2003, 10-16 Permit App: BLD-03-02802 Residence scokba<\
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone:(509)688-0036 Fax:(509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: / ?3& / ' ` .__, / `Lf ''--'
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION: /S /. . �_ y. .', f" f
PER DESCRIPTION:
MIMING PERMIT 0 CFANGE IN USE 0 GRADING 0 MANUFACTURED HOME
0 RELOCATION D SIGN EI TENANT O OTHER
OWNER / APPLICANT INFORMATION I-
0 OWNER: 0 APPLICANT:
PHONE: FAX: PHONE: FAX:
AO ESS: ADDRESS:
A I/ J� N
CITY,STATE,ZIP CITY,STATE,ZIP
CONTRACTOR: X/1 J 6 TV A) 4-1-D f►1 E .1-1\1C, 0 ARCHITECT:
PHONE:,/moi! I. FAX: C PHONE: FAX:
ADDRESS: ,O I 11( (41711q �J PO KA-('J E7 ADDRESS:
CITY,STATE,ZIP I /� ^1 f)
rCIT�Y,STATE,ZIP
WA ST CONTRACTOR UCENSE# CONTACT:\jLL✓A N v 101'-1, ,)L
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30%SLOPES ON PROPERTY: AIV MAIN FLOOR SQ FT: 2
5O
BUILDING HEIGHT TO PEAK: Or�
CCUPANCY GROUP: 2ND FLOOR SQ FT: / LvQ
BUILDING DIMENSIONS:44 s.55 CONSTRUCTION TYPE: UNFIN BASEMENT: 5
NUMBER OF STORIES: 4 LVE I., STRUCTURES ON PROPERTY: 0 FINISHED BASEMENT: -1 75
NUMBER of BEDROOMS: 3 CRITICAL AREAS: GARAGE: 1U g q
FLANKING SETBACK: CURRENT PROPERTY SIZE:`1I COVERED DECK:
$95FRONT SETBACK: � CURRENT PROPERTY USE: V C NT DECK: Iti I)
REAR SETBACK: 6i CURRENT SEPTIC USE: N/A
LEFT SETBACK: 5 CURRENT WELL USE: WA.
RIGHT SETBACK: 5 IMPERVIOUS SURFACE AREA:AM. 5F
I
MANUFACTURED HOME SIGN
WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN:
YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN:
MANUFACTURER: TYPE OF SIGN:
RELOCATION —
FIRE SAFETY
PREVIOUS ADDRESS: FIRE SPRINKLER: FIREALARM:
PAINT BOOTH: TENT:
PROPOSED USE: FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON—RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP
SPECIAL INSPECTIONS
0 BOLTING °CONCRETE 0 REINFORCEMENT 0 WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S):
IBUILDING STAFF USE ONLY
•IS PUBLIC SEWER AVAILABLE: 0 YES 0 NO IF YES: ® COUNTY ® CITY
IS PUBLIC WATER AVAILABLE: 0
YES 0 NO IF YES,WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES 0 NO PSSA: 0 YES 0 NO
OATS: i STAFF:
METHOD OFPAYMENT:
0 T 0 1■ f
0 m .......•ast-fir` VISA
CASH CHECK L. --- ..rm..
P._
BANKCARD#; �. 'IkES:- VIN#
AUTHORIZED SIGNATURE. fes"F
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
(1TtiM1a ` -
po
ley
• PLUMBING PERMIT APPLICATION
PROJECT �` • PERMIT
ADDRESS: USE:
OWNER: PHONE(Daytime Contact):
MAILING ADDRESS:
(street) _ (city/state) (zip)
CONTRACTOR: LICENSE#:
Cil I al L/ ,5 P �.rn 6,i N 1 11'Yl/ 'Y) 7q q‘,37.5 KP
MAILING ADDRESS: ONE#:
L — U/0 -7ci
1 -76a 5 • Yfl ! (9ane , Gaff-- cigaf.
(street) (ci state) (zip)
PLUMBING.FIXTURES
DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT
1 TOILETS WATER CLOSET,BIDETSCA X $6 -
2 URINALS - X $6 =
3 TUBS X $6
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 =
5 SINKS LAVS/BASINS,BAR,FLOOR, X $6
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT �/ =
6 DISHWASHER / X $6 =
7 CLOTHES WASHER / X $6 =
8 GARBAGE DISPOSAL / , X i $6 =
9 WATER SOFTENER X $6 =
10 ELEC HOT WATER TANK NOTE:IF GAS SEE MECHANICAL X $6 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, $6
CONDENSATE 1 X =
12 FOUNTAINS,DRINKING X $6 =
13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION, X $6
WASTE,VENT, REPAIR,REVERSALS
. PLUMBING REVERSAL = .
