2005, 01-10 Permit App: 05000096 Finish Basement C3— — C)() (r
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BUILDING PERMIT APPLICATION WORKSHEET
0/ ity of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
40.1*
Vallev
Spokane Valley, WA 99206
�] Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: /,' /-1. I,I, Qt.! . r. r) , ` -. ,ierlr. V4fted . (1.4 qqP1.t
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
I I Building Permit I I Change in Use n Grading n Manufactured Home
n Relocation Tenant Improvement ( I Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: ,,a'r 4 Glita CK- (1v n Applicant: t
Phone: -a Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2N FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
f `l`
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
# OF BEDROOMS: beLTOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OFPROJECT: , 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
14 �,OW SYSTEM? :
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
I RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
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 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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
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EMERGENCY EGRESS REOUIREMENTS
FROM SLEEPING ROOMS SMOKE ALARMS SHALL BE INTERCON-
1)NET CLEAR OPENING 5.7 SQUARE FEETNECTED AND HARD WIRED IN SUCH A
GRADE FLOOR OPENING(MAX 44') 5.0 SQUARE FEET MANNER THAT THE ACTIVATION OF ONE
2)NETCLEAROPENINGHEIGHT 24 INCHES ALARM WILL ACTIVATE ALL ALARMS.
3)NET CLEAR OPENING WIDTH 2O INCHES (BEDROOMS, AREAS APPROACHING
4)MAX FINISHED SILL HEIGHT 44•ABOVE FLOOR BEDROOMS, VAULTED CEILING
5)EMERGENCY ESCAPE&RESCUE OPENING SHALL BE WITH RISE OF 24' S ON EACH FLOOR)
OPERATIONAL FROM THE INSIDE OF THE ROOM WITHOUT
THE USE OF KEYS OR TOOLS