2011, 06-03 Permit App 11001559 Crawl Space Foundation Project Numbe,r,i 11001559 Inv: 1 Application
Date: 6/3/2011 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: _
Permit Use: NEW CRAWL SPACE FOUNDATION FOR MOVE Contact: DRAGER,JEREMY&LARUE
ON HOUSE Address: 2011 S EARLY DAWN
C- S-Z: VERADALE,WA 99037
Setbacks:Front Left: Right: Rear: Phone: (509)216-4986
Group Name:
Project Name
Site Information: , = a
Plat Key: Name: Range District: Nort
Parcel Number: 35121.5304 Block: Lot:
SiteAddress: N E TH RD Owner:Name: DRAGER,JEREMY&LARUE
2,C)19 Address: 2011 S EARLY DAWN
Location::CSV VERADALE,WA 99037
Zoning: R-2 SF Res Suburban District
Water District: 002 ORCHARD AVENUE Hold:
Area: 10,164 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Nan Review Released By:
Originally Released: 6/2/2011 By: tmelbourn
Landuse/Zoning/HE Conditions Released By:
Originally Released: 6/3/2011 By: cjjanssen
Sewer Review [Released By: _
Permits:
Operator: jmm Printed By: jmm Print Date: 6/3/2011
ProjectNumber: 11001559 Inv: 1 Application Date: 6/3/2011 Page 2 of 3
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 Su Ft Valuation Su Ft Valuation
FOUNDATION R-3 VB FOUNDATI 0 $11,381.00 0 $11,381.00
ON/HOUSE
MOVE
Totals: 0 $11,381.00 0 $11,381.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $209.25
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW<7999 SQ FT 1 SELECT $83.70
Permit Total Fees: $297.45
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
DUCT WORK SYSTEM 1 NUMBER OF $11.00
GAS WATER HEATER 1 NUMBER OF $11.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00
GAS PIPING 1 #OF UNITS $1.00
Permit Total Fees: $36.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00
Permit Total Fees: $48.00
Operator: jmm Printed By: jmm Print Date: 6/3/2011
Project Number: 11001559 Inv: 1 Application Date: 6/3/2011 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: s .Jitaw stlafaihkq _.
7222 E UTAH AVE--PROPERTY MUST BE DIVIDED TO ADD THE RESIDENCE IN THE SHOP.
THE EXISTING SHOP CAN BE EXPANDED TO A MAXIMUM OF 1,029 SF.
Payment Summary: 7 ia7i ,T
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $297.45 $297.45 $83.70 $213.75
Mechanical Permit $36.00 $36.00 $0.00 $36.00
Plumbing Permit $48.00 $48.00 $0.00 $48.00
$381.45 $381.45 $83.70 $297.75
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: jmm Printed By: jmm Print Date: 6/3/2011
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RESIDE
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206 '.
Tel: (509) 688-0036 4
er ten nevalle or
(Staff Use Only)
[PERMIT NUMBER:
ERMIT FEE:
CONSTRUMO PERMIT APPLICATION
NEW CONSTRUCTION ❑ ADDITION/ REMODEL
DECK OTHER
SITE ADDRESS:
❑ ACCESSORY BUILDING
ASSESSORS PARCEL NO.: `� , C2,(, �3�k
LEGAL DESCRIPTION:
BUILDING OWNER NAME: �J GAZE}^^-
y3�
NAME: jir a'r"
ADDRESS 2l LI S
CITY V n i &
STATE:
ZIP:
/
PHONE: Z 1 f (_ q 9 �b
FAX:
CELL:
n
CONTACT NAME' �L,►"PinM.� ,/ rim-��--r�
PHONE: "j qj
FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE NO.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DFrAIL
. .. . _ .. ( A# — -
AND INDICATE l)SE & PROPOSES USE:
A - it _� ",L �� // � � �...6, , �.c of —119 -Vi �ab�
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:r t,Dimensions: 3 No. of Stories: t / Total HabitablSrO
2 r /2 Space:
Main Floor SQ FT: Upper Floor SQ F S Unfinished – nt SQ Finished Basement SQ
—0:0� FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surf ce 3% Slopes only
FT: I2.v Area:Property: 6
No. of Bedrooms: '3 Construllct'on Type: Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: $ T
W
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 permjk1TTtikt a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be/equiredNo be submitted and su eptly approved before this application can be processed.
