2012, 03-07 Permit App: BLD-2012-0115 Addition ' Community Development Department (Staff Use Only)
„,,,,,064'"` . ''ermit Center
.1703 East Sprague Avenue,Suite B-3ERMIT NUMBER:
SCI[YOF pokane -Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE: S,
Valley° Fax: (509) 688-0037
permitcenter@spokanevallev.orq
6Lp— Zo17_*" 0II /
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION g. ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER -
SITE ADDRESS: /4/00 , 7 'I A CIL`{ C_ =r,(JE VALLEY
ASSESSORS PARCEL NO.: y 5 Z C.Z . /e 2 i LEGAL DESCRIPTION:
BUILDING OWNER NAME: /-/ j . 1 ,.�. ;EN i tri
w1'
NAME: BY:.._ w_
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
CELL:
CONTACT NAME:
. PHONE: FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS: Z?? j, C .�r53--.'v- CN.CA_ L,,,
CITY: __Sra01 QCs 1•4e STATE: tXJ'T7 ZIP:.. ! ! Z 6
PHONE: p J —/7 0 FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
Height to Peak: / ; Dimensions: X 2 Cy No. of Stories: / Total Habitable
Main Floor SQFT: UpperSpace: '/r7g _if
Floor SQ FT: Unfinished Basement SQ Finished Basemgnt SQ
`/��5 ��
%L 74 FT: Ai/4 FT: �n
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No. of Bedrooms: Construction Type: t�,...r,'t; • Heat Source: %1- - Sewer Septic:
TOTAL COST OF PROJECT: $ 36, COO,. 60
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 be processed.
Signature ,G C.,g -- Date: 3- 7- /Z
Updated 1-11-11
Page http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Res-dential_11-11-111 of 1
.doc
RESIDENTIAL 1ECK 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) ❑ Right of way/easement location &sizes
o Utilities, septic tank/drain field locations and distances ❑ Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
O Elevations (Front/Rear/Sides)with roof peak and wall height including basement:
O Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations ❑ Supporting wood cripple walls or beams
o Perimeter concrete foundation wall sizes ❑ 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 ❑ Fire Wall construction
O Roof Plan:
o Engineered truss direction and spacing o Ridge, eave and valley lines
o Rafter and over frame direction, size and spacing ❑ Beam and girder size and location
O 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 o Size of ceiling gypsum wall board
Wall
o Height/top plate/stud size and spacing/sole plate ❑ 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 ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/side view/dimensions o Footings/post/and beam size and locations
o Floor Joist/decking direction, size and spacing
0 Stairway tread rise & run and nosing 0 Handrail/Guard height&spacing
1
Permit
E Sprague Ave Suite1
Permit Center
Saiic�r+• B-3
pokane Spokane Valley,WP '206 PERMIT NUMBER: tU* —)2"-- ) ),
x,00Valley' (509)688-0036 FA 9)688-00371 AI FEE:
permitcenter@spokanevalley.org
Community Development
Plumbing Permit Application n Commercial n Residential
SITE ADDRESS: /e/r)-6 t! / /7'1'
Building Owner f'f �Cti
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: F.- 4cPhone: Fax:
Address: , 7,2 i^ LCity: State:
zip:
License No: City Busfir ess Lic:
Contact/Project Manager:
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK ❑VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
r; :t VALLEY
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/BuildingJPlumbingPermitApplication040309.doe
Spokane _ 11"/03 E Sprague Ave,Suite B-3
x Lai
Spokane Valley,WA 99206 I PERMIT NUMBER: ( `dZ
111 7
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tey (509)688-0036 FAX:(509)688-0037
Community Development permitcenter@sp valley.org PERMIT FEE: q340,..9—
Mechanical Permit Application n Commercial P 11 Residential
`
SITE ADDRESS: / C-9 6 /-: /%A`'
Building Owner
Name: Phone: Fax:
Address: City: State:
Zip:
Contractor
Name: �L a .. 0. !- e f ,, a.,,.._. Phone: Fax:
Address:
��2 Z 2 i r itip�E, t, (I0,,: /.1 „ City: State: Zip: c'r
License No: � ���%''c'(``'c- co/� i L0(p
City Busifiess Lic:
Contact/Project Manager:
Name:
Phone: 3
67
—1 7as–
#UNITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TON
AIR CONDITIONER Over 30-50 TON
AIR CONDITIONER Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM(each outlet)
GAS LOG,FIREPLACE,&GAS INSERT
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT
REPAIRS OR ADDITIONS
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-15 hp–100,001 to 500,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15–30 hp -500,001 to 1,000,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp–1,000,001 to 1,750,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 50 hp–over 1,750,000 BTU
AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 cfm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fan connected to a singe duct
VENTILATION AND EXHAUST Each ventilation system
VENTILATION AND EXHAUST Each hood served by mechanical exhaust
INCINERATORS Installation or relocation of residential
INCINERATORS Installation or relocation of commercial
APPLIANCES Range,Clothes Washer
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK •
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM–FREE STANDING •
EXPIRES: VIN:
❑CASH 0 CHECK ❑VISA ❑MC
CARD#: SIGNATURE
Cli Y L r- VALLEY
rte ICI
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
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PLANNING DEPT. APPROVED
BY: /0 7 ),i'L i
DATE:___. 7 s1 P L ( PrdAyEr Jy /rnt,
DATE._ /!7 z ff
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