2004, 10-19 Permit App: BLD-04-07986 Residence 0 S .,
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� - BUIL a ► G PERMIT APPLICATION WORKSHEET
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0 \ ity of ifiltiNne ^'-y Community Development Department
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Z 1 Building Division
ev 011707 E. Sprague Avenue, Suite 106
„FA/all0 Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
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REQUIRED SITE INFORMATION
Street Address: 3011 S , LI
Assessor's Tax Parcel Number(s): (K 34 Z . ezt. )
Legal Description: Lp7—. 6/ K 2 P1)4 /2e 11 Q
PERMIT DESCRIPTION: 1S t;4P�
[ 3uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: ❑ Applicant:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
EIV Contractor: di!/ S' il,iz ( s.r ❑ Architect:
Phone: ',.1.,9_-7-73 3 Fax: , /-qy7/ Phone: Fax:
Address: (6,cz 1 S n`�T Address:
Ue%/I�.D9i tit J$ 9903'7
City State Zip Code City State Zip Code
WA State Contractor License #: 624 BSc/OS//c Contact: l
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:,CDIME(SIION�: #OF STORIES:
MAIN FLOOR i i y Q. FTG: 2""FLOOR SQ. FTG: UN i IIN BASEMENT SQ. FTG:
4 11
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
-e- Boa -e-
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
G)"tS
#OF BEDROOMS: TOTAL HABITABLEZSPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
.-c;,-- SYSTEM? 50 c-de-e
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
I nspector(s):
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
2001 WSC-Residential Compliance Form
Prescriptive(Chapter 6)Options for 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 ADDRESS: 3") IeiS , thole.? PERMIT NO. DATE: J0-t9-t '
I
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 9 SF. — 2.610 ? SF. = 9 oh ,
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.energy.wsu_edu/
buildings_
i • SK`1 i1lkS
Glazing Glazing U Fa Wall Waif•int` Wall' •
Q option Areal":%of ' Ceiling VolutedBelow ext' s Slab`on
Floor Vertical Overhead" U-factor ' Ceilings Grade A e G Below moor Grade
_ (Grade .
rn X I. 10% 0.40 0.58 0.20 R-38 R-30 R-2t R-21 R-12 R-30 R-10
a�tT
O• a 0 IL' 15% 0.40 0.58 0.20 R-38 R-30 R7 R-21 R-12 R-30 R-10
O ? ❑ III. 17% 0.37 0.58 0.20 R-38 R-30 Rte`' R-21 R-12 R-30 R-10 -
✓ 0 Unlimited
Cf)
0 ivGrou035 0.58 0.20 R-38 R-30 r R-21 R 12 R-30 R-10
orgy _
• O
O E"' 0. Nominal R-vakies are for wood halu eassemblies only or assemblies trait in accordance with Section 601.1
EW 1. Minimum requirements for each option listed For example.if a proposed design has a glazing ratio to the conditioned floor area of 13%,it
[� x shall coney with at of the requirements of the 15%glazing option(or Fight Proposed designs.which cannot meet the specific
V C') • 2 ian
requirements of a isted option above.nay calculate corrpice by Chapters 4 or 5 of this Code.
Requirement applies to al ceilings except single rafter or joist.vauited ceilings. 'Adv'denotes Advanced Framed Oaring.
44 E 3. Requirement applicable only to single rafter or joist vaulted ceiTngs.
4. Below grade walls shall be insulated either on the exterior la a minimum level of R-12.or on the interior to the same level as walls above
r4 W grade. Exterior insulation installed on below grade walls shall be a water resistant material.manufactured for its intended use,and instated
f>t acoordrg to the manufacturer's specifiratons. See Section 602.1
5. Floors over crawl spaces or exposed to adient air oondtions.
6: Required slab perimeter insulations shall be a water resistant material:rranufadured for its intended use.and installed according to
X manufacturer's specifications.'
7. Irk denotes standard caning 16 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 foam sheathing.
9. Doors,including all fire doors,shall be assigned default llfactors from Table 10-6C.
10. Where a irexmnum glazing area is listed,the total glazing area(combined vertical plus overhead)as a percent of gross conditioned floor area
shall be less than or equal to that value. Overhead glazing with U-factor of t1=4.40 or less is not included in glazing area limitations.
11. Overhead glazing shall have-ll-factors determined ih..accordance with NFRC 100 or as specified in Section 502.1.5_
12. Log and solid timber walls with a minimum average thickness or 3.5'are exempt form this i sdation requirement
2 Form 5-050801-2001 Residential Comp Form
•
MECHANICAL PERMIT APPLICATION
lone City of Spokane Valley Community Development Department
BuildingDivision
ley 11707 E. Sprague Avenue, Suite 106
doolVal
Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL.(509) 688-0054
Project Address: Permit Use:
Owner: Phone(Daytime Contact):
Mailing Address:
City State Zip Code
Contractor. ,R ode km E 1,4449-i-- License#: Phone#:
Mailing Address:
City State Zip Code
#OF TOTAL
_DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I X $15.00 =
2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 , =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
USED APPLIANCE(WSEC min.AFUE
5 rating) Equal to or less than 400,000 X $50.00 =
USED APPLIANCE(WSEC min.AFUE
6 rating) More than 400,000 , X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $15.00 =
8 BOILER/REFRIGERATION 101-500M BTU X $28.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU , X $95.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE I X $10.00 =
13 RANGE X $10.00 =
L 14 DRYER X $10.00 ,=
15 FUEL BURNING WATER HEATER I X $10.00 __
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 3 x $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS X $10.00 =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 ,=
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $19.00 =
22 EVAPORATIVE COOLERS , X , $10.00 =
23 TYPE I HOOD . X $50.00 , _
I
24 TYPE II HOOD _X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X " $12.00 =
26 AIR CONDITIONER 3-15 TON , X $20.00 =
_27 AIR CONDITIONER 15-30 TON X $25.00 =
28 AIR CONDITIONER30-50 TON _X $35.00 =
29 AIR CONDITIONER More than 50 TON . X $60.00 ,=
30 LPG STORAGE TANK X $10.00
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X , $25.00 =
METHOD OF PAYMENT: SUBTOTAL
Ci CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
OININV46 PLUMBING PERMIT APPLICATION
Saltiolane
City of Spokane Valley Community Development Department
BuildingDivision
ley 11707 E. Sprague Avenue, Suite 106
.000Val
Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509)688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: Permit Use:
Owner: Phone (Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: -3-1 m mN S PLA'IA)6 License#: Phone#:
Mailing Address:
City State Zip Code
*OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 =
2 URINALS X $6.00 =
3 TUBS 7i X WOO =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6.00 =
5 SINKS LAVSIBASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT
6 DISHWASHER X $6.00 =
7 CLOTHES WASHER 1 X $6.00 =
8 GARBAGE DISPOSAL I X $6.00 =
9 WATER SOFTENER X $6.00 =
10 ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, I X $6.00 =
CONDENSATE
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $600 =
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 =
VENT, PLUMBING,REVERSAL REPAIR,REVERSALS
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER,
HOSE BIB,STEAMER,PROOFER, J X $6.00 =
CARBONATOR,SWAMP COOLER _
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
VALVE,AND R.P.B.P.D.FOR: X $6.00 =
VATS,TANKS,BOILERS
18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE t X_ $6.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK ❑ VISA ❑ MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
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..� ® impson Engineers, Inc.
t CIVIL ENGINEERS & LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOKANE WA., 99212-2789
CC0TCk4QCC) •-)nrvz PHONE (509) 926--1322 FAX (509) 926-1323