2011, 05-04 Permit App: 11001163 ReroofCITYOF
pokne
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
oermitcenterOsookanevalley.orq
(Staff Use Only)
PERMIT NUMBER: //- /7G, 5
PERMIT FEE: /17/C.7.)
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION re ADDITION/REMODEL D ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: :2 to4sfrt iect
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS: 3 2 2 W. 6a, i1,09,e,
CITY:o4itei 1)//e/
2/7/--. 21 7
PHONE:
STATE:
FAX:
CELL:
2/2
CONTACT NAME: 0, y.„ -e
PHONE:
CONTRACTOR NAME:
FAX: CELL:
MAILING ADDRESS:
1,149,Ar ;1_5'
f. 23/
W44
Ti4ee eows71-;
CITY:
PHONE:
C c)k pie
507) 2/ g 47
STATE: (Ma—
FAX:
CONTRACTOR LICENSE No.: 4.1.1:777-(9/7 F,4 -EXPIRES: /"' //
ZIP: 992/ 7
CELL: 7/K
CITY BUSINESS LICENSE NO.: C6 2 -
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
o ce,
****YOU MUST COMPLETE THE FOLLOWING****
MA
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:
.3
e.4)
TOTAL COST OF PROJECT: $ 'WOO -
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, thedwelling 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 to be submitted and subsequentl approved before this application can be processed.
Signature
Date:
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.
o SITE PLAN
o Property lines and dimensions
o Direction arrow pointing North and orientation to streets
o Proposed/existing buifdings (footprint and dimensions)
O UU|ities, oept)ctank/dnain field locations and distances
o Setbacks to property lines
O Distance between buildings
o Right of way/easement Iocation & 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 PIan (crawlspace, basement or slab on
o Footing sizes and Iocations
D Perimeter concrete foundation wall sizes
o Crawlspace ventilation
O Floor PIan of each level(finished or unfinished) with
o Floor Joist direction, size and spacing
o Header, beam or concrete IinteI sizes
o Brace wall panel ocations
o Water heater and furnace Iocations
o Exhaust fan locations
o Deck or concrete patio sizes and Iocations
grade):
O Rmof Plan:
o Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
o Supporting wood cripple walis or beams
o Thickened concrete pads supporting
beams or girder trusses
dimensions:
o Window and door Iocation and sizes
o Window well Iocations if applicable
o Room usage labels
o Smoke detector locations
o Attic and crawspace access Iocations
o Fire Walt construction
O Wall Section Detail including:
Roof
o Slope/ roofing material/ undarlavment/ ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Heightl 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 Detaiis
O Deck:
O Floor plan/ side view/ dimensions
o Floor Joistl decking direction, size and spacing
o Stairway tread rise & run and nosing
o Ridge, eavaand 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 ceilinggypsum wafl board
o Siding/ exterior 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 Footings/ post/ and beam size and Iocations
O Handrail / Guard height & spacing