2007, 06-22 Permit App: 07002396 Tear Off, Reroof, Siding, Plumbing Fixtures Permit Center ,-�
Scrry of "� 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: LG
pokane Spokane Valley,WA 99206 PERMIT FEE:
Vallev' (509)688-0036 FAX: (509)688-0037
J www.spokanevalley.org
Community Development
Residential Construction New Construction Accessory Bldg
Permit Applicationddition/Remodel Deck
n Other:
SITE ADDRESS: i `� 1 '�G� i \ a
ASSESSORS PARCEL NO: 4 1(0-z-)C)1q LEGAL DESCRIPTION:
Building Owner: Contractor:
Name: . .:,---*-NAL_ 4"- Name: ,
r
._:>( -6-1 k--k ,__,C)--Y-Q
Address: ` ) F D- C>) �. Address:
City:y e. (Jc `1) State: Zip:cno' 1 City: State: Zip:
Phone: cc _ ,c cdax: Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: V' c_,)._,)---\\c. (--,,t r - '
Phone: --D_.. A c.,, V c.\ (---) r7
Describe the scope of work in detail: Cost of Project: $ VCC),i/
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
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 a ji##�stet lformation may be required to be submitted, and subsequently approved before
this application can be processed. .---- F,,//''
SIGNATUREi `
__._ ._`-'. - DATE:
Met d of Payment:
Cash 0 Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
SCTTYOF11 -
pokane
Valley
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ cityhall®spokanevalley.org
Residential Plan Submittal Minimums
O Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
❑ Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
O All braced wall panel types: show locations and details of installation, including
engineered design.
O Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
O Smoke detector locations
O 22" X 30" attic access location
❑ 18" X 24" crawl space access:
O One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
❑ Insulation information
,' Permit Center
Spokane 11703E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER:
jValley& (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
www.spokanevalley.org
Community Development
Plumbing Permit Application n Commercial ❑ Residential
SITE ADDRESS: A \ 2.A �- <LIC l C (1(,� * 1 e cx
Building Owner
Name: V. S ,,:' 'r\.\< <3 (._,..c„,,
`c 1\ \_v-1 Phone: \ 4.a- i (A cj _) Fax:
Address: vJ- . ( (2.)(,7,lC c").) RST\ City: d t-E'.1 c, ( \ C'„ � State: ,3„,._2(::::)._ Zip: -yx..)-5c7
Contractor
Name: ` C .'?- 't--Tf� Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT/
1 TOILETS WATER CLOSET,BIDETS 1 X $6.00 = C' C:
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY,FOOD,PREP/CULINARY MEAT I
CD' '
6 DISHWASHER X $6.00 =
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL - REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 =
22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 =
SUBTOTAL
ETHQD OF PAYMENT:
PROCESSING FEE
ASH ❑CHECK ❑VISA ❑MC EXPIRES: ".. j $35.00
1>.r.� cl G c�
Card# VIN: TQTq_.PERMIT FEE DUE:
AUTHORIZED SIGNATURE: •- ...
REVISED 8/26/05 - ,�+f•�,..--- ".d