2005, 09-16 Permit App: 05003049 ResidenceProject Number: 05003049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 36 Left: 23 Right: 15 Rear: 37
Site Information:
Plat Key: Name: RANGE
Amin
Contact:
Address:
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
IMMVERMSZTCWAVAMEMIWEGWVAAMMINNOT
VIKING CONSTRUCTION INC
2605 W HAYDEN
w rte=
District: East
Parcel Number: 55202.1808 Block: 7
SiteAddress: 408 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,005 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Width: 65
Nbr of Dwellings: 1
Lot: 8
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 107 Right Of Way (ft): 0
Review
Site Plan Review
Plan Review
Released By:
Originally Released:
09/16/2005 By: CJJANSSE
Released By:
Approach / Drainage
Originally Released:
08/25/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Operator: CJJ
Originally Released:
09/16/2005 By: CJJANSSE
r
r�
Released By:
Printed By: MT
Print Date: 09/16/2005
Project Number: 05003049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
DescriptionGrp Type
2ND FLOOR R-3 VB
BASEMENT F R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
Contractor: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Units
1
1
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Unit Desc
NUMBER OF
NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation So Ft Valuation
482 $35,995.76 482 $35,995.76
986 $19,720.00 986 $19,720.00
96 $1,440.00 96 $1,440.00
503 $9,557.00 503 $9,557.00
1,000 $74,680.00 1,000 $74,680.00
Totals: 3,067 $141,392.76 3,067 $141,392.76
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,228.95
$4.50
$491.58
Permit Total Fees: $1,725.03
Mechanical Permit
Units
1
1
3
4
1
1
1
Operator: CJJ Printed By: MT
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc Fee Amount
NUMBER OF $10.00
NUMBER OF $12.00
# OF UNITS $3.00
NUMBER OF $40.00
NUMBER OF $10.00
NUMBER OF $10.00
NUMBER OF $10.00
Permit Total Fees:
Print Date:
$95.00
09/16/2005
Project Number: 05003049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005 Page 3 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Plumbing Permit
Firm: VIKING CONSTRUCTION
Item Description
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER SOFTENER
URINAL
WATER USING DEVICES
Notes: z w
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
Fee Amount
$50.00
$1,725.03
$95.00
$102.00
1 NUMBER OF
2 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Invoice Amount
$50.00
$1,725.03
$95.00
$102.00
Fee Amount
$6.00
$12.00
$30.00
$6.00
$6.00
$6.00
$18.00
$18.00
Amount Paid
$50.00
$1,725.03
$95.00
$102.00
$102.00
Amount Owing
$0.00
$0.00
$0.00
$0.00
$1,972.03 $1,972.03 $1,972.03 $0.00
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: CJJ Printed By: MT
Print Date: 09/16/2005
Project Number: 05003049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/25/2005 Page 1 of 3
Project Information: ;,. , : :. «cWPWArq.,.;.
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 36 Left: 23 Right: 15 Rear: 37
Site Information:
iMINAMPOMERTAWIESIMOMMITM
Plat Key: Name: RANGE
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
(208) 762-9106
lams
District: East
Parcel Number: 55202.1808 Block: 7
SiteAddress: 408 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,005 Sq Ft
Nbr of Bldgs: 1
Review Information:
Permits: ,,,,
Urban Residential 3.5
Lot: 8
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 65 Depth: 107 Right Of Way (ft): 0
Nbr of Dwellings: 1
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$25.00
$25.00
$50.00
Print Date: 08/25/2005
Project Number: 05003049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/25/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Description Grp Type
2ND FLOOR R-3 VB
BASEMENT F R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
Contractor: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
482 $35,995.76 482 $35,995.76
986 $19,720.00 986 $19,720.00
96 $1,440.00 96 $1,440.00
503 $9,557.00 503 $9,557.00
1,000 $74,680.00 1,000 $74,680.00
Totals: 3,067 $141,392.76 3,067 $141,392.76
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
3
4
1
1
1
Operator: CJJ Printed By: CJJ
Fee Amount
$1,228.95
$4.50
$491.58
$1,725.03
Finn: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
08/25/2005
Project Number: 05003049 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/25/2005 Page 3 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER SOFTENER
URINAL
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
3 NUMBER OF
Fee Amount
$50.00
$1,725.03
$95.00
$102.00
Permit Total Fees:
Invoice Amount
$50.00
$1,725.03
$95.00
$102.00
Fee Amount
$6.00
$12.00
$30.00
$6.00
$6.00
$6.00
$18.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$102.00
Amount Owing
$50.00
$1,725.03
$95.00
$102.00
$1,972.03 $1,972.03 $0.00 $1,972.03
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: CJJ Printed By: CJJ
Print Date: 08/25/2005
BUILDING PERMIT APPLICATION WORKSHEET
' City of Spokane Valley Community Development Department
Building Division
0�
.00110V
11707 E. Sprague Avenue, Suite 106
alley"�� Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s): . lea
Legal Description: TA!_r k ,;;l")..)(11( Cf--SLrYA.
