2005, 12-08 Permit App: 05004600 ResidenceProject Number: 05004600 Inv: 1
Application
Date: 12/08/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:• -rte , .
:.m %6m(v - .,xv :� "•vn mak 9 = ' ,. �9 '-,ems _ $M . P'�' '-`. "# m, . -*gown ..:« ,3
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 33 Left: 11 Right: 10 Rear: 43
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:
RIBMSNEORMENNONAMIMENEMIMMOVOMFAMMTMMOMMICALw, ;s..,, s* ,°;:'tel. '�.' { MII ER r I M
Name: Hidden Valley
District: East
Parcel Number: 55073.1956 Block: 1
SiteAddress: 17222 E KNOX AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,720 Sq Ft
Urban Residential 3.5
Lot: 48
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 75 Depth: 123 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Relea
Plan Review
Originally Released: 12/08/2005 By: cjjanssen
Relea
Approach / Drainage
Originally Released: 12/07/2005 By: TMELBOU
Released By:
Originally Released: 12/08/2005 By: cjjanssen
Sewer Review
Released By:
Permits:
Operator: CJJ
Printed By: CJJ
Print Date: 12/08/2005
Project Number: 05004600 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/08/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
DescriptionGrp Type
2ND FLOOR R-3 VB
BASEMENT U R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
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
HOOD -TYPE II
Units
1
1
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Unit Desc
NUMBER OF
NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
660 $49,288.80 660 $49,288.80
633 $9,495.00 633 $9,495.00
494 $9,386.00 494 $9,386.00
524 $39,132.32 524 $39,132.32
Totals: 2,311 $107,302.12 2,311 $107,302.12
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,038.55
$4.50
$415.42
$1,458.47
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Fee Amount
$10.00
$12.00
$2.00
$40.00
$10.00
Permit Total Fees: $74.00
Print Date:
12/08/2005
Project Number: 05004600 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/08/2005 Page 3 of 3
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
Notes:
Payment Summary
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Units
2
2
2
2
1
1
1
3
Fee Amount
$50.00
$1,458.47
$74.00
$84.00
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$50.00
$1,458.47
$74.00
$ 84.00
(509) 921-5913
Fee Amount
$12.00
$12.00
$12.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$84.00
Amount Owing
$50.00
$1,458.47
$74.00
$84.00
$1,666.47 $1,666.47 $0.00 $1,666.47
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: 12/08/2005
12/12/2025 13:32 2087E24507 ViKiNu
SNYK.,W CaN Y.
S1 0KAitiE COUNTY
DEPARTMENT Of BUILDING &
1026 \VVrs-r BROADWAY AVENUI Si'OKA_INir, '\VA 99260-0050
Site Information
Site Address: 17222 E K\'OX AVE
Parcel Number: 55073.1956
Subdivision: RANCE
P.
Lot: 4S
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE. In 63835
Building Inspector: iOHN LARSON
Water Dist:
Prujuct Information
Project Number: 05009262 Inv: 1 Issue Date: :27'2005
Permit Use: NE\v SEWER CONNECT, HIDDEN VALLEY
Applicant: VIKING CONSTRUCTION INC
2605 0' HAYDEN
HAYDEN LIKE, 1D 53935 Phone: (205) 762-9106
Ce,tacc A-1KING CONSTRUCTION I`.0
De l5 \V
LAYDEN LAKE, ID 53535 !'Imre: (208) 762-9106
Setbacks - Front: Lel,: t:;; tit: Rear:
Croop
Project tinrnr:
PerrilltS
Sewer Connection Permit
Contrnctor: :l\t'\;F;. I,;ccnsc h: O\VN5R
SEWER CONNECTION 535.00 PROCESSrNC FEE 1 315.00
Tor. l I'crntil Fee: 3100.00
FOR SEINER INSPECTIONS CALL. (509) 477-3604 UTILITIES 8:30-5:00 PNI MONDAY THRs; FRIDAY
Call for inspection prior io cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field loca:c and conhmi the elevation and position of sewer stub prior to .,ny ether excavzticn.
Sewer snubs arc to be checked prior to connection to ensure that they have acceptable > recle and aro deer ord. unobstructed to the mail
sewer. Sewer lines should bc constructed to ellow for gravity flow from the lowest level of the structure.
This permit must bc presented to the job site inspector for verification To loea:c buried cables, gas piping, water 1I nes, e:c.
C.vLL5EMRF... YOU DIG. (509)456-S000.
$TATE LAW RC\V 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALi- EEFORE YOU DIG" CENTER FIE
NOTIFIED. CALL. BEFORE YOU DIG AT LEAST 2 WORKiNG DAYS iN ADV.ANCE, (509;006-5000.
Spokane Count? Cotic requires the installer ccmplywwth all requirements of the Washir5:.or State Deep. of L:bcr and Industries.
includin, Cnocc related to trench safety.
