2005, 08-29 Permit App: 05003104 ResidenceProject Number: 05003104 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
Date: 08/29/2005 Page 1 of 4
Setbacks: Front 35 Left: 8 Right: 12 Rear: 23
Site Information:
Plat Key:
Name: RANGE
District: East
Parcel Number: 55202.1904
Block: 2
SiteAddress: 602 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 18
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: 10,012 Sq Ft Width: 84 Depth: 108 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
leased
y:
Plan Review
Originally Released: 08/25/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 08/29/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Operator: CJJ
Originally Released: 08/25/2005 By: cj j anssen
Printed By: CJJ
Released By:
CiS"-�?s8
Print Date: 08/29/2005
Project Number: 05003104 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 2 of 4
Approach
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Building Characteristics
Total Area 1625
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VB 1,582 $23,730.00 1,582 $23,730.00
DECK R-3 VB 99 $1,485.00 99 $1,485.00
GARAGE U-1 VB 704 $13,376.00 704 $13,376.00
RESIDENCE R-3 VB 1,543 $115,231.24 1,543 $115,231.24
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,928 $153,822.24 3,928 $153,822.24
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$1,296.15
$4.50
$518.46
$1,819.11
Operator: CJJ Printed By: CJJ Print Date: 08/29/2005
Project Number: 05003104 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 3 of 4
Contractor: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Units
1
4
3
1
1
1
1
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
2
4
1
1
1
1
1
3
Operator: CJJ Printed By: CJJ
Fee Amount
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$86.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
08/29/2005
Project Number: 05003104 Inv: 1
Notes
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,819.11
$86.00
$84.00
Invoice Amount
$50.00
$1,819.11
$ 86.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,819.11
$86.00
$84.00
$2,039.11 $2,039.11 $0.00 $2,039.11
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: 08/29/2005
Spokane
40,Ualley
C -)S � 041 -
BUILDING PERMIT APPLICATION WORKSHEET
7) Q; y(pfk�,gpfa ., Community Development Department
�.. Building Division
• ) 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
pho e -(5Q9) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
U)U f11 CIG
Assessor's Tax Parcel Number(s):
Legal Description:
6,)t. 1ciuu
PERMIT DESCRIPTION:
[Building Permit
❑ Relocation
art
❑ Change in Use ❑ Grading
0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
F3•
Owner. N '31 4VA
Phone: -114 4 -�tl�,tiFax•
Address: ' O.> us:), lei
City State
c )( )
Zip Code
l . - Applicant:
•
Phone:
Fax:
Address:
City
State Zip Code
C� ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
Contractor: ,jc \ . SL -
City State Zip Code City State
WA State Contractor License #: V l lhM(nContact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:L
f`i'el 4.
DIMENSIO S•
-�0n k441/Q"I
# OF STORIES:
MAIN FLOOR TO SQ. . FTG:
/ fiaa'S i Y"ft3
ND
2 FLOOR SQ. FTG:
ELS
UNFIN BASEMENT SQ. FTG:
i i7�
DECK/COV. ATIOS S. FTG:
/
HEAT S URCE:�
I FINISHED BASEMENT SQ. FTG:
1.1 lA
GARAGARAGESFTG:
US 76'
OCCUPANCY GROUP'
CONSTRUCTION TYPE,
# OF BEDROOMS: 2
TOTAL HABITABLE SPA E:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? F,4,JF2_
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
Inspector: Phone:
Address:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone:
Inspector(s):
Fax:
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 prop erty owner.
Print Name Signaturtr � '►VIk ) `l.
F
0
:'E'Tethod of Payment: (aUd permit applications will only be! c9eted with major bankcar d)
❑ Cash
Bankcards
❑ Check ❑ Mastercare;
•
Authorized Signature'
❑ VISA
Expires:
•
h 1
{-_.`,atkle
Spo'liane
deolValley
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Permit # PW
APPROACH PERMIT
LSO . . 11i t (it VI .(.n
Address/Parcel , if evalabie)
U 1211A 'Phone
LOrl
Anticipated start date
APPLICATION
Location of property
Applicant Name
Address
C
Contractor's Name 'M.
Address ,`.)4 . `� . n.
PhoneJ:'
Contractor's Reg# \i k=c"% i C_ 1 1 '> >� Expires 11 r a ;:
PROJECT DESCRIPTION (Provide site sketch)
n
n
Residential Driveway
Existing Curb & Gutter
Culvert installation
UCommercial/Industrial Driveway
LiRural Road Section
I ! Sidewalk Repair/Construction
Pq Other conditions T`\MP : till 0 ( pc f t r h
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $, inspection Fee$_
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$ _ Data Init
** TOTAL PRGE.05 **
S'p'o'k'ane
Mi1Iey
Project Address: Ltb ifY .(� krik..,C\
Owner: 11'; �l';(4 ''v;.`A''tC;))
PLUMBING PERMIT APPLICATION
City of Spokane 'Valley Community' Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane valley, WA 9920L
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: :
_ � f
Mailing Address: >?4 y , l . T F ^` it—L7 '
Phone (Daytime Contact):-..: -ftp,-? - 1 u
iC
771 r
-7),;Contractor. a ~.✓ i) I r`` u-1.. ! ,,
Mailing Address: ?i4 ti -6 5<3 A„- t
City a State Zip Code
License #: t =9 VET- #:
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
t'3
rst
v"c [ t 1
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
i
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
I
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
06.00
=
6
DISHWASHER
k
X
$6.00
=
7
CLOTHES WASHER
(
X
$6.00
=
8
GARBAGE DISPOSAL
i
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
06.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,INSTALLATION,
VENT, PLUMBING, REVERSAL
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
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
DATE:
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
t'3
rst
v"c [ t 1
Zip Code
Siokane
4.00VaHey
Project Address:.
Owner: \i!. '✓ i ; i ; ,,rvR ,
Mailing Address: >✓ i`
��� �m ,0
,0„-N
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue Suite 106
Spokane Valley, WA OO9na
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Contractor: j) License
Mailing Address:
I � .-S �" "�;✓Ji ,I `•R: �l-�,�!'� � ' " f.
#:
Permit Use:
Phone (Daytime Contact): .:- y� _c c
Zip Code
citK
Lc,-z)F; Li f-
t',
State
Phone :
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
orate
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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
USED APPLIANCE (WSEC min. AFUE
rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$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
1
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
3
x
$10.00
=
20
AIR HANDLER (DOES NOT indude 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
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPEIHOOD
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
Y.
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
METHOD OF PAYMENT:
❑ CASH ❑CHECK ❑VISA ❑ MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code