2005, 10-13 Permit Apo: 05003679 ResidenceProject Number: 05003679 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2005 Page 1 of 3
Project Information:
r
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 33 Left: 6 Right: 5 Rear: 20
Site Information:
Plat Key:
Name: Hidden Valley
MOOMMINSMOISSMSZMON
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: 55073.1909
Block: 1
SiteAddress: 17501 E MANSFIELD AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 6,500 Sq Ft
Urban Residential 3.5
Lot: 9
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 65 Depth: 100 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: mmg,,,,,,,,,,,,mcmg-xeszammg,
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 10/13/2005 By: CBATES
Released By:
Approach / Drainage
Originally Released: 10/13/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 10/13/2005 By: CJJANSSE
[Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 10/13/2005
Project Number: 05003679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2005 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 Grp Type
BASEMENT F 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
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units
1
1
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Unit Desc
NUMBER OF
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:
So Ft Valuation So Ft Valuation
714 $14,280.00 714 $14,280.00
494 $9,386.00 494 $9,386.00
1,249 $93,275.32 1,249 $93,275.32
Totals: 2,457 $116,941.32 2,457 $116,941.32
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,088.95
$4.50
$435.58
Permit Total Fees: $1,529.03
Mechanical Permit
Units
1
1
3
4
Operator: CJJ Printed By: CJJ
1
1
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc Fee Amount
NUMBER OF $10.00
NUMBER OF $12.00
# OF UNITS $3.00
NUMBER OF $40.00
NUMBER OF $10.00
NUMBER OF $10.00
Permit Total Fees:
Print Date:
$85.00
10/13/2005
Project Number: 05003679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2005 Page 3 of 3
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Notes:
Payment Summary:.a
Permit Type
Approach
Building Permit
Mechanical Permit
•
Fee Amount
$50.00
$1,529.03
$85.00
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Invoice Amount
$50.00
$1,529.03
$85.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,529.03
$85.00
$1,664.03 $1,664.03 $0.00 $1,664.03
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: 10/13/2005
Permit Center
Spokane
11707 E Sprague Ave, Suite 106
4000 Val /eY
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www•spokanevallev.org.com
Residential Construction
Permit Application
PERMIT NUMBER,„5 W
PERMIT FEE:
New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS ng:,,c) 1 6. ++ --
ASSESSORS P CEL NO: 5 � ,3 15 LEGAL DESCRIPTION: W� q ova_
Building owner
DIMENSIONS:�� ,
Name:
TOTAL HABITABLE SPACE:
Name: v \...x Yr\
2Nu FLOOR SQ. FTG:
,
City:
Zip:
Address: )kset
;t3
Lic No: V k.vi_t ; ii CC
6)Exp. Date:
City: \,k‘ k
CONSTRUCTION TYPE:
, vD ..)TA (L-
,, r
Zip: i i; l's"-, ?ij
SEWER OR SEPTIC?
--(nJ E—JZ
`
Phone: t),,-6-0,', '1U-
( CIL, Fax:
c'r 1(),4-k.j
)
Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor
DIMENSIONS:�� ,
Name:
TOTAL HABITABLE SPACE:
Address:
2Nu FLOOR SQ. FTG:
,
City:
Zip:
Phone:
Fax:
Lic No: V k.vi_t ; ii CC
6)Exp. Date:
City Business Lic No:
CONSTRUCTION TYPE:
, vD ..)TA (L-
Cost of Project:
**************The followinE MUST be complete: (write N/A if not applicable)**********************
HEIGHT T. PEG, w
DIMENSIONS:�� ,
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FL•OR TO SQ.
FTG: ' , _ J i 1 [
T
2Nu FLOOR SQ. FTG:
,
UNFIN BASEMENT SQ. FTG:
,)
IMPERVIOUS SURFACE
AREA: G(o
FINISHED BASEMENT
SQ. FTGT]f
GARAGE SQ. FTG: c! <_.
Lk. -1
DECK/COV. PATI S . FTG:
�U
30% SLOPES ON n_
PROPERTY: /3/ t---i-
'�
#
# OF BEDR6OMS:
n
CONSTRUCTION TYPE:
, vD ..)TA (L-
HEAT SOURCE:
��7/1-
SEWER OR SEPTIC?
