ; .. r--
CONSTRUCTION TYPE:
PAN cne4
City Business Lic. No:
SEWER ORSEPTIC?
w
SgEtE
Name:I c�tv•- \Jcv, )Eri Cave
Phone: 619Q- G7&) (t_a')g 2-7 _mo i`
c.-5,0 CC')
De tribe the scope of work in detail; ,, Cost of Project: $ t' 7+
remOuTtfuS Z wwcla.� s (l) iE' X z9 4ad ILI1tL ce w itt, 3� C2 fl���ic�
6) 222t x 32' /hzl iltt'lu« wt -ll, 4 �elt X Y&" an�cl AJa wwdew w€i. LJ
Proposed Use: E9/ss
**************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:
to FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
Ail /4
30% SLOPES ON
PROPERTY: /1.)14 -
# OF BEDROOMS:
CONSTRUCTION TYPE:
PAN cne4
HEATOURCE:
j%AQP \% \\r(`
SEWER ORSEPTIC?
w
SgEtE
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 rocessq(i.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
DATE: 9l22/6a
❑ 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:
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
❑ Wall Section Detail including:
Roof
o Slope/ roofing material/ underlaymenti 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
❑ 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
❑ Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
Permit Center
8="67i..c e 11703 E Sprague Ave, Suite B-3
p ltil`�l�'1 Spokane Valley, WA 99206
jVQIler (509)688-0036 FAX: (509)688-0037
Community Development "SP1°spokanevallev.orG
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial [•Residential
SITE ADDRESS: I) 3o 3 E j nox e PI ✓G •
.Budding Owner i "„ -
Name: I)llOrmits VeMQ' GY7 en co Phone: ow 476)-7 Fax:
Address: 113303 E. D6oN!' Cit spoka,o6✓4\e- State: A Zip: 513+.2a4
Contractor "`""
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
it,, F - _
r�CODIR.5 CI .° F , .'. �';. r ...�. .i .. ...,..ti t.. -,•n .. �.,...' �W _.- ^"z u-
Name: Phone:
DESCRIPTION' OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400.000
X
$100.00
=
5
USED APPLIANCE (W SEC min. AFUE rating)
Equal to or less than 400.000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
=
-
6
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
510.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
1
x
510.00
=
% v,
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
1
X
$15.00
=
) 5
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
4-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT -
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
_
X
512.00
=
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR -COMMERCIAL
X
522.00
=
METHOD OF PAYMENT:
CASH ❑ CHECK 0 VISA 0 MC EXPIRES:
CARD #: VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Project Number: 08003757 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/23/2008 Page 1 of 2
Project Information:
Permit Use: (2) WINDOWS, 1 DUCT SYSTEM, 1 AIR HANDLER Contact: VANDERGRIEND, THOMAS
Address: 11303 E BOONE AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 892-6787
Group Name:
Site Information: Project Name:
Plat Key:
Name: OPPORTUNITY 01ST ADD
District: Nort
Parcel Number: 45162.0528
Block:
SiteAddress: 11303 E BOONE AVE
Location:: CSV
Lot:
Owner: Name: VANDERGRIEND, JEANETTE A
Address: 11303 E BOONE AVE
SPOKANE VALLEY, WA 99206
Zoning: 11-3 SF Res District
Water District: 011 MODERN Hold: ❑
Area: 1.49 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 9/23/2008 By: tmelbourn
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp lips Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB EGRESS 0 $1,200.00 0 $1,200.00
WINDOW
Totals: 0 $1,200.00 0 $1,200.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $69.25
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $27.70
Operator: jmm Printed By: JD
Permit Total Fees: $101.45
Print Date: 9/23/2008
Project Number: 08003757 Inv: /
Application
Date: 9/23/2008 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
DUCT SYSTEMS
AIR HANDLER>10,000 CFM
Notes:
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$15.00
Permit Total Fees: $25.00
FOR 10705 E BROADWAY & 10725 E BROADWAY (SHP-37-06), A 6 FOOT HIGH SIGHT
OBSCURING FENCE MUST BE INSTALLED ON THE WEST, NORTH & EAST PROPERTY
LINES PRIOR TO ANY BUILDING PERMIT -MH
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $101.45 $101.45 $0.00 $101.45
Mechanical Permit $25.00 $25.00 $0.00 $25.00
$126.45 $126.45 $0.00 $126.45
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: 9/23/2008
EMERGENCY EON= RECRIMEMENTB'
• FROMELHPRMSOOMS
I► NET CLEAR OPEMNB:5.T SQUARE FEET
GRADE FLOOR OPENIIIBSX 4e) 5.0 SQUARE FEET
2) NET CLEAR OPENING HENRIT 20 INCHES
3) NET CLEAR OPENING WMTN . 20 INCHES
4) MAX FINISHED SILL NSW Oda ABOVE FLOOR
5) EMERGENCY ESCAPE B RESCUE OPENING SNAIL BE
OPERATIONAL FROM 71E ONCE OF THE ROOM WITHOUT
INF USE OF KEYS OR TOOLS
WHEN INTERIOR ALTERATIONS, REPAIRS OR ADDITIONS
REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE
SLEEPING ROOMS ARE ADDED OR CREATED IN EXISTING
DWELLINGS. THE DWELLING UNIT SHALL BE PROVIDED
WITH SMOKE ALARMS LOCATED AS REOUIRED FOR NEW
DWELLINGS.
SMOKE ALARMS SHALL BE INTERCON-
NECTED . AICD HARD ; WIRED IN ,SUCH A
MANNER THAT THE 'ACTIVATION OF ONE
ALARM ACTIVATE BALL ALARMS.
(BEDROOMS - AREAS ,APPROACHING
BEDROOM'S, ;VAULTED CEILING
WITH• RISE OF 2E &'ON EACH FLOOR)
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