2005, 08-11 Permit App: 05002850 ResidenceProject Number: 05002850 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/11/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 32 Left: 5 Right: 11 Rear: 24
Site Information:
Plat Key:
Name: Hidden Valley
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name: ROW
District: East
Parcel Number: 55073.1919 Block: 1
SiteAddress: 17315 E KNOX AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: .00 Acres
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot: 19
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Plan Review
Approach / Drainage
Originally Released: 08/10/2005 By: cjjanssen
Originally Released: 08/09/2005 By: TMELBOU
Sewer Review
Permits: wyr,r,,-...
Operator: CJJ
Originally Released: 08/10/2005 By: cjjanssen
d"
Printed By: MT
Print Date: 08/11/2005
Project Number: 05002850 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/11/2005 Page 2 of 4
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
Total Area
Building Height
Stories
Dwelling Units 1
1833
20
2
Description
BASEMENT F
GARAGE
RESIDENCE
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
This Application:
Grp lym Notes Sq Ft Valuation
R-3 VB 633 $12,660.00
U-1 VB 500 $9,500.00
R-3 VB 1,200 $89,616.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Total Project:
Sp Ft Valuation
633 $12,660.00
500 $9,500.00
1,200 $89,616.00
Totals: 2,333 $111,776.00 2,333 $111,776.00
Units Unit Desc Fee Amount
1 SELECT $1,060.95
1 SELECT $4.50
1 SELECT $424.38
Operator: CJJ Printed By: MT
Permit Total Fees:
Print Date:
$1,489.83
08/11/2005
Project Number: 05002850 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/11/2005 Page 3 of 4
Contractor: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Units
3
1
1
4
1
1
1
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
3
4
3
1
1
1
3
Operator: CJJ Printed By: MT
Fee Amount
$30.00
$10.00
$12.00
$40.00
$10.00
$10.00
$10.00
$122.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$18.00
$96.00
08/11/2005
Project Number: 05002850
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/11/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,489.83
$122.00
$96.00
Invoice Amount
$50.00
$1,489.83
$122.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,489.83
$122.00
$96.00
$1,757.83 $1,757.83 $0.00 $1,757.83
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: MT Print Date: 08/11/2005
BUILDING PERMIT APPLICATION WORKSHEET
iE (Cit or &parka e, ,alley Community Development Department
1 � J J� Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
D� fine: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: V1')1C> l'iL. Nye
Assessor's Tax Parcel Number(s): V, kroy (.' i;��L1 > . V)
Legal Description: L k�
PERMIT DESCRIPTION:
[]Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
[� Owner:
Phone: C Fax:
Address: rbc W .
City t State Zip Code
Ek Applicant: ; r--12-
�� Phone:
Q� Contractor: `(''),11\ L
Phone:
Address:
Fax:
City State
Fax:
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
Zip Code City
State Zip Code
WA State Contractor License #: a-1. Contact:
Spokane Valley Bus. Liscense #:
Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: :2��
DIMENSIONS:. Ne �,���
# OF STOWS:
MAIN FLOOR O�SQ. FTG:
2ND FLOOR SQ FTG:
UNFINBASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGES SQ. FTG:
DEG i PATIO SQ. FTG:
OCCUPANCY GROUP:
EIL#
��
CONSTRUCTION TYPE:
HEAT SOURCE:
IMPERVIOUS S R FACE AREA:
OF BEDROOMS:
q
TOTAL HABIT E SPACE:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON -SITES PTIC
SYSTEM? 5EJ
00"44...
• sOoliane
40,0%Iley
•
•
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
11:31 1�G�- t
((Address/Parcel #, if available)
APPLICATION
Location of property
Applicant Name
Address
hone, - i ---moo, f r L
I cis)
—C f ;
Expires
Contractor's Name
Address
Contractor's Reg# VI 't
PROJECT DESCRIPTION (Provide site sketch)
F7Residential Driveway
Existing Curb & Gutter
l Culvert Installation
Other conditions
LI Commercial/Industrial Driveway
Rural Road Section
I J Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the C'
SPECIAL CONDITIONS:
PERMIT FEE $
Ins.ection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Narne of Hofder
Signature
Fees Paid$ Date
brit
** TOTAL PAGE.05 **
00"4,„„
Same
• .000 Valley
Project Address:. t 1 .3 V)
Owner: r
Mailing Address: A Ltil .0
Contractor: f--4,5"...1 tili,v _!i(N.Cik,A_1'n License #:
Mai ing Address: 'T t r (��E U�'t'I�� Y� )�•1;:s
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:
Phone (Daytime Contact): �!i ,-. -Li
-D1
City, t State Zip Code
C- 7-) r( --V- Phone #:Ci State
AUTHORIZED SIGNATURE:
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 - 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
=
012
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
1
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
X
S1.00
=
18
DUCT SYSTEMS
3�
X
$10.00
=
19
VENTILATING FANS
"'I
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
EVAPORATNE 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
$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
=
'
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA ❑ MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
S61&
Project Address: 1-T))6
J V
Owner: 'k.(
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, W4 9920✓✓ •
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Mailing Address: .-A;, ,F;, C) ^ i iA )3'
Contractor:
MailingAddress: S�\` Nrmk
Phone (Daytime Contact):) -P.- -9/ ,
Lr',, j'\ ai
State Zip Code
City
License #:? f -L - C i 'hone #: f_11 6c113
Zr
1'A rtc,
City
Lk_d "t `i L () I
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
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
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 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
Aug. 15. 1UU5 9: dAv Viking Ucrstructlon
SpaMAli GOWN
VO. OHO
r, I/ L
Awa..r-...c....•.an-n--x:xcaz�aTem�.r,.,e..t...,.+.'+..�Zrnoew...ea,o-+*=.ee.nec:.,.�.ac.a..v�+o..oR.,.�ti ._..�.c�..,=..=..oa ..*
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project information
Site Address: 17315 E KNOX AVE
'arcel Number: 55073.1919
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
uilding Inspector: LEONARD FLUNO
Water Dist:
Protect Number: 05005889 Inv: l issue Date: 8/11/2005
Permit Use: SEWER CONNECTION, HIDDEN VALLEY, LOT 19 BLK
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
wer Connection Permit
Contractor: OWNER License 0: OWNER
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
1 $15.00
$100.00
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 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 19.12.2 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
Total Fees An ountPald AmountOwing
$100.00 $100.00 $0.00
Tran Date
8/11/2005
Receipt #
4763
Post-it°Fax Note 7671
Dei paM 10
ges
To
From �,
Co /Dept
\IL.I (
' !' 004,
Phone #
iallMIMM
Fax#
_i: , .c . (703
-ocessed By: Hansen, Tom
Printed By: WENDEL, GLORIA
1UG 15 2005 10:03
Page I of 1
Payment Amt
$100.00
PERMIT
208 762 4507 PAGE.01