2004, 06-11 Permit App: BLD-04-04581 ResidenceQTY OF il�
Spokane
./'f 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 -04-04581
Job Address: 715 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:
06/11/2004
12/08/2004
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
140815
18' 6"
57 X 55
1
3
37
52
5
8
r-3
5-n
1
70 X 144
no
no
2
1
2
4
1
1
1
3
1
1
1
1
1
4
3
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
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
CITY OF SPOKANE VALLEidai Due:
APPROVED FOR U
S BMITTAL
489.34
1,223.35
4.50
12.00
6.00
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
1,896.19
0.00
L-
Initials / Date Rl�✓/8�yEo ....•�rk,� �t (� . t�
g E-VAOEYgDECOMPLI
Building '/ ��IN DIVISION
Planning (O �4 ELL
Public Works
Amor
THIS IS NOTA RECEIPT
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
117078. .crit-rni. Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
Street Address:
• )
Assessor's Tax Parcel Number(s): :tvt
Legal Description:
PERMIT DESCRIPTION:
Building Permit
Relocation
C_A-7)LL
\ '64t flvrTh
wiv a (V,;A) 1,d R X(C
6
Change in Use Grading Manufactured Horne
Tenant Improvement Fire Safety fl Other
OWNER/APPLICANT INFORMATION
EY Owner:
Phone:,
Address:
City k.
Er Contractor:
Phone:
Address:
\(.0(
1Q ti:f El- Applicant:
)
Fax: A --1q,;)- (6r1 Phone: Fax:
..
kt> •:'f '')".)
State Zip Code City
t Y\
Address:
Fax:
City
State
Zip Code
WA State Contractor License #: V \cvt,tc-i
State Zip Code
n Architect:
Phone: Fax:
Address:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: $ 0
DIMENSIONS: /
# OF STORIES:
MAIN FLOOR FLOOR TO SQ. FTG: n
Ct
2Nu FLOOR SQ. FTG:
,fp.
UNFIN BASEMENT SQ. FTG:
Oilk
FINISHED BASEMENT S/TG:
WA
GARAGE SQ. FTG:
59S-
DECK/COV. PATIO
SQ FTG:
1 ---kLi
OCCUPANCY GROUP:
'it.te.-e. r-Alt41LY
CONSTRUCTION TYPE: , —
'-'4--'t
HEAT SOURCE:
a Pc 5
# OF BEDROOMS:
3
TOTAL HABITABLE SPACE-
17(
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
ERTY:
30% SLOPES ON Fali
SEWER OR ON-SITE SEPT
SYSTEM?
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
n BOLTING ❑ CONCRETE
Firm Name:
n REINFORCEMENT
Phone:
I nspector(s):
Fax:
n 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 n Mastercard
n VISA _ Other
Bankcard #: Expires: V€N#:
Authorized Signature:
Project Address:.
Owner:
Mailing Address:
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-
Phone (Daytime Contact):
ka,,v�
Ci State
License #: Lb- c F)y Phone #:
Contractor:
Mailing Address:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess 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 Tess 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
t
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
$10.00
=
17
GAS PIPING (each outlet)
4
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
it)
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
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:
Sixlane
4,,Valley
Project Address:
Owner: \I 1 k(_i cj Lon.kuLdrion
Mailing Address: c i O ,lArtqcoQr\ flue
Contractor: 1' 1C -Rum hLncf
Mailing Address: 3L-1
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: S
Phone (Daytime Contact):C.;?)--7( -91 Co
City State Zip Code
License #: pi -1_41p- O \tb €Phone #: , CA -Qzt - 5C113
State Zip Code
City
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
Q
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
2-1
X
$6.00
=
6
DISHWASHER
‘
X
$6.00
=
7
CLOTHES WASHER
I
X
$6.00
=
8
GARBAGE DISPOSAL
y
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
-
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:
Stiorkane
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW 'L(''594
APPROACH PERMIT
APPLICATION inn
Location of property -1, S• e 1\
Applicant Name
Address
Contractor's Name
ddresslParc - #, if available)
hone [ 20.0—gtnt.,
(Oin
Phone c_- 1bcv
Contractor's Reg# \ i/,i VI 11 eictia,b3. Expires /11 I ND
PROJECT DESCRIPTION (Provide site sketch)
Residential.Driveway
fl Existing Curb & Gutter
1 ! Culvert Installation
PKI Other conditions
LiCommercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT l=EE $ Inspection Fee$ o25. --e.
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature,
Fees Paid$ a)
** TOTAL PRGE.05 **
tigPrs.
O'ox#0 010
Goo-
SCALE: 1"= 20'- 0" oarroet
This site plan is pry'Wasiak! fat Ow purpose of
LOT 2 BLOCK 1
obtaining a building permit .M ; kw and
ASHER PLACE
representation of pit proposal. All MowSPOKANE VALLEY, WASHINGTO be erasions, perry � anoperly
avvee been idendNrdcorp. Mrp, q�lit4 ii>nt
70.5'
r
bodies of or dMlrr
Sigurd:
Date:
PIEGIVEILEAN ROAD
CROWN OF STREET i!''
UNDER
GROUND
POWER
STARLING