2005, 11-04 Permit App: 05004103 ResidenceProject Number: 05004103 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/04/2005 Page 1 of 3
Project Information:
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
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 36 Left: 13 Right: 13 Rear: 23
Site Information:
Plat Key: Name: RANGE
Parcel Number: 55202.1803 Block: 7
SiteAddress: 415 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,003 Sq Ft
Urban Residential 3.5
Lot: 3
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 93 Depth: 107 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released
Plan Review
Originally Released: 11/04/2005 By: CJJANSSE
Released
Sewer Review
Permits:
Originally Released: 11/04/2005 By: TMELBOU
Released
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Operator: CJJ Printed By: CJJ Print Date: 11/04/2005
Project Number: 05004103 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/04/2005 Page 2 of 3
Building Permit
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Total Area 1799
Building Height 20
Stories 1
Dwelling Units 1
Phone: (208) 762-9106
Building Characteristics
This Application: Total Project:
Description Grp Tvae Notes Sq Ft Valuation Su Ft Valuation
DECK R-3 VB 99 $1,485.00 99 $1,485.00
GARAGE U-1 VB 528 $10,032.00 528 $10,032.00
RESIDENCE R-3 VB 1,799 $134,349.32 1,799 $134,349.32
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,426 $145,866.32 2,426 $145,866.32
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,251.35
$4.50
$500.54
$1,756.39
Contractor: AIR DESIGN INC Firm: AIR DESIGN INC
Address: 1807 E FRANCIS AVE Phone: (509) 487-4328
SPOKANE, WA 99207
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 4 # OF UNITS $4.00
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 3 NUMBER OF $30.00
RANGE 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $96.00
Operator: CJJ Printed By: CJJ Print Date: 11/04/2005
Project Number: 05004103 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/04/2005 Page 3 of 3
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
Units
2
4
1
1
1
1
1
3
Fee Amount
$1,756.39
$96.00
$84.00
Plumbing Permit
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:
Invoice Amount
$1,756.39
$96.00
$ 84.00
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
$1,756.39
$96.00
$84.00
$1,936.39 $1,936.39 $0.00 $1,936.39
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: 11/04/2005
Permit Center [ `
Stct'n' cx
Deane 11707 E Sprague Ave, Suite 10 _
.000Valley Ie Spokane Valley, WA 99206 E
Y 1 (509)688-0036 FAX: (509)688-
Community Development www.spokanevalIev.or,.com
Residential Construction
Permit Application
PERMIT NUMBER: 4 03
PERMIT FEE:
14w[IC{an` r c on
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS
L5 L -
55 Lt 3 io�� �AI.rt Cr(�5S��c1
ASSESSORS PARCEL NO:l;`a . �� �3 LEGAL DESCRIPTION:
Building owner
DIMENSIONS: I „
-a" 7{ fig_,
Name: `Z)C i
Name: ,LIAO;
1.100 r t n
2ND FLOOR SQ. FTG:
N/%�„
Address: pc). 5 �
. N( C i1 i€ -
Phone:
City: ( &l! 1\
Zip: °`.)5"`;'3
-)
Phone: )t_1,1(c) -Lit 0,3 Fax: laf%, --1(a;) "L.•567
Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor
DIMENSIONS: I „
-a" 7{ fig_,
Name: `Z)C i
TOTAL HABITABLE SPACE:
17ctci
Address:
2ND FLOOR SQ. FTG:
N/%�„
City:
Zip:
Phone:
Fax:
Lic No: V at kv 41.w+ej\ 1
Exp. Date:
City Business Lic No:
TYPE:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
2_01_141.65L
DIMENSIONS: I „
-a" 7{ fig_,
# OF STORIES: 1
TOTAL HABITABLE SPACE:
17ctci
MAIN FLOOR TO SQ.
FTG:
17 (°\ Com.
2ND FLOOR SQ. FTG:
N/%�„
UNFIN BASEMENT1SQ. FTG:
I \„1 `/N'
IMPERVIOUS SURFACE
AREA:
I I 1 (A S4. F t .
FINISHED BASEMENT
SQ. FTG: NSA
GARAGE SQ. FTG:
S2-6 csi.i
DECK/COV. PATIO SQ. FTG:
o tl- :t)2Lt-! ) 9 9 s k , ‘-i ! -
30% SLOPES ON
PROPERTY: N/A^
# OF BEDROOMS:.....CONSTRUCTION
TYPE:
HEAT SOURCE:
Gas -D 1-12
SEWER OR SEPTIC?
