2004, 09-22 Permit App: BLD-04-07720 Residence*Wane
.00•1rValley
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 -04-07720
Job Address: 509 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:
09/22/2004
03/21/2005
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
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
106735
19' 3"
55 X 46
1
3
36 (?)
44' 7"
12' 6"
12' 6"
r-3
5-n
1
10455
no
no
2
2
5
1
1
1
3
1
1
1
1
3
4
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
CITY OF SPOKANE VALLEVial Due:
APPROVED FOR SUBMITTAL
Building
Planning
Initials / Date
413.18
10.00
1,032.95
4.50
12.00
12.00
30.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
3.00
40.00
1,638.63
0.00
1,638.63
Spo
4(O�Y
tr OO —Y
Public Works C 0
dy
N Mp,
/041
THIS IS NOT A RECEIPT
Spokane
.00%ai[ey
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. -Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: i '� L
Assessor's Tax Parcel Number(s): c,j(? X \ _) F )Lf)
Legal Description:
t
PERMIT DESCRIPTION: Ork t\d°o , l OA L 4 _L.� ALL cv-ki au E%
WBuiiding Permit Change in Use 1 Grading
n Relocation
n Tenant Improvement [1 Fire Safety
n Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Er
Owner: Vr :, 01:: Vi i')4t'l a". t LO : i'1Rr pp
Applicant: `,3t1-;,,,\.
Phone:.X., -k : c 2,i Fax: "r -1L-,) -t-G(.1 Phone:
Address: -91.c(-,(:) , . 1.-Vis404 'v
City State Zip Code City State Zip Code
Q7 Contractor: >0_1,,r'
❑ Architect:
Phone: Fax: Phone: Fax:
Address:
Fax:
Address:
Address:
City State Zip Code City State Zip Code
WA State Contractor License #: ..lct{r5t,,M
Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
61 ' _ 77,Az
DIMENSIONS: i,
5' '-Y„ 4f6'D
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
4/44e
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
Iz f h NT./ Ilc
CONSTRUCTION TYPE:
R(SiAEtlt1'(L(..
HEAT SOURCE:
C.71dS
# OF BEDROOMS:TOTAL
3
HABITABLE SPACE:
J I5J/`
IMPERVIOUS SURFACE AREA:
?
COST OF PROJECT:
30% SLP S ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? 3EwF,K
si�"4,ley
Project Address:. )
Owner: /
Mailing Address: L ; LC
Contractor:
Mai ing Address:
fil\r"110,3
1'1"\
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: S `-
License #:
� u
Phone (Daytime Contact):
tA_ f\
Citt
LG F h
Ct
City
State
Phone #:
State
AUTHORIZED SIGNATURE:
Zip Code
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
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
1
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
I
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
3
X
$1.00
=
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
I
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 TON
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:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Zip Code
Siaane�
„0"allec
Project Address: C) U1-*_ 1--C
Owner: V'tk. et -i i ') 5k-k'I.,..:'i1.Ai
Mailing Address:F , 1.A.') , `I 4y (: I r � '� '
Contractor: i—,1 b'ya t , , ,i~ F ,,-1
Mailing Address: 3LA t > i2#.[ t ;�^;, rt
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: Sr'P.
Phone (Daytime Contact):'
City ► State
License #:1 A=.L f - LTtlllPhone #:
' t n t
City State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
Fc l a�
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
-Q
X
$6.00
=
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
i
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
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 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
Fc l a�
Zip Code
SITE PLAN
SCALE: 1" = 20' 0"
LOT 5 BLOCK 1
COUNTRY CROSSINGS
SPOKANE VALLEY, WASHINGTON
........... .... --• • -
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This site plan is being subrrilitliklOti:E010,1: papa"'01. • ••• -•• - .-- ...
ow ;rifling a building permit libr4,iik:111014111$#)poirt4itilDGES ROAD
• •;entation of the prop0101,,,M11!14401101(0111,.,'.111110011.111i.,:..!!!.••,,!!.:i:,i,..i,:,:.....,!,!!.!!„.,
diolensions. curb lines, ilittOliiillf011100.1010,0011.11.01iii:,Ey:1.;!,!!!]'-':.:i,]:li:,gi!],!:.•:,:-:]..i,
1..,..,, en 1(1..Iti1ied. Also ifidicatia W.-
t water ep slopes critical
101 . 80.00'
Signabii
ed: ....., • • __,....---........,.,-.,
t ,_ \ Cc-- ‘. ....•. „hot: ‘
I t2W-41V [11,1111111k
Date:
PROPERTY LINE
LONE TREE STREET
TOTH A