14 SEWAGE EJECTOR GRINDER,SUMP PUMP -- - X $6
15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, X $6
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLER '
=
16 CROSS CONNECTION VACUUM BREAKER,CHECK X $6
DEVICE VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS =
17 SPRINKLER SYSTEM / X $25
18 INTERCEPTORS GREASE TRAP,SAND TRAP, $6
CHEMICAL HOLDING TANK X •
=
19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 -
20 MISC PLUMBING FIXTURE_ X $6 =
- SUBTOTAL .
0 CASH 0 CHECK ❑ .� 0 -- -I PLUS PROCESSING
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT FEE $35.00
OF A MAJOR CREDIT CARD
TOTAL PERMIT FEE
DUE
DATE: EXP
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: ,
crrt r�,
Spokane 4
Vey .
MECH NICAL PERMIT APPLICATION
PROJECT _ 1 PERMIT
ADDRESS: l37rP e j ✓ ' USE:
OWNER: / PHONE(Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (zip)
CO T S -/A1Cr' upNg
# r . A -- j6;, 6.)
AILI ADDRESS: PHONE#:
v/ -/ lL/Da---
ikjci E , CFNTRAL, 5PQKAAle- tuft 167c.- 0-7
(street) (city/state) (zip)
DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 / X $15 =
2 FUEL BURNING APPLIANCE >100,000 X $19 =
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 =
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 =
5 USED APPLIANCE(WSEC min.AFUE rating) =OR<400,000 X $50 =
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 =
7 BOILER/REFRIGERATION 1-100M BTU X $15 =
8 BOILER/REFRIGERATION 101-500M BTU X $28 =
9 BOILER/REFRIGERATION 501-1,000M BTU X $39 =
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 =
11 BOILER/REFRIGERATION +1750M BTU X $95 =
12 GAS LOG;GAS INSERT,GAS FIREPLACE - / X $10 =
13 RANGE - / X $10 =
14 DRYER - / X $10 =
15 FUEL BURNING WATER HEATER - / X $10 =
16 MISCELLANEOUS FUEL BURNING APPL - X $10 =
17 GAS PIPING(ea.Outlet) - X $1 =
18 DUCT SYSTEMS - X $10 =
19 VENTILATING FANS - 5 X $10 =
20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 =
21 AIR HANDLER(DOES NOT include ducting) >10,000CFM X $19 =
22 EVAPORATIVE COOLERS - X $10 =
23 TYPE I HOOD - X $50 =
24 TYPE II HOOD - J X $10 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 =
26 AIR CONDITIONER 3-15 TON X $20 =
27 AIR CONDITIONER 15-30 TON X $25 =
28 AIR CONDITIONER 30-50 TON X $35 =
29 AIR CONDITIONER +50TON X $60 =
30 LPG STORAGE TANK - X $10 =
31 WOOD OR PELLET STOVE/INSERT - X $10 =
32 WOOD STOVE-FREE STANDING - X $25 . =
--- .4. SUBTOTAL
11111111111111 ,
0 CASH 0 CHECK 0 WM= 0 ° PLUS PROCESSING
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT $35.00
OF A MAJOR CREDIT CARD FEE
TOTAL PERMIT FEE
DUE
DATE: EXPIRES:
BANKCARD NUMBER: /_ .
iiiilaqiiirippr-
AUTHORIZED SIGNA
/'
S1oi
Yc.11
400001rV, tm PLANS.MUST BE KEPT
ON THE JO®SITue Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 Fax: 509.921.1008 • cityhall®spokanevalley.org
Residential Plan Review Minimum Checklist
1. Plans and specifications shall be drawn to scale and shall be of sufficient clarity
to indicate the location,nature and extent of the work proposed and show in detail that it
will conform to the provisions of this code and all relevant laws, ordinances,rules and
regulations.
2. This home does not meet the conventional construction requirement of the '97
UBC. An analysis and design must be provided for this building or(a specific section of
this building) in order for the plans to be successfully reviewed by Spokane Valley.
