2011, 07-28 Permit App 11002250 2 Story GarageCITY OF
Spokane
''Ualleyx
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
0ermitcenter@sookanevallev.orq
a NEW CONSTRUCTION El ADDITION/REMODEL ❑ ACCESSORY BUILDING
El DECK ❑ OTHER
SITE ADDRESS: / 9_� j J
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: / Le, / % l 11/'�4
ADDRESS: (J'v
STATE: (34)/47
/�j
PHONE:(. 7) y') � 02 [� - %d J FAX:
CONTACT NAME:
PHONE:(4.--e? ) -��6 �j ``� FAX:
CONTRACTOR NAME: (?j\\(y.)Y1O. �� q -6**,1--
MAILING ADDRESS: ,e % D 7�
CITY: (/z (jj
PHONE:(,5— ..-f%df
CONTRACTOR LICENSE No.:
STATE:
FAX:
EXPIRES:
ZIP: 929.k) 7
CELL:
cEL.6.5--vq) 9a ' .9/( 7
zIP: •: 99 e /7
CELL: �5-D 2) c2 yd ' 7` /' / �J
CITY BUSINESS LICENSE NO.:'
CRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Height to Peak:
.- {e7
Main Floor
FT:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Garage SQ FT: 92 4
Dimens
Upper Floor SQ,FT
No. of Stories:
Unfinished Basement SQ
FT:
Total Habitable
Space:
Finished Basement SQ
FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:,;
TOTAL COST OF PROJECT: $
Heat Source:,, r,
Sewer or Septic:
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 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.
Signature %� / 9 ���� Date: 7 - 77 //
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit= _Residential_11-11-11.doc
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions
o Direction arrow pointing North and orientation to streets
o Proposed/existing buildings (footprint and dimensions)
o Utilities, septic tank/drain field locations and distances
o Setbacks to property lines
o Distance between buildings
o Right of way/easement location & sizes
o Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
O Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations
o Perimeter concrete foundation wall sizes
o Crawlspace ventilation
o Supporting wood cripple walls or beams
o Thickened concrete pads supporting
beams or girder trusses
O Floor Plan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing
o Header, beam or concrete lintel sizes
o Brace wall panel locations
o Water heater and furnace locations
o Exhaust fan locations
o Deck or concrete patio sizes and locations
❑ Roof Plan:
o Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
o Slope/ roofing material/ underlayment/ ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Height/ top plate/ stud size and spacing/ sole plate
o Exterior sheathing size and type
Floor
o Joist size and spacing
Foundation Wall
o Concrete or Masonry unit width
o Earth to wood separation distance
Footing
o Size
Radon
o Passive system with 6mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
0 Stairway tread rise & run and nosing
o Window and door location and sizes
o Window well locations if applicable
o Room usage labels
o Smoke detector locations
o Attic and crawl space access locations
o Fire Wall construction
o Ridge, eave and valley lines
o Beam and girder size and location
o Truss or rafter size, spacing & connection
o Attic insulation/ air space baffle/ ventilation
o Size of ceiling gypsum wall board
o Siding/ exterior house wrap/ anchor bolts
o Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor size/ insulation
o Footing bottom to finished ground level depth
o Horizontal & vertical reinforcement if any
o Reinforcement if any
o Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
Spokane
Valley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenterr spokaneval lev. ore
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial
7
Residential
SITE ADDRESS: 11�--�=�
Building Owners/-
Name: ✓7-Pax:
Phone: J �C.
/� /J /�J /� �q r-�
Address: /C/. �_)b��T� Cityi �/,2%L"/�^ ,r�r%o State} i4. Zip:YC%CJr %
Contractor �C(/,, /; ,.,{- Al
cad -
Name: / - Phone: Fax:
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager. Ii _t /1
1
Name: Phone: ,-7y4 "J2a6-Sit'?-
# OF UNITS
PLUMBING FIXTURE ON ATRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
/
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE;, i
EXPIRES:
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\ Plumbing Permit Application 04-03-09 dg.doc
Permit Center
*Wane 0.001\11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
.60001.Valler (509)688-0036 FAX: (509)688-0037
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application
PERNIIT NUMBER:
PERMIT FEE:
Commercial ,,Residential
SITE ADDRESS: . " : (F, /;„A
Building Owner,
C' �iSI�LL, - m` i
Name: 2 „
Address: C/ /,j
Contractor
Name:
Phone:
cit — G -(, 44
Phone.
