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2011, 12-20 Permit App: 11003933 Bathroom�lcrrYof >.. Spokane Valley. Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 oermitcenter@spokaneva ilev. orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION []• ADDITION/REMODEL 0 DECK 0 OTHER SITE ADDRESS: I/ / �r ec wdi'S' il D ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: —TC 5 30 " 1 t '4/ e I/i (L/i zn C NAME: 405 eW/ zo t0 v` ADDRESS: p23© / /a���Y�fli� CITY: i (lJ . fr f Z- / e /L41 STATE: PHONE: eel( / 7q ---s---6/0 FAX: "Ogg ZIP: CELL: ??0/9 CONTACT NAME: 6e4 z Leri - PHONE: CONTRACTOR NAME: /j/ /D:. FAX: CELL: MAILING ADDRESS: CITY: STATE: ZIP PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:' DESCRIBE THE SCOPE 9F WORK IN DETAIL AND INDICATE USE PROPOSED USE: b X G/ pool/J-7 ,� �r &xis tt c f .s e kilecyt 7'/verb mac",c' i`ot t , 4d siwcvrar u/_,77`t1 eves‘r-)e-t01/ ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: / Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 • be submitted and subsequentlypproved before this application can be processed. Signature Date: / 0-0—// Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit-_Residential_11-11-11.doc RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. ❑ SITE PLAN ❑ Property lines and dimensions ❑ Direction arrow pointing North and orientation to streets ❑ Proposed/existing buildings (footprint and dimensions) ❑ Utilities, septic tank/drain field locations and distances ❑ Setbacks to property lines ❑ Distance between buildings ❑ Right of way/easement location & sizes ❑ Driveway approach size and location BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned) ❑ Elevations (Front/Rear/Sides) with roof peak and wall height including basement: ❑ Foundation Plan (crawlspace, basement or slab on grade): ❑ Footing sizes and locations ❑ Supporting wood cripple walls or beams ❑ Perimeter concrete foundation wall sizes ❑ Thickened concrete pads supporting ❑ Crawlspace ventilation beams or girder trusses ❑ Floor Plan of each level (finished or unfinished) with dimensions: ❑ Floor Joist direction, size and spacing ❑ Header, beam or concrete lintel sizes ❑ Brace wall panel locations ❑ Water heater and furnace locations ❑ Exhaust fan locations ❑ Deck or concrete patio sizes and locations ❑ Roof Plan: ❑ Engineered truss direction and spacing ❑ Rafter and over frame direction, size and spacing ❑ Wall Section Detail including: Roof ❑ Slope/ roofing material/ underlayment/ ice dam protection ❑ Sheathing size and type Ceiling ❑ Joist size and spacing Wall ❑ Height/ top plate/ stud size and spacing/ sole plate ❑ Exterior sheathing size and type Floor ❑ Joist size and spacing Foundation Wall ❑ Concrete or Masonry unit width ❑ Earth to wood separation distance Footing ❑ Size Radon ❑ Passive system with 6mi1 vapor barrier Miscellaneous Construction Details ❑ Deck: ❑ Floor plan/ side view/ dimensions ❑ Floor Joist/ decking direction, size and spacing ❑ Stairway tread rise & run and nosing ❑ Window and door location and sizes ❑ Window well locations if applicable ❑ Room usage labels ❑ Smoke detector locations ❑ Attic and crawl space access locations ❑ Fire Wall construction ❑ Ridge, eave and valley lines ❑ Beam and girder size and location ❑ Truss or rafter size, spacing & connection ❑ Attic insulation/ air space baffle/ ventilation ❑ Size of ceiling gypsum wall board ❑ Siding/ exterior house wrap/ anchor bolts ❑ Insulation, vapor barrier, gypsum wall board ❑ Sheathing or concrete floor size/ insulation ❑ Footing bottom to finished ground level depth ❑ Horizontal & vertical reinforcement if any ❑ Reinforcement if any ❑ Active system with 6 mil vapor barrier ❑ Footings/ post/ and beam size and locations ❑ Handrail / Guard height & spacing ne Permit Center 11703 E Sprague Ave, Suite 13-3 �'7 Spokane Valley, WA 99206 �"`:�alley• (509)688-0036 FAX: (509)688-0037 Community Development perm itcentcr(a,spokanevalley. org Mechanical Permit Application PERMIT NUMBER: PERMIT FEE: Commercial iknisidential SITE ADDRESS: v`- // Ne e Q w Cii ,S 1 Building Owner�S e 4 Name: .2- 3 .74 r i - .S' �� Address: v e(-1- GOr' z i ek. Phone:6yo Fax: State: Zip: City: Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc #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 HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER Over 3-15 TON AIR CONDITIONER Over 15-30 TON AIR CONDITIONER Over 30-50 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER GAS PIPING SYSTEM (each outlet) GAS LOG, FIREPLACE, & GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp -100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 - 15 hp —100,001 to 500,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 15 — 30 hp - 500,001 to 1,000,000 BTU 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 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 EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a singe duct VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust INCINERATORS Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES Range, Clothes Washer Under 400,000 BTU UNLISTED APPLIANCES UNLISTED APPLIANCES Over 400,000 BTU HOOD Type I HOOD Type II L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM — FREE STANDING ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc