2005, 08-03 Permit App: 05002721 ResidenceProject Number: 05002721 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 Page 1 of 4
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: 5 Right: 10 Rear: 27 Phone: (208) 762-9106
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: Hidden Valley
District: East
Parcel Number: 55073.1923
SiteAddress: 17409 E KNOX AVE
Location:: CSV
Zoning: UR -7
Water District:
Block:
Urban Residential -7
Lot:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: .00 Acres Width: 70 Depth: 100 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
GIVEN TO PLANNING 8/3
Plan Review
Released By:
Approach / Drainage
Originally Released: 08/03/2005 By: TMELBOU
Released By:
PER CITY PROVISIONS
Originally Released: 08/03/2005 By: cjjanssen
Operator: Printed By: CJJ Print Date: 08/03/2005
Project Number: 05002721 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 Page 2 of 4
Sewer Review
Permits:
Released By:
SEWER PERMIT #05005317
Originally Released: 08/03/2005 By: cjjanssen
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Approach
Firm: VIKING CONSTRUCTION
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 1313
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Gra Type Notes Sq Ft Valuation Sp Ft Valuation
DECK R-3 VB 47 $705.00 47 $705.00
GARAGE U-1 VB 440 $17,107.20 440 $17,107.20
RESIDENCE R-3 VB 1,313 $98,054.84 1,313 $98,054.84
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 1,800 $115,867.04 1,800 $115,867.04
Units Unit Desc Fee Amount
1 SELECT $1,083.35
1 SELECT $4.50
Permit Total Fees: $1,087.85
Operator: Printed By: CJJ Print Date: 08/03/2005
Project Number: 05002721 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 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
WATER USING DEVICES
Mechanical Permit
Finn: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
$85.00
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
1 NUMBER OF
Operator: Printed By: CJJ
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
Permit Total Fees: $72.00
Print Date: 08/03/2005
Project Number: 05002721
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,087.85
$85.00
$72.00
Invoice Amount
$50.00
$1,087.85
$85.00
$72.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,087.85
$85.00
$72.00
$1,294.85 $1,294.85 $0.00 $1,294.85
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: Printed By: CJJ
Print Date: 08/03/2005
p�kaiie
.0001Ualley
LI BUILDING PERMIT APPLICATION WORKSHEET
- y.of o ka \Valley Community Development Department
�� II `''I Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
ne: (509) 68a-0036; Fax: (509) 638-0037
REQUIRED SITE INFORMATION
Street Address: 11 q R i l4N1G L Akt
=5U3. l6/23
Assessor's Tax Parcel Number(s): Q � 01�. }�I t
1
Legal Description: L(. r `�il' \Ao,k. k VoA
PERMIT DESCRIPTION:
9Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
0 Tenant Improvement ❑ Fire Safety 0 Other
OWNER/APPLICANT INFORMATION
Owner: ilrr
Phone: C tab Fax: loo -(.661
Ad ress: 3.1pD5 t ( n Atx
City l Mate Zip Code
L 1" Applicant: `--(7),___0,-\.12_,
Phone:
(),___Q-
Phone:
Address:
Fax:
City
State Zip Code
Contractor: Y,r` 0 Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City
State
Zip Code City
State Zip Code
WA State Contractor License #: \PLit-tkit kCIS3; �) Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: (:-.v ►'
DIMENSIONS:5 s ,x L -V.,
# OF STORIES: 1
MAIN FLOOR TO SQ. FTG:
1.M-
2� FLOOR SQ. FTG:UNFIN
S�
BASEMENT SQ. FTG:
FINISHEn BASEMENT SO, FTG:
I GARAGE SQ. FTG:`L t '
"l
I DECK/COV. PATIO SQ. FTG: Lil
OCCUPANCY GP.O
CONSTRUCTIONr�TYPE:
12--(5 ( rte. `1sG t
HEAT SOURCE:
_ \ t..
7
T OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS S .F ^:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
��! IA
SEWER OR ON-SITE SEPTIC
SYSTEM? e, EC)..)E_.,je--_
•
•
*lane
.000 Wey
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
ddress/Parcel #, if available)
Call 24 hours before inspeedon requf ed
Phone 509.688-0036 Fax 509.688-0037
A.PPLUCATi ION
Location of property
Applicant Name
Address
Contractor's Name
Address
1
i,
9. hone � c r€>---
� ��� �_ �
Phone, '744 —!,
Contractor's Reg# 'lit k',‘ $‘,1 i 'NS Expires 4 k IUD
PROJECT DESCRIPTION (Provide site sketch)
Residential.Criveway
n Existing Curb & Gutter
Culvert Installation
P1 Other conditions
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the C
SPECIAL CONDITIONS:
IMP
PERMIT FEE $ inspection Fee$_
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Hofder
Signature
Fees Paid$ Date
!reit
** TOTAL PAG5.05 **
*lane
• Mtlley
Project Address:
Owner: /
Mailing Address: A
�UL1
kYO
1" 11 ' e tf\
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, W4 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: SPC
Phone
r' --
Phone (Daytime Contact):
'i JSP y'\
City State
Contractor: H1IU i1 McPiAO.J\krra_ License #: LC-��:•
"-' (-!h Phone #:
Mailing Address: -ri 1 l L(,1Je t`i\ryx-ir\d lUcu. 1
Zip Code
City
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 Tess 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
=
12GAS
LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
•
RANGE
I
X
$10.00
=
14
DRYER
1
X
$10.00
=
15
FUEL BURNING WATER HEATER
(
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
r
X
$10.00
=
17
GAS PIPING (each outlet)
X
$1.00
=
18
DUCT SYSTEMS
_
X
S10.00
=
19
VENTILATING FANS
?j
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess 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
S35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
VWOOD 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 #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
0",
SO()lane
400%Hey
Project Address: 1-140-1Ci-C
Owner: V 1 k( )cr ' ion
Mailing Address:•:,)(0(1)1) 1 i) Odat f (1110 t\
Contractor: . i b x r', TI",..9,-i hnc
l
Mailing Address: t _.c"j A4(1,
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 992
Phone: (509) 688-0036; Fax: (509) 688-00
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: Z>i---1N
Phone (Daytime Contact):.?) ---V,9 -9/ t
City State Zip Code
License #: WA_ keg, S, #: Fc - C; k - /3
V(act rk Lam+ CI,C. �-7
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
•
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
a
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
I
�-1\
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
I
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 0 CHECK
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
07/28/2005 10:42 2087624507
VIKING CONST
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 17409 E KNOX AVE
r"Fiut uo! uo
Parcel Number: 55073.1923
Subdivision: HIDDEN VALLEY ADD
Block: 1 Lot: 23
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: BOBBY STONE
Water Dist:
1
Protect Information
Project Number: 05005317 Inv: 1 Issue Date: 7/25/2005
Permit Use: SEWER CONNECTION - HIDDEN VALLEY
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
FIAYDEN LAKE, ID 83835
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Permits
Sewer Connection Permit
Phone: (208) 762-9106
Phone: (208) 762-9106
Rear:
Contractor: VIKING CONSTRUCTION License #: VIKINCT88DJ
SEWER CONNECTION
I $85,00 PROCESSING FEE
Total Permit Fee:
FOR SEWN INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORK(NG 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 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER 13E
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 tench safety.
1 $15.00
Total Fees AnllouatPaid Attt_ountQwing
8100.00 5100.00 $0.00
$100.00
Payment Summary
Tran Date
7/25/2005
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITH Page I of 1
JUL 28 2005 11:01
Receipt #
4302
Payment Arnr,
5100.00
PERMIT
2087624507
PAGE.06
1