2012, 09-10 Permit App: BLD-2012-1533 Remodel Community Development Department ',; (Staff Use Only) /5 i?j
Permit Center ,{
CITY OF 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: �(/`l 12—
Spokane Valley, WA 99206
pokane Tel: (509) 688-0036 PERMIT FEE:
ValleFax: (509) 688-0037
x permitcenter@spokanevallev.orq
Y �
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0NEW CONSTRUCTION AT ADDITION/REMODEL ACCESSO rBUILDIN&�.,�.am
0 DECK 0 OTHER i Project ry--a1. � 2
SITE ADDRESS: eO/O c.7. 6))71 ppk RF C Ez!
ASSESSORS PARCEL NO.: LEGAL DESCRIP ION:
BUILDING OWNER NAME: All i (\,a,i,n/ iift'v/0 SEP 1 0 2012
1
NAME: CSV " "
ADDRESS: op./. .,..,
SUB zr "—"`
CITY: -5/90 0,4 e. Valle
EJSTATE: 1J
PHONE: 6''09.--6''09.-- 3l� B T3 FAX: CELL:
CONTACT NAME: '1 e IIe i y?e ma n 4
PHONE:60 ! '"'2/4-14/ 4 FAX: CELL:
CONTRACTOR NAME: gyp,- coat-action LZ G
MAILING ADDRESS: ✓ l,/ 801( IT4""1-
CITY: Vetirr or c /(, STATE: ejli ZIP: 50cY7
PHONE:6D7 $44VJ4/ 4/ FAX: CELL:
CONTRACTOR LICENSE No.: iPICoG L 'EXPIRs /1/13 CITY BUSINESS LICENSE NO.: 1.02 9j4-0)141
DES ����T�H�SCrO�����ORK II��DSE�T��n�D INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: 9x No. of Stories: Total Habitable
4 Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FinishedBasemen Q
FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes d
FT: Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: $ /0/000,op
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 o approval for any violation of federal, state or local laws, codes or ordinances. 6) Pla s or additional
information may be required t. be s/., itted and subsequently approved before this application can be processed.
fr,
Signature 6% af, „�(��. /� Date: q/A9 ! 2--
Updated 1-11-11 Page 1 of 1
http://www.spokaneva I ley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
•
RESIDENTIAL CHE . IST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
❑ Property lines and dimensions ❑ Setbacks to property lines
❑ Direction arrow pointing North and orientation to streets ❑ Distance between buildings
❑ Proposed/existing buildings (footprint and dimensions) ❑ Right of way/easement location &sizes
❑ 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):
❑ Footing sizes and locations ❑ Supporting wood cripple walls or beams
❑ Perimeter concrete foundation wall sizes ❑ Thickened concrete pads supporting
❑ Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
❑ Floor Joist direction, size and spacing ❑Window and door location and sizes
❑ Header, beam or concrete lintel sizes ❑Window well locations if applicable
❑ Brace wall panel locations ❑ Room usage labels
❑Water heater and furnace locations ❑ Smoke detector locations
❑ Exhaust fan locations ❑Attic and crawl space access locations
❑ Deck or concrete patio sizes and locations ❑ Fire Wall construction
❑ Roof Plan:
❑ Engineered truss direction and spacing ❑ Ridge, eave and valley lines
❑ Rafter and over frame direction, size and spacing ❑ Beam and girder size and location
❑ Wall Section Detail including:
Roof
❑ Slope/roofing material/underlayment/ice dam protection ❑ Truss or rafter size, spacing &connection
❑ Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
❑ Joist size and spacing ❑ Size of ceiling gypsum wall board
Wall
❑ Height/top plate/stud size and spacing/sole plate P Siding/exterior house wrap/anchor bolts
❑ Exterior sheathing size and type ❑ Insulation, vapor barrier, gypsum wall board
Floor
❑ Joist size and spacing ❑ Sheathing or concrete floor size/insulation
Foundation Wall
❑ Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
❑ Earth to wood separation distance ❑ Horizontal &vertical reinforcement if any
Footing
❑ Size ❑ Reinforcement if any
Radon
❑ Passive system with 6mil vapor barrier ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/side view/dimensions ❑ Footings/post/and beam size and locations
❑ Floor Joist/decking direction, size and spacing
❑ Stairway tread rise &run and nosing ❑ Handrail/Guard height&spacing