HomeMy WebLinkAbout2004, 10-01 Permit App: BLD-04-07825 Remodel/*Rolm
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
gs U4N u_04 Wet1-1
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: -7,s J/y Oo) S
BUILDING PERMIT 0 CHANGE IN USE 0 GRADING
D}RELOCATION
E} SIGN. EITENANTDOTHER
D.MANUFACTURED HOME
OWNER / APPLICANT INFORMATION
1
0 OWNER: d E- POTTS
® APPLICANT: �2�`d/A1.e
PHONE: 627 -G067 ` �FA�X: qv7 -366 7 PHONE: FAX:
ADDRESS: rid �2 i, V' Lt 4'111 (11-2 l ADDRESS:
CITY,STATE, ZIP CITY, STATE, ZIP
°CONTRACTOR: ARCHITECT:
PHONE: FAX: PHONE:
ADDRESS: ADDRESS:
CITY,. STATE, ZIP
-VMS I CON 1 RACTOR LICENSE # CONTACT:
FAX:
CITY, STATE, ZIP
PERMIT/BUILDING INFORMATION
COST OF PROJECT: jfs00. C2(0
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
�nn
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
MAIN FLOOR SQ FT:
2ND FLOOR SQ FT:
UNFIN BASEMENT:
STRUCTURES ON PROPERTY: FINISHED BASEMENT:
CRITICAL AREAS: GARAGE:
CURRENT PROPERTY SIZE: COVERED DECK:
CURRENT PROPERTY USE: DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME SIGN
WIDTH: LENGTH:
YEAR: PIT SET:
MANUFACTURER:
SQ FT OF SIGN: HEIGHT OF SIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER:
PAINT BOOTH:
FIREWORKS DISPLAY:
FIRE ALARM:
TENT:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
❑ BOLTING
FIRM NAME:
INSPECTOR(S):
®CONCRETE
0 REINFORCEMENT
PHONE:
❑ WELDING
FAX:
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ® YES 13 NO
IS PUBLIC WATER AVAILABLE: ❑ YES 0
NO
IF YES: COUNTY 0 CITY
IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: 0 YES 0 NO PSSA: 0 YES 0 NO
I DATE:
1
STAFF:
METHOD OF PAYMENT:
0 0 0
CASH CHECK
BANKCARD #; EXPIRES: VIN #
AUTHORIZED SIGNATURE:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
THESE PLANS MUST BE KEPT
ON THE JOB SITE
EMERGENCY EGRESS REOUIREMENTS
FROM SLEEPING ROOMS
1) NET CLEAR OPENING: 5.7 SQUARE FEET
GRADE FLOOR OPENING (MAX 44•) 5.0 SQUARE FEET
2) NET CLEAR OPENING HEIGHT 24 INCHES
3) NET CLEAR OPENING WIDTH 20 INCHES
4) MAX FINISHED SILL HEIGHT a4' ABOVE FLOOR
5) EMERGENCY ESCAPE & RESCUE OPENING SHALL BE
OPERATIONAL FROM THE INSIDE OF THE ROOM WITHOUT
THE USE Of KEYS OR TOOLS
SNOW MAIMS SMALL SE INTERCON-
NECTS) MO NASD MIMED INA
MANNER THAT Tl* ACTIVATION OFC ONE
ALARM WILL ALL ALARMS.
(BEDROOMS, ACTIVATEAREAS APPROACHING
BEDROOMS, VAULTED CEILING
WITH RISE OF 24. & ON EACH FLOOR)
VIIIMI MOM AUMIROIRO. MORSaN AMMON
RESIMIN i A PEWS WOOL on OMOn OR IMIE
SEEM ROOM MEMO ON SIATION CORNS
ORIELUNIO. NE OMNI 011f 1E PRIMO
OM SNORE AMOS tecanossamiumaret RSV
ROELUNOL
R CODE COMPLIANCE
VALLEY a ' DIVISION