2004, 10-30 Permit App: BLD-04-08071 ResidenceSpokane
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 -04-08071
Job Address: 415 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:
10/30/2004
04/28/2005
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
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
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
AIR CONDITIONER 3 - 15 TON
sfr
108203
19' 7 3/4"
47'6"X50
1
3
36
47
18
12
47
r-3
5-n
1
80 X 130
no
no
2
2
2
4
1
1
1
3
1
1
1
1
4
3
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/Receipts:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMI z .L •
4
LSI 4.41 tip
Z1111> ��0
Building �/ E % . ,;
Planning V .
ra
Public Works 1'1')
al Due:
011 COS--/
THIS IS NOT A RECEIPT
417.66
10.00
1,044.15
4.50
12.00
12.00
12.00
24.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
4.00
30.00
20.00
1,671.31
0.00
1,671.31
avywcalk .5000
04f
—4474/
pokaneO.
Wiley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Rrrilr;inrr (lisiicinn
i 707h_- .�nrague U,venue suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE €NFORIMATIO
Street Address: Le) l Dne
Assessor's Tax Parcel Number(s): VC s' . La -13L
Legal Description: 3 DV C ' r -ki4 Q(0556-1-0
PERMIT DESCRIPTION: Ci r \J . TO. 1,0 d .ft C li C Circ
iicmg Permit
n Relocation
11
Change in Use n Grading
f l Tenant Improvement I I Fire Safety
n Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Owner:
Phone: lt-C110(0
Address:
City
Contractor:
Phone:
State
Zip Code
Address:
Fax:
City
State
❑ Applicant:
Phone:
Address:
Fax:
City
State Zip Code
n Architect:
Phone: Fax:
Address:
Zip Code City
State Zip Code
WA State Contractor License #:\I 1\LIA,CIa:,1/4h-T Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
/ci'--2.1/4iji
DIMENSIQNS:h
Ln "6' i 5.3 -0
# OF STORIES:
1
MAIN FLOOR TO SQ. FTG:
/326
2110 FLOOR SQ. FTG:
id/4
UNFIN BASEMENT SQ. FTG:
liA
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
e4
HEATS URCE:
(,AS rvPtt,
OCCUPANCY GROUP:
2i 5»i -NT -i t-
CONSTRUCTION TYPE:
RCtia.NCIPL
# OF BEDROOMS: 3
TOTAL HABITAALE SPACE:
/-7--4ZSOS�
IMPERVIOUS�URFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? 5-
glomTv0'
Imm
alle3
Project Address:, 4":1i, lane `[rte
Mailing Address: A;:.;1,--=:, LC , 1- ; [;. - V \ j'
Contractor: H njl License
Mailing Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9990.
Phone: (509) 688-0036'; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
#:
Phone (Daytime Contact):,:-';-:- , ,; -.. -(-)ii ; -
City, t State Zip Code
LD- ':) Lir-N, Phone#: ^f ;i-'= 1' -- (-`
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
""V
# OF
UNITS
);
COST =
v�atc
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
5100.00
=
-
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
1
X
$10.00
=
13
RANGE
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)
`i
X
51.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
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 J
$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
510.00
=
32
WOOD STOVE - FREE STANDING
Y.
$25.00
=
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC DATE:
PROCESSING FEE
535.00
CARD #: EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
S�1e
„F\Talley
Project Address: }'{ ��Fj r'4 �j �rf Q
I
Owner: 1 F ;' 'LCA
Mailing Address: /-1%;)
Contractor: V_Ls
Mailing Address: 4 'ti -1 . .
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane valley, v t 9920v
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTION'S, CALL (509) 688-0054
Permit Use: r
Phone (Daytime Contact):;.:.--.-77i,,-.P- ;'E Li( -
`j
City o State Zip Code
License #: ;�;-L ; t CTt6)4 Dhone #: 17
City
is
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALSX
$6.00
=
3
TUBS
++'��
of
X
$6.D0
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
')
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
LI
X
$6.00
=
6
DISHWASHER
%
X
$6.00
=
7
CLOTHES WASHER
V
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,
CARBONATOR, SWAMP COOLER
-,
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
HATE
0 VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
SPOKANE COUNTY
is;DEPARTMENT OF BUILDING & PLANNING
£W. PLANNING
tulik
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOT\. COC QTY
Site Information
Project Information
1
Site Address: 415 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: 04008254 Inv: 1 Issue Date: 11/4/2004
Permit Use: SEWER CONNECTION - COUNTRY CROSSINGS
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
SEWER CONNECTION
License #: VIKINCI88DJ
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
Call 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
1
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 #
6643
Payment Amt
$100.00
PERMIT
Spokane
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.
=xe9elO6
206
40001101I"Valley
ROW Construction Permit
Permit #
Completion Date
ROW 04-877 Issue Date 10/30/2004 Account #
Issued by Kcummings Construction Utility
Location of Property Project Description
415 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 -
Account #
Permit Fee Inspection Fee Total Fees Collected
$25.00 $25.00 $50.00
1 1(
Permittee Signature Approved � Date 1((q(15
9 PP .�-•�
1 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
SITE PLAN
SCALE: 1"= 20'- 0"
LOT 3 BLOCK 1
COUNTRY CROSSING
punAQINE COUNTY, WASHINGTON
w+�
"d toi
ieotea,,.._'�
beingw•M�
ros obtaining sa andsite�n„t
represent .�1
Holt
ens�o^a'' °� ii.
navebeen id" tit lopes
nave�7:ni,.
bodies of
Si9nsd•
Doty
(18'-0"
\11
CONC.
PATIO
80.00'
ADOREss /15- A . buil a /cd
ZONE Lii
ROA4 WIPUVI a 3 S
FRONT 3L ' FLANKING V '
COMMENTS'
REVIEWED BY 4"i4 k'
50'-0"
CONC.
PORCH AND
SIDEWALK
130.75' /c_.
UNDER
4 GROUND
POWER
LONE TREE ROA
SEWER
CROWN OF STREET
SPR INGBLUFF SPEC