2011, 11-30 Permit App: 11003751 MH Cover Project Number: 11003751 Inv: 1 Application Date: 11/30/2011 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 25 X 55 X 12 POST FRAME STRUCTURE COVER Contact: DEROSIER,ALTA MAE L
FOR MANUFACTURED HOME Address: 17216 East 4th Avenue
C-S-Z: SPOKANE,WA 99212-9357
Setbacks:Front Left: Right: Rear: Phone: (000)000-0000
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55192.1402 Block: Lot:
SiteAddress: 17216 E 4TH AVE Owner:Name: DEROSIER,ALTA MAE L
Address: 17216 East 4th Avenue
Location::CSV SPOKANE,WA 99212-9357
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID#19 Hold: Li
Area: 8,515 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: _ �_
Review
Building Plan Review Released By: _
Originally Released: 11/30/2011 By: tmelbourn
Septic Sys Review Released By:
Originally Released: 11/29/2011 By: LHALSEY
Landuse/Zoning/HE Conditions Released By:
Originally Released: 11/29/2011 By: mpalaniuk
Permits: , .
Operator: JD Printed By: JD Print Date: 11/30/2011
Project Number: 11003751 Inv: 1 Application Date: 11/30/2011 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation So Ft Valuation
CARPORT OP R-3 VB 1,375 $20,625.00 1,375 $20,625.00
Totals: 1,375 $20,625.00 1,375 $20,625.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $335.25
ACCESSORY PLANS REVIEW 1 SELECT $83.81
WSBCC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $423.56
Notes
THE INTENT OF APPLE VALLEY ESTATES FIRST ADDITION IS TO BE A MOBILE HOME
PARK(PER KM 4-5-10)-MH
Payment Summary: . ,r= .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $423.56 $423.56 $102.86 $320.70
$423.56 $423.56 $102.86 $320.70
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 11/30/2011
Community Development Department (Staff Use Only)
Permit Center ,
fit 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: — ?.S
S
Spokane Valley, WA 99206
pokane
Tel: (509) 688-0036 PERMIT FEE:
Valley" Fax: (509) 7
permitcenter@spokan
evalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
X NEW CONSTRUCTION 0 ADDITION/REMODEL El ACCESSORY BUILDING
DECK 0 OTHER
SITE ADDRESS: 172,( (0 E- 14}' t\VQ
ASSESSORS•PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: A Il til L Orcr cl
ADDRESS:` \l Z t (1 E —1 l-- A)Q,
CITY: / ��V)C-Y�9 0�cSTATE: u3 f ZIP: CFI a�) 6
PHONE: —1 a --�Z(�i — 4441/ FAX:FAX: CELL:
1 'C�
CONTACT NAME: ' '
PHONE: 2�Q `"SC:31ZL ' FAX: CELL: •
•
CONTRACTOR NAME:. ajf1 Q1 • •
,
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: • FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:'
DESCRIBE y SCOP OF W_Q�R Vic`Q N DETAIL AND INDICATEAd I in% (...Ov U & PROPOSED ck_�C ci
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height top `. Dimensions: No. of Stories: Total Habitable
I ZS-X S%- l Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage-SQ FT: Deck/ vered Patio Q Impervious Surface 30%Slopes on
4t/2,/° F / 31< . !c__ Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer o*eptic: ,)
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 ;Y4/ 7 7ai --- Date: / - 29y //
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.
❑ 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 o Thickened concrete pads supporting
o Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
o Floor Joist direction, size and spacing o Window and door location and sizes
o Header, beam or concrete lintel sizes o Window well locations if applicable
o Brace wall panel locations o 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 patio sizes and locations o Fire Wall construction
❑ Roof Plan:
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 o Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts
o Exterior sheathing size and type ❑ Insulation,vapor barrier, gypsum wall board
Floor
o Joist size and spacing o Sheathing or concrete floor size/insulation
Foundation Wall
o Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
o Earth to wood separation distance o Horizontal &vertical reinforcement if any
Footing
o Size o Reinforcement if any
Radon
o Passive system with 6mil vapor barrier ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/side view/dimensions o 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
Heather Morris
From: Halsey, Lance [LHalsey@spokanecounty.org]
Sent: Tuesday, November 29, 2011 4:50 PM
To: Permit Center
Cc: Meyer, Eric
Subject: RE: 11003750-3408 N VELOX- MANUFACTURED HOME SET/ 11003751 - 17216 E 4TH
- POST FRAME STRUCTURE COVER FOR MANUFACTURED HOME
Taken care of-Thanks, Lance.
From: Jenna Davis [mail to:jdavis@ spokanevalley.orq] On Behalf Of Permit Center
Sent: Tuesday, November 29, 2011 4:03 PM
To: Gaulke, Robert; Halsey, Lance; Meyer, Eric
Cc: Permit Center
Subject: 11003750 - 3408 N VELOX - MANUFACTURED HOME SET/ 11003751 - 17216 E 4TH - POST FRAME
STRUCTURE COVER FOR MANUFACTURED HOME
Hello,
Please review the attached applications and notify us once they have been approved. Thanks!
Jenna Davis, CDT
Dermit Specialist
City of Spokane valley
11703 E Spraftue Ave SI U-3
Spokane valley, Wa WCC
(5I1)72C-53C11
fdavis@spokaneiwallelviscre
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