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2004, 09-21 Permit App: BLD-04-07718 ResidenceSpokane ./vValley 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 -04-07718 Job Address: 705 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: 09/21/2004 03/20/2005 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 FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 118257 21 58 X 47 2 3 37 60 6' 3" 6' 3" r-3 5-n 1 10194 no no 3 3 5 1 1 1 3 1 1 1 3 3 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 FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: 440.06 10.00 1,100.15 4.50 18.00 18.00 30.00 6.00 6.00 6.00 18.00 15.00 10.00 10.00 3.00 30.00 1,724.71 0.00 ibtal Due: CITY OF SPOKANE VALLEY Initials / Da APPROVED FOR SUBMITTAL iey (k j' '«. sF.0),_7„P°7417/.‘e iFw t L119 C eU�<O y0Me:ziq c1 's101 Building Planning Public Works THIS IS NOT A RECEIPT 1,724.71 *l00%,,an #Valiey f7! 7/ sy: 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: 6_3 Assessor's Tax Parcel Number(s): Legal Description: ) .);CCUJ Luk til V I I-1-\'"\L;.v_ OS PERMIT DESCRIPTION: Ifj( ( �( pi. a <� t (t ((3,f( ' yc__ (Building Permit ❑ Change in Use f Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION [T Owner: \I duo( � V►\S\ V t-1 1 r ;Y) Phone: ]i pit:xL Fax: _ (----tic;4 Lt5 7 Address: 4t�k_ rs Did it 40: City State Zip Code [ Contractor: R Applicant: Phone: ` I Fax: Address: City State Zip Code ❑ Architect: Phone: lyv, Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: 1 VVi\`,(' Q'INTContact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: N 2.0'-- 1 10 l r DIMENSIONS: , 1, / 1) 51-0 .)r y7 -6 # OF STORIES: 1 `f Z MAIN FLOOR TO SQ. FTG: S 21°3 FLOOR SQ. FTG: -7a3 UNFIN BASEMENT SQ. FTG: CIO FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: 4Q& DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS:...)TOTAL HABITABLE SPACE: MA 1 IMPERVIOUS SURFACE AREA: Zk't5 t21r: COST OF PROJECT: 30% SLOPES ON PROPERTY: _ SEWER OR ON-SITE SEPTIC SYSTEM? "At A/ Et? MANUFACTURED 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 ❑ 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 with major bankcard) ❑ Cash ❑ Check El Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: Slane jValley voti Project Address: Owner: Mailing Address: Contractor: • licilimilliummark mi Me_riAck \ar_c • 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: Phone (Daytime Contact): Mai ing Address: License #: Lo ;,-) ht -4h 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 t 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 1 X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.0Q = 17 GAS PIPING (each outlet) 3 ) X $1.00 = 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 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 S�kan� j�alle� Project Address: -L h , . n'' k)\ i k s' Owner: V F ft i Mailing Address: (c)c,Fv p -moi y-\ ti Contractor: Mailing Address: d -k �t • 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: SFR Phone (Daytime Contact): U City State License #:I ;Lk LT\ phone #: k.�-i - �t�.. ‘O LL.; ��l� LL City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code 6ci 13 Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS r?7 X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 3 X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT 5 X $6.00 = 6 DISHWASHER t X $6.00 = 7 CLOTHES WASHER 1 X $6.00 = 8 GARBAGE DISPOSAL % 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 r, 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 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code 6ci 13 Zip Code SITE PLAN SCALE: 1"= 20'- 0" LOT 14 BLOCK 1 ASHER PLACE SPOKANE VALLEY, WASHINGTON 70.5' $8 1 i 1'�,rr c ' .:L. IZONE� COMMENTS FLANKING REVIEWED BY 9 UNDERGROUND 70.5' McMILLAN ROAD CONC. PORCH AND SIDEWALK EWER This,slte plan is being submitted for the purpose of obtaining s building permit and is a true and correct reprettentstion of the proposal. Ail known property lines/dimensions. curb lines, structures and easements have , bean identified. Also indiaMad are wetIwnds, bods$ 9 fir, steep slopes Date: CROWN OF STREET WATER L. OLSON