2005, 12-05 Permit App: 05004526 ResidenceProject Number: 05004526 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/05/2005 Page 1 of 3
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: VIKING CONSTRUCTION INC
Setbacks: Front 33 Left: 10 Right: 30 Rear: 83
Site Information:
Plat Key: Name: Hidden Valley
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
District: East
Parcel Number: 55073.1957 Block: 1
SiteAddress: 17316 E KNOX AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 17,496 Sq Ft
Urban Residential 3.5
Lot: 49
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 95 Depth: 161 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Originally Released: 11/30/2005 By: cjjanssen
1111By
Approach / Drainage
Originally Released: 12/05/2005 By: TMELBOU
R Ieaset
Sewer Review
Permits:
Originally Released: 11/30/2005 By: cjjanssen
Released
Operator: CJJ
4
Printed By: CJJ
Print Date: 12/05/2005
Project Number: 05004526 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/05/2005 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
Description Grp Type Notes
BASEMENT F R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
AIR CONDITIONER:16-30 TON
VENTILATING FANS
RANGE
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
633 $12,660.00 633 $12,660.00
626 $11,894.00 626 $11,894.00
1,200 $89,616.00 1,200 $89,616.00
Totals: 2,459 $114,170.00 2,459 $114,170.00
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,077.75
$4.50
$431.10
$1,513.35
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$10.00
$12.00
$4.00
$12.00
$25.00
$40.00
$10.00
$113.00
Print Date: 12/05/2005
Project Number: 05004526 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/05/2005 Page 3 of 3
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509) 921-5913
VERADALE, WA 99037
Plumbing Permit
Firm: BELKNAP PLUMBING
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 Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$50.00
$1,513.35
$113.00
$96.00
Permit Total Fees:
Invoice Amount
$50.00
$1,513.35
$113.00
$96.00
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$96.00
Amount Owing
$50.00
$1,513.35
$113.00
$96.00
$1,772.35 $1,772.35 $0.00 $1,772.35
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: 12/05/2005
Sj�kiiiie
Ualley
City o>=, Sfo
• Vie_'.
DING PERMIT APPLICATION WORKSHEET
Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
• (509) 688-0036; Fax: (509) 688-0037
R
SITE INFORMATION
Street Address: (1 k-vcv L_
Assessor's Tax Parcel Number(s): 'S 5crci3 _ o1 15
Legal Description: L q ?Au- n
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
111
Owner: N1.t`N,Sk-1%.(r tun
Phone: -1(12')_ -ctIt Fax: . --u.F =1
A dress: 'a LDC,,r` LTJ 1.--kk,
l i pfLo �.N •."))'''.3`
State Trp Code
City
❑ Contractor: `1c_ LXY'JJ.
a Applicant: Oji
Phone: Fax:
Address:
City
State Zip Code
❑ Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City State Zip Code City
WA State Contractor License #: 1�.1 N(1lti 6") Contact:
Spokane Valley Bus. Liscense #:
State
Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
Z� 4 tr
DIMENSIONS: t t
/1 "'7
"°L
# OF STORIES:
1— 1/1Z..MAIN
FLOOR TO SQ. FTG:
0K, 1-v ca
2ND FLOOR SQ. FTG:
p\_
UNFIN BASEMENT SQ. FTG:
N�A.
FINISHED BASEMENT SQ. FT :
AVL
GARAGE SQ. FTG: d K
DECK/COV. PATIOS FTG:
d�/ 41 -/A --
OCCUPANCY GROUP:
.61A5
CONSTRUCTION TYPE:
HEAT SOURCE:
roccr i i 1-47
# OF BEDROOMS: ter'
TOTAL HABITABLE SPACE:
i 8 3 $
IMPERVIOUS SURFACE AREA:
'2:703 sc , F -r,
COST OF PROJECT:
30% SLOPES ON PROPERTY:SEWER
A)A
OR ON-SITE SEPTIC
SYSTEM? 5,~ rev C/Z..
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
40jValley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development N,w,w.spokanevallev.ora.com
Mechanical Permit Application
PERMIT NUMBER:.
PERMIT FEE:
o Commercial X Residential
SITE ADDRESS n 1 i 4.1-V
Building owner
•,(5E; t
Name: \ 19 S< 1T\ C)1 TQM 1), rA- 1 IV) Phone: +(.'€)..-1 0-q f rC, Fax 4 -9. -1L -a --(15E1
✓
afv,
Address: 4-L.'C. ^• City R tO, f\ State icf Zip 9p:S9),;5
Contractor
Name: If,.\ -Uy- 1. fsi(; tm 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
1
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
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
$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
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)
L-1
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
g
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
$15.00
=
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
1
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 ❑ VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
AcZe'r
in` LET
q -fit
deva
r1,44 "t • et, r-71
L",,t• 4:1.. ve t: 64i a
Cc,.1.1*1 --1'-rA ha:J. Li...IL/LC .1u:spec:Eon re-QV:red !
