2004, 10-13 Permit App: BLD-04-07915 Addition, Pool*lane
Valley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
7/ Z eyr
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: cP L, -6 -g-` Pm h1u 79&Z
?,11 ----Building Permit
( ❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: tU Z-
Phone: Fax:
Address: 12- K, CsOd-Ls
( e ,2 ULJM' LAO %)7:-
State
r7State Zip Code
❑ Applicant:
Phone:
Address:
Fax:
City
t Contractor:(O� peseDL ❑ Architect:
Phone: 44 ZZ_ JY' Fax: Phone:
Address: -. Ai rQB t(c f B- Address:
mePia /4441 2(7
L_^) v\or CA1.4__tiO,A.C6L Zipv WritState City
WA State Contractor License #: 5/j wi7 Contact:t�� l
State Zip Code
Fax:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT T_O_PEAK: (2 1
DIMENSIONS:a� o2S
# QF STORIES:,
MAIN FLOOR TO SQ. FTG:
56-0 4/2 -&._
UNFIN BASEMENT SQ. FTG:
r 7
2"" FLOOR SQ. F G:
FINISHED BASEMENT SQ.
GARAGE SQ. F G auam 1
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP'
:p
CONSTRUC ION ' PE:p�/per
HEAT SOURCE:
U \:
# OF BEDROOMS:
TOTAL H (TABLE 5 • •
IMPERVIOUS SUCE AREA:
COST OF PROJE roa
30% SL ES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? 0 e9
MANUFACTURED HOME
Width: Length: Year:
Manufacturer:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm: Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT
Firm Name: Phone:
Inspector(s):
❑ WELDING
Fax:
DISCLAIMER
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 Peruenter. 5) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or 1 laws, •des or ordinances.
Ownership`of resulting developmenfrights granted by any issued p
Print Nameaz'i Signat
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
rmiti•• et% he -• j
perty dwnef.
❑ Cash
Bankcard #:
Authorized Signa
❑ 'Chet
❑ Mastercard
❑ VISA
❑ Other
Expires: • t --VIN#:
eoinaliey
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL. (509) 688-0054
Project Address: Permit Use:
Owner:, Phone (Daytime Contact):
Mailing Address:
Contractor.
Mailing Address:
• City
State Zip Code
License #: Phone #: - -.
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL.
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000 .
1
X
315.00
-2--PUEL-BURNING-APPLLANCt
X
519.00
-
Moretnall 100000
3
UNLISTEDAPPLIANCE (Addtgmwl Fee)
Equal to or less than 400,000-
X
250.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400 000
_
X
5100.00
=
5
USED APPLIANCE (MSEC min. AFUE
rating)
Equal to or less than 400.000
X
550.00
=
6
USED APPLIANCE (WSEC min AFUE
rating)
More than 400 000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - LOOM BTU •
X
$15.00
=
e
BOILER/REFRIGERATION
101-500M BTU
X
$29.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
939.00
=
/
10
BOILER/REFRIGERATION
1 001 - 1,750M BTU
X
557.00
=
11
BOtLERJREFRtGERATION _
More than 1,750M BTU
X
595.00
-
- -
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
210.00
-
13
RANGE
X
51000
=
14
DRYER
X
$10.00
-
15
FUEL BURNING WATER HEATER
X
510.09
=
10
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (eactt outlet)
1
X
31.00
.
=
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
1
X
510.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
312.00
=
21
AIR HANDLER(DOES NOT include ducting)
Greater than 10,000 CFM
X
519.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE t HOOD
X
550.00
-
24
TYPE It HOOD
X
510.00
-
25
HEAT PUMP/AOR CONDITIONER
03 TON
X
512.00
=
26
AIR CONOIONER -
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30TON
X
$25.00
=
28
AIR CONDITIONER
30.50 TON
X
535.00
=
29
AIR CONDITIONER -
More than 50 TON -
X
560.00
=
30
LPG STORAGE TANK -
X
510.00
=-
31
31
WOOD OR PELLET STOVE/INSERT
-
X
510-00 .
=
32
WOODSTOVE- FREE STANDING
X
525.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA El MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
EXPIRES:
TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
Zip Code
RE SUPPLY
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City of
2001 WSEC.Residential Compliance Form
Prescriptive (Chapter 6) Options for all R Occupancies, Climate Zone 2 0i 1
Heat source: ALL
SPOKANE VALLEY BUILDING DEPARTMENT
11707 E. Sprauge Avenue, #106, Spokane Valley, Washington 99206 - Tel 509-921-1000 - Fax 509-921-1008
SITE ADDRESS: PERMIT NO. DATE:
INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form. Your building must match the selected option requirements without
exceptions or substitutions.
2) Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below.
