2005, 08-11 Permit App: 05002884 ResidenceProject Number: 05002884 Inv: 1
Application •
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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 33 Left: 31 Right: 12 Rear: 35 Phone: (208) 762-9106
Group Name:
Project Name:
Date: 08/11/2005 Page 1 of 4
Site Information:
Plat Key:
Name: Hidden Valley
District: East
Parcel Number: 55073.1950 Block: 1
SiteAddress: 17318 E KNOX AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .00 Acres
Lot: 50
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 90 Depth: 103 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: 08/11/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 08/10/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 08/11/2005
Project Number: 05002884 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
Approach
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Phone: (208) 762-9106
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 1959
Building Height 27
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Si Ft Valuation
2ND FLOOR R-3 VB 1,130 $84,388.40 1,130 $84,388.40
DECK R-3 VB 34 $510.00 34 $510.00
GARAGE U-1 VB 562 $10,678.00 562 $10,678.00
RESIDENCE R-3 VB 829 $61,909.72 829 $61,909.72
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,555 $157,486.12 2,555 $157,486.12
Units Unit Desc Fee Amount
1 SELECT $1,318.55
1 SELECT $4.50
1 SELECT $527.42
Permit Total Fees: $1,850.47
Operator: CJJ Printed By: CJJ Print Date: 08/11/2005
Project Number: 05002884 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
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
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
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
Units
3
4
2
1
1
1
Operator: CJJ Printed By: CJJ
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
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$72.00
08/11/2005
Project Number: 05002884 Inv: 1
Notes:
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
$1,850.47
$95.00
$72.00
Invoice Amount
$50.00
$1,850.47
$95.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,850.47
$95.00
$72.00
$2,067.47 $2,067.47 $0.00 $2,067.47
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: 08/11/2005
Sf�krne
4,0#Valley
-
LEcOt
D
� U
BUILDING PERMIT APPLICATION WORKSHEET
qfprie Valley Community Development Department
I; Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phoge: (509) 688-0036; Fax: (509) 688-0037
ff !_I) (LSI
REQUIRED SITE INFORMATION
Street Address: 113 t C, At\
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
0 Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
0 Other
OWNER/APPLICANT INFORMATION
❑ Owner: V i u,nc ' Applicant:
Phone: t �.1-C lut'❑L
oFax: Lo - (7 Phone: Fax:
Address: t) t ��,� ,PalCi, ;'1 (k, Z Address:
State Zip Code City
City
Contractor: Contractor:
Phone:
Address:
Fax:
City
State Zip Code
0 Architect:
State
Zip Code
Phone: Fax:
Address:
City
State
WA State Contractor License #: \( lt-1 k t4Eki j Contact:
Spokane Valley Bus. Liscense #:
Contact:
Zip Code
1
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:�,
26
DIMENSIONS:
D''-' ?- C /
# OF STORIES:,,
MAIN FLOOR TO SQ. FTG:
ttel
0(4
2ND FLOOR SQ. FTG:UNFIN
Ir5)
_ �
BASEMENT SQ. FTG:
w/
I FINISHED BASEMENT SQ. FTG:
x.l JA-
GARAGE SQ. FTG:
SEA—
�_"
DECK/COV. SQ. FTG:
OCCUPANCY GROUP:�
,(74S
CONSTRUCTION TYPE:
EAT C :
# OF BEDROOMS: 3
TOTAL/UA�I�ABLE SPACE:
ION
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? 5 ez.
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: Phone: Fax:
Address:
Inspector:
Address:
City State
Phone: Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
I 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: 06 xeci permit applications will only be ffcepted with major bankcard)
El Cash "-€heck ❑ Mastercard
1 .
r
Bankcard #: •
•
Mme..,
Authorized Signature: ' 1
❑ VISA
Expires:
•
VIN#:
❑, 'Other
.00%.
*lane
dosolValley
Project Address:
.,�
Owner: 4 k. (,"t
Mailing Address: . E 's R, i r,
Contractor: h...;2_1 z )•1
Mailing Address: I >
G 11ninh )
}
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920 •
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):` ;-1(F, -9 Ic
t L It '2 ,%
City State Zip Code
License #: -FT-10j- C il)' Phone #: 60, 3
tiCnk
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
a
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
`
4-�`
X
$6.00
=
6
DISHWASHER
it
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,INSTALLATION,
VENT, PLUMBING, REVERSAL
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
naT=•
❑ VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
Aug.'5. 2005 9:58AM Viking Construction
C
iuo, oouo
r, L/ L
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Sits Information
Project Information
Site Address: 17318 E KNOX AVE
Parcel Number: 55073.1950
Subdivision: HIDDEN VALLEY ADD
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: 05005875 Inv: 1 Issue Date: 8/11/2005
Permit Use: SEWER CONNECTION, HIDDEN VALLEY, LOT 50 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:
1 Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION License #: V►ICINCI88DJ
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES S;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 of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to cnsure 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 19.122 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
Total Fees AmountPaid AmountOwing
$100.00 5100.00 80.00
Iran Datt
8/11/2005
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
AUG 15 2005 10:03
Receipt #
4762
Payment Amt
$100.00
PERMIT
208 762 4507 PAGE.22
•
*0'km
Ile DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
•
•
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.6H-0037
APPLICATION
Location of property n1)1?) t1e'�t
Address/Parcel #, if available)
Applicant Name
Address
Contractor's Name
Address
i = 'Phone - )L Ne.
Lid
OLP ,Phone ,9 -Oe=..) 7
Contractor's Reg# \f 1\e'...1 t Expires__
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway n Commercial/Industrial Driveway
n Existing Curb & Gutter Lj Rural Road Section
I I Culvert Installation 11 Sidewalk Repair/Construction
Pq Other conditions tY\M& j ` ( pa -rt
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the C'
SPECIAL CONDITIONS:
PERMIT FEE $ Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiratlon Date
Warne of Holder
Fees Paid$
SI, nature
Date !nit
** TOTAL PAGE.05 **
s'4
• ,0"lley
Project Address:.
Owner: \I
Mailing Address:
Contractor:
Mai ing Address:
-1-
License #:
A 1
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: ct
Phone (Daytime Contact):.2-ci t
i-tili
City, State
LC-`:) F Phone #:
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 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
1
X
$10.00
=
14
DRYER
J
i
X
$10.00
=
15
FUEL BURNING WATER HEATER
(
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
24
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
$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 0 MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Zip Code