2006, 02-27 Permit App: 06000607 ResidenceProject Number: 06000607 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/27/2006 Page 1 of 2
Project Information:
Permit Use: single family residence/gas heated
Setbacks: Front 32 Left: 6 Right: 8 Rear: 24
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: 55073.1910
Block:
SiteAddress: 17503 E MANSFIELD AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 6,949 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
.e�
d By:
Originally Released:
Driveway/Approach
2/27/2006 By: TMELBOU
elessed By:
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Released By-
.
Operator: AMB Printed By: AMB Print Date: 2/27/2006
Project Number: 06000607 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/27/2006 Page 2 of 2
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 Phone: (208) 762-9106
HAYDEN, ID 83835
Mechanical Permit
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Notes:
Phone: (208) 762-9106
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: 2/27/2006
Soe
Walley
Community Development
Permit Center
11707 E Sprague Ave, j$ui'la 1
Spokane Valley, WA 09206
(509)688-0036 FAX: (509)688-0037,,,1
iii w.Spolc_anevaiiev.ora:om t 31
Residential Construction
Permit Application
2006
U, n
NeVrronstruction
o Addition/Remodel
o Other:
PERMIT NUMBER:
7
PERMIT FEE:
o Accessory Bldg
o Deck
SITE ADDRESS
� fl. 07 1.00-1 j ;fie ' � t�U _.
ASSESSORS PAR EL NO: 5rj C.;-12) , 1 :1 t 5 LEGAL DESCRIPTION: Lu— a ft_ t `` (A 1 V-CSi( -
Building owner
DIMENS ONS:
Name: ,,
TOTAL HABITABLE SPACE:
Name: r (t(ii poi
ti 0)4
City:
Zip:
Address: c(.1-) x ;
41. ?-f h
;k '_
j J Exp. Date:
City: lit ��( t .i'
Zip:
r
: �i'> ,1.3
Phone: (k5e- "1L.4 `tt
Fax: ',t :S!
1( o.) -0,5
(; ")
Contact Person"
Name:
Phone:
Describe the scope of work in detail:
Contractor
DIMENS ONS:
Name: ,,
TOTAL HABITABLE SPACE:
Address:
2Nu FLOOR SQ. FTG:
`�°((--
Lk::.-.
City:
Zip:
Phone:
Fax:
Lic No:'( .V -1t\, A
j J Exp. Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENS ONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
ac`
2Nu FLOOR SQ. FTG:
`�°((--
Lk::.-.
UNFIN BASEMENT SQ. FTG:
CI 1 o K--
IMPERVIOUS SURFACE
AREA:
z Z 7,5
FINISHED BASEMENT
SQ. FTG: 7(;) r 4-
GARAGE SQ. FTG:
S 't - f
CONSTRUCTION TYPE:
Ne --‘4) 2-t..--)01A--S
DECK/COV. PATIO SQ. FTG:
( % a%-{ 45 r 2-143
HEAT S URCE:
30% SLOPES ON
PROPERTY: /1�)(4-
SEWER OR SEPTIC?
S E:Lki le._
# OF BEDROOMS:
3
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Date
Method of Payment: (Faxed permit lications will only b- accepted with major bankcard)
0 Cash ❑ Check ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
J /a;3/ro
0 Other
Authorized Signature:
REVISED 8/25/2005
opoharteOF I
iValley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ! Fax: 509.921.1008 ! cityhatl®spokanevaltey.org
Residential Plan Submittal Minimums
❑ Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
O Show the height of any proposed buildings or accessory structures.
O Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
O All braced wall panel types: show locations and details of installation, including
engineered design.
O Egress windows: Provide at least one window or exterior door approved for
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
O 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
O Insulation information
Permit Center
Spokane 11 707 E Sprague Ave, Suite 106
.0,00 \i iiey Spokane Valley, WA 00206
(509)688-0036 FAX: (509)6E8-0037
Community Development www.spokanevallcv.org.com
Mechanical Permit Application
o Commercial
PERMIT NUMBER:
PERMIT FEE:
beResidential
SITE ADDRESS (I Lit
Building owner
Name: \ 1 b F YY 1 1,' C1 ---\4't 't
i 14x1 1,1V, Phone: �)i.`+Y ,--1(r. _) ft 1 (1( ..
Fax ..f..V (P' .._ i. --y- 6 c i ' i
Address: -i:i.< ‘q:-.; . I ?
' f 11 , . ,`\ 1?
City t i' . (i C', 1y
State tesr i Zip ?,K
Contractor
Name: a i1c
{ \O`er,:r; FT\
Phone:
Fax:
Address:
City
State
Zip
License No:
City Business License No:
Contact .
Name:
Phone:
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
2 FUEL BURNING APPLIANCE
3 UNLISTED APPLIANCE (Additional Fee)
21
22
23
24
25
26
27
28
29
30
31
32
33
UNLISTED APPLIANCE (Additional Fee
USED APPLIANCE SEC min. AFUE rating
Equal to or less than 100,000
More than 100,000
Equal to or less than 400,000
More than 400,000
E.ual to or less than 400,000
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
More than 400,000
1 - 100M BTU
101 - 500M BTU
501 - 1,000M BTU
1,001 - 1,750M BTU
# OF UNITS
COST
X $12.00
X $15.00
X $50.00
TOTAL AMOUNT
$100.00
$50.00
More than 1,750M BTU
$100.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00 •
$10.00
$10.00
$10.00
$10.00
$10.00
AIR HANDLER (DOES NOT.include ductin.
