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2006, 02-15 Permit App: 06000382 ResidenceProject Number: 06000382 Inv: 1 Application Date: 2/8/2006 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: .. ANNEM Permit Use: single family residence w/ attached garage, gas htg Setbacks: Front 33 Left: 5 Right: 5 Rear: 19 Site Information: Plat Key: Name: Hidden Valley Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C - S - Z: HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: District: East Parcel Number: 55073.1911 Block: SiteAddress: 17220 E MANSFIELD AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 8,026 Sq Ft Urban Residential 3.5 Lot: Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Width: 80 Depth: 100 Right Of Way (ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information Review Building Plan Review Re ed. B Driveway/Approach asei By: Landuse/Zoning/HE Conditions Released Sewer Review Permits: Releas Nd Operator: AMB Printed By: AMB Print Date: 2/8/2006 Project Number: 06000382 Inv: 1 Application Date: 2/8/2006 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Building Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Phone: (208) 762-9106 Mechanical Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Notes: Plumbing Permit Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Payment Summary: ;., 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: AMB Printed By: AMB Print Date: 2/8/2006 Sik51° Va11ei BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 4Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: r-1p_b E n'kuRscus.L81t ia- Assessors Tax Parcel Number(s): ij 5r, -)CM . bl 6 f $ tic' l J . i Legal Description: 11 blc.. .,1 0-tricisIN N(p1ke A PERMIT DESCRIPTION:LifYVL12, ccgpk%jkA th OM , u iIflACIfk.0 t( la ,2 Building Permit Relocation El Change in Use ❑ Grading El Tenant Improvement ❑ Fire Safety ❑ Manufactured Home ❑ Other OWNER/APPLICANT INFORMATION Owner: V c. t...r l Phone: , oFax: Address: d(tX t . ,C�.�en til ac)s=1ib -L ci City State ❑ Contractor: 5-0, Phone: Fax: Phone: Fax: Address: ❑ Applicant: Phone: Fax: Address: 'kms Zip Code City El Architect: State Zip Code Address: City State Zip Code City State Zip Code WA State Contractor License #: V al Me tcts3(61-) Contact: Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: ,,7 , r DIMENSIONS: I # OF STORIES: MAIN FLOOR TO SQ. FTG: i 1 e GI 214° FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: 0V (2 44 GARAGE SQ. FTG: (7V_ 2\�i DECK/COV. PATIO SQ. FTG: IVtA OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: . }. # OF BEDROOMS: ,Z\_ TOTAL HABITABLE SPACE: -,-, IMPERVIOUS SURFACAREA: Z L COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER R ON-SITE SEPTIC MANUFACTURED HOME Width: Manufacturer: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Tent: Valuation: Above/Underground Storage Tank Size: Paint Booth: Fireworks Display: Blasting: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: 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: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: ) may.. -A Ni 5_ U 'i'\C( Permit Center Spokane 1 1707 E Sprague Ave, Suite 106 • Spokane Valley, WA 09206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.oro.com •Mechanical Permit Application ❑Co�mmercial SITE ADDRESS `1:3 - V'(�4d. �� Valley PERMIT NUMBER: PERMIT FEE: roj Residential Building owner , Name: 11/ S 1'(1 iii �--).\1't 1 (A 1 Ili i f1(, Phone: qlio;•.-�I r.-:) Ls j it(. Fax I1 rva ,. Ir .1.-U , j' Address:i.< U..) . i., '1 U)ijI i , 1 (i.'' City al 1(;\ State •f Zip f?',lr)K Contractor i Name: !'