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2008, 11-13 Permit App: 08004422 Garage Project Number: 08004422 Inv: 1 Application Date: 11/13/2008 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ',.. ANINVIINSIONMENNA Permit Use: 864 SQFT GARAGE W/LIVING SPACE ABOVE Contact: NOLEN,RANDY L&BOBBIE J Address: 9921 E 15TH AVE C-S-Z: SPOKANE,WA 99206-3412 Setbacks:Front Left: Right: Rear: Phone: (509)921-0057 Group Name: Site Information. Project Name: Plat Key: 002704 Name: UNIVERSITY PLACE District: Sout Parcel Number: 45204.2807 Block: Lot: SiteAddress: 9921 E 15TH AVE Owner:Name: NOLEN,RANDY L&BOBBIE J Address: 9921 E 15TH AVE Location::CSV SPOKANE,WA 99206-3412 Zoning: R-3 SF Res District Water District: 101 SPO CO WATER DIST#3B Hold: ❑ Area: 8,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review In formation: Review Building Plan Review Released}31r. ' Originally Released: 11/12/2008 By: tmelbourn Landuse/Zoning/HE Conditions ReleasedBy:: Originally Released: 11/12/2008 By: cjjanssen Operator: JD Printed By: jmm Print Date: 11/13/2008 Project Number: 08004422 Inv: 1 Application Date: 11/13/2008 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Finn: OWNER Phone: (000)000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VB 864 $64,523.52 864 $64,523.52 GARAGE U-1 VB 864 $16,416.00 864 $16,416.00 Totals: 1,728 $80,939.52 1,728 $80,939.52 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $860.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $344.30 Permit Total Fees: $1,209.55 Payment Summary: . . „� oar+ r � r , a Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,209.55 $1,209.55 $0.00 $1,209.55 $1,209.55 $1,209.55 $0.00 $1,209.55 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: JD Printed By: jmm Print Date: 11/13/2008 Permit Center crry of 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: (,.). "�� *o , ne Spokane Valley,WA 99206 PERMIT FEE: 4, ValleY3 (509)688-0036 FAX: (509)688-0037 www.spokanevallev.org Community Development Residential Construction New Construction Accessory Bldg Permit Application Addition/Remodel Deck �J Other: SITE ADDRESS: 993' C. I k. .gy p�)`ti At1 WA. (1 ),D c% ASSESSORS PARCEL NO: LA 5 i3O \ act 01 LEGAL DESCRIPTION:U rii ye rj, PL 5q(-,.V4. L iI-1 6;1,l Building Owner: /7 4Contractor: Ac, NOkeN Name: -4 r,N Md e r--- Name: ©W Qr— Address: na` `S4-k\ Address: City: `1(11� , , State: 6uA Zip:(1C( 0(1 City: State: Zip: Fax:50r. ` Phone: Fax: . J Phone. '110-06 10 Jr I Contractor Lie No: Exp Date: Contact Person A ` City Business Lic.No: Name: ✓`A f Volt'✓,. Phone: c jci 3 h Q 0' 10 o.: Describe the scope of work in/detail: -� Cost ofi Project: $ 1 1 or-�M7Afx•ci1it) t /tI.d 1 / �/-�✓�A.r new 1o.A.r�4'tiv:•‘` 6ild11_Q J"T�'--1� /1f�A.� ! Lr\ (to�Uer i'' ' . Cy..f 0-r. / cAFI tr Ju. I li b 3 bX'ctya:;,,Y 4 ) r'.).', ) l Proposed Use: C�c�ca(\t, moi' 1 )u 1,-.4 `;r a�f' J J **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO(55.A DIMENSION . #OF STORIES: TOTAL HABITABLE SPACE MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: 14.4; ,'.) -meq k f L AREA: FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON SQ. FTG: -1'6 A. q �- PROPERTY: #OF B DROOMS: CONjar.yUCTION TYPE: Hp-AT 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 9-additional information may be required to be submitted, and subsequently approved before this application can be processed. .,, ! r � 7 7 "7 DATE: I t J SIGNATURE. �;= �,,°' I NOV 06 200'0 Method of Payme t: ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard#: Expires: VIN#: lie, Authorized Signature: REVISED 2115107 RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. ❑ SITE PLAN o Property lines and dimensions o Setbacks to property lines o Direction arrow pointing North and orientation to streets o Distance between buildings o Proposed/existing buildings (footprint and dimensions) o Right of way/easement location &sizes o Utilities, septic tank/drain field locations and distances o 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): o Footing sizes and locations o Supporting wood cripple walls or beams o Perimeter concrete foundation wall sizes ❑ Thickened concrete pads supporting o Crawlspace ventilation beams or girder trusses ❑ Floor Plan of each level (finished or unfinished)with dimensions: o Floor Joist direction, size and spacing ❑Window and door location and sizes o Header, beam or concrete lintel sizes ❑Window well locations if applicable o Brace wall panel locations o Room usage labels o Water heater and furnace locations ❑ Smoke detector locations o Exhaust fan locations o Attic and crawl space access locations o Deck or concrete patio sizes and locations o Fire Wall construction ❑ Roof Plan: o Engineered truss direction and spacing o Ridge, eave and valley lines o Rafter and over frame direction, size and spacing o Beam and girder size and location ❑ Wall Section Detail including: Roof o Slope/roofing material/underlayment/ice dam protection o Truss or rafter size, spacing & connection o Sheathing size and type ❑ Attic insulation/air space baffle/ventilation Ceiling o Joist size and spacing o Size of ceiling gypsum wall board Wall o Height/top plate/stud size and spacing/sole plate o Siding/exterior house wrap/anchor bolts o Exterior sheathing size and type ❑ Insulation, vapor barrier, gypsum wall board Floor o Joist size and spacing o Sheathing or concrete floor size/insulation Foundation Wall o Concrete or Masonry unit width o Footing bottom to finished ground level depth o Earth to wood separation distance o Horizontal &vertical reinforcement if any Footing o Size o Reinforcement if any Radon o Passive system with 6mil vapor barrier o Active system with 6 mil vapor barrier Miscellaneous Construction Details ❑ Deck: o Floor plan/side view/dimensions ❑ Footings/post/and beam size and locations o Floor Joist/decking direction, size and spacing O Stairway tread rise & run and nosing 0 Handrail/Guard height &spacing _ PERMIT CENTER Spokane 11703 E.Sprague Ave.,Suite B-3 _`Tallev Spokane Valley,WA 99206 v 509-688-0036;Fax 509-688-0037 www.spokanevalley.org Affidavit in Lieu of General Contractor Registration State of Washington ) County of Spokane ) I, Ret N 0(t.Y\ , state as follows: (Print nam0 as signed) 1. I have made application for a building permit from the City of Spokane Valley,Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under RCW 18.27.090,a copy of which is printed on the reverse side of this affidavit. 3. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Spokane Valley must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement,I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,I consider the work authorized under this building permit to be exempt under No. , and will therefore,not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. / ,,fPPLIC/1>NT'S SIGNATURE Signed and sworn to before me this tp Day off)P , 00 s N•`\‘\\ \ 111111 tAiN M z._:0\$XIP ,, Notary's Name Print) � A1Y /O ; 3I— � ignature PON' 'ZZ 1 �';_ tlx,� 9.0 N. NOTARY PUBLIC in and for the State of 1;1��77 OF `NP�.� Washington,residing at ` County ;11%\‘\\\\,..•• G-, r _ I I My Commission expires: October 15,2007 Page 1 of 2 P:\Community Development\Forms\Building Forms Revised Code of Washington 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1) An authorized representative of the United States 11) An owner who contracts for a project with a registered government, the state of Washington, or any contractor,except that this exemption shall not deprive incorporated city, town, county, township, irrigation the owner of the protections of this chapter against district, reclamation district, or other municipal or registered and unregistered contractors.The exemption political corporation or subdivision of this state; prescribed in this subsection does not apply to a person 2) Officers of a court when they are acting within the scope who performs the activities of a contractor for the of their office; purpose of leasing or selling improved property he or 3) Public utilities operating under the regulations of the she has owned for less than twelve months; utilities and transportation commission in construction, 12) Any person working on his or her own property,whether maintenance, or development work incidental to their occupied by him or her or not,and any person working own business; on his or her personal residence,whether owned by him 4) Any construction,repair,or operation incidental to the or her or not but this exemption shall not apply to any discovering or producing of petroleum or gas,or the person otherwise covered by this chapter who constructs drilling,testing,abandoning,or other operation of any an improvement on his or her own property with the petroleum or gas well or any surface or underground intention and for the purpose of selling the improved mine or mineral deposit when performed by an owner property; or lessee; 13) Owners of commercial properties who use their own 5) The sale or installation of any finished products, employees to do maintenance, repair, and alteration materials,or articles of merchandise that are not actually work in or upon their own properties; fabricated into and do not become a permanent fixed 14) A licensed architect or civil or professional engineer part of a structure; acting solely in his or her professional capacity, an 6) Any construction,alteration,improvement,or repair of electrician licensed under the laws of the state of personal property performed by the registered or legal Washington,or a plumber licensed under the laws of the owner,or by a mobile/manufactured home retail dealer state of Washington or licensed by a political or manufacturer licensed under chapter 46.70 RCW who subdivision of the state of Washington while operating shall warranty service and repairs under chapter 46.70 within the boundaries of such political subdivision.The RCW; exemption provided in this subsection is applicable only 7) Any construction, alteration, improvement, or repair when the licensee is operating within the scope of his or carried on within the limits and boundaries of any site or her license; reservation under the legal jurisdiction of the federal 15) Any person who engages in the activities herein government; regulated as an employee of a registered contractor with 8) Any person who only furnished materials, supplies, or wages as his or her sole compensation or as an employee equipment without fabricating them into,or consuming with wages as his or her sole compensation; them in the performance of,the work of the contractor; 16) Contractors on highway projects who have been 9) Any work or operation on one undertaking or project by prequalified as required by RCW 47.28.070, with the one or more contracts, the aggregate contract price of department of transportation to perform highway which for labor and materials and all other items is less construction,reconstruction,or maintenance work; than five hundred dollars,such work or operations being 17) A mobile/manufactured home dealer or manufacturer considered as of a casual, minor, or inconsequential who subcontracts the installation,set-up,or repair work nature.The exemption prescribed in this subsection does to actively registered contractors.This exemption only not apply in any instance wherein the work or applies to the installation, set-up, or repair of the construction is only a part of a larger or major operation, mobile/manufactured homes that were manufactured or whether undertaken by the same or a different sold by the mobile/manufactured home dealer or contractor, or in which a division of the operation is manufacturer; made into contracts of amounts less than five hundred 18) An entity who holds a valid electrical contractor's dollars for the purpose of evasion of this chapter or license under chapter 19.28 RCW that employs a otherwise.The exemption prescribed in this subsection certified journeyman electrician,;a;oertifi d residential does not apply to a person who advertises or puts out specialty electrician,or an electr' �p a thcting the any sign or card or other device which might indicate to requirements of chapter 19.2 R.4 / •,hO perform the public that he or she is a contractor,or that he or she plumbing work that is inch} .+tre ly, _and is qualified to engage in the business of contractor; immediately appropriatalto thellikeyfittki i• ' .la ement 10) Any construction or operation incidental to the of a household appliatice or other shall . ousehold construction and repair of irrigation and drainage ditches utilization equipment thai regyirr6s limited e 4.c power of regularly constituted irrigation districts or reclamation and limited waste and/or w 'a connections. An districts;or to farming,dairying,agriculture,viticulture, electrical trainee must be superVi3d by a certified horticulture,or stock or poultry raising;or to clearing or electrician while performing plumbing work. other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; October 15,2007 Page 2 of 2 P:\Community Development\Forms\Building Forms i.1._.. .. .. _. -._ __ _ ..-_. _ -ft.,..t....v..`p.._..r--_ iw• i' ..._ . A � I I I 1i , M�+ I ...� r �n' x � � is a : 47-94, gts1 d a q+cpe.�. e ;1 Ea lis*K' ...--1-,--,, ,.. , ,y * f , . , , i , , ,, ,,(-- cl\ . , I , j II . r `� 9 `"'fir4I .,..M.- I i/ PLA NING,DEPT. i PP'OVED:. t ! ,'� I � 1t a{ t '. ` 4,„. t 6Y t � � G 1 tote- L........... i:, L DA E. ±k ! 12