2013, 12-03 Permit App: BLD-2013-2472 Addition immunity Development Department (Staff Use Only)
+mit Center
Ti703 East Sprague Avenue, Suite B-3 ERMIT NUMBER:
Sp_okane Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
Valley Fax: (509) 688-0037
Fax: ( 09) 6@spokanevallev.orq IProjct # W` (3-d-W
RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION A____±.
NEW CONSTRUCTION ADDITION/REMODEL E ACCESSORY BUILDING
DECK ID OTHER CSV PERMIT CENTER
SITE ADDRESS: j i`I 1� ! q rr�/ i
ASSESSORS PARCEL NO.: LEGAL DESCRIl TIN: .. -.-- I
BUILDING OWNER NAME: }/� �j
NAME: 'NIY1 / 1R1 VVa.
(.( /h "C V AVEADDRESS: / c.2 11 / 7 E V Q 4,L e , a i A� V .
CITY: p 0 kCt fri c STATE: W I 1 p 4 ZIP: 9 J 2.
PHONE: (2 6. c) 9 /0 - C) 70 3 FAX: CELL:
CONTACTT NAME: / CZE'y CT ri Q Cc,( rt Q. 1/Q
PHONE: \�J 60) 9 ( 0 - 0 7 03 FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK KN/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer or 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 �'v Date: i 0 - 3 . / 3
Updated 1-11-11 Page 1 of 1
http://www.spoka neva lley.org/fi lestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
RESIDENTIAL CHELIST DIRECTIONS: ,m
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o 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) ❑ Right of way/easement location &sizes
o Utilities, septic tank/drain field locations and distances ❑ 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 o 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 o Window and door location and sizes
o Header, beam or concrete lintel sizes ❑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 o Attic and crawl space access locations
o Deck or concrete patio sizes and locations o Fire Wall construction
O Roof Plan:
o Engineered truss direction and spacing ❑ Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing 0 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 n 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 o 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 o 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
❑ 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
O Stairway tread rise & run and nosing 0 Handrail/Guard height&spacing