2005, 10-20 Permit App: 05003893 ResidenceProject Number: 05003893 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/20/2005 Page 1 of 3
Project Information:
5.amagau ;,,. amt -:w €SIM . : a! . R ,4...� . ,.. s ., l a
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
Setbacks: Front 37 Left: 10 Right: 38 Rear: 22
Site Information:
Plat Key:
Name: RANGE
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
District: East
Parcel Number: 55202.1805 Block: 7
SiteAddress: 502 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,455 Sq Ft
Urban Residential 3.5
Lot: 5
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 87 Depth: 114 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 10/20/2005 By: CJJANSSE
released By:
Sewer Review
Permits:
Originally Released: 10/20/2005 By: TMELBOU
Released By:
Operator: CJJ Printed By: CJJ Print Date: 10/20/2005
Project Number: 05003893
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/20/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Description Grp Type Notes
BASEMENT U 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
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
HOOD -TYPE II
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,306 $19,590.00 1,306 $19,590.00
96 $1,440.00 96 $1,440.00
449 $8,531.00 449 $8,531.00
1,394 $104,103.92 1,394 $104,103.92
Totals: 3,245 $133,664.92 3,245 $133,664.92
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Units
1
1
3
4
1
1
1
Operator: CJJ Printed By: CJJ
Fee Amount
$1,184.15
$4.50
$473.66
$1,662.31
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Print Date: 10/20/2005
Project Number: 05003893 Inv: 1
Application
Date: 10/20/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509) 921-5913
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Notes: MXIMMEMMONNAK
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1,662.31
$95.00
$102.00
$1,662.31
$95.00
$102.00
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,662.31
$95.00
$102.00
$1,859.31 $1,859.31 $0.00 $1,859.31
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: 10/20/2005
Spokane
jValley
Permit Center
11707 E Sprague Ave, Suite 106 ^ „
Spokane Valley, WA 9: .: r, E, [\ v
(509)688-0036 FAX: ('1' :8 3� •
���t��v.spokanevaliev.cr�,. .t
Community Development
Residential Construction
Permit Application
PERM1T
lie f s 1 c irb o Accessory Bldg
Ad�ition/Remodel ❑ Deck
o Other:
SITE ADDRESS 5o _ ' .GractLi 14N.
ASSESSORS PARCEL NO: ,ljgj cab a, 133 LEGAL DESCRIPTION: Lc>4 5 Bit Cuu 4v
Buil ding";owner
Name: V U(1 o(}t \ZIf '111k
r
Address: l o r S 1 D , Oro 4 .h
Zip: g`,2)35
City: (b 1Ld_En
Phone: Fax: a bt6. ---) lo3.'4 C -1
Contact. Perso
Name:
Phone:
Describe the scope of work in detail:
Contractor
Name: `,Q,
Address:
City:Zip:
Phone: Fax:
Lic No: V 0/... C_A2k 1 Exp. Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO C/ PEAK:
--1"
DIMENSIONS:, ./
"/("! ! 3
# OF STORIES: , t��
TOTAL HABITABLE SPACE:
2 i yam' ;
MAIN FLOOR TO SQ.
FTG:, -429 G( 61<_
2Nu FLOOR SQ. FTG:
Ki//�
UNFIN BASEMENT SQ. FTG:
/,,, f'"2 4'' oK_
IMPERVIOUS SURFACE
.
AREA: ) et -')A°
FINISHED BASEMENT
SQ. FTG: 1•J A
GARAGE SQ. FTC:
DECK/COV. PATIO SQ. FTG:
ci ;v .:-:4_1--T, ` i;if.c- 0
30% SLOPES ON
PRO. TY: \I 4-
# OF BEDROOMS: „,
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER R 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.
Signature
1
Date
Method of Payment: (Faxed permit apph ons will only be cc pted with major bankcard)
❑ Cash ❑ Check ❑ Mas ercard ❑ VISA
Bankcard #: Expires: VIN#:
lb A
❑ Other
Authorized Signature:
REVISED 8/25/2005
spoi�an`
,0. Malley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spok anevall ey.ors.con
Mechanical Permit Application
SITE ADDRESS fr<
wit NUMBS]
o Commercial ' , Residential
Building owner
f ^^'
Name: k A A XT\ lQ 11 Inn Phone: )•'� ,. ...q 1 nu Fax �i1 '.= -)jj.lP.- Sr
ifv,
Address: -k..0,., Vi_'")� 01,11 f _ City I l '{l10 >'1 State [ Zip 'g)�Y/�iPs
,q
Contractor
Name: t..\- l fS'ire Phone: Fax:
Address: City State Zip
License No: Pi i far). * CYCA P5 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
1
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess 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
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
1
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
il
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
a.7.
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
Lk
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 11 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 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:
CARD #: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Siklkane
Valley
Community Development
Plumbing Permit Application
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sDokanevallcv.ora.com
❑ Commercial
PERMIT NUMBER:.
�` PE �tRMIT�EI
Residential
SITE ADDRESS
)O • Ciczckk4In
Building owner -1(l j'
Name: i Ltilti»�YUCte1x1`-
Address: a tGi? i l !'1' )e
Contractor:
Phone: ,i09 -X-C1ul7Lo
Fax ,#-J9) —(-1 Nc 1
Zip jj jg)
ty-1f:
CitC ur\ State
Name: tpn\-)A,;--Address���
License No: aj L. 6 j`i' ‘M._()
Contact
Phone; —CG-1.—� �� Fax:
City 1larafkr S P State UNa
City Business License No:
Zip -6 to
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
r�
d
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
5
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
I
X
$6.00
=
8
GARBAGE DISPOSAL
I
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
0 VISA 0 MASTERCARD
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
&OMNI COvruY.._
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 502 S GRADY LN
Parcel Number: 55202.1805
Subdivision: RANGE
Block: 7 Lot: 5
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 05007969 Inv: 1 Issue Date: 10/19/2005
Permit Use: NEW SEWER CONNECT, COUNTRY CROSSINGS
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (208) 762-9106
Phone: (208) 762-9106
Rear:
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 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
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
10/19/2005 6527 $100.00
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT