2004, 10-30 Permit App: BLD-04-08073 Residence*Wane
r,, . Malley
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 #:
Job Address: 502 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:
BLD -04-08073
10/30/2004
04/28/2005
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
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
AIR CONDITIONER 3 - 15 TON
sfr
140897
21' 10"
65 X 55
1
3
36
34
7' 6"
7' 6"
r-3
5-n
1
80 X 125
no
no
2
1
2
4
1
1
1
3
1
1
1
1
1
5
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
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
AIR CONDITIONER 3 - 15 TON
Total Calculated:
nphnmrt'IReceipts:
CITY OF SPOKANE VALLEYTh
APPROVED FOR SUBMITTAL
Building
Planning
Public Works_ -04
tal Due:
489.34
10.00
1,223.35
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
5.00
30.00
20.00
1,927.19
0.00
1,927.19
()Li DI .9s3
THIS IS NOT A RECEIPT
CITY
pokane
T1,..va i
'BUILDING PERMIT APPLICATION WORKSHEET
,j; •e Valley Community Development Department
RI tilrling fi icinn
1Tri r- -5nrague Avenue, suite 106
Spokane Valley, WA 99206
,.., R D ium Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
)3D . � . ttr\Q r .€ �
Assessor's Tax Parcel Number(s): e - 55 aur . 0'473
Legal Description:
L°-1 -6IIr ,g LL kL CJcSUT
PERMIT DESCRIPTION:
uilding Permit
n Relocation
Change in Use
n Tenant Improvement
Grading n Litt tuffactured Home
Fire Safety { 1 Other
OWNER/APPLICANT INFORMATION
Owner:
Phone: 10--cout
Address:
Fax: 1144-y5c1
City
Contractor:
Phone:
Address:
State
Zip Code
Fax:
City
State
WA State Contractor License #:
Zip Code
n Applicant:
Phone:
Address:
Fax:
City
State Zip Code
fl Architect:
Phone: Fax:
Address:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:,.
2,1 10 /�
DIMENSIONS:• 1�
6S' 0'' X SS o
# OF STORIES:
I
MAIN FLOOR TO SQ. FTG:
/7 peFINISHED
2N" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
>Ai/A
BASEMENT SQ. FTG:
NA
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
At/j4
OC'CU PAN Y GROUP:
�Sl ENZ'l.�L
CONSTRUCTION TYPE:
:st 'i't,dl
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
•
IMPERV OU SS�JRFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON --SITE SEPTIC
SYSTEM? Ed FR
Sikikane
Project Address:
Owner: V ; E ' i ; "'E t ,� G'I's 4-1_r 's. _^LL
Mailing Address:
Contractor:
Mai ing Address:
•p'kaitt;fr' i
License
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 10F
Spokane Valley, WA 9990.
Phone: (509) 688-0036: Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:""F--
Phone (Daytime Contact): ,-. ..-Ft _: c►L ,I
City, ' State Zip Code
#: LD-:� ht-EV'm Phone #::= E`er'! F -`-Yr
ty State Zip Code
Ci
UCT SYSTEMS
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
X
$10.00
$10.00
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$19-00
22
EVAPORATIVE COOLERS
23
TYPE H000
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
3-15 TON
27
AIR CONDITIONER
15-30 TON
28
29
30
31
AIR CONDITIONER
30-50 TON
AIR CONDITIONER
More than 50 TON
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
32
WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
❑ CASH ❑ CHECK 0 VISA 0 MC
CARD „:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
X
X
X
X
X
X
X
X
X
X
X
SUBTOTAL
$10.00
$50.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
510.00
525.00
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
DESCRIPTION OF WORK
# OF
UNITS
):
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 Tess 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 Tess 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
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)
5 X $1.00
=
UCT SYSTEMS
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
X
$10.00
$10.00
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$19-00
22
EVAPORATIVE COOLERS
23
TYPE H000
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
3-15 TON
27
AIR CONDITIONER
15-30 TON
28
29
30
31
AIR CONDITIONER
30-50 TON
AIR CONDITIONER
More than 50 TON
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
32
WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
❑ CASH ❑ CHECK 0 VISA 0 MC
CARD „:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
X
X
X
X
X
X
X
X
X
X
X
SUBTOTAL
$10.00
$50.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
510.00
525.00
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
S�1
-- 1Taiie
1LD t spne_ Zri
Project Address:
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
Owner: tr.„t! i`` ""c` 1,1 ,
Mailing Address: rft ,1--\ `I i'; U . ; n ;-, a ';=°
Contractor: a .J1 1:_j^.1,i: ,i '' J,J, i (
{ i 1F^1
tE- t
.
Mailing Address: -c.--3L4 'irA s 73.(
;,-'4... .
Permit Use:
r`
Phone (Daytime Contact):.? --7-.
City State
License #: ;)�G l't t C t. i hone #:
City
E \J. --
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
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
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
Q
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
1
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,
CARBONATOR, SWAMP COOLER
'JC
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:
❑ CASH 0 CHECK 0 VISA ❑ MASTERCARD
n,, Tc. FXPIPFR.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
ditik
firf
Sroi COL- TY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
1
Site Address: 502 S LONE TREE LN
Parcel Number: 55202.0273
Subdivision:
Block:
Zoning: UNK
Owner: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID
Building Inspector: LEONARD FLUNO
Water Dist:
Lot:
Unknown
Project Number: 04008253 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
Setbacks - Front: Left:
Group Name:
Project Name:
Phone: (208) 762-9106
Phone: (208) 762-9106
Right: Rear:
Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION License #: VIKINCI88DJ
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1
Total Permit Fee:
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.
$15.00
$100.00
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 #
6643
Payment Amt
$100.00
PERMIT
Spokane
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 04-879 Issue Date 10/30/2004 Account #
Completion Date
Location of Property
502 S LONE TREE
Comments
NEW DRIVEWAY APPROACH
Trench Dimensions
Applicant/Contractor Name Licence # Individual Name
Issued by Kcummings�� Construction Utility
Project Description O O
driveway
AC Cut Required
Viking Construction
Address
2605 W Hayden
Hayden Lake ID 83835 -
Permit Fee
$25.00
Inspection Fee
$25.00
Contractor Phone #
208-762-9106
Account #
Total Fees Collected
$50.00
Permittee Signature Approved
Date (1/9/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 $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (signed) Date
PERMIT MUST BE KEPT ON SITE
wa PLAN
sem""" is a u_ '1 SCALE: 1 "= 20'- 0"
this s** b ptopos*i' is* is pato* k and . LOT 4 BLOCK 2
obtak+in9 of rbt a s COUNTRY CROSSING
repro 1►i VALLEY, WASHINGTON
%irtolsesio stoop
have _ .: •� "
80.00'
ADDRE
SS ,.J.
ZONE 1
ROAD WIDTH 3$
FRONT �� I FLANKING
COMMENTS
REVIEWED BY
CONC.
PORCH AND
SIDEWALK
UNDER
GRO
POWE
SEWER
LONE TREE ROAD
CROWN OF STREET
C REENIBRIAR SPEC