2005, 08-29 Permit App: 05003107 ResidenceProject Number: 05003107 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
Setbacks: Front 36 Left: 32 Right: 12 Rear: 20
Site Information:
Plat Key:
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
Name: RANGE
District: East
Parcel Number: 55202.2204
SiteAddress: 626 S HOLIDAY RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,000 Sq Ft
Block: 6 Lot: 5
Urban Residential 3.5
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 80 Depth: 125 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review. Information:
Review
Site Plan Review
Released'By: -
Plan Review
Originally Released: 08/25/2005 By: cjjanssen
Released By:.
Approach / Drainage
Originally Released: 08/29/2005 By: TMELBOU
Released By:
Sewer Review
Originally Released: 08/25/2005 By: cjjanssen
Released By:
OS - t ,u,b
Permits:
Operator: CJJ Printed By: CJJ
Print Date. 08/29/2005
Project Number: 05003107 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
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Building Characteristics
Total Area 1565
Building Height 19
Stories 1
Dwelling Umts 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VB 99 $1,485.00 99 $1,485.00
GARAGE U-1 VB 484 $9,196.00 484 $9,196.00
RESIDENCE R-3 VB 1,459 $108,958.12 1,459 $108,958.12
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,042 $119,639.12 2,042 $119,639.12
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: CJJ Printed By: CJJ
Fee Amount
$1,105.75
$4.50
$442.30
Permit Total Fees: $1,552.55
Print Date: 08/29/2005
Project Number: 05003107 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
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS 1tD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
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
I NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$4.00
$10.00
$10.00
$10.00
$10.00
$66.00
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
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
' $6.00
$6.00
$18.00
Permit Total Fees: $84.00
Print Date: 08/29/2005
Project Number: 05003107
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•
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,552.55
$66.00
$84.00
Invoice Amount
$50.00
$1,552.55
$66.00
$84.00
$1,752.55 $1,752.55
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,552.55
$66.00
$84.00
$0.00 $1,752.55
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
CITY U c
op kane
Walley
BUILD G PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
E C E Vt�� � 11707 E. Sprague venue, Suite 106
Spokane Valley, WA 992033
ti i p �,: p ,p e: (509) 688-0036; Fax: (509) 688-0037
u 'ICS's g rNFOi MATION
Street Address: ups'J- 6oCv.
Assessor's Tax Parcel Number(s): Fr;-) . pC--1
Legal Description: k -l* 5 VC'Xi‘ O ` UXn`,_L\ NXX-SSUrn
PERMIT DESCRIPTION: SP12-
vf Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Er Owner: I 0{)-r:
Phone: '41k atDl` Fax: 1,lo--1A95 1
Address: �1.i,Gfi UTh• 1 ('t bf
6_051 b3P)35
City State Zip Code
IjSZ Applicant:
Phone: Fax:
Address:
City
State Zip Code
[✓ Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: \(U,1-lN eActU JContact:
Spokane Valley Bus. Liscense #: Contact
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 4
l5' -W
DIMENSIONS:y
53 04xLi i,
# OF STORIES: ,
MAIN FLOOR TO SQ. FTG:
MSS-. /`l
2"" FLOOR SQ. FTG:
X/A
UNFIN BASEMENT SQ. FTG:
1C/ht
I FINISHED BASEMEN Q. FTG:
I GARAGE S� TG: ,
DECK/COV. PATI Q. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE: z
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:IMPERVIOU
ISFfS / ``r I
SURFACE AREA:
50
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? 5E./FR
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ 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 Signature ---7 ty .. -
Cts i ,. c» . T-1\
Method of Pay meat:; t(Faev&d pe
❑ Cash -%' atieck
Bankcard #: :(Y10
nit applications will only be.jpcepted with majorbankcard)
Authorized Signature: 0= 0:--