--(nJ E—JZ
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature 0104 1 ,JJl_iCl..l, Date
Method of Payment: (Faxed permit apple tions will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005
Can 24 hours bJ0 iusnection required
Phone 509.688-0036 Fax 509.68-0037 I
pey DEPARTMENT OF PUBLIC WORKS
Antfctpatad start data Permit # PW
APPROACH PERMET
APPLEGATFOR
M..4=
Location of property 11
(1,kddresWParcel #, if amil
aablle)
Applicant F,;",arrge f \ 11 "
11-3
Address Ok)0,11LLJALPhone
A„
Contractor's klanie... U.1/r6:41.i,..r-t" On
Address kU. OLP Phone -CO
Contractor's Rege ‘1/4!!e eM Expires
PROJECT DESCRIPTION (Provide site sizetotn)
1 1
ResidentialDtiveviray
Existing Curb & Gutter
Culvert installation
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Other conditions 1,)AMP,Ithil (
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERIMT 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
LELLLeof
Fees Paid$
Signature
Date
IrLit
** TOTAL PAGE.05 **
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
ley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.ore..com
Mechanical Permit Application
o Commercial
o Residential
SITE ADDRESS `-1 3V \
Building
owner
Name: X it )(�(,, 11 C ttY\ (' Phone: n(`j�l.�
n Fax _A- '7 -u tl
Inc (lf,•
t 9 l
,� City
Address: 4-tQrr W)(I11 �`k'
,£
t to in State -to Zip 1;)p). a�s
Contractor
Name: P' n Phone: Fax:
11( q
Address: 1 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
1
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess 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
$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
1
X
$10.00
=
13
RANGE
X
$10.00
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
t
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
'2j
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
$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
$22.00
=
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC DATE:
rnRn n. EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Spokane
jUalley
DEPARTMENT OF COMMUNITY DEVELOPMENT
CURRENT PLANNING
ADMINISTRATIVE EXCEPTION
APPLICATION AND DETERMINATION
\l 0_,..-C*-)451-R-LACTL
PART IAPPLICANT: V( KSI067
MAILING ADDRESS: carcf:DS. t4A.` D A')E
CITY: 1o.,�s7L" IJ -
STATE: ) A' - O
PHONE: (HOME) 2.1* -1 Ca- `dip (WORK) (CELL)
ZIP: 83U 35 -
NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW
LEGAL OWNER:
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: (HOME (WORK) (CELL)
TAX PARCEL No:
LEGAL DESCRIPTION: LQ -1--- 1
isb VA L L ',
STREET ADDRESS OF SITE:
3t_cDc.,kz--, ) y
4N5 l -k ► 3 Cr ?Yo l,3
SECTION(S) TOWNSHIP RANGE
ZONING CLASSIFICATION: COMPREHENSTVE PLAN CATEGORY L O YJe rjl'1
TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: 2...e IC_ ►Ge.I4kIZ �14Q��
5€ ZAc__. 7-.cT257-- 7 c 1 cj
EXPLAIN REASON FOR REQUEST: h i -t- JZ-ezAR. S f A l" 5 --Top
Dk S ► 11�L� �f
UA��/.�cc^_.� i7 �— 1 �-(• aS to. l o� c `c5` F -
`i .i- —�—,�
-�"-01,) l 136:-/ �'V iJ e C (7 O - �C\F"t t3E Y A LL ... yr
APPLICABLE SECTION(S) OF ZONING CODE:
NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE LNCLUDED WITH THIS APPLICATION
PART II
LEGAL OWNER SIGNATURE
(Signature of legal owner or representative as authorized by legal owner)
I,ZIrqj1 US(Y) , (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:
U\e>� �
(City)
n,
PHONE: l>?', I lG P
TV ZIP: ttr3 33
(Signature)
(Date)
STATE OF WASHINGTON ) ss:
COUNTY OF SPOKANE )
NOTARY
(For Part II above)
411
SUBSCRIBED AND SWORN to before me this U day of 11 11 , 20 Oen
�i)\)0
NOTARY SIGNATURE
Notary Public in and for the State of Wg#en
Residing at: 1 l CLUT),CCL 01\A
My appointment expires: ck 13
PART III
(To be completed by the Planning Staff)
DATE SUBMITTED: �� "�,� C_ RECEIVED BY:
FEE:
FILE NO.:
PART IV
DETERMINATION
File No: AE -136 - C
The Department of Community Development fmds 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 C �c /7 cJ� , 20GJ
Approved by: C /^ l% C -= 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
'',7105 09:03 2087624507
VIKINU UUNSi
srOn4 CaMY;
Site Information
I�A1t'`NXI`dT OF `3UYLJJ1NG
V toabrw Y A%i�rtr '' S Fc
Site Address: 17501 E MANSFIELD AVE
Parcel Number: 55073.1909
Subdivision: HIDDEN VALLEY ADD
Block: I Lnt: 9
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: Dar Howard
Water Dist:
Project Information
Project Number: 05007880 Inv: I Issue Date: 10/17/2005
Permit Use: NEW SEWER CONNECT, HIDDEN VALLEY
Applicant: VIIUNG CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE. ID 83835 Phone: (208) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, IA 83S35 Phone: (208) 762-9106
Setbacks - Front: Left: Right: Rear:
Group Name:
Protect Name:
1
Permits
Sewer Connection Permit
Contractor: OWNER License p: OWNER
SEVER CONNECTION 1 U5.00 PROCESSING FEE
1 $15.00
Total Permit Fee: 5100.00
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 cicvaticn and position of sewer stub prior to any other excavation.
Sewer stubs arc to be checked prior to connection to ensure that they have acceptable grade and arc clear and unobstructed to the main
sewer. Sewcr 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 13E
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS rN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including chose related to trench safety.
Payment Summary
Total Fees Amount Paid AmountOwine
$100.00 $100,00 50.00
Iran Date Receipt # Payment„ Ella
10/17/2005 6451 5100.00
Prncessed By: Hansen, Toni
Printed By: HINTZ, FAITH Page 1 of 1
OCT 23 2005 09:25
PERMIT
2087624507 PAGE.03