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2009, 04-21 Permit App 09001019 Change Roof PitchProject Number: 09001019 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: TURN FLAT ROOF OVER GARAGE INTO PITCHED ROOF Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Date: 4/21/2009 Page 1 oft Contact: BERGSMA, MILES SHERMAN HOWAR Address: 14120 E BROADWAY AVE C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 991-0532 Group Name: Project Name: District: East Parcel Number: 45143.1308 Block: Lot: SiteAddress: 14120 E BROADWAY AVE Location:: CSV Zoning: R-3 SF Res District Water District: 010 VERA Area: 12,436 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: BERGSMA, MILES SHERMAN HO Address: 14120 E BROADWAY AVE SPOKANE VALLEY, WA 99216 Hold: D Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Permits: Released By: Originally Released: 4/21/2009 By: tmelbourn Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VB NEW 0 $2,500.00 0 $2,500.00 PITCH ROOF Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 0 $2,500.00 0 $2,500.00 Units Unit Desc 1 SELECT I SELECT 1 SELECT Permit Total Fees: Fee Amount $83.25 $4.50 $33.30 $121.05 Operator: jmm Printed By: jmm Print Date: 4/21/2009 Project Number: 09001019 Inv: / Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Building Permit $121.05 $121.05 $0.00 $121.05 $121.05 Date: 4/21/2009 Page 2 of 2 Amount Owing $121.05 $0.00 $121.05 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: 4/21/2009 Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 9920e (5 09)68 8-003 6 llggi941G13��037 w1 u1.l; .cli En?Galley.or' APR 2 1 ZOOg Spokane jValley Community Development Residential Constructi M►r QtNitK New Construction Permit Applications , Addition/Remodel Other: PERMIT NUMBER: ? ---r C 1 7 PERMIT FEE: Accessory Bldg Deck SITE ADDRESS: /yap ASSESSORS PARCEL NO: Lite- Uhl/ Gc'a: LEGAL DESCRIPTION: Building Owner: Name: .2,77 j'{s /-,,th Ber35n i 2 Address': pi 2 o F. /3+".3a.04_y Ac'e- State: L . Zip: � ii / City: sp©Ic4.0 y 0.4 // Z.� Phone.Sai) Ili . 0 �`'32 Fax: .,,__— Contact Person Name: %t /3e? r9307 a Phone: 5-4,0 9I/ "c 5 32- Describe the scope of work in detail: Contractor: Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Cost of Project: $ S©c • " / 44-,A /oo over- sae--...-3r in. le/7I-a/;rd ,`oc--P Proposed Use: **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: 4DIMENSIONS: PI 'to ��,# iLix.30 OF STORIES: / / TOTAL HABIT BLE SPACE: N.4 MAIN FLOOR TO SQ. FTG: 2NU FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: ' . IMPERVIO S SURFACE AREA: FINISHED BAS M NT SQ. FTG: ,� GARAGESQ. FTG: 7 Si/V DECK/COV. P 10 SQ. FTG: 4 30% SLO ES ON PROPERTY: # OF BEDROO S: N/4 CONSTRUCTION TYPE: s T i c. HEAT SOUR E: N/4-- SEWER SEPTA 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 be processed. SIGNATUR DATE: ( i/ f Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check ❑ Mastercard Expires: ❑ VISA VIN#: RESIDENTIAL CHECK LIST DIRECTIONS: Place a check mark in box next to each document required for complete submittal. ❑ SITE PLAN o Property lines and dimensions o Direction arrow pointing North and orientation to streets ❑ Proposed/existing buildings (footprint and dimensions) ❑ Utilities, septic tank/drain field locations and distances ❑ Setbacks to property lines ❑ Distance between buildings ❑ Right of way/easement location & sizes ❑ 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 ❑ Perimeter concrete foundation wall sizes ❑ Crawlspace ventilation ❑ Supporting wood cripple walls or beams ❑ Thickened concrete pads supporting 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 ❑ Water heater and furnace locations ❑ Exhaust fan locations ❑ Deck or concrete patio sizes and locations ❑ 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 6mil vapor barrier Miscellaneous Construction Details ❑ Deck: ❑ Floor plan/ side view/ dimensions ❑ Floor Joist/ decking direction, size and spacing ❑ Stairway tread rise & run and nosing ❑ Room usage labels ❑ Smoke detector locations ❑ Attic and crawl space access locations ❑ Fire Wall construction ❑ 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 o Insulation, vapor barrier, gypsum wall board ❑ Sheathing or concrete floor size/ insulation ❑ Footing bottom to finished ground level depth o 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