2005, 05-23 Permit App: 05001722 ResidenceProject Number: 05001722 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/23/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 36 Left: 16 Right: 12 Rear: 39.
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: 55202.1908 Block: 2
SiteAddress: 626 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 10,000 Sq Ft Width: 80 Depth: 125 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot: 22
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Review Information:
Review
Site Plan Revie --�—
Released By:
Cf
(tkAtilv
Plan Review
Released By:
e1L 1'4
Approach / Drainage
Released By:
Sewer Review
Ci 5
Permits:
Released By: Z Cyr
Operator: K_C Printed By: K_C Print Date: 05/23/2005
Project Number: 05001722 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/23/2005 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 1
Type: VB
3250
20
1
Description
BASEMENT U
GARAGE
RESIDENCE
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Grp Type
R-3 VB
U-1 VB
R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
This Application: Total Project:
Sci Ft Valuation Sci Ft Valuation
1,625 $24,375.00 1,625 $24,375.00
483 $9,177.00 483 $9,177.00
1,625 $121,355.00 1,625 $121,355.00
Totals: 3,733 $154,907.00 3,733 $154,907.00
Units Unit Desc
1
1
1
Operator: K_C Printed By: K_C
SELECT
SELECT
SELECT
Permit Total Fees:
Fee Amount
$1,301.75
$4.50
$520.70
$1,826.95
Print Date: 05/23/2005
Project Number: 05001722 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/23/2005 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
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units
1
1
3
4
1
1
1
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
2 NUMBER OF
Operator: K_C Printed By: K_C
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$12.00
$96.00
Print Date: 05/23/2005
Project Number: 05001722
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/23/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,826.95
$95.00
$96.00
Invoice Amount
$50.00
$1,826.95
$95.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,826.95
$95.00
$96.00
$2,067.95 $2,067.95
$0.00 $2,067.95
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: 05/23/2005
Si�kiie
40,Ualley
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
REQUIRED SITE INFORMATION '--'1 c LE [j
Street Address: 1p �u ), McV1AC4,li
Assessor's Tax Parcel Number(s): ,LSD c GZEi - n v
Legal Description:\-- �` ak ArC\ Q,M5% 5
PERMIT DESCRIPTION: ;)1. ktL (ji „ -t 7-1 9 V\t (M jJ'\ (wei
❑ Manufactured Home
❑ Other
❑ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
OWNER/APPLICANT INFORMATION
Owner:
Phone: :1t�� -citl)lo Fax:
a Applicant: 41^a
I U-- kA5--) Phone: Fax:
t9 11 "CV,- Address:
X739->"'
Zip Code City State Zip Code
❑ Architect:
Phone: Fax:
Address:
Address: 4kko5 LO _
State
Fax:
City
E Contractor:
Phone:
Address:
City
State
Zip Code
City
State Zip Code
WA State Contractor License #: (� k l 1RfairA S Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO P_AK:
DIMENSIOW: , A
# OF STORIES: I
MAIN FLOOR TO SQ. FTG:
%
2"" FLOOR/SQ. FTG:
UNFIN' /BASEMENT SQ. FTG:
FINISHED�BASEMENT Sp, FTG:
WA
I GARA.GIE SQ. FTG:
4-4deJ
I DECK/COV. PATIO SQ. FTG:
Y. I kat
OCCUPANCY GROUP:
g ID1=�.t n(L,l.,
CONSTRUCTION TYPE:
HEAT URE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SJRFACE AREA:
nb2
COST OF PROJECT:
30% SL PES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? .4)E2
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:
Inspector:
Address:
Phone: Fax:
City State
Phone: Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
E 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
r.
Method of Payment: ('ad permit applications will only be accosted with major bankcar d)
❑ Cash 0 ' Check E Mastercard, ❑ VISA
E}f:her
Bankcard #: ~ ••• Expires: .V114,#:t i
1. ,. f••.
Authorized Signature:•
S`'1T�.J kane
• Milley
Project Address: Vi 1\t/6A1
Owner: \h
ox(vvS,
Mailing Address: :`.r. ( L:._l , Vi=i '- _ .. M1'•. - r�
Contractor: Fitt �: ti -'i �� "s j ieijr,,� 1"r1_S=-
MECHANICAL PERMIT APPLICATION
" City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley WA 009na
Phone: (509) 688-0036: Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): Pk) r;
Zip Code
Zip Code
Bailing Address: I c "I-� ti. v'
License #:
,
City,_t� State
F. V2- Phone#:
City State
AUTHORIZED SIGNATURE:
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 ED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (VVSEC min. AFUE
rating)
Equal to or less than 400,000
X
050.00
=
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
010.00
=
' 13
RANGE
A
x
010.00
=
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)
3
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
L\
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 HOODr
X
$50.00
=
24
TYPE II HOOD
1
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
012.00
=
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
010.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
'
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Same
Valley
Project Address:
Owner: t _� , ",; j.��;��
Mailing Address:
Contractor:
f a . r 'n L_1' ? r _�
Mailing Address: 5,-4.,
t.
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99200
Phone: (509) 688-0036; Fax: (509) 688-0037W
FOR INSPECTIONS, CALL (509) 688-0054
(On Permit Use: '
Phone (Daytime Contact):_`.
City r State Zip Code
License #: #: • F
City 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
URINALSnn
X
$6.00
=
3
TUBS
y
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
T
)
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
06.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
06.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
06.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
835.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
1
Permits
Contractor: VIKING CONSTRUCTION License k: v1KINCIRQD,1
SEWER CONNECTION
585.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
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 arc 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 13E
NOTIFIED. CALL 13EFORE 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.
05/24/2005 1 0: 01
1
2087624507 VIKIN LUN
SroicANE COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 626 S MICHIGAN RD
Parcel Number: 55202.1908
Subdivision:
Block:2 Lot: 22
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W 14AYDEN
HAYDEN LAKE, lD 83835
Building Inspector: LEONARD FLUNO
Water Dtst: UNKNOWN
Project Number: 05003494 Inv: 1 issue Date: 5/23/2005
Permit Use: SEWER CONNECTION
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:
Sewer Connection Permit
1
Payment Summary
Total Fees Ant_ountPaid ,4tnountOwing
$100.00 $100.00 so.nn
Processed By: HOWARD, DAN
Printed By: HINTZ, FAITH
MAY 24 2005 10:17
Tran Date,
5/23)2005
Page 1 of 1
Receipt # Payment Amt
2849 $100.00
PERMIT
2087624507 PAGE.02
1
ROAIL
COMMENTS
REVIEWED
SITE FLAN
SCALE: 1"= 20'- 0"
LOT 22 BLOCK 2
COUNTRY CROSSINGS
SPOKANE VALLEY, WASHINGTON
80.00' 1%
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
lines/dimensions, curb lines, structures and easements
have been identified. Aso indicated are wetlands,
bodies of water, st p or other critical areas.
Signed:
Date:
-c3
CONC.
PORCH AND
SIDEWALK
SEWER
MICHIGAN ROA •
CROWN OF STREET
ASNLUND/
CNUMOV