2010, 10-04 Permit App 10003179 Pole BldgProject Number: 10003179
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Project Information:
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 000077 Name: Range
Permit Use: 24 X 30 POLE BLDG
Date: 10/4/2010 Page 1 of 2
Contact: VAN ZANDT, ROLAND C
Address: 17308 E 4TH AVE
C - S - Z: SPOKANE VALLEY, WA 99016-9326
Phone: (509) 891-8734
Group Name:
Project Name:
District: East
Parcel Number: 55192.1407 Block:
SiteAddress: 17318 E 4TH AVE
Location:: CSV
Zoning: MF-1
Water District: 134
Area: 8,508 Sq
Nbr of Bldgs: 1
Review Information:
Lot:
Owner: Name: VAN ZANDT, ROLAND C
Address: 17308 E 4TH AVE
SPOKANE VALLEY, WA 99016-932
MF MDR District
CONSOLIDATED ID #19
Hold:
Ft Width: 71 Depth: 120 Right Of Way (ft): 50
Nbr of Dwellings: 1
Review
Building Plan Review
Released By:
Originally Released: 10/4/2010 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
SEE CONDITION
Driveway/Approach
Permits:
Originally Released: 9/29/2010 By: mharnois
Released By:
APPROACH PERMIT REQUIED
Originally Released: 10/4/2010 By: TMELBOU
Operator: JD
Printed By: jmm
Print Date:
10/4/2010
Project Number: 10003179 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Description Grp Type Notes
POLE BDLG U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Building Permit
Date: 10/4/2010
Page 2 of 2
Firm: OWNER
Phone: (000)
This Application:
So Ft Valuation
1,200 $22,800.00
Totals: 1,200 $22,800.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Notes:
DRIVEWAY TO GARAGE MUST BE PAVED-MH
000-0000
Total Project:
So Ft Valuation
1,200 $22,800.00
1,200 $22,800.00
Fee Amount
$363.25
$90.81
$4.50
$458.56
Payment Summary:.::
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing.
Building Permit $458.56 $458.56 $59.31 $399.25
$458.56 $458.56 $59.31 $399.25
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: jmm
Print Date: 10/4/2010
Spokane
dUalley
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
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1.ANNING DEPT. APPROVED
.9/9X.0
DATE:
__-_ ` 3d_-
s
Spokane
Valley.
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanevalley.org
PERMITNUMBER/ 3/79
PERMIT FEE:
n New Construction
Addition/Remodel
n Other:
Accessory Bldg
Deck
SITE ADDRESS: l 73/ g /71i1Ave- 6-e 4,14C%r'e) / �- gy-o/
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
J %/
Name: 80 t—f n d C.Vr A. 7.4 I7 d
Address: / 7 3/ ir f y(-4, A r/`c.
City: 5pc,d<co, e 1/!9'i/e7 Stater /4_ Zip? fr/1
/
Phone: 3nU q_ ti/ 3 _ /J { f.. yFax
Contact Person
Name: f� C V cm , Ci n c
Phone: 5j ! _ tyzif
Describe the scope of work in detail:
Contractor: /- C Cd yt 5+ft/C 416ri
Name: Ch `'i 5 A/c,'v -c'e
Address: /Gta(_( //.i ✓0
P�
/
City: c%dkV
State: /'rL
e. ! / //
f
Zip:9f0,
Phone: q _ �69^ s-6 6 Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
Cost of Project: $ /2 000
Proposed Use: 6/1VG.
**************The following MUST be complete: (write N/A if not annlicable)**********************
HEIGHT T¢-PEAK:
DIMEI)ISIONS: f
# OF STORIES: 1
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
22 FLOOR Q. FTG:
i / n
UNFIN BASEMENT SQ. FTG:
k/
IMPE VIO SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: IL/O
GARAGE SQ. FTG:
6
DECK/COV. PATIO SQ. FTG:
k j k
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
/1-//4—
ViSe-
T71,4,2UCTTYPE:
,a
HEAT SOURCE: `EWER OR SEPTIC?
/wii— -- ,i%i4-
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 bproceyssed.__-
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
DATE: 47
❑ Mastercard ❑ VISA
Expires: VIN#:
C^ "
Project
Name.
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
❑ 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
o Footing sizes and locations
o Perimeter concrete foundation wall sizes
o Crawlspace ventilation
❑ Floor Plan of each level (finished or unfinished) with
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
❑ 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/
o Sheathing size and type
Ceiling
0 Joist size and spacing
Wall
❑ Height/ top plate/ stud size and spac
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
❑ Size
Radon
❑ Passive system with 6mil vapor barrier
grade):
o Supporting wood cripple walls or beams
❑ Thickened concrete pads supporting
beams or girder trusses
dimensions:
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
❑ Ridge, eave and valley lines
❑ Beam and girder size and location
ice dam protection o Truss or rafter size, spacing & connection
❑ Attic insulation/ air space baffle/ ventilation
ng
o Size of ceiling gypsum wall board
/ sole plate ❑ Siding/ exterior house wrap/ anchor bolts
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
O Stairway tread rise & run and nosing
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