2005, 08-04 Permit App: 05002722 ResidenceProject Number: 05002722 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/04/2005 Page 1 of 3
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
Phone: (208) 762-9106
Group Name:
Site Information: Project Name: ROW
Plat Key:
Setbacks: Front 36 Left: 10 Right: 10 Rear: 37
Name: Hidden Valley
District: East
Parcel Number: 55073.1933
SiteAddress: 17410 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: 65 Depth: 97 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: 07/11/2005 By: TMELBOU
Released By:
Sewer Review
Originally Released: 08/04/2005 By: cjjanssen
Released By:
SEWER PERMIT #05005316
Originally Released: 08/04/2005 By: cjjanssen
Operator: Printed By: CJJ Print Date: 08/04/2005
Project Number: 05002722 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/04/2005 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 :rya Notes
2ND FLOOR R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Contractor: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
DUCT SYSTEMS
GAS APPLIANCE<=100,000BTU
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
GAS APPLIANCE - MISC.
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:
Su Ft Valuation Su Ft Valuation
715 $53,396.20 715 $53,396.20
100 $1,500.00 100 $1,500.00
420 $7,980.00 420 $7,980.00
625 $46,675.00 625 $46,675.00
Totals: 1,860 $109,551.20 1,860 $109,551.20
Units
1
1
Unit Desc
SELECT
SELECT
Fee Amount
$1,049.75
$4.50
Permit Total Fees: $1,054.25
Mechanical Permit
Units
4
1
1
1
1
1
3
Operator: Printed By: CJJ
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:
Fee Amount
$40.00
$12.00
$10.00
$10.00
$10.00
$10.00
$30.00
$122.00
Print Date: 08/04/2005
Project Number: 05002722 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/04/2005
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
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
4
2
1
1
1
3
Fee Amount
$50.00
$1,054.25
$122.00
$90.00
Page 3 of 3
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:
Invoice Amount
$50.00
$1,054.25
$122.00
$90.00
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$90.00
Amount Owing
$50.00
$1,054.25
$122.00
$90.00
$1,316.25 $1,316.25 $0.00 $1,316.25
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: 08/04/2005
Spokane
.000Vatiey
CY'D 2122_
BUILDING PERMIT APPLICATION WORKSHEET
lley Community Development Department
Building Division
117,7 h- Sprague Avenue, Suite 10:5.:
Spokane Valley, WA 99206
(509) 688-0036; Fax: ("509) 688-0037
REQUIRED SITE INFORMATION
Street Address: fl --k10 t\,ox 1
Assessor's Tax Parcel Number(s): I ) �`��
Legal Description: t 3T bc-;C (Up
PERMIT DESCRIPTION:
Ruiiding Permit
n Relocation
[1 Change in Use (1 Grading ❑ Manufactured Home
17 Tenant Improvement n Fire Safety E Other
OWNER/APPLICANT INFORMATION
Owner: �►k�
Phone: 'l(y; Litup Fax:
A dress: „ b
!k tchy) i.J)
City 6 State
Contractor:
Phone:
-u CI
Address:
Fax:
E3 P23.
Zip Code
City
State
Zip Code
WA State Contractor License #: \it tLi t! CJQ Pfc_;
Applicant: `,
Phone: Fax:
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:Z c / f ;
DIMENSIONS:
�,/ �,r i
# OF STORIES:
MAIN FLOOR TO SQ. FTG: (raz 5r-
2hai FLOOR SQ. FTG: ? ,
s,,,-
UNFIN BASEMENT SQ. FTG:
N
FINISHED BASEMENT SQ. FTG:
K/ i
GARAGE SQ. FTG: 4
DECK/COV. PATIO SQ. FTG:
100 r F12dJT' G r*
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE: 67,6v5 F„ t 4
OF BEDROOMS:
TOTAL HABITABLE SPACE: 1
t/
0
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER • ON -SIT SEPTIC
Project Address: \`M6
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane 'Valley; Vv'A 9920E,
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Owner:
Mailing Address: ; `-:r‘, fir?
Contractor: z. x x k''
Mailing Address: k
Permit Use: i
Phone (Daytime Contact):) 1((. - 9 /
City► State Zip Code
License #: f -LV '- C -It kPhone #: --Cil 6ci 13
ci pp -
State Zip Code
vv rkl(r.
City
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
D
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
q
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
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
=
15
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
r1141-=. FXPIRFR-
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
*lune
do, Valley
Project Address: f 0 L- �►�{_;
Owner: \i s
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 00209
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: 51•`-
tC.
Mailing Address: A -, i; , 1 '''fi" y 1') Xu'
Contractor: HCL dmi M D h0.21 i•
Mai ing Address: Y 1 i ,,, ` - v✓1-1-\,
License #:
Phone (Daytime Contact):
Ci
State Zip Code
Phone #:
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
l
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
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
1
X
$10.00
=
14
DRYERI
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
"*/ Lt
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
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 #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Sporliane
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
Location of property 110, L1 ; 6 tom __
1Af! (p CArddresslParcei #, if available)
A4Phone
APPLICAT ON
Applicant Name l
Address
Contractor's Name
Address 1)-1, i^ .. , UELLivCLD Phone(We, -Qi
Contractor's Reg# 1-�. NI Expires i i �r
PROJECT DESCRIPTION (Provide site sketoh)
Residential Driveway
n Existing Curb & Gutter
nCulvert Installation
Other conditions
Li Com mercial/Industrial Driveway
LI Rural Road Section
nSidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the C'
SPECIAL CONDITIONS:
PERMIT FEE $.__�
Ammo
Ins•ection Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card#
Name of Holder
Fees Paid$
Si. nature
Date Irtit
Expiration Date
** TOTAL PRGP.05 :*
07/28/2005 10:42 2087624507
Ott
S�oxv�COU7Y
VIK±NU LUNSI
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 17410 E KNOX AVE
Project Information
Parcel Number: 55073.1933
Subdivision: 'HIDDEN VALT..EY ADD
Block: Lot:
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 05005316 Inv: 1 Issue Date: 7/25/2005
Permit Use: SEWER CONNECTION - HIDDEN VALLEY
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
Sewer Connection Permit Contractor: VIKING CONSTRL;CTiON
t_Icensc #: ViK1NCI8SD.1
SEWER CONNECTION 1 S85.n0 PROCESSING FEE:
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY T.FIRU 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 ensure that they have acceptable grade and arc 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 Dcpt of Labor and Industries,
including those related to trench safety.
1 515.00
$100.00
Payment Summary
Total Fees A.monntPaid /4.mountOwtn
$100.00 $100.00 50.00
Tr*ut Date Receipt #
7/25/2005 4302
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITH Page 1 of 1
JUL 28 2005 11:00
j'avment Amt
$100.00
PERMIT
2087624507 PAGE.05