2005, 08-29 Permit App: 05003102 ResidenceProject Number: 05003102 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Setbacks: Front 36 Left: 10 Right: 6 Rear: 23 Phone: (208) 762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: East
Parcel Number: 55202.1804 Block: 7
SiteAddress: 503 S GRADY LN
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,004 Sq Ft
Urban Residential 3.5
Lot: 4
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 92 Depth: 107 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Originally Released: 08/25/2005 By: cjjanssen
Plan Review
Approach / Drainage
Released By:
Originally Released: 08/26/2005 By: cjjanssen
Released By: �
Sewer Review
Permits:
Operator: CJJ
Originally Released: 08/25/2005 By: cjjanssen
Released By:
Printed By: CJJ
Print Date: 08/29/2005
Project Number: 05003102 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 2 of 4
Approach
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Building Characteristics
Total Area 1799
Building Height 18
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
DECK R-3 VB 96 $1,440.00 96 $1,440.00
GARAGE U-1 VB 792 $15,048.00 792 $15,048.00
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: 2,687 $150,837.32 2,687 $150,837.32
Units Unit Desc Fee Amount
1 SELECT $1,279.35
1 SELECT $4.50
1 SELECT $511.74
Permit Total Fees: $1,795.59
Operator: CJJ Printed By: CJJ Print Date: 08/29/2005
Project Number: 05003102 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 3 of 4
Contractor: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
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
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$86.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$ 84.00
08/29/2005
Project Number: 05003102 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 4 of 4
Notes: r t.. v, :. , . , . W. .;,., .:/
Payment Summary:
Permit Type Fee Amount Invoice Amount
Approach $50.00 $50.00
Building Permit $1,795.59 $1,795.59
Mechanical Permit $86.00 $86.00
Plumbing Permit $84.00 $84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,795.59
$86.00
$ 84.00
$2,015.59 $2,015.59
$0.00 $2,015.59
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: 08/29/2005
Van':
40, a e
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rr
ij /C' i
�,7 BUILDING PERMIT APPLICATION WORKSHEET
City pokane Valley Community Development Department
s Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
"J Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: > L.9 OYNCLLkL r\
Assessor's Tax Parcel Number(s): J 5<:)W. . 1 )(DLI
Legal Description: LA kik CAUAL
(t\ 1:k 6r.C(mSifY
`'t5
PERMIT DESCRIPTION: -•
IMauilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: Vk re Applicant: '
Phone: °110 .-C' Itis, Fax: lo)- Phone: Fax:
A dress:1,:,ACr) Address:
City`C State Zip Code J City State Zip Cod- '4
[1' Contractor: 0 Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City State Zip Code City State
WA State Contractor License #: a l [U l`'.1 et b ontact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: r �:
is —2 -k-
DIMENSIONS: 1 f,
77-C ,4' ' � f
# OF STORIES:
OtE.
MAIN FLOOR TO SQ. FTG: 7��
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:/
DECK/COV. PATIO SQ. FTG: c=
FIzo/4 i p �- C140 SeVr.
FINISHED BASEMENT SQ. FTG:
0
GARAGE SQ. FTG:Z
7 , i
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE: (�p, .11i.p..tAc.c,
# OF BEDROOMS:TOTAL
HABITABLE SPACE:
'���
IMPERVIOUS SURFACE AREA:
1 Z4 D
COST OF PROJECT:
30% SLOPES ON PROPERTY:(
IBJ/ A-
SEW OR ON-SITE SEPTIC
STEM? ..› 5.14./r Z—,
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:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name:
❑ CONCRETE
❑ 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.
