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2012, 04-06 Permit App: BLD-2012-0314 Plumbing Fixtures
a Community Development Department (Staff Use Only) Permit Center _, 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: Spokane Spokane Valley, WA 99206 Tel: (509) 688-0036 PERMIT FEE: Valley. Fax: (509) 688-0037 permitcenter@sgokanevalley.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 9 NEW CONSTRUCTION ►v1 , DDITION/REMODEL 3. ACCESSORY BUILDING 0 DECK 0 OTHER / SITE ADDRESS: Iii/ "(Q S,. C /t 5t/ z, ,COC.. 5ipr tt 0- 7�y q9 C ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: -7:4,,ti,J -,9/421d NAME: T., -;,l/,f,, if /I ADDRESS: i 11 vF. / �to j L&iL / - / CITY: „e,d e07,44.., (A A STATE: to l4 ,-- -ZIP_ q I go 6 � PHONE: 0 -� / G/4, V FAX: h CELL1 CONTACT NAME: J A-IN,/ 6 �;,,, Ir, .. PHONE: FAX: ,k CELL -1 i 2../ CONTRACTOR NAME: '/ 4 )r .L C©NGSI` e-T70Ai M,'c�. . MAILING ADDRESS: /-) 5S v e . /L. b g /, / L:;„:,,p CITY:4,4414'/ �!/ C/`— v STATE: /0 4— ZIp 1 9.QZS PHONE: 5Q9'lI-ll Ty _//I 0 FAX: 5-00q— 621 --00 c3 CELL: STo 9-7if ,n 1) CONTRACTOR LICENSE NO.: Rei9M •_ CZ EXPIRES: *AO CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: L H121t7 / ir4mLCb 04 Ae -r70. L ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: ) / Dimensions: No. of Stories: Total Habitable 0 1 f,3-x Z O / Space: Main Floor SQ FT:ZO Upper Floor SQ FT: Unfinishe Basement SQ Finished Ba ement SQ //GarFT: "-- FT: itr//— G a ra g e age SQ FT: Deck/C99vered Patio SQ Impervious Surface 30%Slopes on /� FT: Area: /{� Property: �� No. of Bedroon`is: Construction Type: /�,,,Bs� Heat Sourc(e`: �- /® (:l/ r Septic: TOTAL COST OF PROJECT: s ? $ 0 6,0 0 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 Vail • is not a permit or approval fo ny viol. ion of federal, state or local laws, codes or ordinances. 6) Plans or additional information mVberequi to be submi d and .ue I approved before this application can be processed. I Signature JP ., r_ Date: 4/742190— 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 CHK LIST 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 ❑ 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 Permit Lenter jYOk`Stli'OF k 11703 E Sprague Ave,Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER: 40000V eY (509)688-003t X:(509)688-0037 'SRMIT FEE: permitcenter(Z unevalley.org Community Development Plumbing Permit Application n Commercial , Residential SITE ADDRESS: r yl[ 5. /G3ut2 I`v� t p0 K4�'' (, 4 �'�e2-U 6 Building Owner t/j9'a / � `r c Name: G 7� />l // Phone: 5-D/�y_ l� '`�766, Fax: /� Address: /9/q 5, Iv/1,6,6„4,_ 2GC� City: S2a 7�4xb°/� �lgta^,y State: 0.,/i Zip: 7 9;206 Contractor e(444 kat Co., t 7P,,,,i77 Name: C� Phone: Fax: — � / l�o��t� Saq �Y2�l//0 � o9-G2f �ooS3 Address: y 0,4 �C City: ,144.fi,v I ,L State: /✓T A Zip: 4,902.J License No: 6,�4/Ii,GC> e� c Z City Business Lic:e-jOG tie) `v k Contact/Project Manager: ,, / Name: Il reemim t Phone: S 6 9— 7 y F UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER f CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area,Case,Coil,Trench,Condensate Aar ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN,DRINKING Gr WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas,See Mechanical jc.) INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping,drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS `r ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: k3td - tZ 3l ck CURRENT FEES AVAILABLE AT:http://www.spokanevalley.org/under the quick links for Forms,Master Fee Schedule. http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermi tApplication040309.doe 11.1 S , E � SrU114t- 1 ) Loi- 42 \a4 ii-1)"30SG V3e.A.,\;€1,4_ "Z..c c-Ps UJ�1� V-J ADD L9 131 3 O �l- id' 3 ` (?zg050.) '° 6 \\-\ •D-0 ( C ± soo .__. 614-1a- 3i2/3/Li \V 3 PLANNING DEPT. APPROVED r. • / /,, ; . DATE: 4-6-10/2