2006, 06-01 Permit App: 05001872 ResidenceProject Number: 05001872 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/01/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 36 Left: 12 Right: 16 Rear: 22
Site Information:
Plat Key:
Name: RANGE
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN AVE
C - S - Z: HAYDEN, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
District: East
Parcel Number: 55202.1802 Block: 7
SiteAddress: 409 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,003 Sq Ft
Urban Residential 3.5
Lot: 2
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Hold: ❑
Width: 92 Depth: 107 Right Of Way (ft): 25
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Released By:
14.0
Pak
Sewer Review
Permits:
1 /?
Released By: {
(
Operator: K_C Printed By: K_C Print Date: 06/01/2005
Project Number: 05001872
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/01/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Group: R-3
Total Area
Building Height
Stories
Dwelling Units
Type: VB
1565
20
1
1
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Description Grp Type Notes
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
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
GAS LOG OR GAS INSERT
HOOD -TYPE II
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
726 $13,794.00 726 $13,794.00
1,565 $116,874.20 1,565 $116,874.20
Totals: 2,291 $130,668.20 2,291 $130,668.20
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,167.35
$4.50
$466.94
$1,638.79
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: K_C Printed By: K_C
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
Permit Total Fees: $96.00
Print Date: 06/01/2005
Project Number: 05001872 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/01/2005
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
4
2
1
1
1
1
2
Plumbing Permit
Page 3 of 3
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1,638.79
$96.00
$84.00
$1,638.79
$96.00
$84.00
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$84.00
Amount Owing
$1,638.79
$96.00
$84.00
$1,818.79 $1,818.79 $0.00 $1,818.79
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: K_C Printed By: K_C
Print Date: 06/01/2005
Spo`"kane ` '`S
4.000Ualley;,s
BUILDING PERMIT APPLICATION WORKSHEET
CItafppa a Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
ne: (509) 688-0036; Fax: (509) 688-0037
1 _A
REQUIRED SITE INFORMATION
Street Address: e(th
Assessor's Tax Parcel Number(s):. i ` sD
Legal Description: G) c>>c • l a ur 5
PERMIT DESCRIPTION: *r X(
(✓ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
®' Owner: V lkC �-` LCr D-' Applicant:A --
Phone: -N,9 -q(C6 Fax: ✓ltc;, —k-6 C) Phone:
Fax:
Ad ress: 3uc '� . �Y..L� Address:
City State Zip Code City
Contractor: _. ❑ Architect:
Phone: Fax: Phone: Fax:
Address:
State Zip Code
Address:
City State Zip Code City State
WA State Contractor License #: ictiRe0 Contact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TOP " • d
' T lv
DIMENSIQNy;„
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
°ASQ.FTG:UNFIN
2NFLOOR
BASEMENT SQ. FTG:
1 FINISHED'BA, EMF.NT SO, FTG:
1 GARAGE SQ. FTG:
7Z..4
DECK/COV. PATIO SQ. FTG:
icA
OURCE:
OCCUPANCY�GROUP:
EF -6 1
CONSTRUC ON TYPE:
4 e .
HEAT
vA'S
# OF BEDROOMS.
TOTAL HABITABLE SPACE:
IMPERVIOUS SU ACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? '52
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone:
Fax:
City
Phone:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
E 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 z�2y 1 )6
1 5c -Z\ J
Signature
4
Method of Payment: (FA)cept permit applications will only be agWtpd with major bankcar d)
❑ Cash
Bankcard #:
.f�
❑ Mastercarc1'','. ❑ VISA dFtper
VIN#:. %%V'
Authorized Signature: •, `'
a • l
*lane
*lane
•
Project Address: ‘-k� � - C� k
Owner: \i .'til
Mailing Address:` i �' ,
Contractor: E ty '� y p�r SAO ..ir` tr..
Mailing Address: T7,7 c � L4E
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuiidingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley WA oo)rna
Phone: (509) 688-0036. Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):
\
City t State Zip Code
License #: (._ . Phone #:
CFa
State Zip Code
City
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMO J T
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 Tess than 400,000
More than 400,000
X
X
$50.00
$100.00
=
=
6
USED APPLIANCE (WSEC min. AFUE
rating)
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
k
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)
4
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 Tess 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 S T OVE/INSEP,T
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
'
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA ❑ MC
CARD n:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
0"44,..1/4
*km
.0,1/alley
Project Address: 4 _Gr Chi jl,
Owner: tt` �-:
2'
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department •
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane 'v'alley, Vv'A 9520E
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL. (509) 688-0054
Mailing Address: .rs" f,. I 1-L1
Contractor: a�
Mailing Address: q1 1 k�c t
Permit Use:
Phone (Daytime Contact)::;: -.---7,/
i'��_ 1_ i .I1.ts: � �(� :'
City State Zip Code
License #: -V.1,•'-,.1.L:-;'`:.hone #: '`,` _.< �� i I..�1
x'-14 r 4 '4.1 ..,..%,...; '1 '-1' L...
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
Q►
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
.'D
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
Hyl
X
$6.00
=
6
DISHWASHER
II
X
$6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
6
GARBAGE DISPOSAL
l
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
DATE:
❑ VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
SITE FLAN
12,-0" ),
SCALE: 1"= 20'- 0"
LOT 2 BLOCK 7
COUNTRY CROSSINGS
SPOKANE VALLEY, WASHINGTON
92.8'
64'-0"
ANCNE%
C,X\}
rn
v
r
CONC.
PORCH AND
SIDEWALK
O
UTILITY EASEMENT
DRAINAGE EASEMENT
ROAD EASEMENT
WATER
35'
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representaion of the propsal. All known property
line/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed: .(�l� 4r ;22504
Date: %\A‘.' 2..4)
92.8'
ASNLUND
06/14/2005 09:17 2087624507
Srol; i Cowry
V1KINI� UUN5I
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 409 S GRADY LN
Parcel Number: 55202.1802
Subdivision:
Black: Lot:
Zoning: UNK Unknown
Owner; VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, JD 83835
Building Inspector: LEONARD FLUNO
Water Dist:
Sewer Connection Permit
Project Information
Project Number: 05003653 Inv: 1 Issue Date: 5/27/2005
Permit Use: SEWER CONNECTION
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Setbacks - Front: Left: Right: Rear:
Phone: (208) 762-9106
Group Name:
Project Name:
Permits
Contractor: VIKING CONSTRUCTION
License #: VIKINCT88D1
SEWER CONNECTION
1 585.00 PROCESSING FEE
Total permit Fee:
FOR SEWER INSPECTIONS CALL (S09) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs arc to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
1 $15.00
5100.00
Payment Summary
Aar
Total Fees AmountPaid AmuuntOwin Tran Date Receint # payment Amt
5100.00 3100.00 50.00 5/27/2005 2979 5100.00
Processed By: BURRIS, ROBIN
Printed By: HINTZ. FAITH Page 1 of 1
JUN 14 2005 09:34
PERMIT
2087624507 PAGE.03
1