ax:
State:
Fax:
Zip: 97'/1 }1�
Address:
City:
State:
Zip:
License No:
Contact/Project Manager:
Name:
City Business Lic:
Phon
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
i
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
'
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp-100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 -15 hp —100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
Over 50 hp — over 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
EXPIRES:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
VIN:
hitp://www.spokanevalley.org/uploads/Community—Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
Project Number: 11002250 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2 STORY STORAGE GARAGE
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000000 Name: Range
Parcel Number: 55082.0145 Block:
SiteAddress: 19312 E BUCKEYE AVE
Location:: CSV
Date: 7/28/2011 Page 1 of 3
Contact: STALLMAN, VERLA-CHAPPELL, SHAR
Address: PO BOX 604
C - S - Z: OTIS ORCHARDS WA 99027
Phone: (509) 226-3788
Group Name:
Project Name:
District: East
Lot:
Owner: Name: STALLMAN, VERLA-CHAPPELL,
Address: PO BOX 604
OTIS ORCHARDS WA 99027
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 1.58 Acres Width: 0
Nbr of Bldgs: 0
Review Information:
Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Septic Sys Review
Released By:
Originally Released: 7/28/2011 By: tmelbourn
Released By:
Originally Released: 7/28/2011 By: LHALSEY
Landuse/Zoning/HE Conditions
SEE CONDITION
Permits:
Released By:
Originally Released: 7/28/2011 By: mharnois
Operator: JD Printed By: JD
Print Date: 7/28/2011
Project Number: 11002250 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/28/2011 Page 2 of 3
Building Permit
Contractor: HOLLEN CONSTRUCTION INC Firm: HOLLEN CONSTRUCTION INC
Address: Po Box 13596 Phone: (509) 922-1596
SPOKANE WA 99213
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
GAR WOOD U-1 VB 1,736 $32,984.00 1,736 $32,984.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Totals: 1,736 $32,984.00 1,736 $32,984.00
Units Unit Desc Fee Amount
1 SELECT $472.05
1 SELECT $ 118.01
1 SELECT $4.50
Permit Total Fees:
Mechanical Permit
$594.56
Contractor: HOLLEN CONSTRUCTION INC Firm: HOLLEN CONSTRUCTION INC
Address: Po Box 13596 Phone: (509) 922-1596
SPOKANE WA 99213
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS 1 DUCT
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$ 11.00
$13.00
$11.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: HOLLEN CONSTRUCTION INC Firm: HOLLEN CONSTRUCTION INC
Address: Po Box 13596 Phone: (509) 922-1596
SPOKANE WA 99213
Item Description
TOILETS/BIDETS
SINKS
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$6.00
$6.00
Permit Total Fees: $12.00
Operator: JD Printed By: JD
Print Date: 7/28/2011
Project Number: 11002250 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/28/2011 Page 3 of 3
Notes:
DRIVEWAY MUST BE PAVED TO GARAGE-MH
APPROACH PERMIT MUST BE SUBMITTED AND APPROVED BEFORE RELEASE OF
BUILDING PERMIT 11 -1905. OWNERS KNOW OF THIS CONDITION -
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$594.56
$35.00
$12.00
$641.56
$594.56
$35.00
$12.00
Amount Paid
$130.64
$0.00
$0.00
$641.56 $130.64
Amount Owing
$463.92
$35.00
$12.00
$510.92
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: JD Printed By: JD Print Date: 7/28/2011
Spokane
#Valley®
For City Use Only
PLUS Project Number
Project Address
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.
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 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
Project
Transmittal
City of Spokane Palley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
Newprojee ❑
Previous pre-app meeting El
Plan revisions
Transmittal Date:
Thursday, July28, 2011
Site Address: 19312 E BUCKEYE AVE
Parcel Number: 55082.0145
Zoning: R-4
Fire District: FD 01
Project Number: 11002250
Water District: CONSOLIDATED ID #19
Applicant:
e-mail:
Contact:
e-mail:
Contractor:
STALLMAN, VERLA-CHAPPELL, SH
PO BOX 604
OTIS ORCHARDS WA 99027
(509) 226-3788
STALLMAN, VERLA-CHAPPELL, SH
PO BOX 604
OTIS ORCHARDS WA 99027
(509) 226-3788
HOLLEN CONSTRUCTION INC
Po Box 13596
SPOKANE WA 99213
(509) 922-1596
Owner: STALLMAN, VERLA-CHAPPELL, S
PO BOX 604
OTIS ORCHARDS WA 99027
e-mail:
Occupant:
e-mail:
Arch / Engineer:
e-mail:
Project 2 STORY STORAGE GARAGE
Description:
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
APPLICATION
SITE PLAN
PLANS
Please send all plan review and project comments via e-mail to the
highlighted individuals.
Target Date sheet
sii�i;s*mmmi
Valley®
For City Use Only
PLUS Project
Project Address
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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
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.
CD-003 V-7/ 06-21-11 Page 1 of 1
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