2005, 01-21 Permit App: 05000195 ResidenceProject Number: 05000195 Inv:
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
Address: 2605 W HAYDEN AVE
C - S - Z: HAYDEN, ID 83835
Setbacks: Front 36 Left: 28 Right: 6 Rear: 41 Phone: (208) 762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: East
Date: 01/21/2005 Page 1 of 4
Parcel Number: 55202.0273 Block: 2
SiteAddress: 512 S LONE TREE RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Lot: 6
Owner: Name:
Address:
VIKING CONSTRUCTION
2605 W HAYDEN AVE
HAYDEN, ID 83835
Hold: 0
Width: 60 Depth: 94 Right Of Way (ft): 38
Nbr of Dwellings: 1
Review
Site Plan Review
Released Bv:
Originally Released:
Plan Review
01/21/2005 By: ddompier
Released By:
Approach / Drainage
EttleasalByf.:
\'\'s e''' -**7_,,, 14- •,.,0.
(----.11
C
AS PER ATTACHED PROVISIONS
Originally Released:
Sewer Review
01/21/2005 By: ddompie
Releaed By: .1.
OK PER ATTACHED 05-0242
Operator: DMD
Originally Released:
Printed By: DMD
01/21/2005 By: ddompier
Print Date: 01/21/2005
7
Project Number: 05000195 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/21/2005 Page 2 of 4
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
Group: R-3
Total Area
Building Height
Stories
Impervious Surf
Type: VB
1833
20
2
2534
Description Gtr
2ND FLOOR R-3
BASEMENT F R-3
GARAGE U-1
RESIDENCE R-3
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
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Type Notes
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Sq Ft Valuation
660 $49,288.80
648 $12,960.00
494 $9,386.00
525 $39,207.00
Totals: 2,327 $110,841.80
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: DMD Printed By: DMD
Permit Total Fees:
Print Date:
Total Project:
So Ft Valuation
660 $49,288.80
648 $12,960.00
494 $9,386.00
525 $39,207.00
2,327 $110,841.80
Fee Amount
$1,055.35
$4.50
$422.14
$1,481.99
01/21/2005
Project Number: 05000195 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/21/2005 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
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
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
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
3
4
3
3
1
1
1
3
Operator: DMD Printed By: DMD
Fee Amount
$10.00
$12.00
$4.00
$40.00
$10.00
$10.00
$10.00
$10.00
$106.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Unit Desc Fee Amount
NUMBER OF $18.00
NUMBER OF $24.00
NUMBER OF $18.00
NUMBER OF $18.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $18.00
Permit Total Fees:
Print Date:
$114.00
01/21/2005
Project Number: 05000195
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/21/2005 Page 4 of 4
Payment Summary
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,481.99
$106.00
$114.00
Invoice Amount
$50.00
$1,481.99
$106.00
$114.00
$1,751.99 $1,751.99
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,481.99
$106.00
$114.00
$0.00 $1,751.99
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: DMD Printed By: DMD
Print Date: 01/21/2005
Spokane
4,000Vaik
BUILDING PERMIT APPLICATION WORKSHEET
�Ci� of S_Do e Valley Community Development Department
C [�_, \7 { '� Building Division
11707 P. Sprague Avenue Suite 106
t u � VUIL VL'
Spokane Valley,. WA 99206
(hone: (509) 638-0036; Fax: (509) 688-0037
A [1 II) 11 A
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(sarL(trvk
Legal Description:
_0(-5•16(5'
Voci. Q.DL__.4m i«)•csrvis
PERMIT DESCRIPTION: C-S`I >Z C (1'a_c
y_
[Building Permit ❑ Change in Use ❑ Grading El Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fide Safety E Other
OWNER/APPLICANT INFORMATION
[✓ Owner: \‘('' 6'\t,r qv\ 1/ 1, A•Ln
Phone: 1tya--ccl Fax: 1 ►,'. L1
Add ess: r_ 05 UJ ,
'R) )32
City State Zip Code
Contractor:
Phone:
Address:
City
State
Applicant:
Phone:
Address:
Fax:
City State Zip Code
❑ Architect:
Phone: Fax:
Address:
Zip Code City State Zip Code
WA State Contractor License #: \(\ 1 1 kt kQ?',N Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: �O1 -2.t
DIMENSIONS: I q
# OF STORIES: I l/ Z
MAIN FLOOR TO SQ. FTG:
"-aSQ r T
2N" FLOOR SQ. FTG:
66.c) so, r 1,
UNFIN BASEMENT SQ. FTG:
tv /-
FINISHED BASEMENT SQ. FTG:
(AP) :.. F-7,
GARAGE SQ. FTG:
46141 . FT
DECK/COV. PATIO SQ. FTG:
A --
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOU CE:
&N. fUI%AJ K -E
# OF BEDROOMS:TOTAL
4
HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
"ldiracr IcS4 s i
1533 ,Q,
COST OF PROJECT:
30% SLOPES ON PROPERTY:� "N,
��a
,
SEWER OR ON-SITE SEPTIC
SYSTEM? S ewe `L.
Sp�kane^
Va11ey
Project Address: (6\ Y\e(.1
Owner:
Mailing Address: •)t.c.k4) r
,
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BulldingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920E
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: -t
Phone (Daytime Contact): : ' ;—lLrk.9 - 91 Ck.
