2004, 10-30 Permit App: BLD-04-08072 Residenceerr cue �III�' \err►
Spot�ane
1 _.0 Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Application #: BLD -04-08072
10/30/2004
04/28/2005
Job Address: 412 S LONE TREE RD
GREENACRES WA 99016
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
VIKING CONSTRUCTION INC
VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
VIKING CONSTRUCTION
2605 W HAYDEN
HAYDEN LAKE ID 83835
Lot: Blk: Parcel No:
Phone: (208) 762-9106
Phone:
Lic No:
(208) 762-9106
VIKINCI988DJ
Applied:
Issued:
Expires:
Zoning:
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
CURRENT PROPERTY SIZE
SEVED BY SEPTIC SYSTEM
WELLS LOCATE 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
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
AIR CONDITIONER 3 - 15 TON
sfr
169183
26' 9"
48X35'6"
2
3
36
53
12
20
r-3
5-n
1
80 X 125
no
no
4
3
3
6
1
1
1
3
1
1
1
3
4
1
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
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
AIR CONDITIONER 3 - 15 TON
Total Calculated:
Deposits/R - ceipts:
CITY OF SPOKANE VALLEY)
APPROVED FOR SUBMITTAL
Building
Planning
Public Works
Due:
4'1/
rn
to
N
554.30
10.00
1,385.75
4.50
24.00
18.00
18.00
36.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
3.00
40.00
20.00
2,194.55
0.00
2,194.55
5-000
.9ke
b(-1001 E1/405 -
THIS IS NOT A RECEIPT
00"01,
Sioliane
400%11
4r
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
1
STREET ADDRESS:
a (S e
ASSESSOR'S TAX PARCEL NUMBERR((S): / �✓�i J {7 f\ 5 3 DO .t' 1 3VIL QueQ-)-krL iosu'r)
LuA
LEGAL DISCRIPTION:
PERMIT DESCRIPTION:
ILI UILDING PERMIT
® RELOCATION
ID CHANGE IN USE a GRADING
D SIGN °TENANT
® MANUFACTURED HOME
E OTHER
OWNER / APPLICANT INFORMATION
51 OWNER: V _LYY'
PHONE: �Q� r(tli)
ADDRESS:diLn
FAX: LCt'5 1
CITY,STATE, ZIP
CONTRACTOR: SL -
PHONE: FAX:
ADDRESS:
CITY,. STATE, ZIP
WA ST CONTRACTOR LICENSE # 11t11s \ Vet
ID
APPLICANT:
PHONE:
ADDRESS:
CITY, STATE, ZIP
FAX:
ARCHITECT:
PHONE:
ADDRESS:
FAX:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30% SLOPES ON PROPERTY:
ki/A
�!
BUILDING HEIGHT TO PEAK: 2d-`1 OCCUPANCY GROUP:
431.>€35-c-6
BUILDING DIMENSIONS: +CONSTRUCTION TYPE:
NUMBER OF STORIES: Z
NUMBER of BEDROOMS:
FLANKING SETBACK: K1/06r
FRONT SETBACK: ✓ (ot " �"
REAR SETBACK: t 31 +
LEFT SETBACK: 1
RIGHT SETBACK: 2 0
STRUCTURES ON PROPERTY: I\l//ac-
CRITICAL AREAS: 1vlQ
CURRENT PROPERTY SIZE: & L \
%ZS I COVERED DECK: IJ
CURRENT PROPERTY USE: (2C; t Cn„LritA;,,,
CURRENT SEPTIC USE: 'F.ZVV ��°`5Z--
CURRENT WELL USE: N/ A'
IMPERVIOUS SURFACE AREA: Z 4,c)
1
MAIN FLOOR SQ FT: 32
2ND FLOOR SQ FT:
UNFIN BASEMENT: azA
FINISHED BASEMENT: /J) A -
GARAGE: 5 50 SO • F T
DECK: I�,1
SaTvoriel.
Kane
,..4N IFT
Project Address: M t 9- 'j""Q__ V.%
Owner: �`
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, VbA 99206:
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: k "r
Mailing Address: ->'.',,f);' -)C\ 'ii..`; LIP, ; i; )
y..
T TV i
Contractor: %-:.✓_. _c,r,' i Fi ,-i!^ t" i :f
Mailing Address: 54 %b--,,> 1 � .ti k , `�l , °."'N .
Phone (Daytime Contact):?L.�-7;,- `� -9; !•
City R State Zip Code
License #: >Et,? #:
t.
Ii
/
City y State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
4
Zip Code L
DESCRIPTION OF WORK
*OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1�
J
X
96.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
3
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
96.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
1
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,j�
CARBONATOR, SWAMP COOLER
3
X
$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
naTG•
0 VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
935.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
4
Zip Code L
Project Address:. ����� 1 -4P -_e
Owner:\//���' ��
�aU�oAddress: [y� . ���' ���� [\ 2A r,
` n
Mai ing Address: �,7 `;)
Contractor:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707E Sprague Avenue, Suite 106
Spoka:eyeiie} MA 0920.
