2004, 09-23 Permit App: BLD-04-07728 Addition 479
' • BUILDING PERMIT APPLICATION(CI?v
ORKSHEET
SAane City of.Spokane Valley Community Development Department
Division
*
Building*
11707 E. Sprague Avenue, Suite 106
. .40,Valley. •
• • Spokane Valley, WA 99206
• Phone: 5O 688=0036•Fax: 5091 .588-0037
•
REQUIRED SITE INFORMATION.•.
Street Address: /0i .7 ., ,.z( . •
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Assessor's Tax Parcel Number(s): • • .
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. v
Legal Description: Ai a a AA ♦ Irki 1 1 / _A —2- • (
PERMIT DESCRIPTION: 19•04,M741( : Ode ,( `(-j Ory •
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® Building Permit ❑ Change in Use - ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety 0 Other
OWNER/APPLICANT INFORMATION
ia Owner: ek 161-16-6 0 Applicant:
' Phone: 901W-q/Ed-c Fax: Phone: Fax:
Address: / 7 -). c h7 I S-f . - Address:
•
./ 1,.. i - , " D
• City • Stat= ii Zip Code City State Zip Code
7
A Contractor: • i a 1 is .❑ Architect:
Phone: 9,g r 1 D��Fax: Phone: Fax: - •
Ad. -ss: aAAP •SI Address:
City StateZip Code City• - State Zip Code
JJ
WA State Contractor License#: Contact:
PERMIT/BUILDING INFORMATION 1
HEIGHT TO PEAK • . DIMENSIONS: #OF STORIES:'
C3 '. 5 , 3X /lv l
MAIN FLOOR TO SQ. FTG: 2"u FLOOR SQ.FTG: UNFII4 BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ FTG: • • DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: • HEAT SOURCE:
i2yd �" 5W cod '
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
3 }c /c,
COST OF PROJECT: • 30%SLOPES ON PROPERTY: f R ON-SITE SEPTIC
1 o u o :i4STEm?
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'MANUFACTURED HOME
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Width: • Length: Year:' Pit Set • •
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Manufacturer: •
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• • •• • RELOCATION • •
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. : Previous Address: • •
Proposed Use: •
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FIRE SAFETY •
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Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: • . . Date/Time:
Valuation: . Above/Underground Storage Tank Size:
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WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
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Plans Examiner: Phone: Fax:
Address: •
City State • Zip
Inspector: 0 • Phone: Fax:
•
Address: .
City State Zip
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SPECIAL INSPECTIONS
D BOLTING ❑ CONCRETE • ❑ REINFORCEMENT D -WELDING
Firm Name: . . Phone:. Fax:
Inspector(s):
•
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that 4) 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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
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Print Name • Signature
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•
•
. Method of Payment: (Faxed permit applications will only be accepted with major bankcard).
❑ Cash ❑ Check 0 Mastercard . • ❑ VISA • 0 Other
• Bankcard#: • Expires:' •VIN#:
Authorized Signature: .
PLUMBING PERMIT APPLICATION
Sanor�f,.�,
[�Po �� City of Spokane Valley Community Development Department
[� 1 BuildingDivision
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: /0 c /54. Permit Use:
Owner: e e, �/ Phone (Daytime Contact):
Mailing Address: ib7 f �.f if f- EpoicashitAvilkAAJ1
qciacc
City State Zip Code
Contractor: License#: Phone#:
Mailing Address:
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST • AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
5 SINKS LAVS/BASINS,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, X $6.00 =
CARBONATOR,SWAMP COOLER
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 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION}elnrY°Fkane City of Spokane Valley Community Development Department
ll�+ BuildingDivision
\j,J1ey 11707 E. Sprague Avenue, Suite 106
do#V
Spokane Valley, WA 99206
Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address /6 7 ,L .2/ 5 t Permit Use:
Owner: LC-1,Lei 6 /+Lei'/-, Phone(Daytime Contact): 9.251 y6 ;ZS
Mailing Address: S c,,�„vti /c_C-Ati tea -ev /A) ft e7Z4)
City r- State Zip Code
Contractor: 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 less than 400,000 X $50.00 =
USED APPLIANCE(WSEC mitt 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 X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 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 X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 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
0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
2001 WSEC•Residential Compliance Form
Prescriptive (Chapter 6) Options for all R Occupancies,Climate Zone 2 0; 1
City of . Heat source: ALL {
SPOKANE VALLEY BUILDING DEPARTMENT •
• •11707 F.Sprauge Avenue,#106,Spokane Valley,Washington 99206-Tel 509-921-1000-Fax 509-921-1008
SITE ADDRESS: i
PERMIT NO. DATE:
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: •
SF. — SF. = % r
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 performance requirements.
are no less stringent than the Prescriptive requirements. Calculations may be performed by hand or,using artacceptable -• computer software-progtaut Helpful forms and other resources can be downloaded at http://www.eriergy.wsu.edu/
buildings. • .
.
SK1 iic1k4rS .
• 9 Glazing U-Facto
Glazing Door' Ceiling Valuted wall Watl•Int` Wall*
Option Area":%of ,� = g , Above Below ext.
��rs Stab'on
Floor- Vertical Overhead U-factor Ceiling Grade Grade Below : Grade
Grade .