}� City % State Zip Code
Contractor: 21 E1' X i^, 4� U..�-im �� . r y License #: ? f� L t - CliWphone #: i -Q.01- 6c1 13
Mailing Address: siA 0-1. _� �-#3t..t ,.`,, . \.vS ftrkrk t,t u:,,,,,:,q Cit37
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
TOTAL
AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
1
URINALS
X
$6.00
=
2
TUBS
3
X
$6.00
=
3
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
Li
X
$6.00
=
6
DISHWASHER
I
_X
$6.00
=
7
CLOTHES WASHER
t
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 0 VISA 0 MASTERCARD
r, A r FxPIRFR•
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Project Address:. 5 \ _ L.4 \ '%-eer-PicA
Owner: / 'i.' "i��' t_ /`r1 ".� -c
Mailing Address: Cf L,3 •
Contractor: Krj Ti fl P I
Mailing Address: (-1)(-tie a\
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: PC -
(License #:
hone (Daytime Contact): ---1' .2-j
1s-k_s)
City
State Zip Code
Lp-,�-� Fyi� Phone #: fir".- q-2,- Ai
c7.
City State
DESCRIPTION OF WORK
# OF
UNITS
X
COST
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
1
X
$15.00
TOTAL
AMOUNT
2
FUEL BURNING APPLIANCE
More than 100,000
X
019.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
5
6
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE
rating)
USED APPLIANCE (WSEC min. AFUE
rating)
More than 400,000
X
$100.00
Equal to or less than 400,000
X
050.00
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
8
BOILER/REFRIGERATION
101 - 500M BTU
9
BOILER/REFRIGERATION
501 - 1,000M BTU
10
BOILER/REFRIGERATION
11
BOILER/REFRIGERATION
1,001 - 1,750M BTU
More than 1,750M BTU
12
GAS LOG, GAS INSERT, GAS FIREPLACE
13
RANGE
14
DRYER
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
21
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
22
EVAPORATIVE COOLERS
23
TYPE I HOOD
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
26
AIR CONDITIONER
27
AIR CONDITIONER
28
AIR CONDITIONER
0-3 TON
3-15 TON
15-30 TON
30-50 TON
29
AIR CONDITIONER
More than 50 TON
30
LPG STORAGE TANK
31
WOOD OR PELLET STOVE/INSERT
32
WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
X
X
X
015.00
$28.00
039.00
Zip Code
X
057.00
=
X
095.00
=
X
$10.00
=
I
X
$10.00
=
X
$10.00
=
x
$10.00
=
X
$10.00
=
Li
X
01.00
=
X
010.00
=
4
X
$10.00
=
X
$12.00
=
X
$19.00
=
X
$10.00
=
X
$50.00
=
i
X
$10.00
=
X
$12.00
=
X
$20.00
=
X
$25.00
=
X
=
X
$35.00
$60.00
=
X
$10.00
=
X
$10.00
=
X
$25.00
=
SUBTOTAL
PROCESSING FEE
035.00
TOTAL PERMIT FEE DUE:
Zip Code
Sfioliar`
Milley
DEPARTMENT OF PUBLIC WORKS
S
Anticipated start date Permit # PW
APPROACH PERMIT
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
APPLICATION
Location of property
Applicant Name
Address
Contractor's Name
Address 41. c --C kf ,
(I S Long "Tre.�
ddress/Parcel #, if available)
ion
Phone , -`1 04 —et! y
Contractor's Reg# 0 ii,lq ck CICtb 'NS Expires fi
PROJECT DESCRIPTION (Provide site sketch)
❑ Residential Driveway
❑ Existing Curb & Gutter
I 1 Culvert Installation
71 Other conditions
Commercial/Industrial Driveway
EjRural Road Section
I ! Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the
SPECIAL CONDITIONS:
PERMIT FEE $ inspection Fee$__..
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit d
Card # Expiration Date
Name of Holder
Fees Paid$
Signature
Date
!nit
** TOTAL PAGE.05 **
SpoKAKE CoNTr
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE ' SPOKANE, WA 99260-0050
1
Site Information
Project Information
1
Site Address: 512 S LONE TREE RD
Parcel Number: 55202.0273
Subdivision:
Block: 2 Lot: 6
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Building Inspector: LEONARD FLUNO
Water Dist:
Project Number: 05000242 Inv: 1 Issue Date: 1/18/2005
Permit Use: SEWER CONNECTION - COUNTRY CROSSING
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (208) 762-9106
Phone: (208) 762-9106
Rear:
Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION License #: VIKINCI88DJ
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 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 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 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
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
1/18/2005
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITH Page 1 of 1
Receipt #
178
Payment Amt
$100.00
PERMIT
SITE PLAN
SCALE: 1" = 20' - 0"
1
SIXTH AVENUE
zorvRE$ /
E
ROgp Wt'
LOT 6 BLOCK 2 FRONrs
r
COUNTRY CROSSING COMMENTS
REvi
SPOKANE VALLEY, WASHINGI�OR elf
s se • 'Ian is being submitted for the burps,. a1
Laing permit and is a true and 00 11•01
the proposal. Alt known propsity
• :Aurb NNW Nitlotures and oosemenlk
ik ., wiled. Also indlOolod are wettaLONE TREE ROAD
+ n Ut �'.'�tiN(,�$L)nep slopes r QLiPai . I. r;
SEWER
EAGLE SPEC.