Phone: (509) 688-0036: Fax: (509) 688-0037
FOP INSPECTIONS, CALL (509)68J'0054
Permit Use:
Phone (Daytime `Da' ' , - Phone--~-
ttja d_
State Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTIOW OF WORK
ii.. OF
UNITS
c
COST
=
TOTAL
AMOUNT
�
FUEL BURNING AppLwcs
m
Equal or /emthan�ou.000
1
X
$,s.00
=
2
FUEL BURNING AppuAwcs
More than me.000
X
$19.00
~
3
UNLISTED APPIIANCE (Additional Fee)
Equal morless than 4nn.000
x
$50.00
~
4
UNLISTED APPLNCE (Additional Fee)
More than 400.cmo
X
$100.00
=
s
USED APPLIANCE (woscmin, AFUE
rating)
Equal to or less than 400,000
X
$50.00
=
s
USED APPLIANCE ONSEC min. AFUE
rating)
'
More than 400,000
X
o100o0
=
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.rxowBTU
X
$95.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
110.00
=
13
RANGE
x
$^o.00
~
14
DRYER
X
$10.00
~
15
FUEL BURNING WATER HEATER
X
$10.00
~
16
MISC. FUEL BURNING APPUANCE
X
$10.00
~
17
GAS PIPING (each outlet)
,�
x
*1.o0
~
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR I-IAMDLER (DOES NOT include ducting)
Equal mv,less than 1o.nouCFM
X
$12.00
=
21
AIR HAWDLER (DOES NOT include ducting)
Greater than 1u.00uCFM
X
*19.00
~
22
EVAPORATIVE COOLERS
X
$10.00
~
23
TYPE /HOOD
'
X
$50.00
=
24
TYPE 1 HOOD
1
x
$10.00
=
25
HEAT PUMPIAIR CONDITIONER
0-3 TON—
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
1
X
520o0
~
27
AIR CONDITIONER
15-30 TON
X
525.00
~
28
AIR CONDITIONER
30-50 TON
X
*35.00
~
29
AIR CONDITIONER
More thari 50 TON
x
560o0
30
LPG STORAGE TANK
510o0
31
WOOD ouPELLET sTovE/eSEnr
»
110.00
~
32
WOOD STOVE - FREE STANDING
x
$usuo
~
METHOD OF PAYMENT:
OoAoH OCHecK OvmA 0 M
CARD t',*
SUBTOTAL
DATE: �
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Sroi ANT Cot\TY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
1
Site Address: 412 S LONE TREE LN
Parcel Number: 55202.0273
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID
Building Inspector: LEONARD FLUNO
Water Dist:
Project Number: 04008252 Inv: 1 Issue Date: 11/4/2004
Permit Use: SEWER CONNECTION - COUNTRY CROSSING
Applicant: VIKING CONSTRUCTION
2605 W HAYDEN AVE
HAYDEN, ID
Contact: VIKING CONSTRUCTION
2605 W HAYDEN AVE
HAYDEN, ID
Phone: (208) 762-9106
Phone: (208) 762-9106
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
1
Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION License #: VIKINCI88DJ
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Ca11 for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
11/4/2004
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt # Payment Amt
6643 $100.00
PERMIT
Spokan ~
jUalley
Inspections performed 10 days after
scheduled completion to schedule call
(509)688-0195 or Fax (509)688-0037. Any re-
inspection will incur an additional $25.00
charge.
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
ROW Construction Permit
Permit # ROW 04-878
Completion Date
Issue Date 10/30/2004 Account #
Issued by Kcummings Construction Utility
Location of Property Project Description
412 S LONE TREE driveway
Comments
NEW DRIVEWAY APPROACH
Trench Dimensions AC Cut Required
Applicant/Contractor Name Licence # Individual Name
Viking Construction
Address Contractor Phone #
2605 W Hayden 208-762-9106
Hayden Lake ID 83835 -
Permit Fee
$25.00
Inspection Fee
$25.00
Account #
Total Fees Collected
$50.00
Permittee Signature Approved
/ Dater ((9 /N
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Credit Card # Expiration Date
Name of Holder Signature
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (signed) Date
PERMIT MUST BE KEPT ON SITE
no�otosoTMFv�+°1d
commENp li
HE�tE
SITE PLAN
SCALE: 1" = 20' - 0"
LOT 3 BLOCK 2
COUNTRY CROSSING
SPOKANE VALLEY, WASHINGTON
This silo plan is being submitted for the purpose of
obtaining a bila permit and is a true and correct
representation of the proposal. All known property
lines/dimensions. curb lines, structures and easements
have been of� . M Indicated are wetlands,
bodies . steepslopea . other PcrMlcAt areas.
Signed:
80.00'
IV
N
kri
12'-0"
48'-0"
20'-0
0
N
UNDERGROUND
POWER
10' WIDE
UTILITY
EASEMENT
WAT
72'-0" '
LONE
80.00'
TREE ROAD
SEWER