2005, 08-10 Permit App: 05002747 ResidenceProject Number: 05002747 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
Setbacks: Front 33 Left: 10 Right: 5 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: 55073.1920 Block: 1
SiteAddress: 17317 E KNOX AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Lot: 20
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 70 Depth: 101 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:
Operator: CJJ
Originally Released: 08/04/2005 By: cjjanssen
Printed By: CJJ
Released By:
Print Date: 08/10/2005
Project Number: 05002747 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 Phone: (208) 762-9106
HAYDEN, ID 83835
Building Characteristics
Total Area 1315
Building Height 19
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sci Ft Valuation Sq Ft Valuation
GARAGE S-2 VB 449 $17,457.12 449 $17,457.12
RESIDENCE R-3 VB 1,315 $98,204.20 1,315 $98,204.20
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 1,764 $115,661.32 1,764 $115,661.32
Units Unit Desc Fee Amount
1 SELECT $1,083.35
1 SELECT $4.50
1 SELECT $433.34
Permit Total Fees: $1,521.19
Operator: CJJ Printed By: CJJ Print Date: 08/10/2005
Project Number: 05002747 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
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
Units
1
1
3
1
1
1
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$10.00
$10.00
$10.00
$55.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 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
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $84.00
Print Date: 08/10/2005
Project Number: 05002747
Notes:
Inv: 1
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
$1,521.19
$55.00
$84.00
Invoice Amount
$50.00
$1,521.19
$55.00
$84.00
$1,710.19 $1,710.19
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,521.19
$55.00
$84.00
$0.00 $1,710.19
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
Spokane
Valle±
D
1
Ltfi
BUILDING PERMIT APPLICATION WORKSHEET
City of Seo e Valley Community Development Department
C Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
(509) 688-0036; Fax: (509) 688-0037
U(L
hone:
12 11 PI
REQUIRED SITE INFORMATION
Street Address: 11 .E I 1 - _
Assessor's Tax Parcel Number(s): �TkfeAAA " i,13 . : D:3 . 16/20
Legal Description: V } ,!L. 7Ij1 \ 41(k(s_vi \r-1
PERMIT DESCRIPTION: Sc --V.
11;1' Building Permit
❑ Relocation
1
❑ Change in Use ❑ Grading
❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Bk Owner: V.140 141 (A15'k(l. -i:�,
Phone: 1v). -Cot -A.0 Fax: 1 -fit1
Address: Au i5 t;.;&4(4 ^ !kms
City
Er
State
Contractor: `art_.
Phone:
Address:
Applicant: `?rte-rriA—
Phone: Fax:
Address:
Zip Code City
Fax:
City
State Zip Code
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEryi �0
DIMEN�SSIIONS,� Lib
�n
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
r2
'k
2ND FLOOR SQ. FTG:
OVA
UNFIN BASEMENT SQ. FTG:
i -I /A
FINISHED BA A NT SQ. FTG:
Ai i
GARAGE SQ. FTG:
Ligef
,k.
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:&j S
# OF BEDROOMS:
TOTAL HABITABLE SPPIACE:
/26
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? 'S fit) EIZ
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
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:
Address:
Phone:
Fax:
Inspector:
Address:
City State
Phone: Fax:
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
TOrr, V tbhiC .Signature
I"
Method of Payment: (Faxed permit applications will only be accepted with major bankca;~dr
❑ Cash ❑ Check ❑ Mastiercard ❑ VISA
Bankcard #: Expires: A VIN#:
Other
,•'s
Authorized Signature:
•
• 4.00Valley
Project Address:. 11.E 1 1
Owner:
Mailing Address: Cf L
Contractor: if-1-1,,11c
L eve
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, VVA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: SPE
Phone (Daytime Contact): ��, ,�!(9- Li t :`
RZi ('\ t:/,'_)
C State Zip Code
Phone #:
s.: ,t..`)
State Zip Code
( ' • 4, 1'-
!)./.«\'c'1Xi...;1..-C_C.. License #:
Mailing Address: �` e
Ci
AUTHORIZED SIGNATURE:
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 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
=
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
'12
13
RANGE
i
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)
3
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
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 I1 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 0 VISA 0 MC
CARD #-
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
sr�'4,00%lley
�
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920E •
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: t 13\1 L .
Owner: V i"
At)'; ! ? . ? s; j `• y
Contractor: h,2/ big x'
Mailing Address: b. > '-fit s"t.`�. F
Mailing Address:
Permit Use:
Phone (Daytime Contact):)-( :-1G'-t -9f Li,.
State Zip Code
City v�
License #: l' ;L0,1?- #: tic' 13
fri'a vk_h
City — State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
01
Zip Code
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
0
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
3
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
X
$6.00
=
5
SINKS
LAYS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
Li
X
$6.00
=
6
DISHWASHER
i
X
$6.00
=
7
CLOTHES WASHER
%
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
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
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
nnrc•
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
01
Zip Code
•
•
n
• SiRam400 Valley
•
•
Call 24 hours before inspection required
Phone 309.588-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION
Location of property
Applicant tame
(Rddress/Parcel #, if available)
Address
cxkil
PhoneContractor's Reg# V;' � ,-S Expires if t
PROJECT DESCRIPTION (Provide site sketch)
DResidential Driveway u Commercial/Industrial Driveway
E Existing Curb & Gutter Rural Road Section
Culvert Installation 17 Sidewalk Repair/Construction
17(1 Other conditions
See construction requirements and details on reverse. Bond/insurance certification must b o
file with the C'
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 # Expiration Date
Name of Holder Si nature
Fees Paid$
Data !nit
** TOTAL PR5E.05 **
08/16/2005 06:52 2087624507
VIKING CONST
PAGE 02/03
Site Information Protect Information
Site Address: 17317E KNOX AVE
Parcel Number: 55073.1920
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: LEONARD FLUNO
Water Dist:
Project Number: 05005726 Inv: 1 Issue Date: 8/15/2005,
Permit Use: SEWER CONNECTION - HIDDEN VALLEY LOT20
ELK1
.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:
Permits
Sewer Connection Permit Contractor: VIKING CONSTRUCTION
License #: VIKINCISSDJ
SEWER CONNECTION 1 585.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY T1TRU FRIDAY
1
1 515.00
5100.00
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 chocked 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 thc lowest level of the structure.
This permit must be presented to thc 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 I3XCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DTG AT LEAST 2 WORKING DAYS TN 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 1
Total Fees AmountPai l AmountOwJing
$100.00 5100.00 50.00
Tran Date Receipt # Payment Ant
8/15/2005 4839 5100.00
Processed By: Hansen, Tom
Printed By: W11NDEL, GLORIA Page 1 of 1
AUG 16 2005 07:11
PERMIT
2087624507 PAGE.02