2005, 08-03 Permit App: 05002729 ResidenceProject Number: 05002729 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
Setbacks: Front 33 Left: 32 Right: 12 Rear: 27
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: ROW
District: East
Parcel Number: 55073.1934 Block:
SiteAddress: 17416 E KNOX AVE
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District:
Area: .00 Acres
Lot:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 49 Depth: 67 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Lelessed'
Plan Review
Originally Released: 08/03/2005 By: CJANSSEN
elee
Approach / Drainage
Originally Released: 08/03/2005 By: TMELBOU
Released By:,
Sewer Review
Originally Released: 08/03/2005 By: CJANSSEN
Released By:
05-5323
Originally Released: 08/03/2005 By: CJANSSEN
Operator: Printed By: MT Print Date: 08/03/2005
Project Number: 05002729 Inv: 1
Permits:
Application •
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 Page 2 of 4
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 1552
Building Height 24
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 939 $70,124.52 939 $70,124.52
DECK R-3 VB 56 $840.00 56 $840.00
GARAGE U-1 VB 462 $8,778.00 462 $8,778.00
RESIDENCE R-3 VB 613 $45,778.84 613 $45,778.84
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 2,070 $125,521.36 2,070 $125,521.36
Units Unit Desc Fee Amount
1 SELECT $1,139.35
1 SELECT $4.50
Permit Total Fees: $1,143.85
Operator: Printed By: MT Print Date: 08/03/2005
Project Number: 05002729 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
CLOTHES DRYER
RANGE
HOOD -TYPE II
GAS APPLIANCE - MISC.
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
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$4.00
$10.00
$10.00
$10.00
$30.00
$86.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: Printed By: MT
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$18.00
$90.00
08/03/2005
Project Number: 05002729 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
Notes:
Payment Summary: oles,v.
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,143.85
$86.00
$90.00
ilVEMIONSWOMMEEWASISIWGZSOMMIMMUNPIMI
Invoice Amount
$50.00
$1,143.85
$86.00
$90.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,143.85
$ 86.00
$90.00
$1,369.85 $1,369.85 $0.00 $1,369.85
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: MT Print Date: 08/03/2005
•
S�Ritne
40,Ualle,
1
BUILDING PERMIT APPLICATION WORKSHEET -
City of Spokane Valley Community Development Department
Building Division
C [E n) 11707 E. Sprague Avenue, Suite 105
Spokane Valley, WA 99200
hone: (509) 583-0035; Fax: (509) 588-0037
1;EPYIREPTIT
.D RMATI O N
Street Address: v1 -\\L, ! —
Assessor's Tax Parcel Number(s):1(s�('{' (��
5bC13 \�
U-, 34 klica6k\
Legal Description:
PERMIT DESCRIPTION:
-Building Permit
❑ Relocation
❑ Change in Use 0 Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
O Owner:
Phone:
Address:
Fax:
City
State
0 Applicant:
Phone:
Address:
Fax:
Zip Code City
State Zip Code
O Contractor: 0 Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City
State Zip Code
City
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:, 3,
DIMENSIONS: �`x 39 c.#
OF STORIES:, �O
MAIN FLOOR TO SQ. FTG'
2'J" FLOOR SQ. FTG: 2lq
UNFIN BASEMENT SQ. FTG:
FINISHcn BASEMENT SC. FTG:
GARAGE SQ. FTG:n
(=. --
I DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP.
CO "TRUCTION TYPE:
( (
HEAT SOURCE:
67 -
E 4 ,',"
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
lEkt
IMPERVIOUS C�RRFFAACE AREA:
COST OF PROJECT:
30% SLOPES PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? ' Z4 '
*lane�
.000%lley
Project Address: fl (AI l..P V C)(. ►S
Owner: \r k k i n it •.^s-4,t''u, ,c)
}
Mailing Address: •>. li ; 11P , a f .
�` City State Zip Code
'� j ,1 ��_ :2r w,k? r�cc ,t. ol,,..,e- �; - (int 1~c: t
Contractor: S :J G �`i' )`�, f� i A ..! I_ t i� 'f License
t i t,
Mailing Address: LA ti -k _` t r,3,'7,, rk
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920t.
Phone: (509) 688-0036; Fax: (509) 688-0037 NI
FOR INSPECTIONS, CALL (509) 688-0054
,—
Permit Use: L es1
ti
Phone (Daytime Contact):k--1(,9, -9/
ftp;`ILO 1
City State Zip Code
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
t7(
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
}
' `1
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
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
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:
0 CASH 0 CHECK
naTp•
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
si�"�
• j\�a[ley
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: SPC----
Project Address:. 1"1 Lk ft I�kApit_
"
Owner: \/I
Mailing Address:
•
Contractor: i'
-f- _;..1"Ti.
Phone (Daytime Contact): 'Y -1" '
illirkr -
Cityt t State
Phone #:
Mailing Address: 7 i "'l( - 11 '
License #:
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
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
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
4
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
I
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
•
1
4 hours before inspection required
509.688-0036 Fax 509.688-0037
doolValley
DEPARTMENT OF PUBLIC WORKS
Anticipated start date .. Permit # PW.
APPROACH PERMIT
APPLICATION
Location of property I-1(4 lD., 14►�,t�,,.
Address/Parcel #, if available)
Applicant Name
Address
Contractor's Name
/
Address , � t Q _l'1 Phone_,(90F) -1(04 :a4 -Cl/ (:) (e7
Contractor's Reg# i,11 k ,1 11 01� Expires 4
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
E Existing Curb & Gutter
1 Culvert Installation
17(1 Other conditions
_ Commercial/Industrial Driveway
Li Rural Road Section
11 Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Inspection Fee$_,_
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Fees Paid$
SIS nature
Date !nit
Woc TOTRL PRGE.05 **
1
License #: VTKtNCI881 T
SEWER CONNECTION t 585.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY 17 -IRU 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 Tines, 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.
1 515.00
5100.00
07/28/2005 10:42 2087624507
VIKING CONST
mat CIL/ Clb
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 17416 E KNOX AVE
Parcel Number: 55073.1934
Subdivision: HIDDEN VALLEY ADD
Block: 1 Lot: 34
Zoning: LINK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: BOBBY STONE
Water Dist:
Project Information
Project Number: 05005323 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
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
1
Payment Summary
Total Fees AmountPald AmountOwing
5100.00 5100.00 $0.00
Processed By: BURRTS, ROBIN
Printed By: HINTZ, FAITH
JUL 28 2005 11:00
Tran Date Receipt # Payment Amt
7/25/2005 4302 $100.00
Page 1 of 1
PERMIT
2087624507 PAGE.02