2004, 06-26 Permit App: BLD-04-04722 ResidenceSpokane
,,,,•*Milley
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 -04-04722
Job Address: 626 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:
06/26/2004
12/23/2004
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
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 11 HOOD
sfr
121947
21' 6"
54 X 49' 6"
1
3
25
37+
9
10
r-3
5-n
1
9267
no
no
2
2
4
1
1
1
3
1
1
1
1
1
4
3
1
Fees:
PLAN CHECK FEE
TYPE 11 HOOD
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
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
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
initials / Date
f
Building
Planning
446.78
10.00
1,116.95
4.50
12.00
12.00
24.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
10.00
10.00
4.00
30.00
1,751.23
0.00
1,751.23
lEVIEWED FOR CODE COMPLIANC
SPOKANE VALLEY BUILDING DIVISION
72 ,1
THIS IS NOT A RECEIPT
L(S1
**me
.000Var
BUILDING PERMIT APPLICATION WORKSHEET
C E f' y of S.okane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 706
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
JUN 222004
REQUIRED SITS INFORMATION
Street Address:
4i4u, '?)c -A
Assessor's Tax Parcel Number(s): 6A. -t
Legal Description:
PERMIT DESCRIPTION:
_ ftki 'i'C i Piss ,) \1`! ( (70.
Building Permit P1Change in Use
n Tenant Improvement
(1 Relocation
I1
(AOS( t L.
Grading n Manufactz.:red Home
Fire Safety [1 Other
OWNER/APPLICANT INFORMATION
[K Owner: 1-(I.:UT-4rl(,i� Applicant:
Phone: u 9 c;ILL,
Fax: 1 th5)- (--t - 7 Phone:
Address:.k Address:
-Tib ( -
State Zip Code City State Zip Code
Contractor:
Phone:
Address:
Fax:
�t L
Fax:
City
State
(1 Architect:
Phone: Fax:
Address:
Zip Code City
WA State Contractor License #: ' ULt 1•; Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: i it
I [�
DIMENSIONS:, , j
5'y ' X y9 (o
# OF STORIES:
AOac.r+- 2
MAIN FLOOR TO SQ. FTG:
Ill 7 ? F .
2ND FLOOR Sc� . FTG:
kJ ft
UNFIN B EMENT SQ. FTG:
"yil
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
L -'{O Sa Fr.
DECK/COV. PATIO SQ. FTG:
d/9 So Fr.
OCCUPANCY GROUP:
5.-,.s A L E mac s—t---/
CONSTRUCTION TYPE:
g eSx4 &-rte-_.
HEAT SOURCE:
C* F/ ,e ms ric. E
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
/'477 5 C ET.
IMPERVIOUS SURFACE AREA:
29 /9 S(. Fr
COST OF PROJECT:
r.i/�
30% SLOPEy$ ON PROPERTY:
�/.1-
-
SEWER OR ON-SITE SEPTIC
SYSTEM? S l �w E
I
MANUFACTU`RED'HOME
Width:
Manufacturer:
.
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE 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
n BOLTING ❑ CONCRETE
Firm Name:
REINFORCEMENT
Phone:
Inspector(s):
Fax:
Fl 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 Parient: (Faxed permit applications will only be accepted with major bankcard)
n Cash n Check ❑ Mastercard n VISA Other
Bankcard #: Expires: ViN#:
Authorized Signature:
st's
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
t3�� XV, --P)CS, Permit Use:�--
Project Address:.
Owner. 1 - lit .-�- - Phone (Daytime Contact): , �D-��i 4 r�
Mailing Address: �<- C S ui , " a v'l Pt a' � _ias j'V ',.,:z
City%State Zip Code
t- fil ni\ePiACLALC License #: LG -'''''-1/4:;--.)q Phone #: , `1:
Sim"lane
.00%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: (it CO(�� a /71)L1\,,,
Mailing Address: -,'(D`)r) A) 0e', f'
Owner:
Phone (Daytime Contact): � )--fir:,-;--9!(,(c,
City State Zip Code
License #: ;t_ Q cli Lehone #:
Contractor: t~. 'max
Mailing Address: ti �`> ( ;
City
ucir
State
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
0
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
a
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
14
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
I
X
$6.00
=
8
GARBAGE DISPOSAL
t
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
ij
..)
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 ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
SITE PLAN
SCALE: 1" = 20' - 0"
LOT 13 BLOCK 1
ASHER PLACE
SPOKANE VALLEY, WASHINGTON
102.50
68.5'
ADDRESS
ZONE
ROAD WIDTH __
FRONT '-} FLANKING
COMMENTS
REVIEWED BY
102.50
z
49'-6"
101-0"
is being subrnittad fortMP'x ��
This site A building WON is knoVW wn MO
obtaining ro0 and etedrnitl
representation of P s
havees/ dimensions ' curb lines,/ critical tom'
01014 Vatande
have been � slopes or
bodies of t.—
Signed:
fens
�r
Date:
N
Cr)
102.50
101.00
RANCHER
MAIN LEVEL
ELEVATION'
102.50
00
00
I -103 00
FENCE RETURNS BETWEEN
WINDOW & PERSON DOOR.
BEHIND ELECTRIC METER_
CONCRETE
PORCI I &
SIDEWALK
GARAGE FLOOR
ELEVATION
101.00
UNDERGROUND
POWER
WATER
24.68'
McMILLAN ROAD
102.50
SEWER
100.00
99.50
100.00
102.50
HOLAN