2005, 12-22 Permit App: 05004737 ResidenceProject Number: 05004737 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/22/2005 Page 1 of 3
Project Information:
RINCOSIMMIPPW,Ax,M,ti: o
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 33 Left: 5 Right: 5 Rear: 21
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: 55073.1908
Block: 1
SiteAddress: 17417 E MANSFIELD AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 6,500 Sq Ft
Urban Residential 3.5
Lot: 8
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 65 Depth: 100 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: 12/22/2005 By: HKAUER
Released By:
Approach / Drainage
Originally Released: 12/22/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 12/22/2005 By: cj j anssen
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 12/22/2005
Project Number: 05004737 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/22/2005 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 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: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
HOOD - TYPE I
RANGE
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
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
48 $720.00 48 $720.00
450 $17,496.00 450 $17,496.00
1,260 $94,096.80 1,260 $94,096.80
Totals: 1,758 $112,312.80 1,758 $112,312.80
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,066.55
$4.50
$426.62
$1,497.67
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$30.00
$50.00
$10.00
$115.00
Print Date: 12/22/2005
Project Number: 05004737 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/22/2005 Page 3 of 3
Contractor: FRED'S PLUMBING
Address: 146 AQUA CIR 3
COEUR D ALENE, ID 83815
Item Description
TOILETSBIDETS
SINKS
SHOWERS
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
2
4
2
2
1
1
1
3
Fee Amount
$50.00
$1,497.67
$115.00
$96.00
Firm: FRED'S PLUMBING
Phone: (509) 772-2846
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$50.00
$1,497.67
$115.00
$96.00
Fee Amount
$12.00
$24.00
$12.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$96.00
Amount Owing
$ 50.00
$1,497.67
$115.00
$96.00
$1,758.67 $1,758.67 $0.00 $1,758.67
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: 12/22/2005
Spo"kine
jUalley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 1i i-1 t 1 a . fMOJA5 \i\fst
Assessor's Tax Parcel Number(s): I(P r* 51) L13 e i t5
Legal Description: WC C _ \ k C oaf\
PERMIT DESCRIPTION:
48 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
1
OWNER/APPLICANT INFORMATION
0' Owner: ti ( I LJ— Applicant: < t,r -
Phone: ]u -ct f.1 Fax: `ll&4-(4S »� Phone: Fax:
Address: --iOOS U3 itctro fl
--eta ICL n State
e
[Y Contractor: i
Phone: ax:
Address:
Zip Code
City
State
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
Zip Code City
State Zip Code
WA State Contractor License #: valKAC`k.B) iJ,) Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
Zil +
HEIGHT TO PEAK:/CV-
DIMENSIONS: 551 x 4 (
# OF STORIES:
MAIN FLOOR TO SQ. FTG
-,---2ND
FLOOR SQ. FTG: N/A-UNFIN
BASEMENT SQ. FTG: kVA
FINISHED BASEMENT SQ. FTG:
WA
GARAGE SQ. FTG:DECK/COV.
� Oso
PATIO SQ. FTG:
1k- NliC-
OCCUPANCY GROUP:n
1�-�=' $
CONSTRUCTION TYPE:
HEAT SOURCE: &t
C-u42tii, A o (a. Fan R.t,IN G E:.
# OF BEDROOMS:
-5
TOTAL HABITABLE SPACE:IMPERVIOUS
r14
SURFACE AREA:
2-\Z s4 -FT.
COST OF PROJECT:
30% SLOPES ON PROPERTY: ' ,
EWE R ON-SITE SEPTIC
r
MANUFACTURED HOME
Width:
Manufacturer:
Length: . Year; Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone:
Fax:
City
Phone:
State
Fax.
Zip
City
State
Zip
SPECIAL INSPECTIONS
0 BOLTING ❑ CONCRETE
Firm Name:
0 REINFORCEMENT
Phone:
Inspector(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:
DEC 06 2005 09 30 FR
f'crmit Center
SgOkane 11707 E Sprague Ave, Suite 6 106
�� Spokane Valley, WA 94206
Community Development (509)688-0036 FAX (509)688-0.037
'tY w ww.sbokaac.-allev.nrecmn
Plumbing Permit Application ❑ Commercial Residential
TO 12087624507 P.01/01
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: .3:71 i,
1)(\o_ne-r-L;Q_(7.— )\)-e -
DESCRIPTION OF WORK
1 TOILETS
2 URINALS
9 TUBS
S OF UNITS
COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
X
55.00
X
$6,00
4 SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
56.00
5 SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
'11
56,00
56.00
8 DISHWASHER
7 , CLOTHES WASHER
56.00
1
8 GARBAGE DISPOSAL
9 WATER SOFTENER
10 ELECTRIC HOT WATER TANK
11 FLOOR DRAINS
ROOF DRAINS/OVERFLOW
12 GRAINS
NOTE: IF GAS, SEE MECHANICAL
AREA. CASE. COIL TRENCH, CONDENSATE
13 FOUNTAINS, DRINKING
r WATER PIPING/DRAIN-IN WASTE,
14 - VENT, PLUMBING. REVERSAL
15 SEWAGE EJECTOR
16 WATER USING DEVICE
17 CROSS CONNECTION DEVICE
18 INTERCEPTORS
19 MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING
20 FIXTURE
21
PRIVATE SEWAGE DISPOSAUSYS
INDUSTRIAL WASTE
22 INTERCEPTOR
METHOD OF PAYMENT;
Q CASH
Card#
❑ CHECK
AUTHOR1ZED SIGNATURE:
NSTALLATION, ALTERATION, REPAIR,
REVERSAL
GRINDER, SUMP PUMP
ICE ANIOR 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
56.00
56.00
0 VISA 0 MASTERCARD
EXPIRES:
X_ 515,00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE
REVISED V2&05
** TOTAL PAGE.01 **
Spokane
.. Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallcv.ora.com
•Mechanical Permit Application
❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
esidential
SITE ADDRESS fl -U7 U- t I l )-
Building owner
Name: \ t Y t Yl" t � (c--Irt 1 r-\ 1 iv) IA,
Phone: i('ic),.- ) (f•.-� -C' In( ,.