❑ Mastercarar ❑ VISA 0;911Dr
..ti, Expires:
}
Spa
\alley
Anticipated start date
APPLECATiOE.E
Location of property
Call 24 hours before inTeation required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Permit # PW
APPROACH PERWiT
0D4t 5. 1b1 ckp9
.Address/Parcel #, if w citable)
Applicant Name \t i " �'PI �,r ���E� r. i' •'1 i a^ ('
Address -` 1cQ S I n a:gl801'91^ auePhone m
p i
Contractor's Name 16_16I l I';n4i1.1_4 1.04ri
Address ).1n n UC.k-k 10Lp Phone 1,'��n
Contractor's Reg# V(1 i,I i:I (Lk Gith. 1\_1 Expires R / i ! ii")(;)
PROJECT DESCRIPTION (Provide site sketch)
Residentiawriveway Commercial/industrial Driveway
D Existing Curb & Gutter I j Rural Road Section
nCulvert Installation [-I Sidewalk Repair/Construction
PI Other conditions tY t\ELI i'Y'ii (1 ( , tri. r �Z
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE Inspection Fees_
I I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. 1
Card*
Name of Holder
Sicnature
Fees Paid$ Date !nit
Expiration Date
** TOTAL FAGE.a5 **
Siam
o Mr ikky
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Developmer„ Department
BuildingDivision
11707-E. Sprague -Avenue, Suite 106 --
Spokane Valley, V✓A 999920(1
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: .r
Project Address: QP1O a-Ik`'CJ.' �rm
Owner: V t `[
IVrd:IrI_JnUUI-ODO. ?(}, rr s 04? ((�.. )-\
F)! ,
.T
Contractor: i`�OII [j j i'ii_u'!^'
Mailing Address: c5 lk �� eft < �.` Ort
License
Phone (Daytime (.
Contact):? : 1--1irla-c(LL-
{ _ �1 +.
�-f"r y, irS„o IA ,tit -`c ;h
City' State Zip Code
#: Till YR,! P - C ibUDhone #: -I -.c1i - fig/3
City -— State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS++�
X
COST
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
d
X
56.00
=
2
URINALS
X
56.00
=
3
TUBS
1p
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR
KITCHEN, LAUNDRY, UTILITY,
JANROR, PHOTO, X-RAY, FOOD,IA
PREP/CULINARY/MEAT
X
56.00
6
DISHWASHER
t
X
56.00
=
7
CLOTHES WASHER
1
X
56.00
=
8
GARBAGE DISPOSAL
l
X
56.00
=
9
WATER SOFTENER
X
$600
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56 00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE.
VENT, PLUMBING. REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
'
X
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R.P. B.P. D. FOR:X
VATS, TANKS, BOILERS .
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
=
METHOD OF PAYMENT:
0 CASH ❑ CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
*tam
Project Address:. a ', \\C\.1/4.. "\
Owner: V; k' 1 1^:.r i C..rc n -71„.QC_
Mailing Address: Wit' Ute, AL1 , t t �; f I'1 �=
.
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 002na
Phone: (509) 688-0036: Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
VW
Lin Wei) b'lailart-i
Contractor: i' I Lin ��? ) License #:
Mailing Address:
li%:� ),
Permit Use: ,,;;
Phone (Daytime Contact): .-: y., -ii:::4_: j(` , ,
' t til, (i, in\ Tim `i! ;!h i5
Citi t State Zip Code
c-st FAL "\ Phone : 431:-;=--7:0--- f. -
•
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
'
taw
# OF
UNITS
X
COST
=
State
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
t
X
515.00
2
FUEL BURNING APPLIANCE
More than 100.000
X
519.00
=
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
ratingL
More than 400,000
X
$100 00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
557.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
595.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
(
X
510.00
=
13
RANGE
1
X
$10.00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
I.
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
519.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE IHOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
28
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT
Y.
$10 00
=
32
WOOD STOVE - FREE STANDING
X
$25 00
=
METHOD OF PAYMENT:
I:1CASH ❑ CHECK ❑ VISA ❑ MC
CARD :.
SUBTOTAL
DATE.
PROCESSING FEE
535.00
EXPIRES•
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: