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