2006, 09-01 Permit App: 06003524 ResidencePe��nit Center
11707 E Sprague Ave, Suite Spokane Valley, WA 99206
(509)688-0036 FAX: (509)
CG.. mu :y Develop meat -4 . .:nn1 a.�o:; allay,(Ira!".
'r _l
Residential Construction
Permit Application
8 - -bb37
r,
ee° Coja$tr.; tion
❑ Addition/Remodel
❑ Other:
_ Bldg
,,}
ld
• CCcssui bg
❑ Deck
SITE ADDRESS \G I lO l\ O'Cr 1
A SSE S�' PARCEL NO: � j(�`1 �j - U —115 LEGAL DESCRIPTION:
Building owner
Name: t`Y�U —
Address:
Name: N Lu ABC,
Phone: Fax:
(��
Lic No: V\V kVa ��Exp.Date:
Address: ( 1,) ,
vs,.., ►'1
FINISHED BASEMENT
SQ. FTG: 13 cry
,1)100c
City: `C i�Q�YI
Zip: 0;��d3
S
Phone: 'ot —CO l n Fax:
'11_02 -�-LS (-3
1
Contact Person:;
Name:
Phone:
Describe the scope of work in detail:
Contractor.
Name: t`Y�U —
Address:
City: Zip:
Phone: Fax:
(��
Lic No: V\V kVa ��Exp.Date:
City Business Lic No:
Cost of Project:
t
yytt ** Iete• (��rite N/A i €mot applicable) *** ****** * * ** **** '
eoo`fuz
HEIGHT TO PEAK:
ZI, -6 3/$"
p
DIMENSIONS:
55' -6" X 3I' - -o"
•# OF STORIES:
.Spl:
TOTAL HABITABLE SPACE:
1999
MAIN FLOOR TO SQ.
FTG: `�9 Z by_
2Nu FLOOR SQ. FTG:
N7>4
UNFIN BASEMENT SQ. FTG:
9Z.`t 0‹
IMPERVIOUS SURFACE
AREA:
2089
FINISHED BASEMENT
SQ. FTG: 13 cry
GARAGE SQ. FTG:
y84•1 0
DECKJCOV. PATIO SQ. FTG:
96 n —
30% SLOPES ON
PROPERTY: No
# OF BEDROOMS:
two
_
CONSTRUCTION TYPE:
con ,6,� -,Q, I
HEAT SOURCE:
Gas Ford A: r-
SEWER OR SEPTIC?
S e.,er
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
'Faxed permit appli
❑ Check
DJu n
�aiions will only be ce ted with major bankcard)
❑ Mas card ❑ VISA
Expires:
Date
❑ Other
REVISED 82512005
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
.0j Valley
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevalley.ore.com
Mechanical Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
❑ Residential
SITE ADDRESS Iq I �\ t\re 1�(_�l
Building owner
Name: `itlG Vi. \ �tIVc- Ai'11.iA1i r\ ,I.
(,
Phone:
j(1, -1 (';-) -t it( 1( Fax
‘fe' ,._")iii)_--(. i S (.r)
Address: 141.X. ,fi 1,y' y S its V ,')\(;) i :
e
City 4 Lei i.16 F`\ State
\1 Zip 'c't,:,'1'(')
''
Contractor
Name: \ y,/
1. N'-... if `0t l
Phone:
Fax:
Address:
City State
Zip
License No:
City Business License No:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
$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
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
X
$1.00
X
$10.00
19
VENTILATING FANS
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
$15.00
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
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
TOTAL AMOUNT
immoi
MEN
MEM
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NMI
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1
imumum
DEC 06 2005 09:30 FR
Permit Center
11707 E Sprague Ave,
Spokane Val]cy,.WA
(509)688 -0036 FAX:
www,wokdncvalley.
cm
Sigaane
ey
Community Development
Plumbing Permit
Application
Suite 106
99206
(509)686 -0037 PERMIT FEE:
TO 12087624507
P.01/01
PERMIT NUMBER:
SITE ADDRESS:
Enildfo owner
❑ Commercial Q Residential
DESCRIPTION OF WORK
1 TOILETS
3
8
URINALS
TUBS
SHOWERS PER TRAP
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
10
WATER SOFTENER
ELECTRIC HOT WATER TANK
11 FLOOR DRAINS
ROOF DRAINS /OVERFLOW
12 DRAINS
13 FOUNTAINS, DRINKING
WATER PIPINGIDRAIN •IN WASTE,
14 VENT, PLUMBING, REVERSAL
15
16
SEWAGE EJECTOR
OF UNITS X
immoloommiminj
e
e
WATER CLOSET, BIDETS
WATER CLOSET, BIDETS
BATH, STALL ON -SITE BUILT
LAVSIBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY. FOOD, PREP /CULINARY MEAT
NOTE IF GAS SEE MECHANICAL
AREA CASE COI TRENCH CONDENSATE
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
GRINDER, SUMP PUMP
WATER USING LEVICE
17 CROSS CONNECTION DEVICE
18 INTERCEPTORS
ICE AN /OR COFFEE MAKER, HOSE BIB.
STEAMER
PROOFER, CARBONATOR. SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
AND R,P.B.P.D. FOR:. VATS, TANKS. BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
10 MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING
20 FIXTURE
21 PRIVATE SEWAGE DISPOSAUSYS
INDUSTRIAL WASTE
22 INTERCEPTOR
METHOD OF PAYMENT:
Q CASH
Card#
❑ CHECK
AUTHORIZED SIGNATURE:
NITROUS, OXYGEN
❑ VISA ❑ MASTERCARD
EXPIRES:
$6.00
$6, 00
$6.00
$6.00
$6.00
$6.00
$6,00
$6.00
$6.00
$6,00
$6,D0
$6.00
$6.00
56.00
6.00
$6.00
88.00
$6.00
$6.00
$8.00
$,20.00
X $15.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE!
