2005, 10-21 Permit App: 05003894 ResidenceProject Number: 05003894
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/21/2005
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 36 Left: 28 Right: 8 Rear: 22
Site Information:
Plat Key:
Name: RANGE
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: 55202.1807 Block: 7
SiteAddress: 412 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,074 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 107
Nbr of Dwellings: 1
Lot: 7
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 65 Right Of Way (ft): 40
Review Information: :; _ - a _ _ _-
Page 1 of 3
Review
Site Plan Review
Re; ed By:y
Originally Released:
Plan Review
10/20/2005 By: HKAUER
Originally Released:
Sewer Review
Permits:
10/21/2005 By: TMELBOU
eleased'By:
Operator: CJJ Printed By: CJJ
Print Date: 10/21/2005
Project Number: 05003894 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/21/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Description Grp Type Notes
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
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
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
135 $2,025.00 135 $2,025.00
474 $9,006.00 474 $9,006.00
1,565 $116,874.20 1,565 $116,874.20
Totals: 2,174 $127,905.20 2,174 $127,905.20
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
4
3
1
1
1
1
Operator: CJJ Printed By: CJJ
Fee Amount
$1,150.55
$4.50
$460.22
$1,615.27
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$96.00
Print Date: 10/21/2005
Project Number: 05003894
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/21/2005
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units
2
4
1
1
1
1
1
3
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
$1,615.27 $1,615.27
$96.00 $96.00
$84.00 $84.00
Page 3 of 3
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$ 84.00
Amount Owing
$1,615.27
$96.00
$ 84.00
$1,795.27 $1,795.27 $0.00 $1,795.27
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: 10/21/2005
SOaka>e
Valle%
Community Development
Permit Center
11707 E Sprague Ave, Suite 1
Spokane Valley, WA 99206 pp
(509)688-006 FAX: `509)60
w\Arw.spokanevallev.or2.com
Residential Construction
Permit Application
E C E 11 M.15 fETNUMBE3?f
q
I RMIT FEE:
D Tew Co sn true io�
❑ Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS 4\ a
ASSESSORS PARCEL NO: 1,31---) . \?) CI LEGAL DESCRIPTION:
Building
DIMENSIONS: 10, X. (41. 6u
D.
Name: CXlr\_k
downer
Name: l I.JUi\C:\ .,UX-,
l.
\ ,1 M:
City:
Zip:
t
City: 1 ), 0&\
Zip:
.)�j ' j1)
Phone:', 1U4., ck[N() Fax:
)'
-Mod _(L5r' )
Contact Person
Name:
Phone:
Describe the scope of work in detail:
1 Contractor
DIMENSIONS: 10, X. (41. 6u
D.
Name: CXlr\_k
TOTAL HABITABLE SPACE:
Address:
MAIN FL OR TO SQ.
FTG:l U�� e cam—
City:
Zip:
Phone:Fax:
FINISHED BASEM NT
SQ. FTG:
Lic No: Xi \\L tiLAe1%4?1\\
Exp. Date:
City Business Lic No:
# OF BEDROOM
Cost of Project:
**************The following MUST be : write N/A if not applicable)**********************
complete• (
HEIGHT T �FA�:bl
DIMENSIONS: 10, X. (41. 6u
D.
# OF STORIES: (
TOTAL HABITABLE SPACE:
MAIN FL OR TO SQ.
FTG:l U�� e cam—
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
®
IMPERVIOUS SURFACE
AREA: 3: ! -7
FINISHED BASEM NT
SQ. FTG:
GARAGE SQ. FN:DECK/COV.
`7
PATIO SQ. FTG:
( 0(��
30% SLOPES ON
PROPERTY: "r/i-
# OF BEDROOM
c,ONSTIdCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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.
