2005, 09-02 Permit App: 05003135 ResidenceProject Number: 05003135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/02/2005 Page 1 of 3
Project Information:
wamaxrc-.. w'tli d. »*."_y,e :.+
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact:
Address:
C - S - Z:
Setbacks: Front 33 Left: 35 Right: 12 Rear: 21 Phone:
Group Name:
Project Name:
Site Information:
Plat Key:
Parcel Number: 55073.1917
Name: Hidden Valley
VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
(208) 762-9106
District: East
Block: 1
SiteAddress: 17412 E MANSFIELD AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 8,905 Sq Ft
Nbr of Bldgs: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
Urban Residential 3.5
Lot: 17
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 61 Depth: 100 Right Of Way (ft): 38
Nbr of Dwellings: 1
Released By:
Originally Released:
08/29/2005 By: cjjanssen
Released By:
[Released By:
Sewer Review
Permits:
Operator: CJJ
Originally Released:
08/29/2005 By: cjjanssen
Released By:
Printed By: CJJ
Print Date: 09/02/2005
c, Z
Project Number: 05003135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/02/2005 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 Gm Type
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
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
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
36 $540.00 36 $540.00
395 $7,505.00 395 $7,505.00
1,202 $89,765.36 1,202 $89,765.36
Totals: 1,633 $97,810.36 1,633 $97,810.36
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$979.75
$4.50
$391.90
Permit Total Fees: $1,376.15
Mechanical Permit
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
1 NUMBER OF $12.00
3 # OF UNITS $3.00
3 NUMBER OF $30.00
1 NUMBER OF $10.00
1 NUMBER OF $10.00
1 NUMBER OF $10.00
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Print Date:
$85.00
09/02/2005
Project Number: 05003135 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/02/2005 Page 3 of 3
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509) 921-5913
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
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$50.00
$1,376.15
$85.00
$78.00
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$ 6.00
$6.00
$ 6.00
$18.00
$78.00
M W- kratEVE._ W.,.. t..
Invoice Amount
$50.00
$1,376.15
$85.00
$78.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,376.15
$85.00
$78.00
$1,589.15 $1,589.15
$0.00 $1,589.15
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: CJJ Printed By: CJJ
Print Date: 09/02/2005
F\z,
Spokane
.0000Ualley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
�) n 11707 E. Sprague Avenue, Suite 106
�1
,Spokane Valley, WA 99206
S n
o)
11/,' r • (509) 688-0036; Fax: (509) 688-0037
p SITE INFO
3
Assessor's Tax Parcel Number(s): 13.31-04 6 S b513 0� l
Street Address: 11 Lk r\S
'4 1
ATI O N
Legal Description: \. DA- f 1 L'lC Y
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
E Owner: vat El, Applicant:
Phone: 11)3--0i1v01D Fax: lip)--i.SC'1 Phone:
Address: ,4upc Lc) .1 ,mac r1ll,e , Address:
1 (t.il3e\ 116 9)--`)-3 S
City State Zip Code City
3 Contractor: ‹,a4-y..ri ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
Fax:
State Zip Code
City State Zip Code � City
WA State Contractor License #: `0,1LiN C � N 1 Contact:
Spokane Valley Bus. Liscense #: Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
i
HEIGHT TO PEAK: (9,0
DIMENSIONS:`` -k 3
# OF STORIES: 1
MAIN FLOOR TO SQ. FTG: d,,_` ^ pjr..
2N° FLOOR SQ. FTG ieeUNFIN
BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. F; G:
GARAGE SQ. FTG: 3 c',.
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: I
r , ( `_-
jI CONSTRUCTIONjTYPE:
V - . t `�-
HEAT SOURCE:
l Al�
,_ l
# OF BEDROOMS: -zTOTAL
HABITA LE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES PROPERTY:
l9/111—SYSTEM?
SEWER OR ON, -SITE SEPTIC
G-.c�(,�2 -__
1 MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
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)
E Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
*lane
do, Valley
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
APPLICATION , MM -
Location of property
Applicant Name
/
Address/Parcel #, if available)
1
Contractor's Name Vd.
