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2004, 06-04 Permit App: BLD-04-04493 ResidenceCITY OF� Spokane „sof 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 -04-04493 Job Address: 615 S MCMILLAN 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: 06/04/2004 12/01/2004 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 RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE 11 HOOD AIR CONDITIONER 3 - 15 TON sfr 166420 18' 10" 57 X 61 1 3 30 55 5 8 r-3 5-n 1 11952 no no 3 2 3 5 1 1 1 3 1 1 1 1 4 3 1 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS AIR CONDITIONER 3 - 15 TON Total Calculated: Deposits/Receipts: Th CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Building Planning initials / Date 47, Public Works_ 6)L(-- r' THIS IS NOT A RECEIPT j tal Due: 547.58 1,368.95 4.50 18.00 12.00 18.00 30.00 6.00 6.00 6.00 18.00 15.00 10.00 10.00 10.00 4.00 30.00 20.00 2,134.03 0.00 2,134.03 ketark:. 51) 'DO gig�� Spokane .000Vatleu BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 117,7 r. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 1 11-1LS,La I P- �n�< Assessor's Tax Parcel Number(s): �x)C6Ak Legal Description: PERMIT DESCRIPTION: 1i fl( . 1` LI t1(:)LLL C G Building Permit n Relocation Change in Use I 1 Grading Tenant Improvement PI Fire Safety (U,(1,4 (ICt 7 Manufactured Home f Other OWNER/APPLICANT INFORMATION Owner: l\i_t_N i QLThV 1 CA IL 11) Phone: (-=-lti;).ciICAt Fax: anti '10`;V(4.5C7 Address: ,9.0 t r, .f'. 1-1ru 0, 0 I\L.e 1 i, e o M x,: , 35 City \ State Zip Code D/ Contractor: y fi(l L Phone: Fax: Address: City State Zip Code Applicant: Phone: Address: or \AL Fax: City State Zip Code 7 Architect: Phone: Fax: Address: City WA State Contractor License #: \ 1V .\VIO \g ` Y;VS Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: i DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP:, CONSTRUCTION TYPE: _ HEAT SOURCE: # OF BEDROOMS: ,7 TOTAL HABITABLE SPACE: ..._ IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: /o..) A SEWER OR ON-SITE SEPTIC SYSTEM? MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Tent: Valuation: Paint Booth: Fireworks Display: Blasting: Date/Time: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING n CONCRETE n REINFORCEMENT ❑ WELDING Firm Name: Phone: Fax: Inspector(s): DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) fl Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: Sliolane 4,Valley Project Address:. Owner: 1 Mailing Address: A Contractor: Mai ing Address: C.)117, -VP ri'\ 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: 5'1- (- Phone (Daytime Contact): 0., 1 t S ��) t City, State Zip Code huh Phone #: - 4,5t State Zip Code License #: 1 Ci AUTHORIZED SIGNATURE: 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 095.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE 1 X $10.00 = 14 DRYER X 010.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X 010.00 = 17 GAS PIPING (each outlet) 1 /,A X 01.00 = 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 ` 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 STOVEIINSERT 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: *lane jValley Project Address: 'L-1.2‘` �) iC Y(A i�viC� Owner: k k_( `i : Mailing Address:-,�r)(:)Iss 1i Mailing, Address: tt- �� `< -k Contractor: 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: SPR Phone (Daytime Contact): ; ---it.- 9 -- 91 Q, 1-LCU -T6 City State Zip Code License #: > :L k \ C2Th lPhone #: - Q j - 6ci Vo-ct (:(L_ L J . i G% City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 4'', X $6.00 = 2 URINALS X $6.00 = 3 TUBS 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 `= J 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 %) 1J 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 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: I 06/28/2004 12:13 Sp01;.-L4 Cowry 2087624507 V1K1NG C UNb I SPtOKANE COUNTY DEPARTMENT OF BUILDING & PLA.NINJNG 1026 WEST BROADWAY AVENUE " SPOKANE. WA 99260-0050 Site Information rHar= UG/U4 Site Address: 615 S MCMiLLAN RD OREENACRES, WA 99016 Parcel Number: 55202.1207 Subdivision.: Block: Lot: Zoning: UNK Unknown Owner: V11.(ING CONSTRUCTION INC .Address: 2605 W HAYDEN 'HAYDEN LAKE, ID 83835 Building .Inspector: JOIN LARSON Water Dist: Project Information Project Number: 04004016 ' Inv: 1 issue Date: Permit Use; SEWER CONNECTION-.ASHE.R PLACE Applicant: VIKING CONSTRTJCTION INC 2605 W HA.YDEN AVE HAYDEN, 11) 83835 Cnattaact.: VT1<fl40 CONSTRUCTIc)N iNC 26(.15 W IIAYD.EN AVE HAYDEN, ID 83435 Phone: (208) 762-9106 Setbacks - ]Front: Left: Right: Rear: 6/11/2004 Phunc: (2081762-9106 Group Nairne: Project Namc; Permits Sewer Connection .Permit Contractor: VIKING CONSTRUCTION License #: VIKINCI88.1).r SEWER CONNECTION 1 $85.00 PROCESSING FEE' 1 $15,00 Total.Pctmlt Tec, 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 chtb prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and arc clear and unobstructed to the main sewer, Sever lines simuld be constnicted to allow for gravity flow from the lowest level of the structure. This permit must he 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 Ti•IAT PRIOR TO ANY EXCAVATION T.T.-1E "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU 1)1G 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. $100,00 Total Fees Amorint;Paid A.mountOwing $100.00 $100,00 $0.00 Payment Summary TrI a�Daite 6/11/2004 Procet.erl By:.i3URRIS, ROBiN Printed. By: WBNDEi., GLORJA Page 1 of 1 Receipt # 3137 Payment Amt $100,00 PERMIT 1 bb/2 /1db4 14:4( 11J8/b2450/ SITE PLAN SCALE: 1" = 20' - 0" 70.5' V1K1NU UUN5I h'HUL YJl / CLL • � being MO ibrpPuiPi refningbuilding P° fa kW ofINeppie/. 1411 Itftorm prq din a Won !deny lift Ilk "pp mason ' gym..Wolifo�w� !^ LOT 7 BLOCK 1 ASHER PLACE SPOKANE VALLEY, WASHINGTON 57'-0" ZONE ROAD VYIOTN FRONT F COMMENTS REVIEWED ratdcbt • r 4., UNDERCROUN1) I ..................... POWLR r - - r WATliR IYEASWEN7'►--_-- QEWEIE gASEM11NT UTILITYCA.FR T 1 r EWER �J 7' 25.00' McMILLAN ROAD WILLER *lane 40,17alley Call 24 hours before inspection required Phone 509.688-0036 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # APPROACH PERMIT APPLICATION Location of property_ L_D 5 fl ddress/Parc Applicant Name ‘\1+, t( Address Contractor's Name Address c -t Rhone �> (0---qi , Contractor's Reg# V l V.,1‘. 1 Qtt Expires .-(-4 I krp PROJECT DESCRIPTION (Provide site sketch) Residential Driveway n Existing Curb & Gutter n Culvert Installation 171 Other conditions ECommercial/Industrial Driveway LJRural Road Section 17 Sidewalk Repair/Construction See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. SPECIAL CONDITIONS: Inspection Fee$ -EI O I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Name of Holder Fees Paid$ Expiration Date Signature Date init ** TOTAL PRGE.05 **