2005, 05-11 Permit App: 05001553 ResidenceProject Number: 05001553 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 36 Left: 32 Right: 12 Rear: 22
Site Information:
Plat Key:
Name: RANGE
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name: ROW
District: East
Parcel Number: 55202.2208 Block: 6
SiteAddress: 607 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 9
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: 10,028 Sq Ft Width: 94 Depth: 106 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Released By:
Approach / Drainage
Released By:
Sewer Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001553 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 Page 2 of 4
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
Group: R-3
Total Area
Building Height
Stories
Dwelling Units
Description
GARAGE
RESIDENCE
Type: VB
1326
20
1
1
Grp
U-1
R-3
Units
1
1
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Unit Desc
NUMBER OF
NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Type Notes
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application: Total Project:
Sci Ft Valuation Sci Ft Valuation
483 $9,177.00 483 $9,177.00
1,326 $99,025.68 1,326 $99,025.68
Totals: 1,809 $108,202.68 1,809 $108,202.68
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$1,044.15
$4.50
$417.66
$1,466.31
Print Date: 05/11/2005
Project Number: 05001553 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 Page 3 of 4
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
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
$85.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: K C Printed By: K_C
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $84.00
Print Date: 05/11/2005
Project Number: 05001553 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,466.31
$85.00
$84.00
Invoice Amount
$50.00
$1,466.31
$85.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,466.31
$85.00
$84.00
$1,685.31 $1,685.31 $0.00 $1,685.31
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: K_C Printed By: K_C Print Date: 05/11/2005
S�io°`kane
.000Ualley
t
LEU
br`Spok
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a
\PERMIT APPLICATION WORKSHEET
(I}✓ Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
(509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: U? lU-1 MCI\ U';<'LX\
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: rS'i.illr'` IE' (-cs,_('J1 d
O'Building Permit
❑ Relocation
❑ Change in Use ❑ Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Er Owner: \I0.
,�t �. � 'C 6:10( L li x�l
Phone: -1to0-Glc Fax: 1L -0 '-(6"N")
Address:
�
City State.Zip Code
Applicant:
Phone: Fax:
Address:
City
State Zip Code
EIV Contractor: �` 0 Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City
State Zip Code
City
State Zip Code
WA State Contractor License #:.\ \\L(' \Ck u � j Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO P ^DIMENSIONS:I
1 7M..
s3 01 I ..) 6i,
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2fD FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT 50. FTG:
1 GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTR CTION TYPE:
HEAT SO RCE:
# OF BEDROOMS:
TOTAL HABIT BLE SPACE:
1
IMPERVIOUS S .FACE AREA:
Zit/OP
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITEASEPTIC
SYSTEM? 4)51,0,
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone:
Fax:
City
Phone:
State
Fax:
� n.
Zip
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING D 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 property owner.
Print Name L, D1e4 t_eO l cum Signature
Method of Payment: (Faxes: pe,Tnit applications will only be accepted with major bankca; o)
❑ Cash
Bankcard #:
CKeck ❑ Mastercard s'.
i.:
Authorized Signature:
❑ ViSA
•,r
❑ °atter
Expires: *. Vire: ; :
•
•
•
Call 24 hours before inspecton required
?hone 509.688-0026 Fax 509.6g8-0037
DEPARTMENT OF PUBLIC WORKS
Antrcfpated start date
Permft # PW
PLICATip APPROACH PERMIT
AP
Location of property (.1)01
Appnoint NI]arne
Addrees
C
(Address/Parcel # EVaiiEaNe2)
)n I
'
Contractor's Hanle VI_ r
Lku:
Addrass,-,_onPhone,
Contractor's Reg# skf Expires (
PROJECT DESCRIPTION (PrcIrtds site sketch)
LIJResidential.Driveway CornmerciaWinclustrial Driveway
ri Existing Curb & Gutter Li RUrZi Road Section
1 1
Culvert Installation
Other conditions_
--t
fl Sidewalk Repair/Construction
;
41.1.1•••••••••ma.