Address
'Phone , �- �i� — q r_.��,..
t_f
_i1
Phone
Contractor's Reg# �! 0� �� C i G;Expires 3 i i 1iL1
PROJECT DESCRIPTION (Provide site sketch)
C
n
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Pq Other conditions
UCommercial/Industrial Driveway
Rural Road Section
riSidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Ins • ection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expirat(on Date
Name of Holder SI•nature
Fees Paid$ Data !nit V
** TOTAL PAGE.05 **
do"*.
Spo1ane.00,Vailey`
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community' Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99200
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: i'l 41 € M4 t\<_(2 Crk V.0_ Permit Use: T::- r''t.
Owner: I\I "`k y'') ; s,-1 f':. -4: Phone (Daytime Contact):'::. r- ?V-)` ?1 E.:
Mailing Address.x ., 1� State Zip Code
City ,
Contractor. 1. 1 L �: ;: J'• L> . ` i License #: E lVil,, r L1 v1°hone #: 0..-- I --�k - `-f r'f
Mailing Address: SLA, ti-A'� 4
City State
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
TOILETS
WATER CLOSET, BIDETS
a
X
$6.00
=
1
URINALS
X
$6.00
=
2
TUBS
o
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
I�
J
X
$6.00
=
DISHWASHER
%
X
$6.00
=
6
7
CLOTHES WASHER
1
X
$6.00
=
6
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
p
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 0 VISA 0 MASTERCARD
r-vr-Ir eco.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
S1i5
detc\1a.Iey
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 09206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS C
Project Address:, i'l t -k1 a, e \'/�,s 1 ,c, DSVC--
Owner: \< ' i ; ^;�'l i :- ,=� --; !.j 4..-F._; .i -('tip
Mailing Address: ,:-..t:,(1-_, `.2) , 1-k.;; ; : ('._.:. 1'\ SX;)?
•Contractor: x'1.1 ;I of' �V l�3 n city.)‘
_ ^� ` ' i License #: L. z;.1, r�0r:
Mai ii'y rruuless. E tl;m1 Li- 1.;v R Vr ELi'
Permit Use:
Phone (Daytime Contact): .E)r;;
State Zip Code
Phone #: y� � • -,rl• n Y.
Zip Code
, ALL (509) 688-0054
DESCRIPTION OF WORK
City
# OF
UNITS
X
COST
State
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00
2
FUEL BURNING APPLIANCE
More than 100,000
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
X
$19.00
$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
$50.00
More than 400,000
7
BOILER/REFRIGERATION
1 - 100M BTU
8
BOILER/REFRIGERATION
101 - 500M BTU
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
X
X
X
$100.00
$15.00
$28.00
$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
14
DRYER
X
X
$10.00
$10.00
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
3
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
X
X
X
X
X
$10.00
$10.00
$1.00
$10.00
$10.00
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$19.00
22
EVAPORATIVE COOLERS
23
TYPE I HOOD
24
TYPE II HOOD
X
X
X
$10.00
$50.00
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
27
AIR CONDITIONER
15-30 TON
X
X
$20.00
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
30
LPG STORAGE TANK
31
WOOD OR PELLET STOVE/INSERT
X
X
Y.
$60.00
$10.00
$10.00
32
WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD*:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
x
SUBTOTAL
$25.00
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
J
.SIr J L P.14' _,LIN13
SCALE: 1"= 20'- 0"
LOT 17 BLOCK 1
HIDDEN VALLEY
SPOKANE VALLEY, WASHINGTON
WATER
91.02'
35'-0 7/32'
44'-0"
12'-0" x o`
N
I
IH
to
0
u
SEWER
M
Tin
CONC.
PORCH AND
SIDEWALK
SLOPE
5%1N 10
�_ EASEMENT
EASEMENT
UNDER
GROUND
POWER
cn
M
'rAN'SP9WLD�L''
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representaion of the propsal. All known property
line/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed: ZRr& M/-RVIT!
Date: 8"Z1"6)f
CROWN OF STREET.,,,
BUCHANON