2010, 06-18 Permit App: 10001791 RemodelProject Number: 10001791 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/18/2010 Page 1 of 2
Project Information:
a ate. v Mkgea. "V4_,.
Permit Use: FINISH BASEMENT-WINDOWS/CEILING Contact:
qPIMMEAStaliEEMENSERTMEVPMEINIMM
Setbacks: Front
Site Information:
Plat Key: Name: Range
Left: Right: Rear:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
BURK, JAMES E
731 COLLINS ST
FORKS, WA 98331-9266
(509) 233-9248
District: Nort
Parcel Number: 45154.2604 Block:
SiteAddress: 215 N MCCABE RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA
Area: 17,480 Sq Ft
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: opl ��,
Lot:
Owner: Name: BURK, JAMES E
Address: 731 COLLINS ST
FORKS, WA 98331-9266
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Permits:
Released By:
Originally Released:
Contractor: OWNER
Description Grp, Type
BASEMENT R R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: jmm
6/18/2010 By: tmelbourn
Building Permit
Notes
BASEMENT
REMODEL
Totals:
Units
1
1
1
Printed By: jmm
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
0 $3,100.00 0 $3,100.00
0 $3,100.00 0 $3,100.00
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Print Date:
Fee Amount
$97.25
$4.50
$38.90
$140.65
6/18/2010
Project Number: 10001791 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/18/2010 Page 2 of 2
Payment Summary:.., .., .,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $140.65 $140.65 $38.90 $101.75
$140.65 $140.65 $38.90 $101.75
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: jmm Print Date: 6/18/2010
Permit Center
11703 E Sprague Ave, Suite B-3
---SSokan`e t y, WA 9 206
69)(541,04Z6 FAX: ( 09)688-0037
Community development
Residential CoiisiOrl tf
Permit Appli'cati
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1
PERMIT NUMBER:/6• / 76) f
PERMIT FEE:
New Construction
Awn/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS: S ) ; CCA c IZ
ASSESSORS PARCEL NO: • • / 5- • c- °'-j LEGAL DESCRIPTION:
Building Owner: -3-;L- r f S C /Z., , F
DIMENSIONS:
`fD'"X LS'
Name:
Name:
MAIN FLOOR TO SQ.
FTG:
4 Q 66 5"f• 7
Address: tN-�? S h -7e Cr be lac'/
Address:
IMPERVIOUS SURFACE
AREA:
4)' //-
City: State:
5?o.Ea,eLJAfie `i �.�
Zip
c/ '-ii
Phone: Fax:
Phone:
Fax:
Contact Person
Name: 3—o•
P3� r
Phone: ) _ b � / _ �? I
Contractor:
DIMENSIONS:
`fD'"X LS'
# OF STORIES:
/
Name:
MAIN FLOOR TO SQ.
FTG:
4 Q 66 5"f• 7
2Nu FLOOR SQ. FTG:
k) A-
Address:
IMPERVIOUS SURFACE
AREA:
4)' //-
FINISHED BASEMENT
SQ. FTG: /, oen sy' /=-T
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
terra 5 Ft7 - J,4 , r
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail:
cr/
Cost of Project: $ ydooce-s�cs�
o P4 57w be, _..-� Con v c r 7 2
ba1c74,.i,r T -e ,,1 �q 1 7 �J, I,/.v// i' -/- 7' 7 /� v/�.c �Z✓�ir�+/t��o[d1�
19dd4jcfaJi icC'-7- O erl�Lir SuS!g11 y cyCC1CerrS'`�".'�iV
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
`fD'"X LS'
# OF STORIES:
/
TOTAL HABITABLE SPACE:
2Dnd S5' F7
MAIN FLOOR TO SQ.
FTG:
4 Q 66 5"f• 7
2Nu FLOOR SQ. FTG:
k) A-
UNFIN BASEMENT SQ. FTG:
11/ 4-
IMPERVIOUS SURFACE
AREA:
4)' //-
FINISHED BASEMENT
SQ. FTG: /, oen sy' /=-T
GARAGE SQ. FTG:
7C° S5 F j
DECK/COV. PATIO SQ. FTG:
/v +-
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
5770k
HEAT SOURCE:
terra 5 Ft7 - J,4 , r
SEWER OR SEPTIC?
- t! _Y e. We- �
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 processed.
SIGNATURE:
M hod of Payment:
1[ Cash
Bankcard #:
Authorized Signature:
REVISED 2115107
❑ Check
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#:
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
❑ Perimeter concrete foundation wall sizes
❑ Crawlspace ventilation
❑ Supporting wood cripple walls or beams
❑ Thickened concrete pads supporting
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 6mil 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