11"
Print Name Signature l �i\Si. G''"
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check E] Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
00"ste,
*tine
„so/alley
Project Address: 50) -
Owner: \fi k. c
Mailing
Address:
: ti G. '� � 13-4-1 •
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9320E
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): :---7 ) - Lxc
r
City c State Zip Code
License #: Clt%tPhone #:
Contractor: I =. Li lV 3'' a: V W i! 1'
Mailing Address: SLA b , . r ',r-1-:'-',
v�
r\
City
State Zip Code
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
(
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
r
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
1-\
X
$6.00
=
6
DISHWASHER
I
X
$6.00
=
7
CLOTHES WASHER
(
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
( )
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
()ATF'
0 VISA 0 MASTERCARD
EXPIRES: ____
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
^T1' kane
.00Valley
Project Address:
Owner: \I!,
Mailing Address: At'!, -.,C.; L J , t _
Contractor: PL- � -_"� r'c \O-irtJ 'f ri
Mailing Address: E ti.J
r�'
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: 4-71;-(7
phone (Daytime Contact): 4---!; <.-z E i'L ;`,`
State Zip Code
Phone if: :^r-'' r. ._,..
License #: L ;
r:ity
AUTHORIZED SIGNATURE:
�s':C .r 1
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
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 - 10OM 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 - 1,75DM BTU
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
l
X
$10.00
=
13
RANGE
X
$10.00
=
14 DRYER
X $10.00
=
15 FUEL BURNING WATER HEATER
I X $10.00
=
16 MISC. FUEL BURNING APPLIANCE
X $10.00
=
17 GAS PIPING (each outlet)Lk x $1.00
=
18 DUCT SYSTEMS
X $10.00
=
19 VENTILATING FANS I rZ
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
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 Y. $10.00
=
32 WOOD STOVE - FREE STANDING X $25.00
=
METHOD OF PAYMENT:
SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC DATE:
PROCESSING FEE
$35.00
CARD #: EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
�s':C .r 1
Zip Code
0",
*lane
.0010 iiley
Anticipated start date
APPLCAC€O
Location of property
Applicant Fame
Address
Contractor's Name
Address
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.6H-0037
DEPARTMENT OF PUBLIC WORKS
Permit # PW
APPROACH PERMIT
(Address/Parcel`#, if available)
n lyli .0 r r.
�YOnG" lY. 4Y�-pro. i k
Phone --et/
Contractor's Reg# `\\ 6i ,`T Expires a Jas-,
PROJECT DESCRIPTION (Provide site sketch)
Ll Residential Driveway
7 Existing Curb & Gutter
11 Culvert Installation
71 Other conditions
ElCommercial/Industrial Drivew y
Rural Road Section
nSidewalk Repair/Construction
See construction requirements and details on reverse. Sand/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Iris ection Fee$
hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card
m Expiration Date
1 Name of Holder
Fees Pala$
Signature
Date snit
W e TOTRL PRGP.05 **
1
Contractor: VIKING CONSTRIICTION License #: VIKINC[SRDI
SEWER CONNECTION 1 $35.00 PROCESSING FIT;
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 830-5!00 PM MONDAY THRU FRIDAY
1
$15.00
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confine 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 arc clear and unobstructed to the main
sewer. Scwcr 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 Tines, 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 I3EFORE YOIJ DEG 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.
S10000
1
09/12/2005 10:12
2087E24507 VIKINU UUNSI
spowatly
O ANE COUNTY
DEPARTMENT .i� DI ILDING & PLANNING
1026'WEST >BROADWAY AVENUi • SPOKANE, W;A 9 260 OO O
rNar CIL/U4
Site Information
Project Information
1
Site Address: 503 S GRADY LN
Parcel Number: 55202.1804
Subdivision: RANGE
Block: Lot:
Zoning: LDR. Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: Dan Howard
Water Dirt:
Project Number: 05006625 Inv: I Issue Date: 9/8/2005
Permit Use: NEW RESIDENCE SEWER CONNECTION, COUNTRY
CROSSING
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (509) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (509) 762-9106
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
1
Payment Summary
Total Fees Amount.Paid AmonntOwing
$100.00
$100.00 $0.00
Tran Date Receipt if Payment Amt
9/8/2005 5408 5100,00
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
SEP 12 2005 10:33 2087624507 PAGE.02