Z 0 I. 10% 0.40. 0.58 0.20 R-38 R-30 • R-21 R-21 R-12 .R-30 R-10
:-i 0 If.' 15% 0.40 0.58 fa
0.20 R-38 R-30 R5+ R-21 . R-12 ' R-30 R-10
C W Q. Ill. 17% 0.37 0.58 0.20 Rag R_30 R-19+•
R-5 R-21 R-12 R-30 R-10
V O Unlimited •
Group R3 R-21
0 IV. 0.35 0.56 0.20 R-38 R-30
R. Occupancy int' R-21 R-12 R-30 R-10
a Only
OC) hy o"' -
E 0. Nominal R-values are for wood fiat x o les on or assemblies built in accordance with Section 601.1
1. Mnirrum requirements for each option listed. For example,if a proposed design has a glazing ratio to the conditioned floor area of 13%,it
r � = shall comply with all of the requirements of the 15%glazing option(or higher)_ Proposed designs.which cannot meet the specific
(./ V m
requirements of a listed option above,may calculate conpGance by Chapters 4 or 5 of this Code.
2. Requirement applies to all ceilings except single rafter or joist-vaulted ceilings. 'Adv'denotes Advanced Framed Ceiling. •
W/� � r3. Requirement applicable only to single rafter or joist vaulted ceilings.
P"1 .< 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-12,or on the interior to the same level as walls above
Cl) c4
grade. Exterior insulation installed on below grade walls shall be a water resistant material.manufactured for its intended use,and installed
co according to the manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
), ( cg 6: Required slab perimeter insulations shall be a water resistant material,-rrenufactured for its intended use,and installed according to
manufacturer's specifications.•
7. Int denotes standard framing 16 inches on center with headers insulated with a minimum or R-5 insulation.
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors,including all fire doors,shall be assigned default U-factors from Table 10-6C.
10. Where a hexirrum glazing area is listed,the total glazing area(combined vertical plus overhead)as a percent of gross conditioned floor area
shall be less than or equal to that value. Overhead glazing with U-factor of U=4.40 or less is not included in glazing area limitations.
11. Overhead glazing shall have ti-factors determined in,accordance,with NFRC 100 oras specified in Section 502.1.5.
12. Log and solid timber walls with a minimum average thickness or 3.5-are exempt fpmr this insulation requirerren t
Form 5-050801-2001 Residential Comp Form
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CODCOM
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PROVIDE DIAGRAMS AND
ENGINEERING LAYOUTS FOR
• ' ROOF TRUSSES,BEAMS AND •
FLOOR SYSTEMS PRIOR TO FRAMING
' ' •'Roof Pitchy/NOP Manufactured Trusses INSPECTIONS
@ 24" o.c.
� "` Provide outlet ventilation 1/300�]
1 , • •
BE
1/8" GAP Provide baffle with 1" -.......,„.„....y1/2" CDX
TWEEN'SHEATHING minimum air space ` 15#felt
Y �' 3 Tab shingles
i a 04st- '
_ Provide 22"x30" —
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r� f I 4 ,-- 40 #felt or equivalent
ow ..■iI111 • auric cress f
......4„
Inlc14
X11 • w R-38 B. ., _�
EMERGENCY EGRESS
[ } insulation
FROM SLEEPING ROOMS
5Jii
RE EES 1'-0" Solid Blocking
1)N-----+N
T EAR OPENING:
GRADE fL00R OPENING(MAX 441 5.0S *"a
3)NET CLEAR OPENING VNDTH 44!NCHES Air yap9r Barri:
4),MAXFINISHED SILL HEIMT N�ABOVE
5)EMERGENCY ESCAPE S REQ SNALL 1/2" CDX
OPERATIONAL FROM TOOLS E1E OF RbOM ' 0 ( o�"
THE USE Af KEYS OR Z I •
'dinlA� yL `'� "" is.5# elt
fLidmg
BRACED WALL PANED i,,.� vv
TO COMPLY TO IRC • p • Caulk or . to limit 2��x6��@ 16" o.c.
SECTIONS 602.10.3&602..10. E .
3/4"T&G F1 sheathing ''1" ( ti•'‘Crawl space vents 1 sq, ft, .,.. ` @ �,.g 1' ! 1 - ��to every 300 sq.ft, of floor area ~ R-3U Batts2x10 • �� Ancr Bolts 6'o,c• 7 :m��
►4T T e i� (., trot ..,�-t a aimappirowilisi
_ Grade j� Provide 18"z24" '� ,,
--9 _1 RU 11,u_ crawl access** - (, , Y'(p ftLf yQ� • • Minimum 6"above grade
I — I — I •• I i.�� 6 mil black•poly II W \ .14"X1-4''''x8" footi g C I �S" below gr.a e
moisture barrier �®� I I 1 14—fTT,
Provide.18" minimum crawl space below joists —+' I
' Foundation:
-- -- 6"stem wall—.
*Rebar required in foundation walls over 4' tall. 6"x12"footing*
** Additional details are required for basement& two story construction.
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ADDRESS ,mg, 1
ZONE
, ti ROAD MOTH +FRONT FLANKING
. COMMENTS
7j
REVIEWED
Wood Deck
0' -,J
-----)
_ Master 8Y n Pining
� ' 35� /m co Kitche
Area13. •-•-_Bedroom FarriI y Roam
5 --..1._32
d 13.5 -1) CO , _. , _. , J
Living Room �a r „
23
2—Car ��' ,
Tiley — 22_5 Garage gay t'J
24.5 �
_.14:1_____--41 ,
I 4 .36 �
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tY 225
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I p1, t { This aIle plan is being submitted for the purpose of
I obtaining a building permit and is a true and correct
representation of the proposal. Nt known property
T -
1 linesldimensions.curb lines,sbucturis and spsgnnts
have been ' . Also indicated am wetlands.
W bodies of other critical areas.
,'\ t° 71
1 lusts: ' ' (1.*'''°
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