3. Include a floor plan of each floor and basement showing location of all walls and
partitions, door sizes, and window sizes.Location of all permanently installed equipment
such as plumbing fixtures,water heater, furnaces, appliances and wood stoves.
4. Show one representative cross section through exterior walls showing all details of
construction from footing to highest point of the roof.Include framing materials and
insulation R-Values in this view.
Provide all window sizes and types, and designate the operable portion of
windows as well as the locations of tempered glass.Include U-Values for exterior doors
and windows.
6. Comply with light and ventilation requirements for windows in all habitable
rooms,bathrooms and utility rooms. 10%natural light/floor area for each room, 5%
opening/floor area for ventilation or mechanical ventilation.Bathrooms to have at least 3
sq ft opening or mechanical ventilation.
7� Comply with bedroom and basement window egress requirements.At least one
door or egress window opening directly to the exterior from a basement, and provide
every bedroom with a door or egress window to the exterior.Egress windows require a
minimum 5.7 sq ft opening, 20" opening width,24" opening height and 44"maximum
window sill height.
8. Provide foundation details on the foundation plan sheet or on a separate detail
sheet.
• Locate and detail all footings for the following: fireplace, girder truss
bearing locations,turn downs, interior bearing walls,posts, columns, and sunken
or raised areas. Provide end reactions for girder trusses or collectors.
• Dimension the stem wall thickness,footing width thickness and depth into
undisturbed soil for each footing type and condition.
®:) Note and detail minimum reinforcing of two number 4 rebus in the top of
the foundation and one#4 bar @ 24"centers vertical if foundation is over 48".
•
Locate and specify all anchor bolt spacing and post and pc rrrs on the
foundation plan.List the square footage for the following areas separately:
livable area, garage, porchi pay,ctytO ant `dl ks.
• Cantilevered retaining walls over four feet in height are required to be
designed to resist overturning. These walls are the basement walls that are
unrestrained at the top of the wall. Typically these are the walls that run parallel
to the floor joist.
• All Engineers and Architects involved in the design of the structure are to
date, sign and seal the related sheets of the plans, details and calculations. This is
in accordance with the rules of the Washington State Board of Technical
Registration.
9. Detail and specify stair width, rise, and run, landing width,handrail heights,
guardrail height and intermediate/baluster rail spacing.
10. Note and specify tie straps, framing anchors, and joist/truss hangers by type, size
and required attachment to framing members.
`f1 J Provide complete roof and floor framing plans. Show size, spacing and span of all
framing members, i.e.,trusses,joists, rafters, beams, glu-lams, lintels,headers, ledgers,
.osts and blocking. Blocking required at mideihinnu fished bearing walls.
Locate and identify braced wall panels on plan view.
Provide complete truss calculations and truss layout plan on site. Bottom 36"of
roof to be covered with 40#belt for ice dam protection. Provide uplift reactions and
required anchoring to rgsist those reactions.
14.} Provide 5/8"type X gypsum board on all walls common to the garage and house
and all garage bearing wall and ceiling.Note doors between the house and the garage
shall be 1-3/8" solid core, or labeled 20 minute door. Doors shall be self-closing and tight
fitting.
15. Designate the locations of water heaters.Indicate the location of the T and P relief
line.
16. All appliances located in the garage must have sources of ignition raised 18"
above finished floor and protected from vehicle damage.
17. Provide waste isometric, or plumbing floor plan,hose bibs must be located on
plan. Backflow preventors are required on each hose bib.
Provide a mechanical plan.Designate the locations, capacity and fuel type(electric
or gas) and gas furnace efficiency of all heating and air conditioning equipment.
19. The dwelling must be provided with a heating system capable of maintaining a
room temperature of 70 degrees at a point three feet above the floor.
0Show exhaust fan locations for bathrooms 50 CFM,water closet compartments 50
CFM, laundry rooms 50 CFM, and kitchens 100 CFM. Show environmental air duct
termination at least three feet from any opening into any building or from property lines.
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194.00' LANE
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(-)
PINE ROCK RIDGE 1ST ADDITION
LOT 15 BLOCK 1
Founded 1946
0 10 20 40
.1.11. 1.111.m1.1 b impson Engineers, Inc.
CIVIL ENGINEERS & LAND SURVEYORS
N. 909 ARGONNE ROAD, SPOKANE WA., 99212-2789
SEPTEMBER 2003 PHONE (509) 926-1322 FAX (509) 926-1323