\/\(\, j
Signature
Method of Payment: (Faxed permit a
❑ Cash ❑ Check
Bankcard #:
Date
plications will only be accepted with major bankcard)
❑ Mastercard ❑ VISA
Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005
Spokan' ems`
jValley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.or_.com
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
o Commercial g Residential
SITE ADDRESS q, ) vY
Building owner \(A (v i
Name: `l LW �f1i l 4,-(C�Y1f`f��`
Address: I) U;() 5 \\i l C 31 V(N.r� )(1 1 �Ue
Contractor
Phone: c)li% - Cl k t* O Fax . Dig) —USN")
SL>")U
City 1 'OL u State Ll)
Name: lr " ) ` ` ),(1 4y
Address: ?AAU 3 1rc3
License No: B ULNA l I1'LD
Contact
Name:
Phoneyf!)Cl Fax:
City VQXtk(4f\ ,0 State l j,N(A
Zip `l9 C11
City Business License No:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
WATER CLOSET, BIDETS
—
X
$6.00
=
1
TOILETS
URINALS
X
$6.00
=
2
1
X
$6.00
=
3
TUBS
TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
4
5
SHOWERS (PER
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
\
1�1
X
$6.00
=
DISHWASHER
1
X
$6.00
=
6
7
CLOTHES WASHER
1
X
$6.00
=
GARBAGE DISPOSAL
t
X
$6.00
=
8
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
NSTALLATION, 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
1
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
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK ❑ VISA 0 MASTERCARD
nn,- FXPIRFS•
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
elleSpokane Valley, WA 99206
y (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.ora.com
Mechanical Permit Application�yI o Commercial Residential
SITE ADDRESS 4 k ' Gra(. Y 4 LA. h 0
pERMTTNTJMBER:"
PERMIT FEE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Building owner
(tPhone: /�(.`c '� - I(lU Fax A(',CP',..'1 -ft L I
Name: � �., �C) 11. (�� � M ^ 11.��k /
1� � iN,
{�1 l
Address: U`L `5�--) � 4. Q c‘A "k' City 1 F{�b In State Zip ) cW-
�
Contractorr
L 6p.:sLq,l -\ Phone: (,-:) 1 - 1,1 k,'` :1 - Li -2,,),?, Fax:
Name:
1�1 I1'
ate
City Zi P
Address:
License No: 0 6.‘M i COQ 4 P b 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
=
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
2
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
$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
I
X
$10.00
=
13
RANGE
i
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)
0
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
rl7
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
i
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 0 CHECK 0 VISA 0 MC DATE:
rADIl M. EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
1tci
Ca 24 hail oic inspection required 11
Phone 509.588-0035 Fax 509.6g8-0037
•
ntfcip tad tact date
A, 'PLECA'u ilpHi
Location of property
+ ,,,G� a
,)ErC n u: Gr"cartiia ,
�
d MSS
DEPARTMENT OF PUBLIC WOR.KS
Permit ;'� PW
APPROACH PERMIT
'ra
ddresr1/Parcel #, if aav,4aiiCable)
Contractors mama ��i�� ' 4: !� -�"'�` w�.. ;u(- ��'-�' C :. �...)
_a'1 Phone(90--s'
Address
Contractors Regi
PROJECT DESCRIPTIO (Provide site sketch)
II
Residential.Driveway
Existing Cub & Gutter
Culvert installation
l
ICommercieWindustrial Driveway
Rural Road Section
S deviralk Repair/Construction
i"1 Other conditions ! Y`A,)e...1 1 "
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
1.4
PERMIT FEE $ ectiQrt Fee$.
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit c� ard.y�
Card # Expiration Date.
Warne of Holder
Fees Paid'$
Signature
Date
Iriit
** TOTAL PAGE.05 *W:
SPoK(,N1 Caw
SPOKANE COITNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 412 S GRADY LN
Parcel Number: 55202.1807
Subdivision: RANGE
Block: 7
Lot: 7
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: Dan Howard
Water Dist:
Project Number: 05007949 Inv: 1 Issue Date: 10/19/2005
Permit Use: NEW SEWER CONNECT, COUNTRY CROSSING
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: OWNER License #: OWNER
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 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 are 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.
IPayment Summary
Total Fees
$100.00
AmountPaid AmountOwing
$100.00 $0.00
Tran Date
10/19/2005
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
6527
Payment Amt
$100.00
PERMIT