2005, 08-22 Permit App: 05002959 ResidenceProject Number: 05002959 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/22/2005 Page 1 of 3
Project Information:
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 36 Left: 12 Right: 36 Rear: 34
Site Information:
Plat Key:
Name: RANGE
District: Sout
Parcel Number: 55202.2205 Block: 6
SiteAddress: 627 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Lot: 6
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: 10,113 Sq Ft Width: 66 Depth: 76 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Originally Released:
Plan Review
08/16/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 08/18/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released:
08/16/2005 By: cjjanssen
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 08/22/2005
Project Number: 05002959 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/22/2005 Page 2 of 3
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
Description Grp Type Notes
2ND FLOOR R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
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
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
This Application:
Total Project:
Su Ft Valuation Su Ft Valuation
1,122 $83,790.96 1,122 $83,790.96
550 $21,384.00 550 $21,384.00
829 $61,909.72 829 $61,909.72
Totals: 2,501 $167,084.68 2,501 $167,084.68
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,374.55
$4.50
$1,379.05
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Operator: CJJ Printed By: CJJ Print Date: 08/22/2005
Project Number: 05002959
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/22/2005
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
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Page 3 of 3
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units
3
5
2
1
1
1
3
Fee Amount
$50.00
$1,379.05
$95.00
$96.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$50.00
$1,379.05
$95.00
$96.00
Fee Amount
$18.00
$30.00
$12.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$96.00
Amount Owing
$50.00
$1,379.05
$95.00
$96.00
$1,620.05 $1,620.05
$0.00 $1,620.05
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: 08/22/2005
(j�
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Valle WA 99206
Spokane y,
,Rhone: (509) 688-0036; Fax: (509) 688-0037
Sjne�lle
E5)
QaU IIkiCA ht I N F O RM ATI O N
Street Address:
Assessor's Tax Parcel Number(s):��
L - to \ct' , fl y\ Crr IAcr0
Legal Description:
PERMIT DESCRIPTION:
(-Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: V _li A INC2
ER Applicant: .L-rV`Q
Phone: ax: 1 to)–LU/1 Phone: Fax:
Ad. ress: c 'S W • \ i a_ Address:
City State Zip Code City
EY Contractor: ('11-1 ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
State Zip Code
State Zip Code
City
State
Zip Code City
WA State Contractor License #: V \. V- l i\kg&I) \ Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:,
1,6
DIMENSIONS: I� �l
1126 x 4X U
# OF STORIES: Z
MAIN FLOOR TO SQ. FTG:
2"a FLOOR SQ. FTG:
gait ItZZ
UNFIN BASEMENT SQ. FTG:
AI /A
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:_
DECKICOV.PATIO SQ. FTG:
OCCUPA CY GROUP:
CONSTRUCTION TYPE: n ��
HEAT SOURCE:
va3
# OF BEDROOMS: Itii
TOTAL H •=ITABLE SPACE:,
..• teal
IMPERVIOUS SURFACE AREA:
tri`
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? -5_612-,
MANUFACTURED HOME
Width:
Manufacturer:
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:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
I nspector(s):
Fax:
❑ 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 propert owner.
Print Name
Signature
11Q
Method of Payment: 4(iaxed permit applications will only bebcepted with major bankcard) '1 t
❑ Cash Check ❑ Masterii rd ❑ VISA
Bankcard #: �' "R� �� �' Expires: . . '.3 • VIN#:
Authorized Signature:
�'�'[� Qther
SOoliane
40.0\0ey
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.61;8-0037
DEPART EN
OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERFLIET
APPUCATi EQ
Location of property
Address/Parc- #, if available)
"Th 1
Applicant Narne
Address -
Contractor's Name
Address
hone`'
4-
c.: `rn
Phone .!, '- - i' :, !'