-t)c -N!,-:,.in, l-1 Phone: Fax: Address: v City State Zip License No: City Business License No: Contact Name: Phone: • • DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 4 UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 More than 400,000 X $100.00 5 6 7 USED,APPLIANCE (WSEC min. AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION Equal to or Tess than 400,000 X $50.00 More than 400,000 X $100.00 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 13 RANGE X $10.00 14 DRYER 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) X $1.00 18 DUCT SYSTEMS X $10.00 19 VENTILATING FANS 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 $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X $50.00 24 TYPE H 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 33 REPAIR & ADDITIONS X $15.00 34 VENTILATION SYSTEMS x $12.00 35 VENTILATION MECHANICAL EXHAUST x 812.00 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD 4: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 • • • DEC 06 2005 09 30 FR 7 anter a ] 1707 E Sprague Ave, Suit 106 %Hey Spokane Valley; WA 99206 Comtrnm' Development (509)688-0036 PAX: (509)688-0037 rty wwwane.,:aliev orrt eo n Plumbing Permit Application ❑ Commercial TO 12087624507 P.01/01 PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: 113aD V-15 +i o f F'» Bafdini owner Name: Address: al :t i) U,_\ Coutracfor DC) --TIBC • Name: Address: License No: N i1 47 L U Fi U �_ {� Phone: City. Name: (c')_ - QlVli' Fax: - -*)D.2 State: t) zip: �5 City Business License No: • Phone: DESCRIPTION OF WORK 1 TOILETS 2 URINALS WATER CLOSET, BIDETS 3 TUBS 8 OF UNITS X COST ■ TOTAL AMOUNT 4 5 SHOWERS (PER TRAP) SINKS e DISHWASHER _ X _ 59.00 7 CLOTI IES WASHER 1X 56.00 BATH, STALL, ON-SITE BUILT LAVSBASINS, BAP., FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.001111 = $6.00 - X 36.00 - J X 56.00 36.00 8 GARBAGE DISPOSAL 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK 11 FLOOR DRAINS ROOF DRAINS/OVERFLQw 12 GRAINS NOTE IF GAS. SEE MECHANICAL AREA. CASE, COIL, TRENCH, CONDENSATE 13 FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, 14 VENT, PLUMBING, REVERSAL 15 SEWAGE EJECTOR NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 X 56.00 X 56,00 X $6.00 X 36.00 16 WATER USING DEVICE 17 CROSS CONNECTION DEVICE 18 INTERCEPTORS 19 MEDICAL GAS (per outlet.) MISCELLANEOUS PLUMBING 20 FIXTURE GRINDER. SUMP PUMP ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER. CHECK VALVE, -AND R.P.B.P.D, FOR: VATS, TANKS, BOILERS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN 21 PRIVATE SEWAGE DISPOSAUSYS INDUSTRIAL WASTE 22 INTERCEPTOR METHOD OF PAYMENT: Q CASH Card# ❑ CHECK AUTHORIZED SIGNATURE: X 36.00 X 56.00 X 38.00 X X X ❑ VISA ❑ MASTERCARD EXPIRES: X x 38.00 36.00 38.00 $6.00 $20.00 X 315.00 SUBTOTAL PROCESSING FEE 335.00 TOTAL PERMIT FEE DUE x.V!SED ga6,05 ** TOTAL PAGE.01 ** • Cfl 24 hours ooecrion re.0,.1.21:red rs!oc.).68E-;-007.6F 509.62L1-0037 fey 1gs DEARI R/LEHT OP PUBLIC WDKS 1-Qqtrt.c:.qpatad,'tti c_tate APPROACH! PERhT /,',FPLECATTE))14 Locadort of property IL -1a-33_ AddressIP'arcel tp if avagablle) V' ,'/! ''N' 1 'ir ,...--11 ,t . /ArViic:;:anii.: Marne 0 .4, .',„...A if.1, r :i-s_y .i, . Address -P-ic:11...lirl It ) ..1,3,, tiizi')...,;) A t4i.rhocira ,-),_n.,--!:3,;,,,73)--)---.c3 , • • • ..., Contractor's Hanle /dc-h,ess .!::11, :,..C:,%-'-', I(.,,.‘'\ .. 14.11. Clabill _Phone ..r..)Uc_...2±..L.---- Contractor's Regje V li.V.l.,1;‘„`,! (1_ k C1`,),::c Expires ' ---i "I) • PROJECT DESCRIPTION (Provkis site. sice,h) EjResidentiallDriveway jj Corilmercialliftalustrall Driiveway LIJ Exiisting Curb & Gutter ri Rur Road Section 11 Culvert installation .6,40 4•LI 1 Sidewaik Repair/Construction Other conditions I:),rkAZ "Lin (1 A See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. SPECIAL CONDPTIONS: PERIMT FEE frtspec;tiori Fee$__,„ I hereby authorize the, City of Spokane Valley to charge the fee for this permit to my credit card. Card ,4,4 Name of Ffolder • •cr Expirtbn DE.Ie • Sionature Data ** TOTAL PAGE. 05 ** S$61&ne .Va 40,17T DEPARTMENT OF COMMUNITY ITY DEVELOPMENT CURRENT PL.ANNLNG ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION APPLICANT: PART 1 \A .I Nl(a C©L1s T Z C. i k0/Q - MAILING ADDRESS: 2 (7 05- vv' . AV . CITY: t- t AY C'i STATE: L DA.14 U ZIP: 83S JS PHONE: (HOME) ZOf3 - L 2. - (O(G (WORK) (CELL) NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW ViK1NI&I (1OLs ►clic-rlo� LEGAL OWNER: MAILING ADDRESS: -Z. V.) 14AYTDE=)1 A \J E . _ CITY: H AYID STATE: 1 DA I4 U 83 PHONE: (HOME) pm2a. „.„ r (woRK) (CELL) TAX PARCEL No: 55073, 07 t 'j STREET ADDRESS OF SITE: LEGAL DESCRIPTION: t'"}" k ©75)L %i V AL -t..