2005, 04-21 Permit App: 05001243 Addition e ,
Project Number: 05001243 Inv: 1 Application Date: 04/21/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2ND STORY FAMILY ROOM& ADDITION Contact: CUSTOM CONSTRUCTION
OVER EXISTING GARAGE Address: 4227 S SCOTT
C-S-Z: SPOKANE,WA 99203
Setbacks:Front EXI Left: EX Right: EX Rear: EX Phone: (509)599-4627
Group Name:
Sate Information
Project Name:
Plat Key: 004078 Name: SP-0355-85 District: Sout
Parcel Number: 45234.0622 Block: Lot:
SiteAddress: 14901 E 11TH AVE Owner:Name: PLAISANCE,STEVE&KYM
Address: 14901 E 11TH AVE
Location::CSV SPOKANE VALLEY,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: v... ,
Review
Site Plan Review Released By:
Originally Released: 04/21/2005 By: kcummings
Plan Review Released By:
Originally Released: 04/21/2005 By: TMELBOU
Septic System Review Released By:
N/A NO BEDROOMS ADDED.KC
Originally Released: 04/21/2005 By: kcummings
Permits: a ..,
Operator: K_C Printed By: K_C Print Date: 04/21/2005
Project Number: 05001243 Inv: 1 Application Date: 04/21/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: CUSTOM CONSTRUCTION Finn: DAN FLEMING/ CUSTOM CONST
Address: 4227 S SCOTT ST Phone: (509)443-0278
SPOKANE,WA 99223
Building Characteristics
Group: R-3 Type: VB
Total Area 523
Building Height 16
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
2ND FLOOR R-3 VB REDUCE 0 $34,370.72 0 $34,370.72
12%-
EXISTING
FOOTINGS
Totals: 0 $34,370.72 0 $34,370.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $492.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $196.90
Permit Total Fees: $693.65
Mechanical Permit
Contractor: CUSTOM CONSTRUCTION Firm: DAN FLEMING/ CUSTOM CONST
Address: 4227 S SCOTT ST Phone: (509)443-0278
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
Permit Total Fees: $10.00
Operator: K_C Printed By: K_C Print Date: 04/21/2005
Project Number: 05001243 Inv: 1 Application Date: 04/19/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Building Characteristics
Group: R-3 Type: VB
Total Area 523
Building Height 16
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB REDUCE 0 $34,370.72 0 $34,370.72
12%-
EXISTING
FOOTINGS
Totals: 0 $34,370.72 0 $34,370.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $492.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $196.90
Permit Total Fees: $693.65
Mechanical Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
Permit Total Fees: $10.00
Operator: K_C Printed By: K_C Print Date: 04/19/2005
Project Number: 05001243 Inv: 1 Application Date: 04/21/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: CUSTOM CONSTRUCTION Firm: DAN FLEMING/ CUSTOM CONST
Address: 4227 S SCOTT ST Phone: (509)443-0278
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00
WATER PIPING-DWV 1 NUMBER OF $6.00
Permit Total Fees: $30.00
Notes �.
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $693.65 $693.65 $0.00 $693.65
Mechanical Permit $10.00 $10.00 $0.00 $10.00
Plumbing Permit $30.00 $30.00 $0.00 $30.00
$733.65 $733.65 $0.00 $733.65
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: K_C Printed By: K_C Print Date: 04/21/2005
Project Number: 05001243 Inv: 1 Application Date: 04/19/2005 Page 3 of 3
•
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00
WATER PIPING-DWV 1 NUMBER OF $6.00
Permit Total Fees: $30.00
Notes
Payment Summary: _ . .. ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $693.65 $693.65 $0.00 $693.65
Mechanical Permit $10.00 $10.00 $0.00 $10.00
Plumbing Permit $30.00 $30.00 $0.00 $30.00
$733.65 $733.65 $0.00 $733.65
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: K_C Printed By: K_C Print Date: 04/19/2005
' . BUILDING PERMIT APPLICATION WORKSHEET
SCnokiLL - City of Sp k Valley Community Development Department
ne Dp .r� �g Building Division
t 11707 E. Sprague Avenue, Suite 106
40000Vaa1e Spokane Valley, WA 99206
tone: (509) 688-0036; Fax: (509) 688-0037
D
i, n I I\1 s'A
QUIRED SITE INFORMATION
Street Address: !1 9 C / E 11 '
Assessor's Tax Parcel Number(s):
Legal Description:
-A,1 ;1y ('-OO
PERMIT DESCRIPTION: - b, K 0 1 _ -
NBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: 5'fe,)Q. N 1' P/c;,isc C� 4 Applicant: SAc,he) 43� C� 4 ?
