2012, 03-15 Permit App: BLD-12-160 Residence Community Development Department
Permit Center (Staff Use Only)
yoF = „ 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER: {"I- -'"1f3 T
nil Spokane Valley,WA 99206
lie Tel: (509)688-0036 PERMIT FEE:
Wileya Fax: (509) r soo a
Derm(tcenterk�sookneva Ilev.orq
4000
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK _ _ ❑ OTHER 1 1
SITE ADDRESS: 51/2 Al /<L- LL( 12 RD
ASSESSORS PARCEL NO.://t3////, /.9-03 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
8(a1- 2 -I tiq/i9h
NAME: H N l''vl?A/E-YO/c.1/ /' '!.
' , c..-(
3025 G( i7 i�COH � ,, f
ADDRESS: Z +
CITY: 1 i be LiLa.tie STATE: 1 t2 ZIP: q (70/
PHONE: FAX:
CELL:
CONTACT NAME:
PHONE: FAX:
•
CELL: •
CONTRACTOR NAME:. CD c}...3 ir't' - • f"v :
MAILING A•DDRESS N J r}�a �`�(2/?tV L� L
•
LR,
CITY: Li b er4-(-f kj ,~r__ -. .., STATE: (,}A ZIP:. q qe7c.6-
.,.,,,
PHONE: I I(2�.l-" 0 F�.CJ FAX ..
M CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:• . •
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
[ r,bt ' r v,'c_ i Z-- 3 i 5F S C F)
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: r Dimensions: ��' • No.of Stories: Total Habitable
3 >'b e Space: ji;°
Main Floor OSQ FT:r z�g Upper Floor SQ FT: Unfinished Basemen �Q Finished Baseme�,t SQ
f Z C �' FT: k `
Garage SQ FT: Deck/ overed Pat Impervious Surface
309/o Slopes on
s,6 ; �Y A '
�� '.�� �D�`-�' Area: Property:
No.of Bedrooms: "_' /S ctieriType: '//-) Heat Source: Pec{- 4AT , ewer Septic:
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.
Signature / e.//1 /
Date: -3- /`/ - I
Updated 1-11-11
Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Buliding_Permit -_Residential_11-11-11.doc
•
Community Development Department (Staff Use Only)
ermit Center B
1703 East Sprague Avenue,Suite 8-3 ERMIT NUMBER• B icj-/2-160
CITY OF
pokane Valley, WA 99206
Spokane Tel: (509) 688-0036 PERMIT FEE:
Valley. Fax: (509) 688-0037
permitcenterCaspokaneva Ilev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK � OTHER
SITE ADDRESS: 5// 2. N/ KE LL-t'(2 iz_D
ASSESSORS PARCEL NO.:Ljf 3L/G/, /5O3 LEGAL DESCRIPTION:
BUILDING OWNER NAME: ,81c_I z_/��5� •
NAME: , - `r �� `
ADDRESS: Z3O ZS Cott Lei j-
CITY: Li&ert� L2 k e_ STATE: li(/ ZIP: q go/`i
PHONE: FAX:
CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME:
z -ter —•
-
MAILING ADDRESS: _! J`�-. (J/Z iv Cy
p j �_ y
CITY: L'/- r-(1.._,---- -14,2)
ii L�,�s`� .e-- - r -_,.,_ STATE: /, >� ZIP:.. q 9U Ci j
I/ J1!.J O u.0 ` b✓
PHONE: � � FAX CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:'
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
ecJ )ifrk 3>if-r - 3F i
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
Height to Peak: r Dimensions: No. of Stories: Total Habitable
z53
Y Space: 253(
Main Floor SQ FT: Upper Floor SQ FT: _ Unfinished Basement SQ Finished Basemei t SQ
P Z 'a i, FT: 116g-/Z FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
7 w FT: Z Area: Property:
No. of Bedrooms: '3 Construction Type: iv//' Heat Source: iec-f- FAT :ewer Septic:
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.
Signature 66` Date: -3- /`7 - 12_
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
RESIDENTIAL'ECK 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 Setbacks to property lines
o Direction arrow pointing North and orientation to streets o Distance between buildings
o Proposed/existing buildings(footprint and dimensions) o Right of way/easement location &sizes
o Utilities, septic tank/drain field locations and distances o 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):
o Footing sizes and locations ❑ Supporting wood cripple walls or beams
o Perimeter concrete foundation wall sizes ❑ Thickened concrete pads supporting
o Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
o Floor Joist direction, size and spacing ❑Window and door location and sizes
o Header, beam or concrete lintel sizes o Window well locations if applicable
o Brace wall panel locations ❑ Room usage labels
o 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
0 Roof Plan:
o Engineered truss direction and spacing ❑ Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing o Beam and girder size and location
❑ Wall Section Detail including:
Roof
o Slope/roofing material/underlayment/ice dam protection o Truss or rafter size, spacing & connection
o Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
o Joist size and spacing o Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate ❑ Siding/exterior house wrap/anchor bolts
o Exterior sheathing size and type ❑ Insulation,vapor barrier, gypsum wall board
Floor
o Joist size and spacing o Sheathing or concrete floor size/insulation
Foundation Wall
o Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
o Earth to wood separation distance ❑ Horizontal &vertical reinforcement if any
Footing
o Size ❑ Reinforcement if any
Radon
o Passive system with 6mil vapor barrier ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/side view/dimensions ❑ Footings/post/and beam size and locations
o Floor Joist/decking direction, size and spacing
0 Stairway tread rise & run and nosing 0 Handrail/Guard height&spacing
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