2005, 08-03 Permit App: 05002720 ResidenceProject Number: 05002720 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 Page 1 of 4
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:
Site Information: Project Name: ROW
Plat Key:
Setbacks: Front 36 Left: 12 Right: 28 Rear: 27
Name: RANGE
District: East
Parcel Number: 55202.2207 Block:
SiteAddress: 615 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: .00 Acres 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
Originally Released: 08/03/2005 By: CJANSSEN
Released By:
Approach / Drainage
Originally Released: 07/08/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
1/6 Released: 08/03/2005 By: CJANSSEN
Released!
Operator:
Printed By: MT
Print Date: 08/03/2005
Project Number: 05002720 Inv: 1 Application Date: 08/03/2005 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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 2448
Building Height 25
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 482 $35,995.76 482 $35,995.76
BASEMENT U R-3 VB 966 $14,490.00 966 $14,490.00
COV DECK R-3 VB 54 $810.00 54 $810.00
GARAGE U-1 VB 493 $9,367.00 493 $9,367.00
RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 2,995 $135,342.76 2,995 $135,342.76
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$1,195.35
$4.50
Permit Total Fees: $1,199.85
Operator: Printed By: MT Print Date: 08/03/2005
Project Number: 05002720 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 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
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Units
1
1
3
4
1
1
1
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: Printed By: MT
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $102.00
Print Date: 08/03/2005
Project Number: 05002720
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/03/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,199.85
$95.00
$102.00
Invoice Amount
$50.00
$1,199.85
$95.00
$102.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,199.85
$95.00
$102.00
$1,446.85 $1,446.85
$0.00 $1,446.85
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: Printed By: MT
Print Date: 08/03/2005
Spokane40,00Val_
e
Street Address:
uk 5
Assessor's Tax Parcel Nu
• BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
117,7 r .�nraa is Avenue, Suite 106
( C :, r \V/ iE Spokane Valley, WA 99206
hone: (509) 688-0036; Fax: (509) 688-0037
EQ UiR p $ITE 4ORMATION
Mci(\ go-nTxA
mber(s): L55BQ . a()1
J
tock (v (Oit\�rro7
SPie
Legal Description: L --
PERMIT DESCRIPTION:
wilding Permit
❑ Relocation
fl Change in Use ❑ Grading ❑ Manufactured Home
El Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
C
Owner: V�
Phone: tic -qt cad, Fax: �1�,�� LIS ;7
Address: a :A c x\
City State Zip Code
][� Contractor:
Phone:
Address:
Fax:
City State
WA State Contractor License #: V'L
Zip Code
Applicant: <',1,,i ' -.
Phone: Fax:
Address:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
ontact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 2A F 0
DIMENSIONS: t rt 1 p
# OF STORIES: i
MAIN FLOOR TO SQ. FTG:l
2FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG: 910(c.
FINISHED BASEMENT SQ. FTG:
.:,
4•
GARAGE SQ. FTG:'13
t 3
DECK/COV. PATIO SQ. FTG:
%e:_+.`r Pa V e - 554 s,„ F 'T .
OCCUPANCY GROUP:
cr�-
CONSTRUCTION TYPE:
HEAT SOURCE: (AS FupCc
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
2444b
IMPERVIOUS SURFACE AREA:
-z.21-7 -vo-F. A L.
COST OF PROJECT:
30% SLOPES ON PROPERTY:
A
SEWER OR ON-SITE SEPTIC
SYSTEM? 1AJg r?_
MANUFACTURED HOME
Width:
\�ICti IU13laUI I .
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
E BOLTING ❑ CONCRETE
Firm Name:
E REINFORCEMENT
Phone:
I nspector(s):
Fax:
C 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 vvill only be accepted vvith major bankcard)
7 Cash ❑ Check
Bartkcard #:
Authorized Signature:
E Mastercard
❑ VISA ❑ Other
Expires: \ IN#:
So'
kan
• 4,000W
Project Address:. LA Mt1A1.iC 4 \ ltj
Owner: .i-n.C_
Mailing Address: LC.) . i' Y z'
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036: Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: SPC
-
Contractor: RTLLL1rni { l fi"_Dii .l ..f.'C .. License #:
Mai ing Address: 1'111 ( �) r I�ryx: U iCt
Phone (Daytime Contact):
Lo <::.) Fit -16
City
State
Phone #:
State
Zip Code
4,1C:'r : ` f Atr,5Z
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
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
S50.00
=
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
S39.00
=
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
$1D.00
=
•
RANGE
I
X510.00
=
14
DRYER
f
X
$10.00
=
15
FUEL BURNING WATER HEATER
I
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
3
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 10000 CFM
X
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
I
X
S10.00
=
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
=
•
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Sf61&'
Va1
rl'PCS
Project Address: l.Q t `!5 J rntc1, k(Irx
Owner:
Mailing Address: -.)(01)1) tj Li (1 p 0.0?
Contractor: '1)-).,) P\ 5..1 1 hc ry.:1 License
Mailing Address: 314 11-k
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920
Phone: (509) 688-0036; Fax: (509) 688-00
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: �>tl
Phone (Daytime Contact):k:?; Irk -9I L
City State Zip Code
#: l .L 1l IE'- C-1tOLPhone #: F i - 13
\` ft dri ci,U37
4City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
L
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6.00
=
6
DISHWASHER
‘
X
$6.00
=
7
CLOTHES WASHER
t
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
.._3X
$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.
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
\''
• lley
•
•
Call 24 hours before inspevdon required
Phone 509,688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION j
Location of property i �5 `i IAVCI\ O.X%.
, if available)
Applicant Name i, ,UNAta!4-ddress/Parcei
� _ "A 4'9 x (- -i
Address
t--
hone:
Contractor's Name
Address
Offi4010.p
Contractor's Reg# Ci.1\1 Expires ? / i k Ur)
PROJECT DESCRIPTION (Provide site sketch)
EResidential.Driveway
Existing Curb & Gutter
1-1 Culvert Installation
Pq Other conditions
Commercial/Industrial Driveway
Rural Road Section
r7Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $ Inspection Fee$,
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Narne of I-foider
Fees Paid$
Sl• nature
Data !nit
** TOTRL PRGE.05 **
Aug. 4. 2005 11:25AM Viking Ccrstruction
�11%`
SPOKAKE COUI, Tr
IVO. OLJO
SPOKANE COUNTY
DEPARTMENT OF BUILDING' & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
r.
Project Information
Site Address: 615 S MICHIGAN RD
Parcel Number: 55202.2207
Subdivision: RANGE
Block: Lot:
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: LEONARD FLUNO
water Dist: UNKNOWN
Project Number: 05004957 Inv:
Permit Use: SEWER CONNECTION
1 issue Date:
7/20/2005
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Pbone: (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:
Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION License #: VIKINCISSDJ
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 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 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 $15.00
$100.00
Payment Summary
1
Total Fees AmountPald AmountOwiog
$100.00 5100.00 $0.00
Ran ate
7/14/2005
Processed By: HOWARD, DAN
Printed By: HINTZ, FAITH Page 1 of 1
AUG 04 2005 11:30
Receipt # Payment Amt
4071 $100.00
PERMIT
208 762 4507 PAGE.03