$35.00
REVISED E 26/05
*•x. TOTAL PAGE . 01 -+:*
Spokane
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(609)6E8 -0036 FAX: (509)688 -0037
w w.spokanevallev.ore
.AppToach Pel~lrx t Application
PERMIT ?NUMBER:
PERMIT FEE:
PROJECT ADDRESS el I LC M e_ LU1
START DATE
AN'1'1CIPATED COMPLETION DATE
Building Owner:
Contractor-
Name: A. _.
Name:
Address:Ak_ d�{ 1),) . t a
t. L i\ 0
Address:
City: 11e 1 u \
State: Zip: '..."6' 634)
State:
Zip:
Phone: .v6. 70, ,_ (.1I Dl v
Fax: ,fit) = 11u<).-"ictil
Phone: Fax:
Contact Person
Contractor Lic No: Exp Date:
Y1K1�1C1��5�
Name:
City Business Lic. No:
Phone: c4%_`)ln?r _RI h( a
PROJECT DESCRIPTION (Provide site sketch
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other. Conditions
Commercial /Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond /Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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 Pen-nit 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. 6) Plans or additional information may he required to be submitted, and subsequently approved before this
application can be processed.
Method of Payment:
❑ Cash ❑ Check
Bankcard r:
atho ized Signature:
REVISED 3!910E
Date 01106
❑ Mastercard ❑ VISA
Expires: VIN #:
Project Number: 06003524 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/7/2006 Page 1 of 4
Project Information:
Permit Use: sfr, gas heat, on sewer Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Setbacks: Front Left: Right: Rear: Phone: (208) 762 -9106
Group Name:
Site Information: Project Name:
Plat Key: Name: Hidden Valley
District: East
Parcel Number: 55073.1944
SiteAddress: 1916 N ARC RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 7,731 Sq Ft
Block: Lot:
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway /Approach
Originally Released: 9/7/2006 By: TMELBOU
Released By:
Originally Released: 9/7/2006 By: amblake
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 9/6/2006 By: cj j anssen
Released By:
Operator: AMB
Printed By: AMB
Print Date:
9/7/2006
Project Number: 06003524 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/7/2006
Contractor: VIKING CONSTRUCTION
Address: 2605 W. HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH -CONST IN ROW
Contractor: VIKING CONSTRUCTION
Address: 2605 W. HAYDEN AVE
HAYDEN, ID 83835
Description Grp Type
1&2 FAMILY R -3 VB
BASEMENT F R -3 VB
BASEMENT U R -3 VB
DECK OPEN R -3 VB
GAR WOOD U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
VENTILATING FANS
GAS LOG OR GAS INSERT
HOOD -TYPE II
Approach
Page 2 of 4
Firm: VIKING CONSTRUCTION
Phone: (208) 762 -9106
Units Unit Desc
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762 -9106
This Application: Total Project:
Si Ft Valuation Su Ft Valuation
992 $85,679.04 992 $85,679.04
23 $460.00 23 $460.00
929 $13,935.00 929 $13,935.00
96 $1,440.00 96 $1,440.00
484 $9,196.00 484 $9,196.00
Totals: 2,524 $110,710.04 2,524 $110,710.04
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,055.35
$4.50
$422.14
$1,481.99
Firm: AIR DESIGN INC
Phone: (509) 487 -4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$20.00
$10.00
$10.00
$65.00
Print Date: 9/7/2006
Project Number: 06003524 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/7/2006 Page 3 of 4
Contractor: VIKING CONSTRUCTION
Address: 2605 W. HAYDEN AVE
HAYDEN, ID 83835
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER PIPING - DWV
Plumbing Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762 -9106
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$72.00
Print Date: 9/7/2006
Project Number: 06003524 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/7/2006
Notes: ..
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
(A)0 THE BULDING OFFICIAL IS AUTHORIZED TO REQUIRE THE PERMIT APPLICANT TO
PROVIDE FEE REIMBURSEMENT TO THE CITY OF SPOKANE VALLEY FOR ANY
PROFESSIONAL SERVICES REQUIRED OUTSIDE OF CITY STAFF REVIEW.
(B) ❑SOME EXAMPLES OF POTENTIAL OUTSIDE RESOURCES INCLUDE PLAN REVIEW,
CONSTRUCTION INSPECTION AND SURVEYING.
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,481.99
$65.00
$72.00
Invoice Amount
$50.00
$1,481.99
$65.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,481.99
$65.00
$72.00
$1,668.99 $1,668.99
$0.00 $1,668.99
Page 4 of 4
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and /or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB
Print Date: 9/7/2006
Project Number: 06003524 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 9/1/2006 Page 1 of 2
Permit Use: sfr, gas heat, on sewer
Setbacks: Front
Site Information:
ter::.-
Left: Right: Rear:
vagge
Plat Key: Name: Hidden Valley
:. -... Z' -,
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762 -9106
Group Name:
Project Name:
District: East
Parcel Number: 55073.1944
SiteAddress: 1916 N ARC RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 7,731 Sq Ft
Block:
Urban Residential 3.5
Width: 0
Lot:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway /Approach
Released By: ( /t 77/ O co
Released By:
Landuse /Zoning/HE Conditions
Sewer Review
Permits:
Released By:
-71( `! Ck I
Released By:
Operator: AMB Printed By: AMB
Print Date: 9/1/2006