Phone: W72 - 7,256. Fax: Phone: Fax:
Address: jf f0 I E //+k Address:
� etu UG l [•cy t/ x, 99,AOb
Ci ( State Zip Code City State Zip Code
❑ Contractor: C.k s/,m Co 4s46,di wk ❑ Architect:
Phone: Sn -97 7 Fax: y y F-058'5 Phone: Fax:
Address: :ZA 7 5 Srof1-- Address:
(SteL' �rye. (1)°‘ gq'�o3
Ci State Zip Code City State Zip Code
WA State Contractor License #: C%-ksfocAW5.3-C Contact: Da n I-7c M,c n5
Spokane Valley Bus. Liscense#: Contact:
PERMIT/BUILDING INFORMATION I
HEIGHT TO PEAK: /(0, �1 qDIMENSIONS: ,;Z.� x z3 #OF STORIES: 2.
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: 2 DECK/COV. PATIO S G
:
IS
OCCUPANCY GROUP: CONSTRUCTION TYPE: ./ HEAT SOURCE: --,
SJ`��i C/t.�fr 1 c.
#OF BEDROOMS: TOTAL HABITABLE SPACE: ._ ,,, IMPERVIOUS SURFACE AREA:
I 510
COST OFPROJECT: 30%SLOPES ON PROPERTY: �$ R ON—SITE SEPTIC
3 ZiC o'D y e--.5SYSTEM
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
DISCLAIMER
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.
Ownership of resulting� development rights granted by any issued permit inure to the property owner.
Print Name ,t/ 44 1-4‘4,1 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash Ep Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
PLUMBING PERMIT APPLICATION Community Development Department
Building Division AN
�ne Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E, Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
4,1/alley
Project Address: 't4 1 t. i)f L // ' Permit Use:
• Owner. .S`I Q..J Q i k./ un Pict`I+c�r�Ce Phone (Daytime Contact): 5 71-.. ? 6 z -2
Mailing Address: ./ `! I D/ k. , (� " S®o4 LA_ 0(4 (iflv Ol gq,0b
City State Zip Code
Contractor. C ttS fowl C 011,5f/`ctQ7(/f6-A - License#: C._c,sipe... ��.1-phone#: ' SOS yy3 - 7Z7,
Mailing Address: 4 „,27 • s. Sc. SAaci c (ick ! a20_3
City State Zip Code
•
DESCRIPTION OF WORK #OF UNITS X .COST• = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS' I X '$6.00 = ' 6 rho
2 URINALSX $8.00 =
3 TUBS • . = •
/ ,4-12.I X $6.006
•
4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT • . ' X $6.00 =
• LAVS/BASINS,BAR,FLOOR,KITCHEN,
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
' X-RAY,FOOD,PREP/CULINARY MEAT I • /��0 O
6 DISHWASHER X , $6.00 =
•
7 CLOTHES WASHER , X $6.00
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER X , . $6.00 =• /
10• ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL I X $6.00 = . Vc 0° _
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE • X ' $6.00 = -
`ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, r / O 0
14 VENT,PLUMBING,REVERSAL .REVERSALS 1 X $6.00 = l0
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = 1
ICE AN/OR COFFEE MAKER,HOSE BIB; •
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X_ $6.00 =
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6,00 ' =
MISCELLANEOUS PLUMBING •
20 FIXTUREX $6.00 = ••
•
21 PRIVATE SEWAGE DISPOSAL/SYS • X $20.00 -
INDUSTRIAL WASTE .
22 INTERCEPTOR X $15.00 = •
SUBTOTAL e
METHOD OF PAYMENT: J
0 CASH / "`CHECK ❑ VISA ❑ MASTERCARD PROCESSING FEE .$35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE: (Q 5.°O
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
T/
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SMOKE ALAMOS SHALL. SE tNnecdN-
NECTED AND HARD ACTIVATIONWIRED IN SUCH A
OF ONE %�
f MANNER THAT THE
ALARM WILL ACTIVATE ALL ALARMS.
