2003, 05-12 Permit App: BD-03-398 Addition( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE 1 SQ. FT.
City of
SPOKANE VALLEY
62W- 003 (p
Ione ton 0037
PERMIT # Sr2,Q -
BUILDING PERMIT APPLICATION
Box -1 OWNER. TVocwi %Su -ire arL_ JOB LOCATION '
OWNER'S ADDRESS q6 ID E: 6'94,414CITY toEaneHONE goy. e7 6.3
DESCRIBE JOB
ta-cic/ Ofl to
ase.
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THIS PROPERTY IS OWNED BY: SINGLE/MARRIED rva.n. �T) .4&- 7? u-rn�� t_
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME 0.-/-)o7rli- na11 _ PHONE 334-1 •53�,9
CONTRACTOR'S ADDRESS LAN E. 022 7 A (/E. CITY
of�an Q
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VE
UIFIED)
BOX 3 CONTACT PERSON OF PROJECT
PHONE
ADDRESS CITY ZIP
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) I,
• CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / 2ND FLCtOR
3RD FLOOR / OTHER ' / BASEMENT FINISHED /
BASEMENT UNFINISHED / DECK / GARAGE /
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT.
BOX 8 ( ) StNGLE FAMILY
( ), MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
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, CONVERSIbN BURNERS,
i
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL: II
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.
VERIFY UNDER THE PENALTY OF PE
;ORRECT TO THE BEST OF MY KN
\BOVE PREMISES TO PE
DWNER/AGENT
RY HAT THE INFORMATION FURNISHED BY ME IS TRIBE AND
LEDGE AN . URTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
E WORK F'1. HICH THE APPLICATION 18 MADE.
DATE 05--/ 2 - dc] (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder 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 DEPARTMEN1I
REMARKS
PPROVAL DISAPPROVAL DATE
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
;I
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES ; I AMOUNT DUE
BUILDING DEPARTMLNT APPROVAL
BY
DATE
ASSIGNED ADDRESS
CITY OF SPOKANE VAL Hlf�
BUILDING DEPT. �;�-
PERMffNUMBER
ADDRESS
PLANS FOR.&
OWNER •
DATE SUBMITTE SATE APPROVED 67/44)N
APPROVED BY .. '
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CITY OF SPOKANE VAL Hlf�
BUILDING DEPT. �;�-
PERMffNUMBER
ADDRESS
PLANS FOR.&
OWNER •
DATE SUBMITTE SATE APPROVED 67/44)N
APPROVED BY .. '
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APPROVED BV
St�a �ORoofn9
�
a -S e.2 Underla
Sheathing
Insulation Stop
2k Studwall
Single Story
- foo(ca 5
yment ,,cr�� 77o5SIS
R315Insulation
era
t
in O.C.
Siding
2x 6, Stud Wall
Sheathing
l
Ceiling/Covering /
ate .i" .-e tact—
= %�l _Window & poor Header
Seelt9
Wall Finish
Q
res 5
ma PC 7620n1 ao !'
iif-A"-
.fid �7,%I w/
i
5. 7 s fh o/P'7 aaGr��
nr
/271/)size tr�r s f,vr Y xY
0.c.Lia ! / / ??or Ae
Pressure Treated Plate
Rim Joist
Pressure Treated Plate
in.:Foundation Wall
C2 x /2. Footin
l�
,r p
/0 P/OO o,
�X aY�rsZ or/Gtr%.
Floor Covering
R-30 Insulation
9 Anchor Bolts 6' O.C. /�
atee �ar'i lG5?I loc,C
18" Crawl Space
8io� wa'/.h /a 40/4 e e,e/c
l2 /cedar -c2-0a/
\Vapor Barrier
a2 K36
d raw Ge'e'
QC ee s5
6 e / Ia ci'
4.0749
Pour, et/int
.42/7/2 ,-,c rev l
,Oo<-1/4 /,T,p.