Signature
Date: (�-> 3 t,—(l
rayc 1 vi
Updated 1-11-11 i
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit= Residential-li-ll.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
❑ Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
❑ Slope/ roofing material/ underlayment/ ice dam protection
❑ Sheathing size and type
Ceiling
❑ Joist size and spacing
Wall
❑ Height/ top plate/ stud size and spacing/ sole plate
❑ Exterior sheathing size and type
Floor
❑ Joist size and spacing
Foundation Wall
❑ Concrete or Masonry unit width
❑ Earth to wood separation distance
Footing
❑ Size
Radon
❑ Passive system with Emil vapor barrier
Miscellaneous Construction Details
❑ Deck:
❑ Floor plan/ side view/ dimensions
❑ Floor Joist/ decking direction, size and spacing
❑ Stairway tread rise & run and nosing
❑ Ridge, eave and valley lines
❑ Beam and girder size and location
❑ Truss or rafter size, spacing & connection
❑ Attic insulation/ air space baffle/ ventilation
❑ Size of ceiling gypsum wall board
❑ Siding/ exterior house wrap/ anchor bolts
❑ Insulation, vapor barrier, gypsum wall board
❑ Sheathing or concrete floor size/ insulation
❑ Footing bottom to finished ground level depth
❑ Horizontal & vertical reinforcement if any
❑ Reinforcement if any
❑ Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
❑ Handrail / Guard height & spacing
^ Permit Center
11703 E Sprague Ave, Suite B-3
,,;00N
ad1jey Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www spokanevalley.orQ
Plumbing Permit Application ❑ Commercial
SITE ADDRESS:
..
PERMIT NUMBER:
PERMIT FEE:
v
Building Owner
Name: Phone: Fax:
Address: City: State: ZIP' gO
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
DESCRIPTION OF WORK
# OFUNITS
X
COST
=
TOTAL AMOUNT
tt
1
TOILETS
WATER CLOSET, BIDETS
f
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
=
—TS
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
2
X
$6.00
=
X-RAY, FOOD, PREP/CULINARY MEAT
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
–
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
ICE AN/OR COFFEE MAKER, HOSE BIB,
16
WATER USING DEVICE
STEAMER
X
$6.00
=
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
17
CROSS CONNECTION DEVICE
BOILERS
X
$6.00
=
GREASE TRAP, SAND TRAP,
18
INTERCEPTORS
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS(per outlet
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
=
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
[]CASH ❑ CHECK ❑ VISA ❑ MC EXPIRE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNA'
REVISED 8/26/05
Permit Center
*�dWF' 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Mechanical Permit Application ❑ Co
SITE ADDRESS: P : '�'`
EPERMITEFEE:
BER:
Building Owner
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
ual to or less than 100,000
Name:-
Address:
Phone: 49
City:
6 Fax:
State: ZiP
Contractor
More than 100,000
X
Name:
Phone:
Fax:
Address:
City:
State: Zip:
License No:
City Business Lic:
More than 400,000
Contact
$100.00 =
5
Name:
Phone:
X
1
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
ual to or less than 100,000
# OF UNITS x I
X
cua i I= u ••� „••••+•
$12.00 =
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00 =
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 =
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE rating)
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 =
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00 =
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00 =
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00 =
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00 =
13
RANGE
X
$10.00 =
14
DRYER
X
$10.00 =
15
FUEL BURNING WATER HEATER
X
$10.00 =
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING each outlet
X
$1.00 =
18
DUCT SYSTEMS - !r
l X
$10.00 =
19
VENTILATING FANS
X
$10.00 =
20
AIR HANDLER DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 =
22
EVAPORATIVE COOLERS
X
$10.00 =
23
TYPE I HOOD
X
$50.00 =
24
TYPE It HOOD
X
$10.00 =
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 =
26
AIR CONDITIONER
4-15 TON
X
$20.00 =
27
AIR CONDITIONER
15-30 TON
X
$25.00 =
28
AIR CONDITIONER
30-50 TON
X
$35.00 =
29
AIR CONDITIONER
More than 50 TON
X
$60.00 =
30
LPG STORAGE TANK
X
$10.00 =
31
WOOD OR PELLET STOVE/INSERT
X
$10.00 =
32
WOOD STOVE - FREE STANDING
X
$25.00 =
33
REPAIR & ADDITIONS
X
$15.00 =
34
VENTILATION SYSTEMS
X
$12.00 =
35
VENTILATION MECHANICAL EXHAUST
X
$12.00 =
36
INCINERATOR - RESIDENCE
X
$19.00 =
37
INCINERATOR - COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISAC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VI
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
For City Use Only
PLUS Project Number/7/5
CISTvFIane
- 1*
.0000va 11703E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
a/ 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.
Your application review TARGET DATE is 1
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 Project 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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