2013, 04-21 Permit App: BLD-2013-0695 Pole BldgSpokane
Valley
Ommunity Development Department
rmit Center
703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterPspokanevalley.orq
le(Staff Use Only)
(Staff
NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION
0 DECK
SITE ADDRESS:Z,/
❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ OTHER
ASSESSORS PARCEL NO.: 3S/ 24 4023 ,6
43,44Erigzag- k /114At(N,f,t(i
EGAL DESCRIPTION: i
BUILDING OWNER NAME:
NAME: P4-772 ,1 S
ADDRESS: 832--) ` oiet "Cr Rv2T
CITY: �+ € !iC/ P4.
STATE: ((//1-- ZIP: 99'.2I 2_ (' 5
PHONE:
FAX: CELL:
CONTACT NAME: %)4-e— J0 Hay co A-/
PHONE:
9 ei49 / 76
FAX: (CY 7 Z S 3a95— CELL: G' I f" 17.CL
CONTRACTOR NAME:1�(t-t
,jo ft sc 2? -
MAILING ADDRESS: 366-s-0
AC.
CITY: �,�en� y�� (( STATE: AO A- Zip: 94?
(Z )z—
PHONE: 01 L �Y 7 (o c/ FAX: 7Z. 3'Qs
S CELL: - (v ( 7 9 17Co5/
CONTRACTOR LICENSE No.: Jo MAI 5 e I) 70 KS EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE U E & PROPOSED USE:
//u/v , 4- 3vx'to x/4F .5./,,f2_4,5 /6/6 (,t �, �,2I LL) i )
****YOU MUST COMPLETE THE FOLLOWING****
MARKNLA IF NOT APPLICABLE
Height to Peak:
.2-6 `
Dimensions:
3c^ )( 4O
No. of Stories:
/
Total Habitable
Space:
Main Floor SQ FT:
(yoo
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: —
Heat Source: —
Sewer or Septic:
Construction Type: —
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 to be submitted and subsequently approved before this application can be processed.
n �J
'5`7(41(90
rOjE ( '
Signature
Date:
/-2//1.-?
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 CHEO 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
❑ Proposed/existing buildings (footprint and dimensions)
o Utilities, septic tank/drain field locations and distances
„O
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:
❑ 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
❑ Floor Plan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing o Window and door location and sizes
❑ Header, beam or concrete lintel sizes ❑ Window well locations if applicable
o Brace wall panel locations 0 Room usage labels
❑ Water heater and furnace locations ❑ Smoke detector locations
o Exhaust fan locations ❑ Attic and crawl space access locations
o Deck or concrete patio sizes and locations ❑ Fire Wall construction
D 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/ underlayment/ 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
otoncrete or Masonry unit width
o Earth to wood separation distance
•Footing
❑ 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
0 Stairway tread rise & run and nosing
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
o Footings/ post/ and beam size and locations
o Handrail / Guard height & spacing
• •
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PLANNING DEPT. APPROVED
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RECEIVED
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DATE: 13a16 CSV PERMIT CENTER
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