2012, 09-26 Permit App: BLD-2012-1669 Residence Community Development Department (Staff Use Only)
4 Permit Center
_`'y 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spokane Spokane Valley, 03 99206
Tel: (509) 688-0036 PERMIT FEE:
Valley Fax: (509) 688-0037
permitcenter@spokanevalley.orq
400.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NT NEW CONSTRUCTION 0 ADDITION/REMODEL :0 ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: a j 6 q S S f z,2,,ir ezi,
ASSESSORS PARCEL NO.: q5r_5y �1 q LEGAL DESCRIPTION: 271 cc,--0 y�Le�<l 1 Pct
BUILDING OWNER NAME: Gum.1-hea Coin 4- R.atc.4-i 1 h r
NAME: S .Lf kho/i-S '/i .
ADDRESS: ;j 2 0 1/4,1 1 e�Nci's,: 14 2
CITY: Se 0p vi. STATE: W A ZIP: em 2 0 '3'
PHONE: S Q q 62., f - 52L( 2. FAX: 61.,e; - 7Y 7 -y2 9y CELL: OZ99 - g 7q -y 3 I
CONTACT NAME: S ' K J.i o tc 1 J
PHONE: J y' - g 7 ei - L./ .514 FAX: 5 ' - 7 y 7- 4/2,-/ el, CELL:
CONTRACTOR NAME: 6 v eet %-14 er (C)bik tr✓C_j-o \
MAILING ADDRESS: :2 2 0 W F aia yi c.,,`S 44 z
CITY: _Sp 0ej,/, 42 STATE: l.i24 ZIP: q 4 2 ay"
PHONE: 1:9C '- ,R 7 i- y 5•1 6 FAX: CELL:
ci Lc
CONTRACTOR LICENSE No.: 6f-T1l DD5 o EXPIRES: CITY BUSINESS LICENSE NO.: /03Oz3 777
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
n w CON 5-1-94.46-4-i ovr
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: / i Dimensions: No. of Stories: Total Habitable --
, 19 Q x `S 3 tL ,- Space:
Main Floor SQ FT: Upper Floor SQ FT: Ijea." Unfinished B e ent SQ Finished Basement SQ
g-,-0 5 1_0 5 3/7 6-0 FT: I/ FT: 4//A
Garage SQ FT: Deck/Covered'Patio SQ Impervious Surface 30% Slopes on
.704 FT: 2X0/ 1 00 Area: /,//,4 Property: OA
No. of Bedrooms: 3 Construction Type: Heat Source: &ygb----•_ -
TOTAL COST OF PROJECT: $ 3,7 y'77 Project ;_:.-___6_4(1--�i2-ll'.. .
DISCLAIMER RECEIVED
The permitted verifies,acknowledges and agrees by their signature that: 1) if this permit i 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 e property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All constr ction is to be doneCiar gll9oMplf�(l2with the City of
Spokane Valley Development code. Referenced codes are available for review at the Ci of Spokane Val er it e . 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or to I laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this applic tion can t sspv e55ecl--M I T CENTER
Signature j�.�;U1,d SUB Date:/ ,- V.
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 CH K LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
❑ Property lines and dimensions ❑ 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
❑ 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:
❑ 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 o Smoke detector locations
o Exhaust fan locations ❑ Attic and crawl space access locations
o Deck or concrete patio sizes and locations ❑ Fire Wall construction
❑ Roof Plan:
o Engineered truss direction and spacing o Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing ❑ 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 o Attic insulation/air space baffle/ventilation
Ceiling
❑ Joist size and spacing o Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts
o Exterior sheathing size and type ❑ Insulation,vapor barrier, gypsum wall board
Floor
o Joist size and spacing ❑ Sheathing or concrete floor size/insulation
Foundation Wall
o Concrete or Masonry unit width 0 Footing bottom to finished ground level depth
o Earth to wood separation distance o Horizontal &vertical reinforcement if any
Footing
o Size ❑ Reinforcement if any
Radon
o Passive system with 6mil vapor barrier o 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
O Stairway tread rise & run and nosing 0 Handrail/Guard height&spacing
. .
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Parcel Number:45254.0904
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