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2003, 12-16 Permit App: BLD-03-03282 Addition ,\103e, ' CM'OF ne . .00\4lley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone:(509)688-0036 Fax:(509)688-0037 I REQUIRED SITE INFORMATION I STREET ADDRESS: '15 0 3 F ( 5- 1 FPei 1.ANk V IAl ly C Y'j I,v iT l r4l ASSESSOR'S TAX PARCEL NUMBER(S): ,,b.5-x '5 ' ( 0 LEGAL DISCRIPTION: PERMIT DESCRIPTION: „Xi BUILDING PERMIT a CHANGE IN USE C GRADING a MANUFACTURED HOME ®RELOCATION El SIGN Et TENANT OTHER OWNER / APPLICANT INFORMATION 1 ® OWNER: a 1 L--1 Iq N' S T CV(.1 N s ® APPLICANT: PHONE: 5 35 - i'I W,)-' FAX: PHONE: FAX: ADDRESS: "I 5-0) E I S 14 Spot:A we Cri y ''Lily ADDRESS: CITY,STATE,ZIP CITY,STATE,ZIP ®CONTRACTOR: [c ob11Th Roofr NJ C ) I t•/c ® ARCHITECT: PHONE: t)Oci Lit?--7 • t/ i/Id FAX: L 3'I ' Jt)-(1)-• PHONE: FAX: ADDRESS: ( S 0.--1 f,2 S Pia ila v& S/rki9 iv C` id-A ADDRESS: Cicp,c,4,/.- CITY,.STATE,ZIP CITY,STATE,ZIP WAST CONTRACTOR LICENSE# tr-C.)OrA P C C)OC1 134 CONTACT: / . PERMIT/BUILDING INFORMATION I COST OF PROJECT: D-7,A-5 X 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 1 I5 C BUILDING HEIGHT TO PEAK: 'I 3 i OCCUPANCY GROUP: 2ND FLOOR SQ FT: S `I C BUILDING DIMENSIONS: I( >L3`1 CONSTRUCTION TYPE: C u P--412F N* UNFIN BASEMENT: 'o— NUMBER OF STORIES: Z STRUCTURES ON PROPERTY: -- FINISHED BASEMENT: --er—. NUMBER of BEDROOMS: 1_ CRITICAL AREAS: GARAGE: YES - I DATE: I STAFF: I , METHOD OFPAYMENT: 0 ® ® —‘, 0 INIMMIIIIIII CASH CHECK r Mutgkr101,9-,114: VISA BANKCARD#; EXPIRES: VIN# AUTHORIZED SIGNATURE: Sc1TY<x R 11707 East Sprague Avenue,Suite 106 509-688-0036 Phone pOkane Spokane Valley,WA 99206509-688-0037-Fax 4000 Valley Plumbing Permit Application PROJECT PERMIT ADDRESS: (,/5 3) G I S 1 4 USE: OWNER: ? 'v C�s PHONE(Daytime Contact): �` A N, s - MAILING ADDRESS: 4503E iso" SP©1CflNCZ CTI-1 VA lir tf-IA (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (LW) ' • PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS a X $6 = 2 URINALS X $6 - 3 TUBS l X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, ' LAUNDRY,UTILITY,JANITOR,PHOTO,X- X ' $6 - RAY,FOOD;PREP/CULINARY/MEAT V 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, • WASTE,VENT,PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 = HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: IETHOD OF PAYMENT I-. --- • Va.561 ' PLUS PROCESSING FEE: $35.00 j CASH 0 CHECK 0 MN= ❑ ...... -.::::-±. - TOTAL PERMIT FEE DUE: ATE: I ) ^1 b •- 0 3 EXPIRES: A,NKCARD NUMBER: ,..A- UTHORIZED SIGNATURE: ‘// )---_ ,-4'-------------------_-----L-iv,_,':.',(..,L________________________________,. 1- DEPT.APPROVED t 0 4 r. l� 9 1 ,... DATE. 12' • 14 ' 03 di:, , t ©Ai4141 y V ,,,,7i 41/4. / CIA00444*- 19104 gel , tii 1 IN 1416 (4)40411.-L. Iiiii 96, ...... Is CV% , tif0 4 W i O k.L��t = .4 a ,:,=.7 CO .\,s,i,,N _..„, ---"--.''' it . 1 i; 1 1- - r \ I ' I ti it ' 4 0 tikt~ a I. ;--• , -- - i 1.",-**,............., .. .... r -,,,,,..,,,,•,-. • Attic A4 cessible . 4.. ?LANs SV '3 () Ivies 104 iv.a Jo --., k.) A 0 L " '1i+) i 0 9 ES1 r oat iti, 02-rin tv Sri;40 c$40,s —0 • GO° , 0\1\1 1 il lIA _, c•I VP,-,(-v2.:‘,- 1 0*•- i 0 spOt 1.0 -.0 4'41' e % - t 2. sst 14 T'.44 '•46* tili ,'s (4r t %., t;;;) qp• t'l Li (9) N • 3- # ...4 'w cee ^ 64,43445) 14 : 1"%44 "v} i ii G re-AvvIEP vwf'W ,IV. •-••. 1 , ,.6ak 5 fiit.fti owl. '9100 Iv _ • . 0, ...... 4..) .1- ,______I r6 16 En ' ( 1 AiL"- le0e/Vt) -.0 0-- • 1 - •.Intiv c 1 16 '* 1 R-17-1 1.145v hen TON' WA It i R-1.8 7-1.4iv1144-1401,4 ctra p>,,, . K-- ' a wp s -(110.00- • ' (103\P: r-2:;"1"1/4 (j)11\'' ' . • 4 4 ' 6'.PN, . , . , t Roof*4:12 : Manufacturedr Trusses -` Provide outlet ventilarloti 1/3001 Provide baffle with 1" --_ d` 15#felt minimum air spaced •y , m. Provide 22"x30 ,r--- 40#felt or equivalent .hil l• I 1 attic acxess'' • r 1 iptemR.38,Batts ?A' Inlet venting 1/300 t } su anon 11•0" Solid Blocking W • F...�-._-- Air Vapor Barrier -TN 056 • • , . L. 1-1 v 1. w R- -‘ 2"x6"@ 16" o.c. 80 25-'54:4A ,-rd - ."-• Caulk or seal to limit ,, T"' At infiltration � AraL - 3/4" T&C Floor sheathing ' 4., / Crawl space vents 1 sq. £t. R•30 Batts ti Anchor Bolts 6'o,c. q 4 to'every 300 sq,ft. of floor area N�j=ijj�jlf Tro toe' ! or approved straps 4'0,c, ---='''-. Qrrade f/ Provide 18"x24" • "be "'_ +.:.: crawl access** 4x8 beam Minimum 6'above gr `��� 6 m11 blackPoly of ' posted @ 5 o.c. � I `"q.LE,=I P Y 14"x14'"x8" footing moisture barrier I '. IIS E � •-Y-ay' a-�. rt � � Provide:18" minimum crawl space below Joists. e ' .oundation; 6"stem wall • fr 3 40=101414N,- i1416"x12"footing 1 3 v z Peru,A% r3 et 0. 9' 0 c . 1 aw' .......................................................-........4