See construction requirement and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMITFItzjfaion Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit car
c
Card # Expiration Date
Narne of Holder
Fees Paid$
Slonature
Date Enit
** TETRL PRGE.05 **
*Ohne
*Ohne
• Valley
Project Address:.un - G \v--' c. \ d
Owner: Al <
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department -
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99205
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Mailing Address: - i' _' ,
-, ; ,✓!', !; 4:�, !_ License #:
lr i
I, ,"y I4 �!-'� S^.Ir!�,,,1-�, V� .....:
Contractor:
Mai ing Address:
Permit Use: ,._.1, v-
Phone (Daytime Contact): ,=) l �.-,-' i r:: -
City, t' State Zip Code
r > -.) r;L-¢" Phone #: --.r; Y -.a f>`-
City State Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
rOF
UNITS
X
COST
=
TOTAL
Aft7OUNT
1
.FUEL BURNING APPLIANCE
Equal to or less than 100,000
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
5100.00
=
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
X
$10.00
=
, 13
RANGE
'
X
$10.00
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
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
1))
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
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE it HOOD
i
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
560.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
/METHOD
OF PAYMENT:
D CASH ❑ CHECK 0 VISA ❑ MC
CARD -#:
DATE:
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
0"
*lane``
Project Address: Le (I, j \Al.r kr1C X\
P✓.�.. .ter r
Owner: t r '. i �..� <� t,�
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, PYA 9920
Phone: (509) 688-0036; Fax: (509) 688-003
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
gc(
Mailing Address:
Contractor: -..t IJ-;"
r vl
I :J
Mailing Address:
Phone (Daytime Contact):? -� t
State
License #: p ,.. F F r' ;,4®'hone #:
�J
t i
)L &
Zip Code
moi_
r�.
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
a
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
3
x
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
, 1
.-\
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
8
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
h
�d
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR:
VATS, TANKS, BOILERS
X
$6.00
=
16
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 ❑ CHECK
DATE:
0 VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
20'39 d
LOSP i?92, SOE
Sb : OI Cb AOW
Srcurr CouRTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 607 S MICHIGAN RD
Parcel Number: 55202.2208
Subdivision:
Block:6 Lot: 9
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 05002877 Inv: 1 Issue Date: 4/29/2005
Permit Use: SEWER CONNECTION - COUNTRY CROSSING 1ST
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
1 Permits
Sewer Connection Permit
Contractor: VIKINO CONSTRUCTION License #: VIKINCI88D1
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
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 elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed 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 to the job site inspector for verification. To locate buricd 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 BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
1 515.00
5100.00
L
Payment Summary
Total Fees AmountPatd AmonntOwing
$100.00 $100.00 $0.00
Tran Date
4/29/2005
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
'd t9E1 'CU
Receipt # Payment Amt
2313 5100,00
PERMIT
uoipnqsuoO Aui>liA
AvD:Ol SOD 'Z 'APIA
SITE FLAN
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
Tines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slops or other critical areas.
CsG
Signed•
Date:'4/1-4?--
SCALE:
v4 9
SCALE: 1 "= 20'- 0"
LOT 9 BLOCK 6
COUNTRY CROSSINGS
SPOKANE VALLEY, WASHINGTON
94.19'
X32'-2 9/32"
50'-0"
\.J
WATER
CONC.
PATIO
/12'-0"
CONC.
PORCH AND
SIDEWALK
2T-11 1713Tr
\o
N
SIDEWALK
94.19' (;)
CONCRETE --
DRIVE
UNDERGRO
//
POWt'R o
POW7da` ro
M
CURB 0
SEWER
MICI4IGAN ROAD
L
CROWN OF STREET
ZONE ' 1__�„
ROADwant
FRONT ' ' FWMKIN() r
COMMENTS
REVIEWED L - (;) ,
NOLDERMAN