Fax
.Ai`,..;'..- ii ,-,.) -La c f .1
Address: !Li UQ-) . ;.-�•1 C_ l i :11 t `f
City L 14,, f\State
C.
�� Zip ,nf;'
Contractor
r
Name: V.�i1c iN)`�}(-1 i.-)
Phone:
Fax:
Address:
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
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
7
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
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
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 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
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
x
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
•
S
•
C hhLsrle 50().68E.;-0036 , ; � ;, . ,, -, i
vu✓ i 1 J� .Vi 3 JtJ3 i
• D ' ;c `t Ct.4E[ h.. F PUB LiKS
r1.L G.. t.1•G,61,S=t.h w .G.CEJ a
APPRO.' .0
Location 474 property 1-1
( achesµ/P'arGall #p if Favre tabic)
�. r e �r _ _p
Applicant nt (;'i�c%rni ?`_ 4 �'i' i.,.k^i!,^� �L � � (ts,'Phone
' �'!'_4 'rrfi f1� u11 �.t)�xiY� �IilJl r+R"P�'t�-�G�'''�
Li i
Contractor's Mame /t..1 ti: ( �.: '�"t` .k" i " t.(-31)
r-vgca',rie
Add ass
e-•�
Contractor's RGI �� �,F� �� �a i fc'"``, t)` 1!rxpiG €:'s __ -`i 1 AE';:
PROJECT DESCh 6PTtOfr9 (Prorrk a site elctoh)
fl
ResidemntiallDrir° way
E cistitigi Curb 8z Gutter
Culvert insta;ifation
11
CConinverciaindustrial Driveway
Rural Road Sectio
Siciewai1k Repair/Construction
,% Other conditions 1. ;1\Me.!.6'
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPSCIAL CONENT IDMS:
PERiisiT FEE $ .. _.._ inspection Epee$,_.,.
i hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card n
If'!ame of Holder
vw.) a LLLF ey
Sionature
�.:rirstlbn Date*
-f:): TO T RL PRGE. 05 x: :
01;12/2006 14:43
2297E24507
Site Information
VIKING CONST
SPOI
',1 ARTMVEN't OF BUILDINGt '��rriIN
\VItsT 13h0ADWA\' AVENUE • SPOKA_< , \VV. 99260 b0
Site Address: 17417 E MANSFIELD AVE
Parcel Number: 55073.1908
Subdivision: HIDDEN VALLi8Y ADD
Block: 1
Zoning: i1NK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2005 W HAYDEN
HAYDEN LAKE, iD S3835
Building inspector: None
`Vater DISI:
Lot: S
1
r:aUt UL/ UL
Project Information
Project Number: 05009544 Inv: 1 issue Date: 12/22/2005
Permit Use: SEWER CONNECTION • HIDDEN VALLEY
Applicant: ViKING CONSTRUCTION INC
2605 W H AYDEN
HAYDEN LAKE, ID 83835
Contact: ViKiNG CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, iD 5:835
Setbacks - Front:
Permits
Sewer Connection Permit
Group Name:
Project Name:
Left: leight:
Phnne: (208) 762-9106
Phone: (208)762-9106
Rear:
Contractor: VIKING CONSTRUCTION License >:: viK1NC1381).t
SEWER CONNECTION I 535.00 PROCESSING FEE
Total Permit Fcc:
515.00
3100.02
FOR SEWER INSPECTIONS CALL (509) 477-3604 LMLITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to Feld locate and confirm the elevation and position ofsewerstub prior to any other excavation.
Sewcr stubs are to be checked prior to connection to ensure that thay have acceptable grade and arc clear and unobs:rucled 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 10 the job site inspector fer vcri cation. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUiRES li-IAT<FRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DiG" CENTER [3E
NOTIFIED. CALL I3EFORE YOU DIG AT LEAST 2 WORKiNG DAYS iN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply v!ith all requirements of the Washing -tor State Dept of Labor and Industries,
in,cit,cing those related to trench safety.
L__ Payment Summary
Total Fees
5100.00
Amount Paid
5100.00
Processed By: Sr-tATTO, JULIE
Printed flu: i-I1NT7. FAiTH
JAN 12 2005 14:08
AmountpwIn_
50.00
Tran Date
12/2222005
Pale I of 1
Receipt # Payment A mt
7803 5100.00
PERMIT
2087624507 PAGE.02
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