2005, 08-10 Permit App: 05002745 ResidenceProject Number: 05002745 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 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 34 Left: 12 Right: 18 Rear: 29 Phone: (208) 762-9106
Group Name:
Site Information: Project Name: ROW
Plat Key:
Name: Hidden Valley
District: East
Parcel Number: 55073.1918 Block: 1
SiteAddress: 17221 E KNOX AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 18
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: .00 Acres Width: 80 Depth: 105 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: 08/04/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 08/03/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 08/04/2005 By: cjjanssen
Released B
Operator: CJJ
Printed By: CJJ
Print Date: 08/10/2005
Project Number: 05002745 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 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
HAYDEN, ID 83835
Total Area 2325
Building Height 22
Stories 1
Dwelling Units 1
Phone: (208) 762-9106
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VB 1,123 $22,460.00 1,123 $22,460.00
COV DECK R-3 VB 40 $600.00 40 $600.00
GARAGE U-1 VB 455 $8,645.00 455 $8,645.00
RESIDENCE R-3 VB 1,202 $89,765.36 1,202 $89,765.36
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,820 $121,470.36 2,820 $121,470.36
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,116.95
$4.50
$446.78
Permit Total Fees: $1,568.23
Operator: CJJ Printed By: CJJ Print Date: 08/10/2005
Project Number: 05002745 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 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
CLOTHES DRYER
RANGE
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
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
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: CJJ Printed By: CJJ
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $96.00
Print Date: 08/10/2005
Project Number: 05002745 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,568.23
$95.00
$96.00
Invoice Amount
$50.00
$1,568.23
$95.00
$96.00
$1,809.23 $1,809.23
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,568.23
$95.00
$96.00
$0.00 $1,809.23
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: 08/10/2005
(- - J L C.
j
BUILDING PERMIT APPLICATION WORKSHEET
iV of pok (Valley Community Development �D ep n meet
11707rSprague Avenue, Suite 7 06.
Spokane Valley, WA 99206
r�YFone: (509) 688-0036; tax: (509) 6&8-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
xervA %c-13 Li IS /q/(
Legal Description: A- 3kc leo v i t.0 Op o_I
PERMIT DESCRIPTION:
+Building Permit
❑ Relocation
(l Change in Use ❑ Grading ❑ Manufactured Home
[1 Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: \,! act '( kC -1Li'1
Phone: "ltD-C\thoFax: 1(0a --Li «i
Address:
City
R/- Contractor:
Phone:
Address:
State
Zip Code
Fax:
City State Zip Code
LK Applicant:Q.
Phone: Fax:
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
State Zip Code
WA State Contractor License #: \ \ Ir t\Z\ ,Y? We Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 7:2,1 ir'°i"
DIMENSIONS: t �,,..
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
IZoz
2N" FLOOR SQ. FTG:
J A
UNFIN BASEMENT SQ. FTG:
upAr
FINISHED BASEMENT SQ. FTG:
1 123
GARAGE SQ. FTG: ,t
Q S
DECK/COV. PATIO SQ. FTG:
Cr,tre><p . t' Fd kC 4 40
i OCCUPANCY GROUP:CONSTRUCTION
�E
TYPE:
HEAT SOURCE:
CAA 5 V440,br4C.f -
OF BEDROOMS:
TOTAL HABITABLE SPACE: ,:t c
IMPERVIOUS SURFACE AREA: VZZA ``" ,
COST OF PROJECT:
30% SLOPES ON PROPERTY:
IJ P1--
EWE R ON-SITE SEPTIC
S EM? 0 ,/c..-1-2__..
Width:
Manufacturer:
MANUFACTURED HOME
Length:
Year: Fit Set:
RELOCATION
Previous Address:
Proposed Use:
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: Phone: Fax:
Address:
City
Inspector: Phone: Fax:
Address:
State
Zip
City
State
Zip
SPECIAL INSPECTIONS
n BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
nspector(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
Method of Payment (Faxed permit applications will only be accepted with major benkcard)
fl Cash
Bartkcard #:
Authorized Signature:
n Check
❑ Mastercard
❑ VISA
Expires:
❑ Other
0"4.,
So1an
• \alley
Project Address:
Owner: Al ‘14' i 1'v C)+'v-z.: O.f 4-t r.nv
Mailing Address: a4, is Ll . '��t -,;.1') '- x'
Contractor: i-r'i L'e'i S'\a.A. _1" f;:0License #:
Mailing Address: r-}� r l ( -0_"1".1"\
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokcne Valley, WA 99205
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: SRI -
Phone (Daytime Contact):
State
Phone #:
Ci State
City
AUTHORIZED SIGNATURE:
Zip Code
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
i
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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 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
$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 - 1,750M BTU
X
$57.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
GAS LOG, GAS INSERT, GAS FIREPLACE
X
310.00
=
'12
13
RANGE
1
X
$10.00
=
14
DRYER
1
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)
1
X
31.00
=
18
DUCT SYSTEMS''
X
$10.00
=
19
VENTILATING FANS
rr
r'-1
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 I HOOD
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
320.00
=
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
310.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
/METHOD
OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
335.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Zip Code
",
1Iey
Project Address:
Owner: V i )^(i
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, 'W4 9920E •
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): ?;--lv P -
Mailing Address: ->?E,; ` :1', "I } 1 t la ` ." - ^ i`\. 01 Y'
Contractor: ~z 1:11r1
Mailing Address: SO, ti dt
City State Zip Code
License #: 17-'17-j Qti; - C:10Phone #: Qat 1~,c� /
\:,;). `I ` i'L t 6
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
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
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
IA
X
$6.00
=
6
DISHWASHER
t
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
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
,..2)
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:
❑ CASH 0 CHECK
DATE.
0 VISA 0 MASTERCARD
EXPIRES: _
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
• 01,4\44..„
Ski'lane
•
•
Can 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION '+
Location of property al.ak
r (Address/Parcel #, if available)
Applicant Name \ k 1 � �►'" '� r`a1 ' � L C �i'c:—.11)�'
Address
hone
Contractor's Name
Address `4-1, e Cr
OLP Phone, -1(04_.ell Ck
Contractor's Reg# 1 e._1 G?.:_> Expires Ii 1 liD(L:
PROJECT DESCRIPTION (Provide site sketch)
• Residential Driveway U Commercial/Industrial Driveway
E Existing Curb & Gutter
ri
PJ Other conditions
Rural Road Section
Culvert Installation I J Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Ins • ection Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card #
Name of Holder
Si, nature
Expiration Date
Fees Paid$ Date
!nit
** TOTRL PRGE.05 **
Ut/ lb/ L17Un bb: 5'L 101 (614507
VIKING CONST
PAGE 03/03
SPOKANE CO
»AR NTOF BUIL DIN
'FEST BROADWAY AVENUE • SPOIUNE
t
Site Information
Project Information
Site Address: 17221 E KNOX AVE
Parcel Number: 55073.1918
Subdivision: RANGE
Block: Lot:
Zoning: LINK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE. ID 83835
Building Inspector: LEONARD FLUNO
Water Dish
Project Number: 05005725 Inv: 1 Issue Date 8/15/2005
Permit Use: SEWER CONNECTION- HIDDEN VALLEY LOT18, BLKI
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (208) 762-9106
Phone: (208) 762-9106
Rear:
1 Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION
License #: V1K,INCr88D:1
SEWER CONNECTION 1 $35.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
$15,00
1100.00
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 arc to be checked prior to connection to ensure that they have acceptable grade and arc 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.
Payment Summary
1
Total Fees AmountPaid AmountOwing
1100.00 5100.00 10.00
Tran Date Receipt # Payment Amt
8/15/2005 4839 $100.00
Processed By: Hansen. Tom
Printed By: WENDEL. GLORIA Page 1 of 1
AUG 16 2005 07:11
PERMIT
2067624507 PAGE.03