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2010, 05-24 Permit App: 10001482 Remodel Permit Center �� oeokane 11703 E Sprague Ave, Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER: (0 Sp .) PERMIT FEE: jValleY (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Community Development Residential Construction n New Construction n Accessory Bldg Permit Application M Addition/Remodel Deck Other: SITE ADDRESS: /Oa / O & , 6 774 ,5 po k-64- " ' -L,.R / �/l�y{ 97 20 GASSESSORS PARCEL NO: 'C 9-2-04.2t©9-o LEGAL DESC TION: Building Owner: km 1 Zp ©Aj(, Contractor: s GfiUcifq N. in � f/ u Name: Name: `l vW lJ (,1 L6?jf \I k i,� r De 1��� Address: l!-f" .,-;,=,-„-, Address: cs1 /O t 6"t c.)D l (/2 City: (2,),_,,6,,,,_ State: yip_ Zip:ri206, City: eD k-�ww- State: ljl/ti Zip:!. 20 8 Phone: coci q! / Phone: Fax: --- �2_ [-7/I roe? X07 7 Contractor Lic No: Ex Date: / St-/i-R ?/3tc r Contact Person City Business Lic.No: Go-Z q GE i 3 Name: //�.I C-0 CA) /51� I Phone: (-;—O(1 Z S© -- g 07 7 Describe the scope of work in detail: cV U0-)�;,,ir ` Cost of Pr sect: $ ,u e. �j% zccd_ T 4ov '/ 717B S im/ trbs- TD/Z-OrT /,1JS 771 `/ J / 'C-/4-E c4-lril it/VD01-01 'roposed Use: prt A-1 Iv (?/ti�<-fin 4 ************** applicable)********************** The following MUST be complete: (write N/A if not HEIGHT TO PEAK A DIMENSIONS #OF STORIES: TOTAL HAii ST LE SPACE: NDFLOOR SQ. FTG: UNFIN BASEMEE�Q. FTG: IMPERVIO S SURFACE MAIN FLOOR TO SQ. 2 �. FTG: /(/ AREA: NT GARAGE SQ. FTG: DECK/COV. PATI SQ. FTG: 30% SLO ES ON SQ 4A- FINISHED FTG: BASEMATl PROPERTY: ✓-/i /c SQ. FTG: � %' #OF BED • S: CONSTRUCTION TYPE: HEAT SOURC SEWER OR SEPTIO? X77/G�/ZX4f ' A- 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 or additional information may be required to be submitted,and subsequently approved before this application can ocessed. / _ / SIGNATU : A G� /� ,- DATE: S — 2 '4—/6 Method of Payment: 0 Cash 107Check 0 Mastercard 0 VISA Bankcard#: Expires: VIN#: IAPCII�C 24 . Authorized Signature: 11.6 REVISED 2/15/07 _-- RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. o 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 (crawispace, basement or slab on grade): o Footing sizes and locations o Supporting wood cripple walls or beams o Perimeter concrete foundation wall sizes o Thickened concrete pads supporting o Crawlspace ventilation beams or girder trusses O 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 ❑ Room usage labels o Water heater and furnace locations o Smoke detector locations o Exhaust fan locations ❑ 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 o Attic insulation/air space baffle/ventilation Ceiling o Joist size and spacing ❑ 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 o 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 ❑ 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 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with Lftl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Ars Lindum Remodel Inc UBI No. 602919123 Phone 5092808077 Status Active Address 5810 W Brierwood Lane License No. ARSLILR913KJ Suite/Apt. License Type Construction Contractor City Spokane Effective Date 5/11/2009 State Wa Expiration Date 5/11/2011 Zip 99208 Suspend Date County Spokane Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty Specialty Effective Expiration Status 1 2 Date Date ARSLILC966QN A R S Lindum Construction General Unused 11/15/2004 11/15/2008 Relicensed Construction Contractor Business Owner Information Name Role Effective Date Expiration Date Wallbank, Lincoln Robison President 05/11/2009 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY 360510C 05/04/2009 Until Cancelled $12,000.0005/11/2009 ft INDEM CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name.Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 2 NAUTILUS INS NN022643 05/04/2010 05/04/2011 $1,000,000.0004/28/2010 CO 1 COUTILUS INS NC891787 05/04/2009 05/04/2010 $1,000,000.0005/11/2009 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period httns://fortress.wa.gov/1ni/bhin/Print.asnx 5/24/2010 i ass "fie Lok' R.wietto08t, /0/9 6v: /0,4 4tmar Sauer, WA 9920 4(1/4 Wit" eft 91 8 (1 ./ OIVAirts- _ o cc 5_f_ore A�sG,nru�,m� znrc. 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