`",F_ WEL_r2..-
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
e-JA,61
Date 10 /,1i)5
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
40000'alley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcv.ore.com
Plumbing Permit Application
SITE ADDRESS /-AV,)
PERMIT NUMBER:
PERMIT FEE:
o Commercial 54 Residential
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
Building owner 1j y
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
D
�t
Name: Y IAA (‘;--,f\-4 � C 3' t (---5)
�'�
Phone: Phone:.`
7t %r) --:-)kr, /� - Ct I 0 LO
Fax -.)y,
•--- -USC,
Lt(
Address: I�IUI %5. '. s l kw
URINALS
�
City i 1 krill n
.....a.,
State >
Zip b ? =--itJ
`�
Contractor
=
3
TUBS
11i
Name: t)) 1r' IRQ_.h(ib{
Phone:
-Ci 1. - !jCt i -i--,
Fax:
4
��
Address: %L 'f4
BATH, STALL, ON-SITE BUILT
City t\ ( D
\ ��
State
1
(i(S
Zip -y1 L—) /
License No: B1; LLV, 1 - 1-,---11.m..0
5
City Business License No:
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
Li
X
Contact
=
6
DISHWASHER
Name:
Phone:
$6.00
=
7
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
D
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
Li
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
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
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
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 DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalleYorccorn
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
o Commercial 0,Residential
SITE ADDRESS Lk \ �r`� �^"
DU IIUIag v•1....
Name: �(1� A ><Y:\ GY1 f L f� ��I
Phone: % 1.-
City
n
1 t6lr\
Business License
State
State
No:
_
Fax �
Tej
Fax:
�'
Zip '�'Ti i �
Zip
[�j
Address: �(1� . � Q. i � 11 '"�
,�t.
Contractor
r Phone:
Name: of 1 11p.`�ii
vtl
City
Address:
City
License Na
Contact
Phone:
Name:
# OF UNITS
X
COST
=
TOTAL AMOUNT
DESCRIPTION OF WORK
Equal to or less than 100,000
I
X
$12.00
=
1
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
=
2
FUEL BURNING APPLIANCE
Fee)
Equal to or less than 400,000
X
00
$50..00
=
3
UNLISTED APPLIANCE (Additional
Fee)
More than 400,000
X
$10
=
4
UNLISTED APPLIANCE (Additional
SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
-
-
5
USED.APPLIANCE (W
min. AFUE rating)
More than 400,000
X
$100.00
=
6
USED APPLIANCE (WSEC
1 - 100M BTU
X
$12.00
=
7
BOILER/REFRIGERATION
X
$20.00
=
101 - 500M BTU
8
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
9
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
10
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
11
BOILER/REFRIGERATION
INSERT, GAS FIREPLACE
X
$10.00
=
12
GAS LOG, GAS
j
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
WATER HEATER
'
X
$10.00
=
15
FUEL BURNING
BURNING APPLIANCE
X
$10.00
=
16
MISC. FUEL
outlet)
4
X
$1.00
=
17
GAS PIPING (each
SYSTEMS
X
$10.00
=
18
DUCT
FANS
1).)_
X
$10.00
19
VENTILATING
HANDLER NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
20
AIR (DOES
HANDLER NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
21
AIR (DOES
COOLERS
X
$10.00
=
22
EVAPORATIVE
I HOOD
X
$50.00
=
23
TYPE
II HOOD
1
X
$10.00
=
24
TYPE
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
25
AIR CONDITIONER
3-15 TON
1
X
$20.00
=
26
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
AIR CONDITIONER
30-50 TON
X
$35.00
=
28
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
=
VENTILATION SYSTEMS
X
$12.00
=
34
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
35
INCINERATOR - RESIDENCE
X
$19.00
=
36
INCINERATOR - COMMERCIAL
X
$22.00
=
37
METHOD OF PAYMENT:
DATE:
❑CASH 0 CHECK 0 VISA 0 MC
__ EXPIRES:- -
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
AUTHORIZED SIGNATURE:
•
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.6g8-0037
D Er-'ARTMEN OF PU EJC RKS
Artdcipafac .art date Permit i=i PW
APPROACH PERMET
APPLECATFpiii
Location of property j` l �j �. C. rrarit 1
4ddres /Parte 4f, if av,Qaflablia)
Appl!ri :NtnS: Hartle
AdlolreSs
Contractors Warne V L
ci
Address _[j/ 1 Phone (90F\ )? _ _.q f �F
Contractor's Regia Y11 (._ I,i(``) :1L.\ E zpfre i
PROJECT DESCRIIPTION (Provide site sketch)
Recii leratiallfpriveway I_...P.I Coornmerciai/CndustrieC Driveway
1-1 Existing Ciirb & Gutter
Culvert instfra lli ation
Other conditions LY`
f7
Rum! Road Section
S c ewarffit Repair/Construction
hWilihswrearr
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
S:
PERI@i FEE $ inspection Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card m Expiration Date
Hanle of Holder
Ferass -'a[ $
Sionaturre
Date
fait
$* TOTAL PRGE.05 **
11/10/2005 10:38 FAX 509 477 4703
SPOKANE CO BLDG.
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING`
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
10002
Site Information
Project Information
Site Address: 415 S GRADY LN
Parcel Number: 55202.1803
Subdivision: RANGE
Block:7 Lot: 3
Zoning: WR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: Dan Howard
Water Dist:
Project Number: 05008637 Inv: 1 Issue Date:
Permit Use: NEW SEWER CONNECT, MICA VIEW
11/9/2005
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:
1 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 Ievel 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
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
11/9/2005
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
7033
Payment Amt
$100.00
PERMIT