((BEDROOMS, AREAS APPROACHING
BEDROOMS. VAULTED CEILING ! '1 :
WITH RISE OF 24'&ON EACH FLOOR)
\ ) � ' --) .) a) c.. . , _ � -iit,
Apr 14 05 03: 06p Evergreen Truss & Supply 276-7081 p. 2
Job 'Inas 'Truss Type Qty I Ply '
QUOTES CUSTOM !FINK 1 1 1
I I Jab Retinae*(optlone0
Evergreen Trjss&Supply,Deer Park $.200 s Dec 15 2004 Wok Industries,Inc. Thu Apr 1415:47:52 2005 Page 1
I -20G I 6-1-14 I 1160 I 16-10-2 I 2300 25-0-0 I
2-0-0 8-1-14 5-4-2 5-4-2 6-1-14 2-0-0
Scale=1:44.5
6x4=
4
4.00 12i ---___
1x4 .-----;.--- � \ 1x4 '
`W 3 ' .— npJ1` 'moi'`'
_ ��T1�
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31(6= 10 9 $ 34=
3x4= 3x4= 3x4=
I 7.11-4 I 15-0-12 23-0-0
7-11-4 7-1-8 7-11.4
LOADING(psi) SPADING 2-0-0 CSI OEFLin (b c) Weft Lrd f PLATE 8 GRIP
TCLt- 30.0 Plates Increase 1.15 TC 0.32 Vert(LL) -0.13 8-10 >999 240 + MT2O 220/195
TCDL 7.0 Lumber Increase 1.15 BC 0.34 Vert(TL) -0.23 8-10 >99D 180 !I
BCLL 0.0 Rep Stress Oct YES WS 0.25 Ho- (TL) 0.06 6 Na n/a
BCDL 7.0 Code IRC2003/TPI2002 (Matrix) i Weigh:91 b
LUMBER BRACING
TOP CHORD 2 X 4 DF No.1&Str TOP CHORD Structural wood sheathing directly app led or 4-2-5 oc purlins.
BOT CHORD 2 X 4 OF No.18Btr BOT CHORD Rigid ceiling directly applied or 10-0-0,is bracing.
WEBS 2 X 4 DF Stud/Std
REACTIONS (lb/size) 2=116010-5-8,5=1160/0-5-8
Max Upiift2=-244(bad case 3),6=-244(load case 3)
FORCES (Ib)-Maximum Compression/Maximum Tension
TOP CHORD 1-2=0146,2-3=-2265/326,3.4=-19622/289,4.5=1982/289,5.5=-2265/326,6-7=W46
GOT CHORD 2-104-23392070,9-10=-123/1436 8.8=123/1436,5-8=-233/2070
WEBS 3-104-428/127,4-10-35/570,4.8=-351570,5-8=428/127
1NOTES
1)Unbalanced roof live loads have been considered for this design.
12)Wind'ASCE 7-02;88mph:1=2511;TCDL=4.2psf BCOL=4.2psf;Category II;Exp B;enclosed;C-C Extarior(2);cantilever left and
right exposed;end vertical left and right exposed;Lumber 001=1.33 plate grip DOL=1.33.
3)This truss requires plate Inspection per the Tooth Count Method When this truss is chosen for quality assurance Inspection.
4)The truss has been designed for a 10.0 psi bottom chord live load nonooncurrent with any other five loads.
5)One 112.5 Simpson Strong-11e connectors recommended to connect truss to bearing walls due to uplift at jt(s)2 and 6.
6)This truss is designed in accordance with the 2003 International Residential Code sections R502.11.1 and R80210.2 and
referenced standard ANSIRPI 1.
LOAD CASES) Standard
MIEN INTEIIKIR ALTBIATIONS.REPAIRS OR ADDITIONS
REQUIRING A PERMIT OCCUIL ON%WM ONE OR MORE
SLEEPING ROOMS ARE AIMED OR CREATED IN EXISTING
-DWELLINGS.TIE ONIELUNII UNIT SWILL SE POMADED
NUN SMOKE ALARMS LOWED AS REQUIRED FOR NEW
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• 04/13/2005 12:36 5093241567 SRHD EHS PAGE 01/01 • •
. •
SPOKANE COUNTY HEALTH DIETRICT
ENVIRONMENTAL HEALTH DIVISION
FINAL INSPECTION FOR SEWAGE SYSTEM AT. Pi% f
(numerical address or lot and block in plat or section, township,. and range and road)
Please fill out in heavy dark line (felt-tip pen,or, equal) with a straight edge. , Plan
is to include outline of structure (if available) as its position occurs on the prop-
erty, Identify by measurement actual location of septic tank, drainfield lines,
drywall, or other on-site sewage facilities, propety lines closest to drainfield,
on-site well, (when applicable), driveway, and road frontage. Septic tank access
must be referenced to a known fixed surface structure.
NORTH
12. ••••••• fa,
er.•-••+arm *-
III
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•
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FINAL INSPECTION MADE EY . d<9' 5-1 Z
.
COMMENT'S: ( TOR'S NAME) (DATE)
1/8,3
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1
NID BETWE�j,� X Uaml
SAL PINV�TP$HALLHI1Ve: q
���i7� S APPROVED FDR ONE HOUR FIRE RESRSTIVE l O.C.
UCT1ON ON THE GARAGE SIDE: , •
O 'TYPE'IC GYP B0 '► (HABITABLE.
' ” )OR
((J Vr 0 1Jt GYP BOARD(RE•IOENCE/ TTIC, + , " I
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