PERMIT DESCRIPTION: 5�2
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
E Owner: Il A Applicant: t-y.sL
Phone: "livpa- °0.01v Fax: cl(sa--u.�G'7 Phone: Fax:
Address: , Z3 u>. . "tii-0-" °'*' Address:
ria. + \ 'tib f 3'c'J
City State Zip Code City State Zip Code
E Contractor: �x ❑ Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City State Zip Code City State Zip Code
WA State Contractor License #: V a-1k)e l�' �\ Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
Z�' (I I/
DIMENSIONS:
.l •C"x 'g /'
# OF STORIES:
11/2
UNFIN BASEMENT SQ. FTG:
OV.
MAIN FLQOR TO SQ. FTG: ii i_
2 FLOOR Q. FTG:
I FINISHED BASEMENT SQ. FTG:
GARAGEZ.Q. FTG:
1 DECK/ATIO SQ. FTG:
OCCUPANCY GROUP: c�`�
CONSTRUCTION TYPE:n� c�5
HEAT SOURCE:
�s
# OF BEDROOMS: I
TOTAL HABITAB E SPACE:
2 .1 AM
IMPERVIOUS SUP ACE AREA:
Zvi
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR N., -SIT EPTIC
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: Phone: Fax:
Address:
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 Sig nature k)ti-N :Wk.1Y\ (L eA,. \L.LnC
1:1-6
••
Method of Payment: {Fazepermit applications will only be.sC`Oted with majorbankcard)
),-ter., ,
EDCash ❑ .6eck ❑ Mastercard- !' ❑ VISA .,j•!dther
Bankcard #. Expires:
Authorized Signa` iS e a
l'7! r•
*lax"
11ey
Project Address: )AC ) (� . L •
Owner:
Mailing Address: aft ,F\ Ft)1 ulk` ,', ( t r''
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community' Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920f
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: = t't`\
1-, ;1•
Contractor: C �_. Liv ' i- t'' V._ ' i-. * f' ,i
Mailing Address: b . > t --"t. ;, °"NF-• .
Phone (Daytime Contact): ::; ,--!-Q'iL(.,.
1).
City State Zip Code
License #: t t Q ; w - LTtciAPhone #:
Zip Code
)
\yt
City State
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
a
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
C)
X
$6.00
=
6
DISHWASHER
I
X
$6.00
=
7
CLOTHES WASHER
I
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
03
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
S6.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
()ATF•
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
0",
StAane
\Talley
Project Address:. _
Owner: \i
Mailing Address:
Contractor: PLfi,J; - 'i r\e'hei-t r License
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuldingDivision
11707 E. Sprague Avenue Suite 106
Spokane Valley, WA oo'na
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Mai,ing Address: ) { 6 ,-1 ( ,E y,• / Y'�I �K -0✓�,1�'
Permit Use:
Phone (Daytime Contact):
CitZip Code
n f •-
Zip Code
State
:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
°Late
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
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
1
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
3
X
$1.00
=
18
DUCT SYSTEMS
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
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE IHOOD
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
Y,
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA 0 MC
CARD #:EXPIRES:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
*lane
.0•01VaHey
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION
Location of property 1C
Applicant Name
Address `
Contractor's Name \tf -
Address .`)-t U‘) . Ofti,jrCYLP
Phone
Contractor's Reg# 1 VoiVI (1,k, q(64) �. Expires,__
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
UCommercial/Industrial Driveway
1- Existing Curb & Gutter Rural Road Section
Culvert Installation I I Sidewalk Repair/Construction
Other conditions-4\Wi (?
pftrt,c h
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
PERMIT FEE $ Inspection Fee$
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
S. nature
Fees Paid$ date !nit
** TOTAL PAGE.05 **