2005, 06-15 Permit App: 05002036 ResidenceProject Number: 05002036 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/15/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 36 Left: 17 Right: 12 Rear: 22
Site Information:
Plat Key:
Name: RANGE
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN AVE
C - S - Z: HAYDEN, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name: ROW
District: East
Parcel Number: 55202.2206 Block: 6
SiteAddress: 621 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Lot: 7
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Hold: ❑
Area: 10,007 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:
l�
Plan Review
Released By:
Approach / Drainage
Released By:
)41/(_c_..A
Sewer Review
Permits:
Operator: K_C Printed By: K_C Print Date: 06/15/2005
Project Number: 05002036 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/15/2005 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
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Building Characteristics
Group: R-3 Type: VB
Total Area 1799
Building Height 19
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 549 $10,431.00 549 $10,431.00
RESIDENCE R-3 VB 1,799 $134,349.32 1,799 $134,349.32
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,348 $144,780.32 2,348 $144,780.32
Units Unit Desc Fee Amount
1 SELECT $1,245.75
1 SELECT $4.50
1 SELECT $498.30
Permit Total Fees: $1,748.55
Operator: K_C Printed By: K_C Print Date: 06/15/2005
Project Number: 05002036 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/15/2005 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
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
1
4
3
1
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
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$96.00
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
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
$6.00
$18.00
Permit Total Fees: $90.00
Print Date: 06/15/2005
Project Number: 05002036
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/15/2005
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,748.55
$96.00
$90.00
Invoice Amount
$50.00
$1,748.55
$96.00
$90.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,748.55
$96.00
$90.00
$1,984.55 $1,984.55
$0.00 $1,984.55
Page 4 of 4
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: 06/15/2005
S�kTane
40,00Ul
' BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
MQQLagEr4l N FO RMATION
Street Address: U)-1 t (*
Assessor's Tax Parcel Number(s): ( c) XL2 Du)
Legal Description:
1s)A- '6,-\n\ 6-o (-)V11
PERMIT DESCRIPTION: c.-)Ff
'uilding Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Manufactured Home
0 Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
R' Owner: \'L\(O
Phone: 10, s4t01,, Fax: I Ua-1-1t;-7
A dress: 4(.05 \>J, t (&)..c:y\
City State Zip Code
EV' Contractor: fy,\
Phone:
Address:
Fax:
EV Applicant:
Phone:
Address:
Fax:
City
State Zip Code
0 Architect:
Phone: Fax:
Address:
City State Zip Code City State Zip Code
WA State Contractor License #: \ 10_1,:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
FiEIGKT TO PEAK: !�
1 '-11,les
DIMENSIO�4S;
‘6"v bA0'
# OF STORIES: 1
MAIN F R O SQ. FTG:
_/B.
2 FL OR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
I FINISHED SEMENT SO, FTG:
GAP,AG_` SQ. FTG:
'j
I DECK/COV. PATIO SQ. FTG:
x /
OCCU CY GROUP:
•
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:�
/71e1
IMPERRVIIOS SURFACE AREA:
)4‘76
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? F,t„) F Z.-
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
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:
Phone: Fax:
City State
Inspector: Phone: Fax:
Address:
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 property owner.
Print Name
Signature
Method of Payment: (Faxed permit applications will only be aaccepted with major bankcar o)
❑ Cash
Bankcard #:
❑ Check ❑ Mastercard
❑ VISA ❑ C;ther
Expires: .V1N#:
Authorized Signature: - '
s�1"
•
Project Address:.
Owner: i I
Mailing Address: A
1 01 c.)(\
Contractor:
Mai ing Address:
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:�-
'%Pi1l.x'. License #:
1La4.
Phone (Daytime
City
Contact):
C
State
Phone #:
State
AUTHORIZED SIGNATURE:
Zip Code
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
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 Tess 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
t
X
$10.00
=
f
13
RANGE
i
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.0Q
=
17
GAS PIPING (each outlet)
t
'-1
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 10,000 CFM
X
$19.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
1
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
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA ❑ MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
Zip Code
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) 688-003
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: j
Project Address: LP -4:1 rit\ owv,sun
Owner � i kf ,4 ir;,`rkYC1Li;t`�
Mailing Address: < .c.)C)F> 1) Lf iii 0 )�
ti.
Contractor: �1 x i- �° k `i 17* :1
roti
Mailing Address: 3L u4 .? ft \c-4 t\o,
Phone (Daytime Contact):k? l r) -91
5>3l')
City %r State Zip Code
License #:�f .!_V p- CIA:Phone #: FYSi -C Sj - , R 13
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UMTS
X
COST
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
(D
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
D
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
A
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
I
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
/-)
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:
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
06/10/2005 08:23 2087624507
SOK Comer,
VIKING GUN
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
F Jt
Site Information
Project Information
Site Address: 621 S MICHIGAN RD
Parcel Number: 55202.2206
Subdivision:
Block:6 Lot: 7
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: LEONARD PI,UNO
Water Dist:
Project Number: 05004028 Inv: 1 Issue Date: 6/9/2005
Permit Use: SEWER CONNECTION - COUNTRY CROSSING
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:
Permits
Sewer Connection Permit Contractor: VIKING CONSTRUCTION License #: VIKINCIS8DJ
SEWER CONNECTION 1 585.00 PROCESSTNG FEE
Total Permit Fee:
FOR SEWER. INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
1 $15.00
5100.00
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIR.ED.
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 thc 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
Payment Summary
1
Total Feel ArnountPaid AmountOwl r
5100.00 5100.00 50.00
Tran DatF
6/9/2005
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITFT Page 1 of 1
JUN 10 2005 08:40
Receipt # Favxneat Amt
3282 5100.00
PERMIT
2087624507 PAGE.03
O
SITE FLAN
SCALE: 1 "= 20'- 0"
LOT 7 BLOCK 6
COUNTRY CROSSINGS
SPOKANE VALLEY, WASHINGTON
94.00'
65'-0"
CONC.
PATIO
e
71T-01
j
N
O
N
RANC+-IER
CONC.
PORCH AND
SIDEWALK
10' UTILITY EASEMENT
DRIVEWAY: :=
WATER rj
UNDE
' GRO D
POWE
1.3'A9RDF..EASEMEN7- -
SIDEWALK; i
94.00'
SEWER
CURB e
MICI.41 ANROAP --- ------ --- --- ----- --- C QI STREET
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representaion of the propsal. All known property
line/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed: DANNY TORCiER.SON
Date: f LkNE 7, 2005
COLLEEN