GLAZING AREA CALCULATION:
SF. - SF. =
TOTAL WINDOW AREA _ HEATED FLOOR AREA (ALL FLOORS) _
% OF GLAZING •
NOTE: Use rough opening (R/O) for window area. Include all half -lite and full -lite door glazing in this
calculation.
CAN'T COMPLY? If none of the Prescriptive (Chapter 6) Options below are acceptable, consider systems analysis
(Chapter 4) or; Component Performance (Chapter 5) Approach. The main advantage is flexibility to juggle individual U -
factors (R -values) as long as an overall maximum value isn't exceeded. Note that the overall performance requirements
are no less stringent than the Prescriptive requirements. Calculations may he performed, by hand or, using an acceptable
computer software program. Helpful forms and other resources can be downloaded at http://www.energy.wsu.edu/
buildings.
INSPECTORS COPY
MUST BE ATTACHED TO APPROVED PLANS
J
SKN�IgF�S
0. Nominal R -values are for wood frame assemblies only or assemblies bur t in acn,rdance with Section 601.
1. tiAnirrum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%. it
shall mrrply with all of the requirements of the 15% glazing option (or higher). Proposed designs, which cannot meet the specific
requirements of a fisted option above, rrey calculate compliance by Chapters 4 or 5 of this Code.
2 Requirement applies to all ceilings except single rafter or joist -vaulted ceilings. -Adv' denotes Advanced Framed Ceifrg.
3. Requirerrent applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-12, or on the intedor to the sarre level as walls above
grade. Exterior insulation installed on below grade walls shall be a water resistant material. manufactured for its intended use, and installed
according to the manufacturer's specifications. See Section 602.2.
5. Roars over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulations shall be a water resistant material,-rranuladured for its intended use. and installed aanrdirg to
nenufadurees specifications.'
7. Int denotes standard franing 16 orches on center with headers insulated with a minimum or R-5 insulation.
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fire doors, stall be assigned default U -factors from Table 10-6C.
10. Where a ;resit -Ron glazing area Is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area
shall be Less than or equal to that value. Overhead glazing with tlfactor of It -4.40 or less is not included in glazing area limitations.
11. Overhead glazing shall have Li -factors delemined in,acmdancewith NFRC 100 or as speed in Section 502.1.5.
12. Log and solid tinter walls with a minimum average thicicness or 3 5- are exempt form this insulation requtremen L
Form 5-050801-2001 Residential Comp Form -
Option
Glazing
Area" %of
Roof
Glazing U -Facto
Doors
U -factor
Ceiling
2
Valuted
Ceilings
Wall
Above
Grade
Wall int'
Below
Grade
Wall'
ext'
Below
Grade
Floor s
Slab" on
Grade
ca
Overhead"
❑
1.
10%
0.40
0.58
0.20
R-38
R-30
21
- ,
R-21
R-12
R-30
R.10
❑
11.'
15%
0.40
0.58
0.20
R-38
R-30
R-19 -I.
Rya
R-21
R-12
R-30
R-10
❑
111.
17%
0.37
0.58
0.20
R-38
R-30
RS +
R-21
R-12
R-30
R-10
❑
Iv.
Unfirnted
Group R-nc /
0.35
0.58
0.20
R.38t
V R
t
.-
int
R-21
R-12
R-30
R-10
occupancy (1
amy
0. Nominal R -values are for wood frame assemblies only or assemblies bur t in acn,rdance with Section 601.
1. tiAnirrum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%. it
shall mrrply with all of the requirements of the 15% glazing option (or higher). Proposed designs, which cannot meet the specific
requirements of a fisted option above, rrey calculate compliance by Chapters 4 or 5 of this Code.
2 Requirement applies to all ceilings except single rafter or joist -vaulted ceilings. -Adv' denotes Advanced Framed Ceifrg.
3. Requirerrent applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-12, or on the intedor to the sarre level as walls above
grade. Exterior insulation installed on below grade walls shall be a water resistant material. manufactured for its intended use, and installed
according to the manufacturer's specifications. See Section 602.2.
5. Roars over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulations shall be a water resistant material,-rranuladured for its intended use. and installed aanrdirg to
nenufadurees specifications.'
7. Int denotes standard franing 16 orches on center with headers insulated with a minimum or R-5 insulation.
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fire doors, stall be assigned default U -factors from Table 10-6C.
10. Where a ;resit -Ron glazing area Is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area
shall be Less than or equal to that value. Overhead glazing with tlfactor of It -4.40 or less is not included in glazing area limitations.
11. Overhead glazing shall have Li -factors delemined in,acmdancewith NFRC 100 or as speed in Section 502.1.5.
12. Log and solid tinter walls with a minimum average thicicness or 3 5- are exempt form this insulation requtremen L
Form 5-050801-2001 Residential Comp Form -
LEISURE SUPPLY
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