2004, 06-21 Permit App: BLD-04-04666 ResidenceSpokane
4Malley
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 -04-04666
Job Address: 620 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:
06/21/2004
12/18/2004
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
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
169513
26' 9
48 X 35 6
2
3
25
49
11
10
r-3
5-n
1
70 X 144
no
no
3
2
2
5
1
1
1
3
1
Fees:
PLAN CHECK FEE
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
TYPE 11 HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
ne
REVIEWED FOR CODE COMF
NG D
SPOKANE VALLEY BUIL
1b1/c1
1
3
4
1
Total Calculated:
Deposits/Receipts:
Total Due:
554.30
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
10.00
1,385.75
4.50
18.00
2,150.55
0.00
2,150.55
OF SPOKANE VALLEY 22. 00, SS
VED FOR SUBMITTAL
Initials / Date
Building
Planning
&(-2/16/2,/.4
Public Works /-121-71`)/
THIS IS NOT A RECEIPT')L `( `
JAAD:7_
Spokane _
�Vattey
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707E.pgevenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: li,-`)(
l�
Assessor's Tax Parcel Number(s):
r a`� U`). 0 }>
Legal Description: -- l -. C1 \<r
PERMIT DESCRIPTION:
Building Permit
Relocation
CI
Change in Use ( 1 Grading fl Manufactured Home
n Tenant Improvement f J Fire Safety n Other
OWNER/APPLICANT INFORMATION
Owner: jec-ftf
1
Phone:. ',:i).-tiftt;Fax: ,)L;t
Address: I3L>;) L 1-1 h
City State Zip Code
Contractor:
Phone:
Address:
Fax:
City
State
Zip Code
Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: Y: ) Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: ., , t
',o ...
DIMENSIONS: ,, 4
-,.:" _a
# OF STORIES: '� info i'r
I 11. i
MAIN FLOOR TO SQ. FTG:263c�
2rv" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:DECKJCOV.
PATIO SQ. FTG:
F.
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE: 6,NAs, /,
,
# OF BEDROOMS: a
TOTAL HABITABLE SPACE: /
IMPERVIOUS SURFACE AREA:
-SEPTIC
COST OF PROJECT:
30% SLOPES ON PROPERTY:
N A
SEWER OR ON -SITE
SYSTEM? ' ,. w
MANUFACTURED HOME
Width:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
F!RE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation:
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 ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
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 vvith major bankcard)
7 Cash ❑ Check n Mastercard n VISA ❑ Other
Bankcard #: Expires: Virg#:
Authorized Signature:
si&
Project Address:.
Owner:
Mailing Address: LC) > > ` Ca 11 biz'
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: SIC C-
Phone (Daytime Contact): �, �C �i r? -9 i
C' State Zip Code
L pi%;) ht-l(m Phone #: %t `(a A(cf
) L414
i);, IV- \ 1 - .
. 1r1 3
Contractor:
Mai ing Address:
11 License #:
1 a
City State Zip Code
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
$95.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
1
X
$10.00
=
14
DRYERX
$10.00
=
15
FUEL BURNING WATER HEATER
`` .
X
$10.00
=
16
MtSC. FUEL BURNING APPLIANCE
X
$10.0Q
=
17
GAS PIPING (each outlet)
3
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
4
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
$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
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ElVISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Silio"lane
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:
Project Address: -CL: _ 1 1 x 1 L -i!; l
Owner: k.4 C;y j L i t'i
Mailing Address: ci) , I-\
Contractor:?. C,.1 -1C1 YU-LIT ; s 1-1-1, License
Mailing Address: .5(1-1 t
Phone (Daytime Contact):A ')---V) -9I,
City% State Zip Code
#: :L l R .. CTIti) Phone #: k:ci - Q31- 5CI 13
- tc(r,(:L ciC57
Zip Code
City State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2-,
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
r'
, )
X
$6.00
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
6
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
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 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SITE PLAN
SCALE: 1"= 20`- 0"
LOT 12 BLOCK 1
ASHER PLACE
SPOKANE VALLEY , WASHINGTON
ADo ssI�4c/Al ( I
ZONE
ROAD FRONT
COMMENTS
REVIEWED
KING
Astin
2UNDERGROUND
P POWER
This WO fillan is being submpyd for the Purpose of
Obtain*, a building representallen of the proposal. AN known permit and is a true and correct
perty
IlnsWdlinensions. curbres and easements
have been Identified. Also indicated ars wetlands,
bodies d/ • steep slopes or otter critical areas.
•901110:
Osla; v?�p�
COLLIER