2004, 04-20 Permit App: BLD-04-04124 Residence arSiaanell."11111k , , .4- To4440
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400.°ValleY 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
I REQUIRED SITE INFORMATION
STREET ADDRESS: 3 9 1 3 5 ' t eZe4e
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION: 2-'01' 2 13U&4 P/1L (K 20 / e
lotto
PERMIT DESCRIPTION: kii, I Den CIZ
UILDING PERMIT 0 CHANGE IN USE 0 GRADING O MANUFACTURED HOME
}RELOCATION Q SIGN 0 TENANT DO HER
OWNER / APPLICANT INFORMATION
-
® OWNER: ® APPLICANT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
ga// I CITY,STATE,ZIP CITY,STATE,ZIP
CONTRACTOR:O/�� C,L I i SGI Qvtj
, „i 0 ARCHITECT:
PHONE: '49 7 7 3 J FAX: '3 I-44/7/ PHONE: FAX:
ADDRESS: / 6520 L. 5 f&e.1 Ar�{1 - ADDRESS:
v1441•091-e,IAA *or),3') CITY,STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE# CLI PFSC/OZ/t21G CONTACT:
IPERMIT/BUILDING INFORMATION
�] I 4
COST OF PROJECT: 30%SLOPES ON PROPERTY: "4:44"--"4:44"-- MAIN FLOOR SQ FT: I ! q
BUILDING HEIGHT TO PEAK:yZ q OCCUPANCY GROUP: 2ND FLOOR SQ FT: 611
BUILDING DIMENSIONS: 1"/b b CONSTRUCTION TYPE: UNFIN BASEMENT: I LI i-/
NUMBER OF STORIES: Zi STRUCTURES ON PROPERTY: 15— FINISHED BASEMENT:$
NUMBER of BEDROOMS: 3 CRITICAL AREAS: p GARAGE: 1.4 )%
FLANKING SETBACK: CURRENT PROPERTY SIZE: O&Z$* COVERED DECK:
I
FRONT SETBACK: z5 CURRENT PROPERTY USE: -16P" DECK: Er
REAR SETBACK: Sl i CURRENT SEPTIC USE:
6
LEFT SETBACK: 10 r CURRENT WELL USE:
RIGHT SETBACK: 10 IMPERVIOUS SURFACE AREA:
$r '
OTl't 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
Sjio'f ors
Spokane Valley,fAcA 95-206 509-688-0037-Fax
4010 Valley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT PERMIT
ADDRESS: 3 913 S, `ie, USE:
OWNER ��/ PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: ,,E n aA /I
e,,J' so to LICENSE#:
MAILING ADDRESS: /�' t�/ � PHONE#:
(street) (city/state) (ZIP)
DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 ' X $15 =
2 FUEL BURNING APPLIANCE >100,000 X $19 =
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 =
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 =
5 USED APPLIANCE(WSEC min.AFUE rating) =or<400,000 X $50 =
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 =
7 BOILER/REFRIGERATION 1-100M BTU X $15 =
8 BOILER/REFRIGERATION 101-500M BTU X $28 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 =
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 =
11 BOILER/REFRIGERATION +1750M BTU X $95 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE - I X $10 =
13 RANGE - X $10 =
14 DRYER - X $10 =
15 FUEL BURNING WATER HEATER -- I X $10 =
16 MISC.FUEL BURNING APPL. - X $10 =
17 GAS PIPING(ea.Outlet) - 3 x $1 -
18 DUCT SYSTEMS - X $10 =
19 VENTILATING FANS - L' X $10 =
20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 =
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 =
22 EVAPORATIVE COOLERS - X $10 =
23 TYPE I HOOD - X $50 =
24 TYPE II HOOD - ' X $10 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 =
26 AIR CONDITIONER 3-15 TON X $20 =
27 AIR CONDITIONER 15-30 TON X $25 -
28 AIR CONDITIONER 30-50 TON X $35 -
29 AIR CONDITIONER +50 TON X $60 -
30 LPG STORAGE TANK - X $10 -
31 WOOD OR PELLET STOVE/INSERT - X $10 =
32 WOOD STOVE-FREE STANDING - X $25 =
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
MINIM • TOTAL PERMIT FEE DUE:
VISA. '
0 CASH 0 CHECK 0 0 •_-._..`:_=
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
)..3 UIt4I1C I Spokane Valley,LVA 206 509-688-0037-Fax
For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT PERMTr
ADDRESS: 31213 S USE:
OWNER PHONE(Daytime Contact):
MAILING ADDRESS:
(sleet) (city/state) (ZIP)
CONTRACTOR �� Y t,i ,,l s p 4 M 6 /u c LICENSE S:
MAILING ADDRESS: PHONE is
(street) (city/state) (ZIP) '
PLUMBING FIXTURES
DESCRIPTION DETAILS i OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETS .3 X $6
2 URINALS X $6
3 TUBS Z. X $6
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT r X $6 -
5 SINKS LAVS/BASINS,BAR,FLOOR,KTFCHEN,
LAUNDRY,UTILITY JANITOR,PHOTO,X- �/1 X $6
RAY,FOOD,PREP/CULINARY/MEAT 11LUJ
6 DISHWASHER I X $6
7 CLOTHES WASHER l X $6
8 GARBAGE DISPOSAL / X $6 =
9 WATER SOFTENER X $6
10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE / X $6
12 FOUNTAINS,DRINKING X $6
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR,
-
WASTE,VENT,PLUMBING REVERSALS X $6
REVERSAL
14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 -
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB,
STEAMER,PROOFER,CARBONATOR, 3 X $6 -
SWAMP COOLER
46 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND
-
RP.BP.D.FOR:VATS,TANKS,BOILERS X $6
17 SPRINKLER SYSTEM X $25
18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL
HOLDING TANK X $6 -
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6
me
20 MISC.PLUMBING FIXTURE X $6
THOD OF PAYMENT SUBTOTAL
MOMMMO
I_ M
PLUS PROCESSING FEE: $35.00
CASH 0 CHECK 0 1111111111111 0 _,.. .._
TOTAL PERMIT FEE DUE
'E: EXPIRES:
IKCARD NUMBER:
HORIZED SIGNATURE:
•
• 2001 WSEC•Residential Compliance Form
Prescriptive(Chapter 6) Opteons tur all R Occupancies,Climate Zone 2 0; 1
City of
Heat source: ALL •
SPOKANE VALLEY BUILDING DEPARTMENT •
11707 E.Sprauge Avenue,#106,Spokane Valley,Washington 99206-Tel 509-921-1000-Fax 509-921-1008
SITE ADDRESS3913 5• dole 4e PERMIT NO. DATE: y-zo-oy
/INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form. Your building must match the selected option requirements without
-exceptions or substitutions.
2) Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below.
GLAZING AREA CALCULATION:
•
2. 61 SF. _ 356.9 SF. = 1 % t
TOTAL WINDOW AREA HEATED FLOOR AREA (ALL FLOORS) _ %OF GLAZING
NOTE: Use rough opening(R/O)for window area. Include all half-lite and full-lite door glazing in this
calculation_
•
CAN'T COMPLY? If none of the Prescriptive(Chapter 6)Options below are acceptable,consider systems analysis
(Chapter 4)or;Component Performance(Chapter 5) Approach.The main advantage is flexibility to juggle individual U-
factors(R-values)as long as an overall maximum value isn't exceeded. Note that the overall performance requirements•
are no less stringent than the Prescriptive requirements. Calculations may be performed by hand or, using an acceptable
computer software program. Helpful forms and other resources can be downloaded at http://www.etiergy.wsu.edu/
buildings.
/ 5 Ki lick k -S
• Glazing U-Factoj • . Wall'
EliGiw // Door' �7• Wali war int -
Option Area ',of Vertical „ =mg Veiling' Above Below ext• s Stab`on
Floor' Overhead U factor Ceiling' Below Grade
Grade Grade
•
Grade .
Z I6 10 0.40 0.58 0.20 R-38 R-30 R-21
uitr R-21 R-12 R-30 R-10
a4
0 it. 15% 0.40 0.58 0.20 R-38 R.30 R-19+
R-5` R 21 R-12 R30 R-10
O W •
' ❑ Ili. 17% 0.37 0.58 0.20 R-38 R-30 RSe R-21 R-12 R-30 R-10
0 O Unfit ited ' • -
Gra
V)� a 0 tv. Occupancy
0.35 0.58 0.20 R38 R 30 i R-21 R- 12 R-30 Fi t0
•
int
t-s-( Q
gOOnly _
OE" 0. Nominal R-values are for wood frame assert'61•tes only or assembles butt in accordance with Section 601.1
W • 1. fyirhrrrum requirefor each option fistedFor exarple,if a proposed design has a
glazing rafto to the x shall comply with all of the requirements of the 15%glazing option(or higher). Proposed designs.which ca�ne specific
ioned floor area of 1C3°k.it
V' (-) requirements Q 2. of a fisted option above.trey date oompffance by Chapters 4 or 5 of this Code.
WRequirement appliapplies cable«d� single rafter'or joistfings except single�vaulttedd rhgs 'NW dercfes Advanced Framed Ce7ing.
3
aQ 4. Below grade walls shalt be insulated either on the exterior b a minimum level of R-12,or on the interior to the sane level as walls above
grade. Exterior insulation installed on below grade wags shall be a water resistant material.manufactured for its intended use,and installed
01 9 to the manufacturer's speaficatons. See Section 602.2.
H5. Floors over crawi spaces or exposed to amm
ambient air rdGons.
W" n 6: Required slab Mer ions stall be a water resistant nn erial,.menufacttrred for its intended use.and instated according to
manufacturer's
7. Int denotes standard taring 18 inches on center with headers insulated with a minimum or R-5 insulation_
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 loam sheathing.
9. Doors,itctudng all fire doors,shall be assigned default U-factors fromTable 10.4G
10. Where a irraxin um glazing area is listed.the total glazing area(combined vertical plus overhead)as a percent of gross condtioned floor area
11.
shall
g�than or equal to that value. Overhead glazing with U-factor of 1.1=4.40 or less is not included in glazing area limitations.
glazing shall haver U•factors detemined it accordance:with NFRC 100 oras specified in Section 502.1.5.
12. Log and solid timber wags with a rtiinimum average thickness or 3.5'are exempt(gm Itis insulation requirement
•
Form 5-050801-2001 Residential Comp Form
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( PINE IIEOCK RIDGE 1ST ADDITION
LOT 2 BLOCK 2
Founded 1946
0 10 20 40
® impson Engineers, Inc.
CIVIL ENGINEERS & LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOKANE WA., 99212-2789
PHONE (509) 926-1322 FAX (509) 926-1323
SEPTEMBER -2003