2004, 09-27 Permit App: BLD-04-07766 Finish Basementn
r valley,
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMON/TY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 906
Spokane Valley, WA 99206.
Phone: (509)688-0036 Fax- (509)688-003 7
IC REQUIRED SITE INFORMATION II
STREET ADDRESS:
ASSESSOR'S TAX PARCEL NUMBER(S): /
LEGAL DISCRIPTION:
PERMET DESCRIPTION:
"UILDING PERMIT C' CHANGE IN USE . C GRADING C] M'ANUFACT URED HOME
RELOCATION [2 SIGN [3TENANT Q ETHER
OWNER / APPLICANT INFORMATION II
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OWNER: 16 /✓
APPLICANT:
PHONE: FAX:
PHONE: FAX:
ADDRESS: 1'2-1 k 15 t_'$4TL-
A-
ADDRESS:
CIY� STATE, ZIP
CITY, STATE, ZIP
CONTRACTOR:
a
ARCHITECT.:
PHONE:_�� " ib Z FAX:
PHONE: FAX:
(-0./ `2 C- ngc%'y 1/ ADDRESS:
5 ��'((��'� 1'✓! `
,,CITY STATE, ZIP CITY, STATE, ZIP
PERMIT/BUILDING INFORMATION
COST OF PROJECTA .s I z, qU
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:36>(yo
NUMBER OF STORIES: 'I—
NUMBER
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:.) L_
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT:
2ND FLOOR SQ FT:
UNFIN BASEMENT: 2 UQ
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
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:
�I RELOCATION FIRE SAFETY it
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER:
PAINT BOOTH:
FIREWORKS DISPLAY:
BLASTING:
WA STATE NON-RESIDENTIAL ENERGY CODE
FIRE ALARM:
TENT:
DATEITIME:
PLANS EXAMINER: PHONE: FAX:
ADDRESS:.
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS
® BOLTING ®CONCRETE 0 REINFORCEMENT ® WELDING
FIRM NAME:
INSPECTOR(S):
PHON
FAX:
n BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ® YES 0 NO IF YES: ® COUNTY ® CITY
IS PUBLIC WATER AVAILABLE: ® YES 13 NO IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ® YES ® NO
IS THE PROPERTY LOCATED WITHIN ASA: M YES ® NO PSSA: ® YES [3 NO
DATE: STAFF:
Miz i rrvu ur 1-A nwt/v i
® ® ® ®
CASH CHECK WSA
BANKCARD#; EXP/RES.- V/N#
AUTHORIZED SIGNATURE.
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
EMERGENCY EGRESS REOUIREMENTS
FROM SLEEPING ROOMS
1) NET CLEAR OPENING: 5.7 SQUARE FEET
GRADE FLOOR OPENMIG (MAX 44") 5.0 SQUARE FEET
2) NET CLEAR OPENING HEIGHT 241NCHES
3) NET CLEAR OPENING WIDTH 2OINCHES
4j MAX FINISHED SILL HEIGHT 44• AWW FLOOR
thAll LM
THE USE Of KEYS OR TOOLS 44 ROOM WITHOUT
SMOKE,
1)ETEC'I'��)
THESE PLANS MUST BE KEPT
ON TME JOB SITE
ioo Ci50t
SMOKE ALARMS SHALL BE INTERCON-
NECTED AND HARD WIRED IN SUCH A ,p O
MANNER THAT THE ACTIVATION OF ONE V'
ALARM WILL ACTIVATE AL ALAAccAft App OACH NS`s- t
BE
WITH RISE OF 24' 6 ON EACH FIAOR) Ste`
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