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2004, 08-09 Permit App: BLD-04-07292 Residence
*Wane ,,.,• Mil1ey 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 -04-07292 Job Address: 621 S MCMILLAN RD SPOKANE VALLEY WA 99216 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: 08/09/2004 02/05/2005 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 SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 RANGE FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 143112 19 57 X 57 1 3 25 32 6 6 r-3 5-n 1 8198 no no 2 1 2 4 1 1 1 2 1 1 1 3 3 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 RANGE FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: Total Due: CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Ele Initials / Dat R Building Planning Public Works 0-0(4 - "I ` 4' J cf 496.06 10.00 1,240.15 4.50 12.00 6.00 12.00 24.00 6.00 6.00 6.00 12.00 15.00 10.00 10.00 3.00 30.00 1,902.71 0.00 1,902.71 -GG _9,421 FOR C k3' Dt NG !VISION 4 � �Ns/oN t .59 119 THIS IS NOT A RECEIPT Spokane Tev* BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 117,-)7 F S pragL'e 4venue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQU INFORMATION Street Address: (j 1 11') (LL 'M Assessor's Tax Parcel Number(s): Legal Description: cA Lc PERMIT DESCRIPTION: )Lcc\ (wilding Permit n Relocation (l Change in Use H Tenant Improvement (I Gradin n kits n factored Home Fire Safety n Other OWNER/APPLICANT INFORMATION Owner: \;\.., .Y 10\`-)C1Vk( (6) Phone: o , 1t:,) .,i cL Fax: ,'-);:cc_.- ---)L ) k.e,` 1: } Address: :)Li. _.) is i- ., k (ft Y) 1-}0 City State Zip Code 1----V- Contractor: 17, .1 Phone: Fax: Address: City State Zip Code ©- Applicant: Phone: Address: Fax: City State Zip Code (l Architect: Phone: Fax: Address: City WA State Contractor License #: V t k i �� l� i � i"5Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK:nI DIMENSIONS: 7 # OF STORIES: MAIN FLOOR TO S� . TG 2'�° FLOOR SQ. FTG:4 UNFIN BASEMi J ,�Q. FTG: FINISHED BA MENT SQ. FTG: � GARAGE SQ. FTG: 4.1 8 6 DECKICOV.� T��ItOI SQ. FTG: OC1 UPANCY GROUP: 3("16-sLE f 4 M i L''( CONSTRUCTION TYPE: HEAT.$OURCEC U7' S ,-oeceD # OF BEDROOMS: TOTAL HABITABLE PPA.7 o�CE: IMPERVIOUS �SURRFFACE AREA: COST OF PROJECT: 30% SLOPES ON P P RTY: �- SEWER OR ON-SITE SEPTIC SYSTEM? 7�i•A-)._ MANUFACTURED HOME Width: Manufacturer: LL CF I�CUt GI . Length: Year:. Pit Set: RELOCATIfO, Previous Address:-'" Proposed Use: ARE 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 f BOLTING ❑ CONCRETE ❑ REINFORCEMENT n 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) n Cash n Check n Mastercard n VISA [ Other Bankcard #: Expires: V€N#: Authorized Signature: Sid1& Project Address:. Owner: 1 Mailing Address: Contractor: Mai ing Address: h 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: SC:f-- License #: Phone (Daytime Contact): City) State LoTh%:) hLI Phone #: Cit lZ N 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 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 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 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) 0) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS .7) 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 $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 1\a. lley 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: `j. 1\ ti U3J, 'r-1 cx Owner: (" r` 4r0, tc.: Mailing Address: r)(01-)1" i(;) k �: �.I' Contractor:t^ .. k ' x Y Mailing Address: ` a,14 _c> Phone (Daytime Contact): 9!L( r, - City 1 State License #: 6 .LRc�it l,Phone #: ttd,r,, lL City Zip Code Efi State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS . c -Q X $6.00 = 2 URINALS X $6.00 = 3 TUBS 1 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 y `'t 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 fa 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: Zip Code r- SCALE: 1"= 20'- 0" LOT 6 BLOCK 1 ASHER PLACE SPOKANE VALLEY, WASHINGTON 72.5' 1 57'-0" CONC. PATIO 'I'Or OF FOUNDATION 101.50 RANCHER r fbeing subtnittOdor Me PW 1p0tt 't5 site Pab._ uung per is a WOOF SWAY sen star praer►tation '31 the P nese dimensions, MAIN LEVEL 1: ELEVATION j;; 102.5017 Curb Imes lave teen idenliiied• IJp °' MI � - , � 1.�►•. )odles of Date: • GARAGE HUUNe E:1 1 VA 1 ION 6 : 101 00 SLOPE 51 RCI I1) 71— 100.50 N I W UNDER GROUND DRIVEWAY lo)>Q1 ; IOW} R _I WATER CROWN OF STREET 100.00 INGLE 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 04-619 Issue Date 8/9/2004 Account # Completion Date Issued by Kcummings Construction Utility k El Location of Property Project Description 621 S MCMILLAN driveway Comments CONSTRUCT NEW DRIVEWAY j Applicant VIKING CONSTRU 11 Contractor Name CRN # Individual Name INDIVIDUAL Address Bond Origination Date Bond $ $0.00 Permit Fee Inspection Fee $25.00 $25.00 Contractor Phone # Account # Total Fees Collected $50.0 Permittee Signature Approve Date 7/q Sc -i 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