2003, 05-16 Permit App: BD03-445 Residence City of (oW 003
SPOKANE VALLEY ) 0037
PERMIT #
BUILDING PERMIT APPLICATION
Box 1 OWNER gyoEN €m-evipiaisFs =ac.• JOB LOCATION c1 -7 E 2..0
OWNER'S ADRESS3z M«,CoLJ CI •�• PHO t.-t
{ TY�,.,.. � N E za -f aL
DESCRIBE JOB S�-�� 9-..r.,-,..y R ;oe...6
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME 11..-lce ,.}� p�.�s� Ste, PHONE
CONTRACTOR'S ADDRESS 32-Lk S-YVV�vPeL41 CITY --aKs , w 4
CONTRACTOR'S REG.# > .7 aeE EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VEF IFIED)
BOX 3 CONTACT PERSON OF PROJECT A-z.Rca PHONE -�-ioz
ADDRESS 32.e\ S. CITY_ f steer-cre3 ZIP -ibt I.
BOX 4 SEWER AVAILABILITY WATER AVAILABILITY
BOX 5 ESTIMATED PROJECT COST$ EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE(Existing/proposed) 1ST FLOOR / 1 (,$ 2ND FLOOR /
3RD FLOOR / OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHED / llto E DECK / ') Z GARAGE / 400
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING 2-2- FT.
BOX 8 ( ✓'SINGLE FAMILY ( ✓)NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6 (o$ SQ. FT.
•
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE- ! SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough-ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING/MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter size (if known) Also see BOX 4
BOX 11 Septic Tank-Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a" Street Use Permit"for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO • : • • WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT 410' DATE S/ 10/03 (OVER)
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
I hereby authorize the City of Spokane Valley to cchhaggthe fee for this permit to my credit card:
40 Mastercard �' EDA
, 'piration Date
'S44 A.,a
Print the name of the Holder %-k A y DEN 14o m ES Signature
•
OFFICE USE ONLY-PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES.ADD/ALT NEW INDUSTRIAL IND.ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES , WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES I AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
DATE
ASSIGNED ADDRESS
1
Call 24 hours before inspection required
011%%, Phone 509.688-0036 Fax 509.688-0037
*iota'
de Vaaley DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
CY? -211
1
APPROACH PERMIT
APPLICATION
Location of property ( ?Co 2 `7 E
f I (Addre�s/Pam if available)
Applicant Name to
Address 3 S ,.`, , t,Q Phone 21 1 R o2
Contractor's Name
Address Phone
Contractor's Reg# _Expires
PROJECT DESCRIPTION (Provide site sketch)
gResidential Driveway Commercial/Industrial Driveway
Existing Curb & Gutter Rural Road Section
nCulvert Installation Sidewalk Repair/Construction
Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $ Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Expiration Date
Name of Holder Signature _
Fees Paid$ 5. , Date Init_ _011_
Excerpts from Spokane Valley Standards (3.24, and details A8 and A-8a):
• Every driveway approach must provide access to an off road parking area located
on private property.The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles,traffic regulating
devices,fire hydrants or other public utilities.The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10%within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
•
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05/16/2003 09:26 5093230921 HAYDEN HOMES-SPOKANE PAGE 03
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CITY OF SPOKANE VALLEY
BUILDING DEPT.
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OWNER G clip •
DATE SUBMITTED 1 DATE APPROVED -4r-
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12' 100 CFM kitchen
WALK—IN 50 CFM bathrooms
CLOSET & laundry
16'-3'
BEDROOM
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5.7 sq. ft. - 44" sill
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100 CFM kitchL11
50 CFM bathrooms
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2' .1' 16' )( 2' ),;
20'
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NOTE ROOF PITCH 6:12
MANUFACTURED TRUSSES
@ 24' D.C. 1/2'WAFER SHEATHING
i./ PROVIDE OUTLET VENTILATION 1/300 S.F.
R-38 BLOW-IN INSULATION
15# FELT
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PROVIDE BAFFLE WITH 1' if,., �
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PROVIDE �- 7—SOLID B❑CKING_
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ATTIC ACCESS
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INLET VENTING 1/300 S.F.
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OVER 16'X6' FOOTING
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TREATED PLATE COVERAGE
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RADON SYSTEM BY ADVANCED RANDON INC!
16'X6' FOOTING WITH 6' FOUNDATION WALL
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