2012, 07-11 Permit App: BLD-2012-1078 Repair Fire Damage Community Development Department (Staff Use Only)
,v''''',., Permit Center
•Y, 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spokane Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
Valley. Fax: (509) 688-0037
permitcenitcenter@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK IR OTHER
SITE ADDRESS: 1 2- 0 e1 . ), 1st
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: R <-6!
NAME: 514 2tL l L. P_l cL:
ADDRESS: ! Z 2'i a5-f .
CITY: S p6I-4,104 io,-' 0,n.'tC STATE: tAJ ZIP: 9ql�'L
PHONE: S-0(11 j4,Z _ Zc''7 FAX: CELL:
CONTACT NAME: Lacs bt,,Ak
PHONE: 'S-16 . g1-4-7--1) FAX: CELL:
CONTRACTOR NAME: L'h-wlp/J toa1454,1z, �i� .
MAILING ADDRESS: v�)-(-4 X-)' . k)6-0 AV
CITY: e0,14 STATE: tuAA ZIP: l q O
PHONE: --06-1) , s-3-0., QO S. FAX: CELL:
CONTRACTOR LICENSE No.: e&n,p,o, )000 c.A EXPIRES: I i \ . i 3 CITY BUSINESS LICENSE NO.: 60i °MZO))1 I
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
(Z-&P i Q_ Pl.,,c.-n,P,/,uei 1 .7 b;L/9,x..) Le PLA cc S 4•t.(.li s )0 5 e4 L fl� ` Ai/44 i)2.._
`LLz 6_7L-a.:,/c_A( to el i it, x'14,4S o%/►Qt/
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Ufa Dimensions: N� No. of Stories: N/R Total Habitable
Space: N/A
Main Floor SQ FT: p)h #07/4 Upper Floor SQ FT: Unfinished Basement Sg Finished Basem nt SQ
FT: l)�t� FT: it)
Garage SQ FT: /44Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: /OM Area: /076 Property: 1,14
No. of Bedrooms: Construction Type: Heat Source: tJ jf) Sewer or Septic: b/f,
TOTAL COST OF PROJECT: $ /d, c0 `{t)
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.
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Signature (b)i-4-0 /L `// (./"--------------, Date: -1 , ( . 12
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
❑ SITE PLAN
❑ Property lines and dimensions ❑ Setbacks to property lines
❑ Direction arrow pointing North and orientation to streets ❑ Distance between buildings
❑ Proposed/existing buildings (footprint and dimensions) ❑ Right of way/easement location &sizes
❑ 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)
❑ Elevations (Front/Rear/Sides)with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
❑ Footing sizes and locations ❑ Supporting wood cripple walls or beams
❑ Perimeter concrete foundation wall sizes ❑ Thickened concrete pads supporting
❑ Crawlspace ventilation beams or girder trusses
❑ Floor Plan of each level (finished or unfinished)with dimensions:
❑ Floor Joist direction, size and spacing ❑Window and door location and sizes
❑ Header, beam or concrete lintel sizes ❑Window well locations if applicable
❑ Brace wall panel locations ❑ Room usage labels
❑Water heater and furnace locations ❑ Smoke detector locations
❑ Exhaust fan locations ❑Attic and crawl space access locations
❑ Deck or concrete patio sizes and locations ❑ Fire Wall construction
❑ Roof Plan:
❑ Engineered truss direction and spacing ❑ Ridge, eave and valley lines
❑ Rafter and over frame direction, size and spacing ❑ Beam and girder size and location
❑ Wall Section Detail including:
Roof
❑ Slope/roofing material/underlayment/ice dam protection ❑ Truss or rafter size, spacing &connection
❑ Sheathing size and type ❑Attic insulation/air space baffle/ventilation
Ceiling
❑ Joist size and spacing ❑ Size of ceiling gypsum wall board
Wall
❑ Height/top plate/stud size and spacing/sole plate ❑ Siding/exterior house wrap/anchor bolts
❑ Exterior sheathing size and type ❑ Insulation, vapor barrier, gypsum wall board
Floor
❑ Joist size and spacing ❑ Sheathing or concrete floor size/insulation
Foundation Wall
❑ Concrete or Masonry unit width ❑ Footing bottom to finished ground level depth
❑ Earth to wood separation distance ❑ Horizontal &vertical reinforcement if any
Footing
❑ Size ❑ Reinforcement if any
Radon
❑ Passive system with 6mil vapor barrier ❑Active system with 6 mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/side view/dimensions ❑ Footings/post/and beam size and locations
❑ Floor Joist/decking direction, size and spacing
❑ Stairway tread rise & run and nosing ❑ Handrail/Guard height&spacing
Building Division
Spokane
of City of Spokane Valley
pokane
S11703 E. Sprague Ave. Ste. B-3
Spokane Valley, WA 99206-5185
4000Valley® Phone 509-688-0054, Fax 509-688-0037
INSPE CTION NOTICE
DO NOT REMOVE THIS NOTICE
ADDRESS: Parcel #:
i? kap l Y` PIu& l h
11 t i, 11 Al ..
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Aeo etirr nn \_6
IF YOU HAVE ANY QUESTIONS CALL 509-688-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (509) 688-0054 FOR RE-INSPECTION.
DATE INSPECTOR