2011, 12-19 Permit App: 11003930 Header Community Development Department (Staff Use Onl
t Permit Center Jr, ��
>r 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: l
guy... , Spokane Valley, WA 99206 �Spokane Tel: (509) 688-0036 PERMIT FEE:
Vatter Fax: (509) 688-0037
permitcenter@sookanevailev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
EI NEW CONSTRUCTION 0 ADDITION/REMODEL d ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS:
ASSESSORSPARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: LIN AA j_ v/'tin p . ELL
ADDRESS: /6 as A) W 1 LEU 12 kb
CITY: STh/ A,V E VA L.1. t? STATE: w 4 ZIP: 9490/06.
6.
PHONE:509...99_6969 FAX: j� CELL: 52)4:..7613-77O .
CONTACT NAME: ,'7
PHONE: • FAX: CELL: •
•
CONTRACTOR NAME:Rl;x,_Hero nf tler=Let?... NOW �St,ut) , . • . . •
MAILING ADDRESS: SAP)E as r
CITY: STATE: ZIP: .
PHONE: • FAX: CELL:
CONTRACTOR LICENSE No.: - EXPIRES: CITY BUSINESS LICENSE NO.:'
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No. of Bedrooms: 3 Construction Type: Heat Source:S4S 4taElf. Sewer or Septic:S4 k
TOTAL COST OF PROJECT: $
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 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 Date:
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit=_Residential_11-11-11.doc
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) o 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 o Supporting wood cripple walls or beams
o Perimeter concrete foundation wall sizes • p Ttlickerred concrete(pads'supporting
o Crawlspace ventilation bearnS br girds trusses`
Floor,Plan of each level (finished-or unfinished)with dimensions: • 1., . • • .• •
o Floor Joist direction, size and spacing • o Wmdow and door location and sizes
❑ Header,beam or concrete lintel sizes ",` ❑Window'well locations if dpplicable
o Brace wall panel locations ❑ Room usage labels
o Water heater and furnace locations o Smoke detector locations
o Exhaust fan locations ❑Attic and crawl space access locations
o Deck or concrete,p ,tip sizes er 1 Iocai<ions • p.Fire Wall construction
❑ Roof Plan: :tip) ' • •
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 o 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
❑ Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts
o Exterior sheathing size and type o Insulation,vapor barrier, gypsum wall board
Floor
o Joist size and spacing ❑ Sheathing or concrete floor size/insulation
Foundation Wall
o Concrete or Mi;orirturlltetidth ❑ Footing bottom tojinished ground level depth
o Earth to wood separation'stance ❑ 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 ❑ 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
Permit center
S�011e 11703E Sprague Ave,Suite B-3 PERMIT NUMBER:
P Spokane Valley,WA 99206
.4,700.15Yey` (509)688-0036 FAX:(509)688-0037 )/
Community Development permitcenter@spokanevallev.org
PERMIT FEE: l`
Mechanical Permit Application }� n Commercial n Residential
SITE ADDRESS: IG a A A) W14(BU/Z RD• SPOK V E VALLEY w14 99 640
Building Owner
Name: L IN= L C4Th/ U. Phone:5-69-9427-076 g Fax
Address:/611 4,4A sole RD City: sp0 vo„C Ate State: N Zip: 99100
Contractor J t ly p is K /�/7rvC Ps w Om Bun RIZ
Name: Phone: Y •Fez; S teiE may)jay MSN
Address: City: State: Zip: •P,
License No: City Business Lic:
Contact/Project Manager: N/�
Name: Phone:
#UNITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER •
0-3 TON
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TON
AIR CONDITIONER Over 30-50 TON
AIR CONDITIONER Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM(each outlet)
GAS LOG,FIREPLACE,&GAS INSERT •
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT
REPAIRS OR ADDITIONS •
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-15 hp—100,001 to 500,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15—30 hp -500,001 to 1,000,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp—1,000,001 to 1,750,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 50 hp—over 1,750,000 BTU
AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 cfm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fan connected to a singe duct
VENTILATION AND EXHAUST Each ventilation system
VENTILATION AND EXHAUST Each hood served by mechanical exhaust
INCINERATORS Installation or relocation of residential
INCINERATORS Installation or relocation of commercial
APPLIANCES Range,Clothes Washer
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II
L P STORAGE TANK •
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM—FREE STANDING
EXPIRES: VIN:
DCASH ❑CHECK ❑VISA ❑MC
CARD#: SIGNATURE
http://vrww.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc