2009, 11-04 Permit App: 09003544 Pole Bldg Project Number: 09003544 Inv: 1 Application Date: 11/4/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: .
Permit Use: 30 X 24 POLE BLDG Contact: BEAN,JACK M& RONI LOUISE
Address: 11717 E 25TH AVE
C-S-Z: SPOKANE,WA 99206-5727
Setbacks:Front Left: Right: Rear: Phone: (509)927-8574
Group Name:
Site Information Project Name:
Plat Key: 002392 Name: SKYVIEW ACRES ADD District: Sout
Parcel Number: 45284.0412 Block: Lot:
SiteAddress: 11717 E 25TH AVE Owner:Name: BEAN,JACK M& RONI LOUISE
Address: 11717 E 25TH AVE
Location::CSV SPOKANE,WA 99206-5727
Zoning: R-3 SF Res District
Water District: Hold: ❑
Area: 12,000 Sq Ft Width: 80 Depth: 150 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation: _.
Review
Building Plan ReviewReleased By:
Originally Released: 11/2/2009 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 11/4/2009 By: mpalaniuk
Operator: JD Printed By: jmm Print Date: 11/4/2009
Project Number: 09003544 Inv: I Application Date: 11/4/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
POLE BDLG U-1 VB 720 $13,680.00 720 $13,680.00
Totals: 720 $13,680.00 720 $13,680.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $237.25
ACCESSORY PLANS REVIEW 1 SELECT $59.31
WSBCC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $301.06
Payment Summary ,. ��:; r....
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $301.06 $301.06 $59.31 $241.75
$301.06 $301.06 $59.31 $241.75
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: 11/4/2009
Permit Center
crrr oe 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: =;cL4L4
S!iiiyaiie
okane Spokane Valley,WA 99206 PERMIT FEE:
y. (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Residential Construction New Construction 7-4ccessory Bldg
Permit Application n Addition/Remodel Deck
Other:
SITE ADDRESS: // 7/ / 71- 76
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner: Contractor:
Name:
112211ANNIFIL
''
Address: Address:
r
City: J Stat )f Zip:,- , City: State: Zip:
Phone: ax: Phone: Fax:
,e.,- C .g.
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: 74,e
Phone: g--•g-/R.3---
Describe the scope of work in detail: Cost of Project: $ �
' /ar X /6, A4,.,)
Proposed Use: 1\ ' 4±/i
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TOS PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FL4 TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: AREA:
FINISHED BASEMENT GAR ,GES SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: // PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT 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'4f 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: DATE: J tNE
Method of Payment: CSV F�'
❑ Cash 0 Check 0 Mastercard VISA
Bankcard#: Expires: VI #: OCT 3 -. 2009
WT CENTER
Authorized Signature: Prof fir.
REVISED 2/15/07 Nape — __._ r
tcittai#__ _--__-
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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 ❑ Setbacks to property lines
o Direction arrow pointing North and orientation to streets ❑ 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 ❑ 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 o 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 o Window and door location and sizes
o Header, beam or concrete lintel sizes o Window well locations if applicable
o Brace wall panel locations o 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 ❑ Beam and girder size and location
O Wall Section Detail including:
Roof
o Slope/roofing material/underlayment/ice dam protection ❑ 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 ❑ Insulation, vapor barrier, gypsum wall board
Floor
o Joist size and spacing ❑ 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 ❑ 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
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CSV PERMIT CENTER
OCT 3 2009 1
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PLANNING DEPT. APPROVED
PLANNING
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