1'.l`ylllt?11l Summary
Total Fres Amounti'n;d 1AnlountOwino Tran Date Reed t 0 )'asiotcnt A,nt
5100.00 5100.00 50.00 1217,'2005 7553 510C.00
Processed 13v: Hansen, Tom
Printed By: W ENDEL GLORIA Pau i of I
DEC 1 2025 L' _
PERMIT
Stiokane
Valley
1
i y;of
BUILDING PERMIT APPLICATION WORKSHEET
o; ane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
f_ Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: ti 1.4r\t
Assessor's Tax Parcel Number(s): (c.J f- (\
Legal Description: U Lkcb TAcy t nvirtuN \Lcc
PERMIT DESCRIPTION:
`tJ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
R Owner: V LJaa\:\
Phone: '1rs1 at 01pFax:
Address: ' tY
Ott:ki<
City
❑." Applicant: �C '�-�-
y C1 Phone: Fax:
-. Address:
State
5.-1.3
Zip Code City
State Zip Code
Q' Contractor: `- 0,_,0/ ❑ Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City
State Zip Code
City
WA State Contractor License #: 4\V-twClCt2 ` t j Contact:
Spokane Valley Bus. Liscense #: Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:r 5,
DIMENSIONS: 54 >4
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
52
r��
1
2N" FLOOR SQ. FTG:
(4GOiV f
UNFIN BASEMENT SQ. FTG:
01'4-
FINISHED BASEMENT SQ.
FTG:
NI
GARAGE SQ. FTG: oi<
494
DECK/COV. PATIO SQ. FTG:
IJP
OCCUPANCY GROUP:
it S
CONSTRUCTION TYPE:
HEAT SOURCE:
A A '"..c,. Q 4 i
# OF BEDROOMS:
TOTAL HABITABLE/SQ ACE:
IMPERVIOUS SURFACEEyA
40
:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
N Or
SEWER OR ON-SITE SEPTIC
SYSTEM? 'S54t/t re
Spokane
.0,00 Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev. ore.com
Mechanical Permit Application o Commercial
SITE ADDRESS t 1'- PCP .
PERMIT NUMBER:
PERMITFEE
❑'*Zesidential
Building owner
Name: N llf s, rt.
i'11 r-1-1 {V) i\r, Phone:
,..-') £ I r1(1. Fax �(`Ci'•. 'i
-�{� 1
_c,, tt
Address: 4t-iy`.. sq.') 1
V C.,1..\ `k'
City tAkt j( IN State 1'Q
Zip f;IF,9i.D6-
Contractor
! C
Name: Irl{ N_`�i(; n
Phone:
Fax:
Address:‘,
City State
Zip
License No:
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
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
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
USEDAPPLIANCE (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
$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
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
X
$1.00
X
$10.00
19
VENTILATING FANS
flo Lk
x
$10.00
20
21
22
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
X
$12.00
Greater than 10,000 CFM
X
$15.00
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
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 ❑ CHECK 0 VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Spokane
.00.0 Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.orfz.com
Plumbing Permit Application
o Commercial
PERMIT; -NUMBER
PERMIT FEE•
-
..
Residential
SITE ADDRESS
Building owner =1f I,V X11
Name: %fel VC:►Y4i1C tM
Address:l��14�. 1�'st ij(1 eve
Contractor
Phone: „DC, -(1;)- 1 - C1 l� Fax -' ,y)i%; �l^�—USC
City I -i;
State
f'
Name:'r'
Phone;q t— C t 2 Fax:
Address: 1(..k
License No: P4--;
Contact
City Wye,v State 1 LNn
Zip gel L---71
City Business License No:
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
of
X
$6.00
=
2
URINALSr
X
$6.00
=
3
TUBS
D
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
Q
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
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
3
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:
0 CASH 0 CHECK
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
835.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
T
}
r.=v.F 114•L SRL pG.ttc''4.4 :.54.a1 C. data
ccii hour uc:ucc in oeci o re ui `d
( Phoria ;09 6a- J076 F, con (1037
v .. v.i .�;VJ- vV 4,ti JV7. COC -VV]
O.EPf;.s E MEN_ .. OF PUBLIC:: WORKS
APPROACH PERWET
L..crcait:ion of property t -..1 CSC
R,. f, `„ Rddressfl 'arceJ? i availabie)
p. p
.2;,�;ipti1 i%�:�n rlf: �C�ci16111 � _tl ,I )" 1` . /
Address,.' �.`.. �r�, �I �i..Y��r J, �t��I� f. (G (r7 )(y1P T � �,•.
"��'. ��, -• �!' � �X� � ,1 11 l,-,�+�t^^77 D'L-114��14�'��� R,.,_�l,-1, ..._`"'(�1.�,.:S�A-(-""'..._. � ^--�
• Contractor's Reale. �iL 4: ( ;'t"� .. ,I.D1 u —
Contractor's Regg VI '�i;��t �� � 1, ff
'E� Expires
PROJECT DESCRIPTION (Provide site sl:t'ch)
Residential.Driveway
Existing C 115 Gutter
1 Culvert Installation
Other conditions_ i r` 1
See construction requirements and details on reverse. Band/insurance certification must he on
file with the City.
SPECIAL CONDITIONS:
C tnmerciall/industriai Driveway
I •! Rural Rod Sectio
.T1 Sidewalk Repair/Construction
1� f
, pl
authorize EL'tti
1 herebyHerr Fie
e the City of Spokane Valley to charms the fee for this
permit --_
Card m
Name of Ho(der
Fe- s ai�e
Expiration Date
Siuriature
Date init
%t; : TOTRL PAGE.05 a: :