E.ual to or less than 10,000 CFM
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE I HOOD
TYPE II HOOD
Greater than 10,000 CFM
$10.00
$12.00
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
0-3 TON
3-15 TON
15-30 TON
30-50 TON
More than 50 TON
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
34 VENTILATION SYSTEMS
35 VENTILATION MECHANICAL EXHAUST
36 INCINERATOR - RESIDENCE
37 INCINERATOR - COMMERCIAL
$15.00
$10.00
$50.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
$15.00
$12.00
X $12.00
X $19.00
X $22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD 4:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8.'?6!05
=on OF
] CAS1
PPR 25 2003 16:48 FR
TO 12087624507 P.0/05
1 •C y 11707 East Spray e Av 'sue, Suite 106 S09-688-0036 - Phone
a� Spo ane Valley, WA 99206 5G9-688-0037 - Pax
.For ?nspectioas, call 309-688-0054_.._
Plumbing Permit Application
ADDR5555: na_
6 l,f,- 1 E VA
�E'nTT
tieH: c.) Fi
A, ..IMA—
OWNER: , r\CI c. ?F,DN E, `Day rt.me Contar•1• t C✓ }
MAILING AD7RE:5Z:
1{:-, u . LUra ct, 1 - \ P 1- c4 Ll it() I(} 1 6
COST
c,: rr,:�1'�,
(s _a?) (d y/ t2t2)
TOILED
(LU)
cci`rrt cro%: i :14..:11.--.21' j.1-L1-1-11-11-1--H-.b'
LICENSE 4:
�(�-e51� 01:-. ilIN'
,f_ ILING A DDRE .ES:
`LI -1 _ --. - I, )Cie a -Cf- . i
PHONE .4:
!�'�{ I�� -} 1 (
Ll"'1� - I1rL �i,`ri
i
B%3 .)125
(=';) '
k
(sOet? (city/state)
PLUMBING NG FARES
IT 'TRES
IANKC.0 D Nuri
:UT =QRIZED SIGNATURE.:
D£SCR FTTON
DETAILS
B anD1.17$
COST
EQUALS AMOUNT
1
TOILED
WA£ CLOSET, BIDETS
X :6
-
2
URINALS
X $6
-
3
TUBS
X $6
-
4
SHOWERS (PER TRAP) . ,
BATH, STALL, ON-SITE S1J1LT
X $6
-
5
SINKS
LAVS/HASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, IANTTOIL PHOTO, X-
RAY, FOOD, PRS'/CULINARY/MEAT
X S3
-
6
DLSFIWASHER
X $6
-
7
CLOTHES WASHER11111.111111=1.1.111111
X $6
-
8
GARBAGE DISPOSAL
1
111.111111
1111311 $6
X IMMII
�
-
9
WATER SOFTENER
10
ELECT. HOT WATERT TANK
NOTE: IF GAS, SEE MECHANICAL
X 56
-
11
FLOOR DRANS
AREA, GAsa, COIL, TRENCH, CONDENSATE
Illeillieill
FOUNTAINS, DRINKING
X 56
13
WATER PIFINC/DRATN-IN
WASTE, VDIT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
rtwvE:zSAIS
56
X 56
-
MI
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
15
WATER USING DEVICE
ICE AND/OR COErEEMAKER, HOSE EIB,
STEAMER, PRCOFER C B ONATOn
SWAMP COOLE111
X 56
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER. CHECK VALVE, ANDX
R.P.3.P.D. FOR: PATS, TANKS, BO/LEAS
S6
17
SPRINKLER SYSTEt1
18
INTERCEPTORS
GREASE TRAP, SAND T2AP, CHE/vIICAL
HOLDINGTANK
X 50
-
I9
MEDICAL GAS Per outlet
NITROUS, O.'CYGEN
X S6
-
20
MISC. PLUMBING FIXTI1RE
X 56
..
] c -y
r4v-Tr '
- _
SUBTOTAL:
PLUS PROCE55INC 1 035.00
vitsz
r cx 0 0
TOTAL =NET ^_W DLT.':
IT 'TRES
IANKC.0 D Nuri
:UT =QRIZED SIGNATURE.:
tr/
, •
ARTFA E Et' PUBLIC WC; PIKS
4 e-11 e•r4 FErril:E1 Fqtf
Jll 3117.--.2u oi
PL'Cr".5 06E3E-003
/PP[DACC RT
Lli CA:11110)
Location c.,.1 property 1-1 L')
(Ad1Parcail# favaiCabie)
—
; 1i J;
,
, A
Address ,PicAlri 'u [- alka.r,) ,11. tl.:11/Thonna (c)re...-'10;- .q (r(
Contractor's Marne iit (), : Lt_yrul!,-4sr- tc.i-jr)
Addrer,241L( .C\ .. 00_.9,,k0a.0_ (1
—,..d
;
Contractor's Rest! 11.k;,',, t cat1,3 Ex:Diress,La-,)
PROJECT DESCRIIPTIION (Provicio site sgmtotv)
11111 Residentiaff.Driveway
Ezrnj curb & Gutted -
1
Cul/veil Frostalliation
LJ
Cornmerciallillndustriai Driveway
Rural! Road Section
Lri Sidewalk Repair/Construction
/17] Other conditions 11.1 jn. 1 1-Lppiftr:: fr:
See construction requirements a»d details on reverse. Bond/insurance certification must be ort
file with the City.
SPECtAL COMENTION8:
PERWIrr FEE $.„..... ___„........._............_ rnspec.:tion Fe$,_,.
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card
Name of Roide7
•
Sionature _
-tjaEa
** TOTAL PAGE,05 **