2004, 06-09 Permit App: BLD-04-04553 Residence BUILDING PERMIT APPLICATION WORKSHEET
San'av 0111111"\allik City of Spokane Valley Community Development Department
poliantie Building Division
,1-0311707 E. Sprague Avenue Suite 106
40110"Valle37 • Ok
Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
,
REQUIRED SITE INFORMATION
Street Address: - ?j )(Q G t e"'
Assessor's Tax Parcel Number(s): 3 ,„--2q4-. 1(g. 0 2
Legal Description:
PER T DESCRIPTION: e ES)d iiC'_L
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: ❑ Applicant:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
[f Contractor. Ct.(F F Sam 13L deaf ❑ Architect:
Phone:9144.17,3S Fax:f11-94/'7/ Phone: Fax:
Address: /( 7.O E. SEceeigt evr Address: •
INCA 041A LaA Q9o39
City State Zip Code City State Zip Code
WA State Contractor License#:GL4FPSCU)t1 c Contact: C t./t PC SC,In t'TZ,
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: ( �) DIMENSION�St:o A-415-4 #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ_ FTG: GARAGE SQ: DECK/COV. PATIO SQ. FTG:
e- a 4'
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEATOOUURCE:
#OF BEDROOMS: - • 3 TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
e,. SYSTEM? 5&
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
� � BuildingDivision
40,ValleY
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509)688-0054
Project Address: 7 3/ £- /v Permit Use:
Owner: Phone (Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: 6 L u[. pLA4-ovie.. License#: Phone#:
Mailing Address:
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ' X $15.00 =
2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 -=
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 ,=
USED APPLIANCE(WSEC min.AFUE
5 rating) Equal to or fess than 400,000 X $50.00 =
USED APPLIANCE(WSEC min.AFUE
6 rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $15.00 =
8 BOILER/REFRIGERATION 101-500M BTU X $28.00 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 =
13 RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER _ I X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) Z. X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 4. X $10.00 =
20 . AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM , X $12.00 =
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X $19.00 ,_
22 EVAPORATIVE COOLERS X $10.00
23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD 1 X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDmONER 3-15 TON , X $20.00 =
27 AIR CONDITIONER 15-30 TON X $25.00 =
28 AIR CONDITIONER 30-50 TON . X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
30 LPG STORAGE TANK X $10.00 , =
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00 =
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 GHECK 0 VISA ❑MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
I .
•
PLUMBING PERMIT APPLICATION
�p City of Spokane Valley Community Development Department
�+ BuildingDivision
Valley 11707 E. Sprague Avenue, Suite 106
doe
Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509)688-0054
Project Address: 931k, A 1244'
Permit Use:
Owner: Phone (Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: -Ti X9t MI' 5 PLU,076//06 License#: Phone#:
Mailing Address:
City State Zip Code
*OF TOTAL
DESCRIPTION OF WORK UNITS X COST s AMOUNT
1 TOILETS WATER CLOSET,BIDETS I X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT l X $6.00 =
5 SINKS LAVSIBASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT
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 X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL TRENCH, X $6.00 =
CONDENSATE
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING . X $6.00 =
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 =
VENT, PLUMBING,REVERSAL REPAIR,REVERSALS
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER,
HOSE BIB,STEAMER,PROOFER, Z / X $6.00 =
CARBONATOR,SWAMP COOLER v
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
VALVE,AND R.P.B.P.D.FOR: X $6.00 =
VATS,TANKS,BOILERS
18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK _
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK ❑ VISA ❑ MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
2001 WSEC-Residential Compliance Form
Prescriptive(Chapter 6)Options for all R Occupancies,Climate Zone 2 0; 1
Civ of . Heat source: ALL -
SPOKANE VALLEY BUILDING DEPARTMENT - .
-11707 E.Sprauge Avenue,#106,Spokane Valley,Washington 99206-Tel 509-921-1000-Fax 509-921-1008 •
r-ASITE ADDRESS: 73 ) (, <£ ► Z PERMIT NO. DATE: 6— 7—Dy
INSTRUCTIONS
1) Your permit will be processed more efficiently if you provide all of the requested information. Department staff can
help you with general questions about this form- Your building must match the selected option requirements without
•exceptions or substitutions.
2) Glazing percentage determines which option to choose. Complete the following glazing area calculation before
proceeding to the option table below-
GLAZING AREA CALCULATION:
i 0 b SF. _ 10 .7Z SF. = 9t,? % i
TOTAL WINDOW AREA _ HEATED FLOOR AREA (ALL FLOORS) _ %OF GLAZING
NOTE: Use rough opening(R/O)for window area. Include all half-lite and full-lite door glazing in this
calculation.
CAN'T COMPLY? If none of the Prescriptive(Chapter 6)Options below are acceptable,consider systems analysis
(Chapter 4)or,Component Performance(Chapter 5)Approach.The main advantage is flexibility to juggle individual U-
factors(R-values)as long as an overall maximum value isn't exceeded. Note that the overall perfot'mance requirements• _
are no less stringent than the Prescriptive requirements. Calculations may be performed by hand or, using an acceptable -
computer software program. Helpful forms and other resources can be downloaded at http://www.eriergy.wsu.edu/
buildings. t t
Glazing Glazing U FWall Wall*inti ext'
('7f w Door' CeilingVoluted
L1 •,'. a :%-°f east' , Slab on
Floor Vertical Overhead" U-factor 2 Ceiling' Gracie Below Floor Grade
Grade .
Z I I. 10% 0.40 0.58 0.20 R-38 R-30 R-21 R-12 R-30 R-10 ne
d •
a 0 IL` 15% 0.40 0.58 0.20 R-38 R-30 Rte+ R-21 . R-12 R-30 R-10
O fcLla R-19+.
0 It. 17% 0.37 0.58 0.20 R38 R-30 R 5° R-21
R-12 R-30 R-10 -
() 0tx*,-ted
❑ N. 035 0.58 0-20 R-38 R30 R-2int; R-21 R 12 R-30 R to
ed a13. Ocarpancy° - .
C ry
0. Nominal R-values are for wood frame assentlies only or=entries bolt in accordance with Section 601.1
E"(
A 1. tyfrcwun nrequirements for each option fisted For example.if a proposed design has a glazing ratio to the tinned floor area of 13%.it
("'t 6 shall mnraly with a6 d the requirements of the 15%glazing option(or ). Proposed designs,which cannot meet the specific
0 V requirements of a fisted option above.may mate by Chapters 4 or 5 of this Code.
Q - 2. Requirenent apples to all° except single rafter or joist-vaulted oelings Adv'denotes Advanced Framed Celing.
W 3. Requirement appicable oily b single rafter or joist vaulted cans.
Pk 't 4. Below grade walls shall be insulated either on the exterior b a mininun Level of R-12.or on the interior to the sane level as walls above
W grade. Exterior insulation installed on below grade waits shall be a water resistant anterial.manufactured for its intended use,and installed
fel according to the manufacturer's speaficatiocu. See Section 602.2.
E-. 5. Floors over[mint spaces or exposed b ambient air condions.
H t) 6: Required slab perimeter Insulations shall be a water resistant notarial...manufactured for its intended use,and installed accordlg to
X manufacturers spedfications.•
7. Int denotes standard franing 16 inches on ranter with headers insulated with a rrinirru n or R-5 insulation.
8. This wall insulation requirement denotes R-19 wall cavriy insulation plus R-5 foam sheathing.
9. Doors,kidding all fire doors`stat be assigned default U-factors from Table 10-6C.
10. Where a anima!glazing area is listed,the total glazing area(combined vertical plus overhead)as a percent of gross condfioned floor area
shall be less than or equal to that value. Overhead glazing with U-factor of 11=4.40 or less is not included in glazing area!irritations.
11. Overhead glazing shall have U-factors detemined in.a000rdancewitt NERC 100 or as specified in Section 502.1.5.
12. Log and solid timber wails with a nininun average 4hidmess or 3.5'are exempt form this initiation requirement
Form 5-050801-2001 Residential Comp Form
50
651
This site plan is being submitted for the purpose of
nhtaminc a building permit and is a true and correct
fel)Iesen ation of the proposal. All known property
lines;dim 3nsions,curb lines,struct res and easements
have bec n idenuhe. so •n,
bunlies of wa -r, step. tl or • r •tea arekwe al aty eas•
Signed: Ill. t
Date: ii ,
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