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2005, 01-03 Permit App: 05000008 Remodel
REQUIRED SITE INFORMATION Siokane 4,0Ualley D5 ooa BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 Street Address: \ 14 '- Nn1, Assessor's Tax Parcel Number(s): Legal Description: Bibs 1�GwyS :-..Q,61.D L) PERMIT DESCRIPTION: 2, GAD ac)ut ©r� \•N ' t w R, v ; 4'a A is V SFt2cxx x Building Permit Relocation Change in Use ❑ Grading Tenant Improvement n Fire Safety Manufactured Home Other OWNER/APPLICANT INFORMATION 1 LS Owner: Rpv a..1) Phone: pi s3 Fax: Address: \;a•a Pc) 'KA H,c. 1/11‘.Le_Nr* City State Contractor: Phone: Zip Code Address: Fax: City State Zip Code WA State Contractor License #: Applicant: Phone: `T tti.1= Address: Fax: City Architect: Phone: State Zip Code Address: Fax: City Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: i - . -To,.ZY MAIN FLOOR TO SQ. FTG: 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: 3i� 5cz F-7. GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: W oc7 J FCl4A Y- _, . HEAT SOURCE: GAS # OF BEDROOMS: 1 TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 1500, `'G 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? Sew >,R MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: 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: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: Inspector(s): Fax: ❑ WELDING 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) Ei Cash ❑ Check ❑ Mastercard ❑ VISA El Other Bankcard #: Expires: VIN#: Authorized Signature: II 1 t4' u, 2 X( LI \6 mu -5 i6" o/ I/64 N. W \LLOW , ROAp I SPote-I=o4E VALLEY ctiZbrc SASE 1HE.>4T AtzEq EMERGENCY EGFROM EP O IB MEQ 1) NET CLEAR OPENING: 5.7 SOUARE FEET 2)NET CLEAF{ OPENING HG EIGHT 24 44) 5.0 240ICCHESE FEET 3) NET CLEAR OPENING WIDTH 20 INCHES 4)MINEFINISHEDSILL*U$T 44'ABOVE FLOOR 5) EMERGENCY ESCAPE 8 RESCUE OPENI$G SHALL BE THE U E oPERATtoNAL KEYS OR E SUE OF ROOMWIT�T Re - t0' STAIR WELL \flnavo V.( Del.) toy \cc_ IN y2.4- A BRStME„IT EXt—y 922-2t53 ti 0;0.1 v, —* c{` v l t4 .,t0.vas ARE. S" ASov . G,*+ADE ttv E 4Cx 26t yea 26 Q s \N vv U{ W t+o oow Bab Root -A. SMOKE DETECTOR \ o' SMOKE ALARMS SHALL BE INTERCOM- NECTED'AND HARD WIRED IN' SUCH aA MANNER THAT THE ACTIVATION OF ONE6 3 " t - “t LL W A'( ALARM WILL ACTIVATE ALL ALARMS. BEDROOMS, AREAS APPROACHING EDROOMS, ,VAULTED CEILING WITH AWE OF, fl' & ON EACH FLOOR) ly' >14 M' -3s SMOKE, DETECTOR (vsN4eo -WINS tae - RYtR WR'c ae. \At.R'C aR / 1 Baal%) EXt5TIuc CLOSET R*40 L1 u tpRY Roo M S-tibm WA -r -to \ ST r Lcrc L.4 EtXts'Ts..G 1.04142 13,E-iiRt+1G. WALL Gas H�az,�Q PyR+aacTHE% mauls AtitisTBE Gf5 wate�z \ie.a� HE�QB.S .E KEPJ- PPRoX SCALE : ©1%‘E StWARaehi”) = t- FooT SZv>`ata..p S7'EEGNacaga/ $A ttn V fwis - 'Ea 00- 0\ ESts