2009, 09-03 Permit App: 09002795 Carport Project Number: 09002795 Inv: 1 Application Date: 9/3/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REMOVE OLD CARPORT AND BUILD NEW ONE Contact: R W GOSS CONSTRUCTION
Address: 15220 N COLUMBUS ST
C-S-Z: SPOKANE WA 99208
Setbacks:Front Left: Right: Rear: Phone: (509)981-1420
Group Name:
Site Information: Project Name:
Plat Key: 002503 Name: STEVICK ADD District: Nort
Parcel Number: 45032.0208 Block: Lot:
SiteAddress: 4112 N VERCLER RD Owner:Name: SELLE,SHARI L
Address: 4112 N VERCLER RI)
Location::CSV SPOKANE VALLEY,WA 99216422
Zoning: CMU Corridor Mixed Use Dist
Water District: 001 TRENTWOOD Hold: ❑
Area: 12,000 Sq Ft Width: 80 Depth: 150 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information: , .
Review
Building Plan Review Released By:
Originally Released: 9/2/2009 By: tmelbourn
Landuse/Zoning/HE Conditions Released By: j
Originally Released: 9/2/2009 By: cjjanssen
Operator: jmm Printed By: JD Print Date: 9/3/2009
4
Project Number: 09002795 Inv: 2 Application Date: 12/7/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
1-. a n_ a
Permit Use: REMOVE OLD CARPORT AND BUILD NEW ONE Contact: R W GOSS CONSTRUCTION
Address: 15220 N COLUMBUS ST
C-S-Z: SPOKANE WA 99208
Setbacks:Front Left: Right: Rear: Phone: (509)981-1420
Group Name:
Project Name:
Site Information:
Plat Key: 002503 Name: STEVICK ADD District: Nort
Parcel Number: 45032.0208 Block: Lot:
SiteAddress: 4112 N VERCLER RD Owner:Name: SELLE,SHARI L
Address: 4112 N VERCLER RD
Location::CSV SPOKANE VALLEY,WA 99216422
Zoning: CMU Corridor Mixed Use Dist
Water District: 001 TRENTWOOD Hold: ❑
Area: 12,000 Sq Ft Width: 80 Depth: 150 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review In ormation: r. .,, �xr, fl , ierera ,: -, u a a a sw r r
Review
Building Plan Review -
Reimsect:B
Originally Released: 9/2/2009 By: tmelbourn
Landuse/Zonin E Conditions 4
Originally Released: 9/2/2009 By: cjjanssen
Operator: jmm Printed By: jmm Print Date: 12/7/2009
Project Number: 09002795 Inv: I Application Date: 9/3/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: R W GOSS CONSTRUCTION INC Firm: R W GOSS CONSTRUCTION INC
Address: 15220 N COLUMBUS ST Phone: (509)468-8492
SPOKANE WA 99208
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT OP R-3 VB CARPORT 180 $2,700.00 180 $2,700.00
Totals: 180 $2,700.00 180 $2,700.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $83.25
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $33.30
Permit Total Fees: $121.05
Payment Summary: =
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $121.05 $121.05 $33.30 $87.75
$121.05 $121.05 $33.30 $87.75
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: JD Print Date: 9/3/2009
Project Number: 09002795 Inv: 2 Application Date: 12/7/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: R W GOSS CONSTRUCTION INC Firm: R W GOSS CONSTRUCTION INC
Address: 15220 N COLUMBUS ST Phone: (509)468-8492
SPOKANE WA 99208
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT OP R-3 VB CARPORT 180 $2,700.00
Totals: 180 $2,700.00
Item Description Units Unit Desc Fee Amount
HOURLY REVIEW FEE 1 #OF HOURS $61.00
Permit Total Fees: $61.00
Payment Summary: o4 _: MOO ISSINEMZEMOSEMOSONSMNSE12
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $61.00 $61.00 $0.00 $61.00
$61.00 $61.00 $0.00 $61.00
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: 12/7/2009
` Permit Center
*lane 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: -c2
R
Spokane Spokane Valley,WA 99206 PERMIT FEE:
jValley' (51�s sus 3.- A x(509)688-0037
1ci.• 't1-! a-yt•. •C—I.EY
Community Development ZUU9
t
Residential ConstrulsF- o New Construction Accessory Bldg
Permit Application 01111 Lt:N I '
.:: Addition/Remodel pi Deck
Other:
SITE ADDRESS: y i i N. Ue'-Cle r- SPo W-ri..nQ \J&(le->i W6 . 1`l -1(e- l Z.23
ASSESSORS PARCEL NO: 4.56 3 2. .0 2 08 LEGAL DESCRIPTION:
Building Owner: Contractor:
Name: S. SheL r i SeName: e\_
5 Ctn.ST.
Address:
Address: Li 1 1Z N. VerCl£ r- 15.2.2b ni_ CoI�v>ti.(A.S s4-
City:
-City: cJ Stag Zip.11!211. City: s loo 12a n Stag:i---)C' Zi :
Phone: Fax: Phone: Fax:
V) c:
Or\f, o6j `1 toe-14o nOYl-€
Contractor Lic No: Exp Date:
i2voerc,S606 '1 `(IK j 5—ill-10
Contact Person City Business Lic.No:
Name: R. j. 6.7) c 4. s-t-
Phone: 15 y) tito y - `/o 5 ri
Describe the scope of work in detail: Cost of Project: $ 5 v
fleMCI v- 0i A Cb-c pnrT ar\.8 RIA., IA rveLo o n•e ,
Proposed Use: Ca-(-- po r T-
**************The following MUST be co • write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
Io'x 1k' P5F 51V1 k n 16,
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. G: FIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: AREA:
n /o, n1e rale, nib.
FINISHED BASEMENT GARAGE SQ. FTG: DECK/CO . PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: n( c Il 1 h PROPERTY: v /c.
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
n a y t..rtto d Jrr-e 1 *I/e n( e•
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: /6.,e DATE: 1—/-e) 5
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions o 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 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 0 Thickened concrete pads supporting
o Crawlspace ventilation 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 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 ❑Attic and crawl space access locations
o Deck or concrete patio sizes and locations o 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 o Beam and girder size and location
❑ Wall Section Detail including:
Roof
o Slope/roofing material/underlayment/ice dam protection ❑ Truss or rafter size, spacing &connection
o Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
o Joist size and spacing ❑ Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate ❑ 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 o Footing bottom to finished ground level depth
o Earth to wood separation distance o Horizontal &vertical reinforcement if any
Footing
o Size o 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 o 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
CITY OFPERMIT CENTER
poxane Project Transmittal
41•.Valley' 11703 E Sprague Ave. Suite B-3,Spokane Valley,WA 99206
Phone: 509.688.0036 Fax: 509.688.0037
Deferred Documents ❑ Provide one of the following (REQUIRED FORAccEPTANGE):
Response to Review Comments ❑ PLUS Project#: 0 9 O CD 2 1 9 S
Revisions to Application A- Parcel Number: 9.5 0 3,Z. 02.0 iS
Other (Describe Below): ❑ Site Address: 9 1 I Z. Ill . 'J e I^ .1,-e r
Route to(Please check all that apply):
Division #of Sheets/Type of Document/#of Copies Received by:.
af Building RIFT-•/INITIALS
1 / Replace LAC 61 L.ae►t1 1...:i k / Z „,
/ vf.,,J Z x.b LAD c.t 1 3 2 " 1.4 / �`'o-No m
/ X 9%,4 L°`^5 . / 0 IF
/ ` I ❑
QC Check by:
o Development Engineering / / VERIFIED/INITIALS
/ /
/ / °
/ / °
QC Check by:
,
VERIFIED/INITIALS
❑ Planning / ,;) , I / ❑
/ / 0
/ /
QC Check by: /c1 3_
ElSV Fire Department VERIFIED/INITIALS
/ / / 0
/ / °
/ / °
QC Check by:
Project Contact Information:
Name: RG. ciD1�k 6& S C P•� . Goss s A-., Phone: (.5o t.) 9 9 I-I 20
Email: (10 Y1,_ Fax: f o n:e
Relationship to Project:
❑ Architect 0 Engineer 0 Other Design Professional [0 Contractor ❑ Owner I Applicant
NOTE:
Bring all documents to the City of Spokane Valley Permit Center at 11703 E Sprague Ave—Suite B-3.
We are sorry for any inconvenience, but documents brought elsewhere cannot be accepted.
Effective June 10,2009
For City Use Only
CITYSoy
PLUS Project Number 4000 lle °
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter®spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re-submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date,please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure,you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre-Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone,fax, email,or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre-construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE-APPLICANT PINK-BUILDING FILE REV 9/07
.
R,4..A.3 , G
PLANNING DEPT. APPROVED
ri?
! Ex i.54-41 I 1
' 6
.,.. .. 51,
I I
,.
... ,
_ I
, V-- 5c)
. i
i I
• ' D-"1 it R2E5\d,C..i\CC (ErY,":f l't,'1,', •
,..=,•'
N. e 4-
, .
, .
i --: P‘.4.ps
-
.:.) -c,...
; .
, .
I / 41 10 0*
I
,
'
1 ,
V ercler 5 4.
4f------- 14 0411
NOT To