Contractor's Reg# Ci`t~: Expires
PROJECT DESCRIPTION (Prcvide site sktch)
Residential Driveway
Existing Curb & Gutter
n Culvert Installation
Other conditions
CCorronercial/Industrial Driveway
LiRural Road Section
riSidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the C'
SPECIAL CONDITIONS:
PERMIT FEE $
i hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Ins
ection Fee$
Card m
Name of Holder
Fees Paid$
Si nature
Expiration Date
Date 1!nit
** TOTAL PAGE.05 **
*bile
.400Valley
Project Address: $ - Xl\ t Com- Cs<
Owner: \ 't n"
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920E
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Mailing Address:
Contractor: r
Mailing Address:
drP,
Phone (Daytime Contact):at,;. .- `i f E'
Zip Code
iN
City a State
License #: C t6APhone #:
\:,11 fl r
City _ State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
DESCRIPTION
WATER CLOSET, BIDETS
X
$6.00
=
1
TOILETS
X
$6.00
=
2
URINALS
II��
X
$6.00
=
3
TUBS
TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
4
5
SHOWERS (PER
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6.00
=
1
X
$6.00
=
6
DISHWASHER
WASHER
i
X
$6.00
=
7
CLOTHES
DISPOSAL
1
X
$6.00
=
8
GARBAGE
SOFTENER
X
$6.00
=
9
WATER
HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
10
11
ELECTRIC
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
=
DRAINS/OVERFLOW DRAINS
X
$6.00
=
12
ROOF
DRINKING
X
$6.00
=
13
14
FOUNTAINS,
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
X
$6.00
=
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
=
15
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
3
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
=
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
19
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
20
METHOD OF PAYMENT:
0 CASH 0 CHECK
ne-r •
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
*lane01".„,
400\alley
Project Address:
Owner: \i ;�
Mailing Address:
Contractor:
Mai -cadres
��,«� 1..y Address:
19 --T1�. 1(\ k �,�,ec cs.
---, 1.
•
SACJ,..1\. A...r. License #:
r
,�
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 09206
Phone: (509) 688-0036: Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): ,,-f--)D -E. -..:4_c1 i .-
City.
State
LC; z.-1 F. Li(2. Phone #:
•
AUTHORIZED SIGNATURE:
Zip Code
-. ,.
Zip Code
oea[e
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
E. ual 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
E• ual to or Tess than 400 000
X
$50.00
=
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00
USED APPLIANCE (WSEC min. AFUE
5
ratin.
E.ual to or less than 400,000
X
$50.00
USED APPLIANCE (WSEC min. AFUE
6
ratin.
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
1
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
3
x
$1.00
=
18
DUCT SYSTEMS
__
X
$10.00
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER DOES NOT include ductin•
E. ual to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER DOES NOT include ductin.
Greater than 10,000 CFM
X
$19.00
=
22
EVAPORAT1VE COOLERS
X
$10.00
=
23
TYPE 1 HOOD
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:
SUBTOTAL
■
❑ CASH ❑CHECK ❑VISA ❑ MC DATE:
PROCESSING FEE
$35.00
CARD #: EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
-. ,.
Zip Code
08/25/2005 06:50 2087624507
VIKING CONST
SPOKANE COUIVTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENU • SPOKANE,, WA 992604050
Site Information
Project Information
rHUG cu.,u4
Site Address: 627 S MICHIGAN RD
Parcel Number: 55202.2205
Subdivision: R & E ADD
Block: 6 Lot: 6
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: LEONARD FLUNO
Water Dist:
Project Number: 05006187 Inv: 1 Issue Date: 8/24/2005
Permit Use: SEWER CONNECTION, COUNTRY CROSSINGS. LOT6
13LK6
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (509) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (509) 762.9106
Setbacks - Front: Left: Right: Rear:
Croup Name:
Project Name:
Sewer Connection Permit
Permits
Contractor: VIKING CONSTRUCTION r.leenco n: v1K1NCISRD.t
SEWER, CONNECTION
1 SR5.00 PROCESSING FEE 1
$15.00
Total Perm.t Fee: S100.00
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 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 locale buried cables, gas piping, water IMes. eta.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE 'CALL BEFORE YOU DIG" CENTER DE
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 Fees AmQuntPaid AmountQwlne
5100.00 5100.00 50.00
Processed By: Hansen, Tom
Printed By: WENDEL. GLORIA
AUG 25 2005 07:09
Tran Date
8/24/2005
Page 1 of I
Receipt #
5047
Pavmentjlmt
$100.00
PERMIT
2087624507 PAGE.01