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2010, 11-09 Permit App: 10003685 Foundation, BasementProject Number: 10003685 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/9/2010 Page 1 of 2 Proiect Information Permit Use: FOUNDATIONBASEMENT FOR RELOCATED HOME Setbacks: Front Left: Right: Rear: Site Information:, Plat Key: Name: Range r":,. 4 ,'Y' =ti "1.0 r J_.: E .. " ru ... "n"ns' Contact: MOUNTAIN HOMESTEAD, INC Address: PO BOX 29 C - S - Z: SPANGLE, WA 99031 Phone: (509) 448-2720 Group Name: Project Name: District: East Parcel Number: 55192.2801 Block: SiteAddress: 116 S TSCHIRLEY RD Lot: Owner: Name: FORD, STEPHEN H Address: 320 S SULLIVAN SPOKANE VALLEY, WA 99037 Location:: CSV Zoning: MF -1 MF MDR District Water District: 134 CONSOLIDATED ID #19 Area: 5,244 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: 1s Depth: 0 Hold: ❑ Right Of Way (ft): 0 Review Building Plan Review Released By: Originally Released: 11/8/2010 By: tmelbourn Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Originally Released: 11/9/2010 By: mharnois Released By: Originally Released: 11/4/2010 By: JLMain Operator: jmm Printed By: jmm Print Date: 11/9/2010 Project Number: 10003685 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/9/2010 Page 2 of 2 Building Permit Contractor: MOUNTAIN HOMESTEAD INC Firm: MOUNTAIN HOMESTEAD INC Address: PO BOX 29 Phone: (509) 448-2720 SPANGLE, WA 99031 This Application: Total Project: Description Grp Tvpe Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 925 $13,875.00 925 $13,875.00 DECK OPEN R-3 VB 48 $720.00 48 $720.00 FOUNDATION R-3 VB FOUNDATI 0 $9,000.00 0 $9,000.00 ON Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 973 $23,595.00 973 $23,595.00 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Fee Amount $377.25 $4.50 $150.90 Permit Total Fees: $532.65 DRIVEWAY APPROACH MUST BE LOCATED 10 FEET SOUTH OF NORTH PROPERTY LINE DUE TO AN EXISTING IRRIGATION TURNOUT EASEMENT (SEE SHP-24-08)-MH Payment Summarv: �._ Permit Type Building Permit Fee Amount Invoice Amount Amount Paid Amount Owing $150.90 $381.75 $532.65 $532.65 $532.65 $532.65 $150.90 $381.75 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 11/9/2010 Spokane jValley Community Development Residential Construction Permit Application':'. Permit Center 11703 E pra ue Ave, Suite F3-3 Spelcafe Valley, WA 99206 (N09)688-0036 FAX: (509)688 X037 wWw. sp gkaneva:tl ey. org PERMIT NUMBER: PERMIT FEE: L New\ Construction -Addition/Remodel 14'Other: ,f,. ti h Accessory Bldg Deck SITE ADDRESS: rig ASSESSORS PARCEL NO: s , Tsetiellty SS/T 2 , 2 re) LEGAL DESCRIPTION: L,, Building Owner: 4. Name: ,..i r,„..4-„ ,a; H,,,,„„., Address: PO , , 2 1 ; f« J �i1c , Name: s)., h « G,% State: ,� Zip: Ti0� / Phone. • 14 Y—).-7 2-0 Fax: Address: 3 2 s. - 5-,44,,,, ,(d Contractor Lic No: „� ,,",„,,v-t-„",„,,v-t-rl/91e,=. Exp Date: /C, �' / ,i f City Business Lic. No: k,.,, r VA( State: City: 5e. �/� Zip: 91 3 7 r, Phone:/ Fax: 9�-�( -1-YoO .1 2 7 , /3 v / Contact Person Name: Phone: Describe the scope of work in detail: Contractor: Name: ,..i r,„..4-„ ,a; H,,,,„„., Address: PO , , 2 1 ; f« J �i1c , City: 5�...� I State: ,� Zip: Ti0� / Phone. • 14 Y—).-7 2-0 Fax: Contractor Lic No: „� ,,",„,,v-t-„",„,,v-t-rl/91e,=. Exp Date: /C, �' / ,i f City Business Lic. No: Cost of Project: $ `1, pde! /et0" V t �d'✓i Proposed Use: **************The following MUST be complete: (write N/A if not a HEIGHT TO PEAK: 7_0 DIMENSIONS: ` 37 2S # OF STORIES: ' MAIN FLOOR TO SQ. FTG: 2ND FLOOR SQ. FTG: /1/719 - pp licable) *** lc* ***************** UNFIN BASEMENT SQ. FTG: g2� a(' - TOTAL HABITABLE SPACE: f2.s' s� IMPERVIOUS SURFACE AREA: /me, FINISHED BASEMENT SQ. FTG: O # OF BEDROOMS: GARAGE SQ. FTG, DECK/COV. PATIO SQ. FTG: YY' or - 30% SLOPES ON AV/i PROPERTY: CONSTRUCTION TYPE: HEAT SOURCE: e�eGf%rC” 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 additional information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATURE: Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 2/15/07 [ Check DATE: ❑ Mastercard 0 VISA Expires: VIN#: RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. SITE PLAN ,d Property lines and dimensions tei Direction arrow pointing North and orientation to streets 44 ❑ Proposed/existing buildings (footprint and dimensions) o Utilities, septic tank/drain field locations and distances 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) ❑ 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 o Header, beam or concrete lintel sizes o Brace wall panel locations o Water heater and furnace locations o Exhaust fan locations o Deck or concrete patio sizes and locations ❑ 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 o Concrete or Masonry unit width o Earth to wood separation distance Footing o 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 ❑ Stairway tread rise & run and nosing o Window well locations if applicable o Room usage labels o Smoke detector locations o Attic and crawl space access locations o Fire Wall construction 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 1 I , I(r 20 1 i 56' SPOKE cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE ' SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 116 S TSCHIRLEY RD Parcel Number: 55192.2801 Subdivision: CITY OF SPOKANE VALLEY Block: Lot: Zoning: Owner: FORD, STEPHEN H Address: 320 S SULLIVAN SPOKANE VALLEY, WA 99037 Building Inspector: Water Dist: Project Number: 10005970 Inv: 1 Issue Date: 10/26/2010 Permit Use: SEWER CONNECTION Applicant: FORD, STEPHEN H 320 S SULLIVAN SPOKANE VALLEY, WA 99037 Phone: (509) 924-2400 Contact: FORD, STEPHEN H 320 S SULLIVAN SPOKANE VALLEY, WA 99037 Phone: (509) 924-2400 Setbacks - Front: Left: - Right: Group Name: Project Name: Rear: Permits Sewer Connection Permit Contractor: STOLZ INC License #: STOLZI*053N8 PROCESSING FEE 1 $15.00 SI SEWER CONNECTION 1 $125.00 Total Permit Fee: $140.00 **FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. **CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. **INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION. **SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. **THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. Payment Summary Total Fees AmountPaid AmountOwing $140.00 $140.00 $0.00 Tran Date 10/26/2010 Processed By: SHATTO, JULIE Printed By: Force, Faith Page 1 of 1 Receipt # 4814 Payment Amt $140.00 PERMIT