2004, 07-16 Permit App: BLD-04-07086 ResidenceSpokane
,.00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
•
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
403 N LONE TREE RD
GREENACRES WA 99016
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS - MODEL HOME
DRYLINE SEWER ONLY
VIKING CONSTRUCTION INC
VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
VIKING CONSTRUCTION
2605 W HAYDEN
HAYDEN LAKE ID 83835
Lot:
Application #: BLD -04-07086
Applied:
Issued:
Expires:
Blk: Parcel No: 55202.0273
Phone: (208) 762-9106
Phone:
Lic No:
(208) 762-9106
VIKINCI988DJ
Zoning:
07/16/2004
01/12/2005
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
131690
20
50 X 49.5
1
3
UNK
UNK
UNK
UNK
r-3
5-n
1
no
no
2
1
2
4
1
1
1
3
1
1
1
1
1
4
3
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
469.18
10.00
1,172.95
4.50
12.00
6.00
12.00
24.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
10.00
4.00
30.00
1,835.63
0.00
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
444--
anninl
Public Works
Initials / Date
1,835.63
SD .00
(<' S
THIS IS NOT A RECEIPT
31
Spokane
.0001valley
UILDING PERMIT APPLICATION WORKSHEET
e Valley Community Development Department
Building Division
..�- �'nra rrr c{venue Suite 106
('� 'j'N1 e�IN,rtj)i'/e ► A 99206
68 -0036; Fax ( ) 688-0037
iuL U 2004
Street Address: )4(--)?
Assessor's Tax Parcel Number(s): 515,4U4 . L'7-713
Legal Description:
PERMIT DESCRIPTION:
Building Permit
Relocation
1"0i4tis\JA \ y , t vr i > (.' iCi "t ((I ()c Y
n Change in Use n Grading
E Manufactured Home
n Tenant Improvement 7 Fire Safety 7 Other
OWNER/APPLICANT INFORMATION
Owner: Nt�C �:'i�� l<< i%,)
Phone: ' 4,!.) Fax:. --(4.,-)t,;
Address: ) t,„:(:,"3 1;
Applicant:
Phone:
Address:
Fax:
City
Contractor:
Phone:
Address:
Fax:
City
State
❑ Archct
Phone:
Address:
Zip Code City
WA State Contractor License #: N' it IM tC: 'J Contact:
Zip Code
x:
4+0
Stat S'/0-rC'�.Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: ....0(
DIMENSIONS:5-O.' Ltct// i,#
OF STORIES: 1
MAIN FLOOR TO SQ. FTG: ` (of c)
2N° FLOOR SQ. FTG: v4A
UNFIN BASEMENT SQ. FTG:
01 A
FINISHED BASEMEN) SQ. FTG:
GARAGE SQ. FTG. 130
DECK/COV. �TIIrO SQ. FTG:
OCCUPANCY GROLT.:_/
S�nXaCC WA(c.... Y
CONSTRUCTION TYPE
p21l
HEATOUR E-
6s►�.5 I�ZtR .
-;1irA
# OF BEDROOMS: 3
TOTAL HABITABLE//SPACE:
11D
IMPERVIOUS AREA:
2JJ �ZC�E
COST OF PROJECT:
30% SLOPES O'1N, /PROPERTY:
t -Y i
SITE C
SEWER ORO EZC.
SYSTEM?
*on1ane
solValley
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start data Permit # PW
APPROACH PERMIT
APPLICATION
Location of property j C �� t ._ h'( - k\d
q Address/Parcel #, if available)
Applicant Name \Ii. ° 't � C 4-i r1 1V .
Address $ 1/2AP
Contractor's Name SLI'
Address )-1
Phone - --Cl/ C,6,
Contractor's Reg# VI 'k. )M Expires II 1
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
nCulvert installation
Commercial/Industrial Driveway
Rural Road Section
nSidewalk Repair/Construction
Pq Other conditions AIl}i7 t; r Q L.
ch
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Ins • ection Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Fees Paid$ Date
Si nature
Init
** TOTRL PRGE.05 **
Stio"lane
4•OValley
Project Address: k Lw ,Pi
Owner: V ‘ k. t x- G
Mailing Address: r.:)(c1:4 F 1j:t n .-\ ='
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: SFR
Phone (Daytime Contact):kr-1(f,9 -9/
City State Zip Code
•Contractor: � - 1 kj�I_a 5-, V S --t License #: 11-.1_04P- LTd l.Phone #: ` i -Q - 6ci 1�3
City State Zip Code
Mailing Address: , c
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
-
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
%
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
0
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6.00
=
6
DISHWASHER
I
X
$6.00
=
7
CLOTHES WASHER
`
X
$6.00
=
8
GARBAGE DISPOSAL
1
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
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
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,X
CARBONATOR, SWAMP COOLER
13
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR:
VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SOlane
40,17alley
Project Address:.TP-)
Owner:
Mailing Address: A
gd
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: T)t"-C-
Contractor:
die c '°10_4\ c a
6.7.,11(3 r'ry
Mailing Address:
License #:
Phone (Daytime Contact):
mak)
City
City
T
State
Phone #:
State
AUTHORIZED SIGNATURE:
J
Zip Code
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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 (WSEC min. AFUE
rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE
rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 -1,000M BTU
X
$39.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
I
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
G
�k
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
3
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
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
1]
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
1
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
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
J
Zip Code
Zip Code
sz-vm phi
SCALE: 1"= 0"
LOT 1 BLOCK 1
COUNTRY CROSSING
SPOKANE VALLEY, WASHINGTON
CROWN OF STREET
P4184WINOPIII
1111 1 11JA414A40Wi!
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1101)011321 ROAD
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l'IP:91;11117::M.PIPM,11:15:17:3,:ifili:p1711PINIII.:rinilltk:A..:;:,!:lill.t.:fl
.....
60.00'
SWALE
ammaksmr.mm •••••••
13BORDER EASMENT
13' UTILITY EASMENT
52'-0''
5'
ZO/Z0 39Vd
ISNO0 9NIAIA
LOSP39L8OZ
ASHLUND
IT:80 VOOZ/ZZ/L0
Cy'RENAGRE5
LEGAL DE5CR IPT1 ON
POINT OF BEGINNING
29`1.`11'
48.94
48.94'
°? •
1'
fi
11'
a
0
.a' 'pr.;
'�
?Ob 19414 E,
oQ
70.90
o►
N' I403 5,
I
LOT 1
11720
130.86'
N
N90'00'006E
LOT 2
si 409 5,
I 13.0' WIDE
tORDER EASEMENT
,IL, -
-10.0' WIDE
UTILITY EASEMENT
10467
130.8 i
0
S
N90'00'00NE
FOUND 5/8" 01A. 5P I KI
20'
20
6,01 WIDE BOAC
DEDICATION
13.0' WIDE
DORDER EASEMENT
13.0' WIDE
UTILITY EA5EMENT