2008, 04-07 Permit App 08001084 Pole BldgSpokane
.0•0Valley-
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sp- Sze Ave, Suite B-3
Spokane Va y, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spoka-nevalley.org
I PERMIT NUMBER: G /oJ'`f
PERMIT FEE:
New Construction Accessory Bldg
Addition/Remodel n Deck
Other:
SITE ADDRESS: [_ j0(a 1 r r%)0-J1P\ CA
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name:
Address: (3O & 4 „ (16.
wt.. Lh
City-k/.y10 �J0 ((
State:(
Zip9 0//
Phone: a l Z ef, 70 r
Fax:
Contact Person
Name: DO ►1 c9--�E'
Phone: c g tl .� q
Describe the scope of work in detail:
Contractor:
Name: 0 ri l e N
l f+ aL —Or
Address: LI I (06 e- f (� aer 4 I) -Or . (1.
City: ( Cloe State: Zip: c
Phone: r'l� �a °� i Fax: 7 43 L/q
Cf /
Contract N : xp Date: _
14i 1� s c iu(k 8, v e
, City Business Lic. No:
e �
So S,� �v Pete. < <<( ,' /15
Proposed Use: S I o S l r e
Cost of Project: $ �1.®.ce
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: ` , i
(
DIMENSIONS:
0x O f
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: 15 Oa
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
G,.ARAGE SQ. FTG:
'' o K
DECK/COV. PATIO SQ. F1'G:
30% SLOPES ON
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 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 beprocessed.
C ,J
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
DATE: 3 -z7 -06
❑ Mastercard ❑ VISA
Expires: VIN#:
Spokane 11703 E Sprague Ave Suite B-3♦ Spokane Valley WA 99206
♦509.688.0036 ♦ Fax: 509.688.0037 •
Valley®
Completed Building and Mechanical Application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature and date.
Three (3) sets of plans including Site Plan, elevations, floor plans, foundation plans
with details, roof plan, framing plans and details.
Show the height of any proposed buildings or accessory structures.
Floor plan for each floor: Dimension to scale(minimum 1/8") and label each room
(including sq footage of house and garage on plans) show each level of existing
house and square footage of any additions.
Egress windows: Provide at least one window or exterior door approved for
emergency escape or rescue from basement and in every room for sleeping.
Floor framing details: Joist type, size, spacing and installation details.
Roof framing plan and details
Furnace and hot water heater location
All header locations: type, size and connections
Foundation plan
Insulation information
Decks and Stairway details
All braced wall panel types: show locations and details of installation, including
engineered design
Smoke detector locations
22" x 30" attic access location
18" x 24" crawl space access
One -hour separation detail: between house and garage
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
1.1 0 ' 11.0 r Cm
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
Building Permit n Change in Use
I Relocation
Tenant Improvement
Grading
Fire Safety
'Dodd 'IR
Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Owner: ,[ C ) obi
Phone: 97 7 t``s`e` 7o Fax:
Address: r O (o
r
CiState
Contractor: V A l I e
Phone: c/6 jj( Fax: S°C) et ?Z S 7-0L=(C(
Address. �(y cv e - Al Qc�.r_ r t X f)x- ,
wTheI,(k-'iA-
City 1
State
0
Zip Code
741
Zip Code
I1
Applicant:
Phone: Fax:
Address:
City
Architect: 2Ke
Phone: 1-1443 (dIere Fax:g-(Co5"
Address: 29t3 z.GIF Cnu -
�
crre Gig Zz_2
State Zip Code
Cty
WA State Contractor License #: VAu_ c (O( GCS Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: s
DIMENSIONS:
fro * 1f
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
( SOO
y"". FLOOR SQ. FTG:
-UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: 1
HEAT SOURCE:
r. I
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
Zot(f
30% SLOPES ON PROPERTY:
C
SEWER OR ON?SITE SEPTIC
SYSTEM? i
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
J
❑ BOLTING
Firm Name:
CONCRETE
REINFORCEMENT
Phone:
Inspector(s):
Fax:
Li WELDING
DISCLAIMER
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 of federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Spokane
Valley®
For City Use Only
PLUS Project Number C)c-KC `-'
Project Address
r
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter®spokanevalley.org
As part of our on -going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
t z
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Proiect Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE —APPLICANT PINK— BUILDING FILE
REV 9/07
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(07
1. �o A) C R L S
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5
415'
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PLANNING DEPT. APPROVED
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BY.
DATE' & 3, / o,