2010, 12-16 Permit App: 10004057 Final Inspect Permit Center
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PERMIT NUMBER:
PERMIT FEE:
,Valley (509)688-0036 FAX: (509)688-0037 )--
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Community Development
Residential Construction w Construction Accessory Bldg
Permit Application [ZIdition/Remodel Deck
Other:
SITE ADDRESS: t � 4ThAJC
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner: l 10d 1 4 CAro._, , keo Contractor:
Name: r,Ola.Sa rarOLflark,e 0 Name:
Address: t se'el G.` 411+ AVS Address:
City: Spokwg, igiti State: 04 Zip:4901D/6 City: State: Zip:
Phone: .Dq S,2o,2( Fax:� 1g61g-�Z' C(*� Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: -lhi(/I5 / ark
Phone: c)01- %WI-9d 96
Describe the scope of work in detail: Cost of Project: $
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Proposed Use: VI✓L
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: a AREA.
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
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.6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processes
SIGNATURE: ��. DATE:
/ /s/6/0
Method of Payment: /
❑ Cash ❑ Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 2/15/07
RESIDENTIAL CHECK LIST DIRECTIONS:
0-
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 6mi1 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