F
1 7,h,,,-, a 4' n 0 ir. rk r,, G ‘,..... ..7 PI el ..- ;-".: o ,-, ry, ,-; ;
Iz. ' , ,..”-• ..: ..., . 0..J 0 0 --J,,,-, 1/4.., r a:1 ..)1.17.1,00-',JUD 1 1
DEPARTMENT OF PL13L1C WORKS
Pcxrnift # PW
APPROACH PERlifiET
Location of property ja31,14......E.
(AddressiParceil #, if avai6abile.)
f ptC ir r 1'r;
.1111111919.1.•••••••
'Mrsj ,) Uw C�u.Obone (
k.
Contractor's Mame.,
Address 7c k. Phone
Contractor's Rege ki C-1C'fB'IN3- Expires_ :-)h it
PROJECT DESCRiPTION (Provide site sketch)
LiResidentiai.Driveway Conmerciaifindustriai Driveway
ri Existing Curb & Gutter ri Rural Road Section
1-7 Culvert instaHatgon
ixi
i I
Other conclitionsii)AMt
SR:Wm/Mk Repagr/Coristruction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONENTIONS:
PERMiT FEE $
••••••••••••••••111.11.1.1.1.•
ins ..etiort Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card ir= apiratizwi Date
Name of Hofder
F& -s Pafc_r$
Signature
Date init
** TOTAL FAGE.35 **
Spokane
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www-.spokanevallev.or2.com
Plumbing Permit Application
o Commercial
PERMIT NUMBER::
PERMIT FEE:
g Residential
SITE ADDRESS 11 3 i t p E ‘4i(j1.- e
Building owner .,i
Name: LL' S`3'v i AY -AV C I tY
!
Address: rv,e
Contractor
Phone:.;Ujl, -ctIL)u
City 1.1-t t 1(i1U1
Fax ‘r%; •
State
Zip b ----W5
Name:
Phone;f --Cj4. _ 5ct t
Fax:
Address: ?Al l{
License No: RC:
1.'►_1a� flj��Q
Contact
City Vara i`
State 1
Zip `i`l 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
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
D
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
1
�-1
X
$6.00
=
6
DISHWASHER
i
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
SUBTOTAL
❑ VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
12/07/2005 07:59 2067624507
Scor'
VIKING CONST
SPOKANE COUNTY
DEPARTIVIENT OF BUILDING & PLANNING
1026 `W'EST'13ROAD% tV AVENUE • SPOKANE, WA 99260-0050
PAGE 01/01
Site Information
Site Address: 17316 E KNOX AVE
Parcel Number: 55073.1957
Subdivision: HiDDEN VALLEY ADD
i3lock: 1 Lot: 49
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE. ID 83835
Building Inspector: None
\Viter Dist:
Project Information
Project Number: 05009200 Inv: 1 Issue Date: 12/5/2005
Permit Use: SEWER COiNNECTTON - HIDDEN VALLEY
1
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, iD 83835
VIKING CONSTRUCTION INC
2005 W HAYDEN
HAYDEN LAKE. iD 83835
Contact:
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (208) 762-9106
Phnne: (208) 762-9106
Rear:
1
Permits
Sewer Connection Permit Contractor: ViKING CONSTRUCTION
SEWER CONNriCCION 1 SR$ 00 PROCESSING FF.F 1 905.00
License s:': V(KINCISRDJ
Total Permit Fcc: 5100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position or sewer stab prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and arc clear and unobstructed to the main
sewer. Sewer linos should be constructed to allow for gravity row from the lowest level of the structure.
This permit must ba presented to the job site inspector for verification. To locate buried cables, gas piping, water linos, etc.
CALL BEFORE YOU DIG, (509)450-3000.
STATE LAW ROW 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.
1 Payment Summary
Total Fees AmouptPaid AmountOwinp
5100.00 5100.00 50.00
Processed By: SHATTO, JULiE
Printed By: WENDEL, GLORIA
DEC 07 2005 07:23
Tran Date
12/5/2005
Page 1 of 1
Receipt # Payment Amt
7505 5100.00
PERMIT
20E?624507 PAGE.01