-15--1-1 k 'FI Rs T AIDND &J 141Dr, V�,��_i=telSr_cotit> AD�Di -rt o�J SECTION(S) 7 TOWNSHIP 2.5 Ill cR-ANNG"E 45 • ZONING CLASSIFICATION: Re$t D iv i i4i_COMPREHENSIVE PLAN CATEGORY: LOW yI-+� S cry TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: 71 E.DLALe_ V'7AC_V Y" o N e r- - -r o 1 G EXPLAIN REASON FOR REQUEST: MO r I F.4,12_ Si A (z Ir��O Tt-t ?F i_K - S Er ?Acres Prl-LOw ACES F'E_2 VJ3lo.icoo Lm--- �rJrr2�M Zo ►AJ CoD E s . v, APPLICABLE SECTION(S) OF ZONING CODE: NOTE: A SITE PT AN AND SUPPORTIVE DOCUMENTS SHALL BE LNCL DED WITEI THIS APPLICATION PAP.T LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) I, Uaarlddit Ot5CYN , (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. ADDRESS: 9(Acf) U k\co,n PHONE: 4:56-1 (C) - (1,tOi4) ZIP: b.3 B3 (Date) STATE OF WASHINGTON) ss: COUNTY OF SPOKANE ) SUBSCRIBED AND SWORN to before me this • NOTAL'W„ F, J• •p T A Iq ?� PUBLIC OF \°P ` iutO NOTARY (For Part II above) day of LILA , __Cao LX4 T)tL NOTARY SIGNATURE Notary Public in and for the State of Waekington hO Residing at: kites S2110.�- \b.4 My appointment expires: q 1 1 XDOCI PART III (To be completed by the Planning Staff) DATE SUBMITTED: RECEIVED BY: FEE: FILE NO.: PART IV File No: AE - DETERMINATION The Department of Community Development finds that the information provided by the applicant and required compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not adverse affect on the adjacent properties nor the public's general health, safety and welfare. The Department of Community Development approves / denies this "Administrative Exemption" as conditioned below, for the property described in Part I, pursuant to Sections 14.506.000 and 14.506.020 of the Zoning Code. This administrative exception is subject to the following conditions of approval: 1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future property owners, heirs or any successor in interest to the property subject to the conditions of approval contained herein. 2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code. 3) The applicant shall comply with all applicable development regulations and standards. 4) The applicant and property owner shall comply with the following additional conditions: This administrative exception is hereby approved this day of , 20 Approved by: Title: Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call_ (509) 921-1000 Rev 6/03 02/20/2006 08:02 2087624507 VIKING CONST t T SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING SFOKtWi Y 1026 WEST BROADWAY AVENUE ' SPOKANE, WA.99260-0050 Site Information Project Information Silc Addr.Ss: 17220 E MANSFIELD AVE Parcel Number: 55073.1911 Subdivision: RANGE 131t ck: I Lot: 11 Zon c o: LDR Low Dcnsity Rcsidcnti -I Cwiicr: VIKING CONSTRUCTION INC Addre!,s: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Buiiclina inspector: Water IJi::t: Project Number: 06000799 Inv: I Issue Date: 2/16/2006 Permit Use: NEW SEWER CONNECT, HIDDEN VALLEY Applicant: VIKING CONSTRUCTION INC 2605 W HAYDEN HAYDEN LAKE, ID 83835 Contact: VIKING CONSTRUCTION INC 2605 W HAYDEN HAYDEN LAKE, ID 83835 Setback;-Front:Left: Right: Group Name: Pro,jcct N9mc: Phone: (208) 762-9106 Plume: (208) 762-9106 Rear: Sewer Conn eerier) Permit Contractor: OWNER Permits T,icensc 4: OWNER SEVER CONNECTION 1 ,ns.co PROCESSING 020 1 $15.00 Totnl Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 5:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE. REQUIRED TO PERFORM TESTS FOR VERIFICATION:. 'INSTALLER IS TO FIELD LOCATE AND CONFIRM THE. ELEVATION AND ?OSITION OF SEWER STUB PRIOR TC) ANY OTHER EXCAVATION. SEWER STUDS ARE TO 13L CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE .ACCEPTABLE GRADE AND ARE. CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD RECONSTRUCTED TO ALLOW FOR GRAVI IY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BCT'-, STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES_ CAL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE- COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF TPF, WA STATE DEPT OF LIBOR & INDUSTRIES, INCLUC ING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees ,AInountPaid ,AmnuntOwin! Tran Date Receipt tF Payment Amt 510)110 5100.00 50.00 2/1612000 590 5100.00 Proces<_cd 1.1 : Horses, Tom Printed 13/ WENDEL, GLORIA Page I of 1 FEB 200= 07:2= PERMIT 22.S?ET4E07 ?P,GE.01