2015, 02-06 Permit App: BLD-2015-0221 Residence t (5 4-k91-(6, - /1,z-S.7 GJ afiub Til lit-Gtil I'i-f-(v , .qd ac_,
53'1 Community Development Department (Staff Use Only)
/ Permit Center
11 ,r--7'-' ` gin , 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spoane Spokane
Valley, WA 688-0036 99206
TelPERMIT FEE:
Fax: (509) 688-0037
...o0Valley oermitcenter@spokanevallev.orci
3
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
1:! NEW CONSTRUCTION 0 ADDITION/REMODEL `
U DECKACCESSORY BUILDING `°
-�7 D OTHER
SITE ADDRESS: ! 1 (5 e. I I
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: •
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BUILDING OWNER NAME: `
/ Y O
NAME: 9. /R /�Z 1 SOCIS / o• G
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ADDRESS: ` p�4.7,(� 071°41 Of&
CITY: sib /le STATE: bilk ZIP: 9'90 0L
PHONE: FAX: CELL:7_627r) 9n7' 9o4P
CONTACT NAME: 73a-01d
PHONE: FAX: CELL:/`29)4/9 — V CfCJ
CONTRACTOR NAME: Q/P-)
( Project #&1 tS-rI
MAILING ADDRESS:
•
RzPCEIVED
CITY: STATE: r
9-2V
PHONE: • FAX: CELL: FFB 06 2015 N
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:• Cr
CSV PERMIT CENTER
D SCRIllp Tl SCOPE OF WORK IN DETAIL AND INDICATE SE & PROPOSED USE:
F- SUB # T( — REV.
—
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE Q
Height to Peak: Dimensions: No. of Stories: / Total Habitable
Space: r�
Main Floor SQFT:/ � Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ '
ft lo FT: FT: - . \V
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
301 FT: Di Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: $
DISCLAIMER ) Z
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 7
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 ts L
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 ..--(4
information may be required to be submitted and subsequently approved before this application can be processed.
Signaturej4Date: 0,2/126//.5
fi
Updated 1-11-11 Page 1 of 1 V\
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
❑ 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