2005, 11-09 Permit App: 05004271 ResidenceProject Number: 05004271 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 36 Left: 13 Right: 12 Rear: 54
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:
District: East
Parcel Number: 55202.1910 Block: 2
SiteAddress: 702 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 10,000 Sq Ft
Lot: 24
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 80 Depth: 125 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
11/09/2005 By: CJJANSSE
Released By:
Originally Released:
Approach / Drainage
11/09/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 11/09/2005 By: CJJANSSE
Released, By: 2 k
Operator: CJJ
Printed By: CJJ
Print Date: 11/09/2005
Project Number: 05004271 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/2005 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 Fee Amount
1 NUMBER OF $25.00
1 NUMBER OF $25.00
Permit Total Fees:
Building Permit
$50.00
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Building Characteristics
Total Area 2195
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 986 $14,790.00 986 $14,790.00
DECK R-3 VB 48 $720.00 48 $720.00
GARAGE U-1 VB 503 $9,557.00 503 $9,557.00
RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 3,019 $135,742.76 3,019 $135,742.76
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$1,195.35
$4.50
$478.14
Permit Total Fees: $1,677.99
Operator: CJJ Printed By: CJJ Print Date: 11/09/2005
Project Number: 05004271 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/2005 Page 3 of 4
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
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: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$75.00
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: CJJ Printed By: CJJ
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $84.00
Print Date:
11/09/2005
Project Number: 05004271
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/2005
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,677.99
$75.00
$84.00
Invoice Amount
$50.00
$1,677.99
$75.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,677.99
$75.00
$84.00
$1,886.99 $1,886.99 $0.00 $1,886.99
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: CJJ Printed By: CJJ
Print Date: 11/09/2005
Tl'U
oke
Community De. elopr er,t
Perrot Center
11707 E Sprague Ave, Suite 1
Spokane Valley, WA 9920,
(509)688-0036 FAX: (309) A0 U3
Residential Construction
Penult Application
LL PER_vs r FEE:
PERMIT NUMBER: 4 2 91
(
D Addition/Remodel
❑ Other:
Si I E ADDRESS
ASSESSORS PARCEL NO: -.C:53(:)) . \� 10 LEGAL DESCRIPTION: U 91( 3111.E t� �� L1 (P I
1
id) < • hl (CIA t;\CLn c�
❑ Accessory Bldg
❑ Deck
Building owner
y
Name: \l 'i V fat C t-?r.'s-�-tt1 . c �i ton
t
Address: ,a,,,5 i g_\) , tAt i t' n Al.p
City: 1404S n y\ Zip: -))'`)"3 )
Phone:1 (D)_Ci (Cap Fax: ie,) - C)
Contact Person
Name:
Phone:
Describe the scope of work in detail:
31-12
Contractor
Name: ',Lj
Address:
City: Zip:
Phone: Fax:
Lic No: VOL( tJII tcis Z-3 Exp. Date:
City Business,Lic No:
Cost of Project:
************** blowing MAST be co nliete: (write N/A if not applicable)**********************
HEIGHT TO+PAK:
2.44,1/ �
DIMENSIONS: , ��
-i5")t daL4 -6
# OF STORIES:
Z
TOTAL HABITABLE SPACE:
/4-.N2—
u'62,MAIN
MAINFLOOR TO SQ.
FTG:
ick et 4--
,�.�
2 FLOOR SQ. FTG:
LI `�
UNFIN BASEMENT SQ. FTG:
c1 Ss ,\
b
IMPERVIOUS SURFACE
AREA:
Zic/'S
FINISHED BASEMENT
SQ. FTG: A
GARA E SQ. FTG:
bkl
DECK/COV. PATIO SQ. FTG:
r'" `4 X
30% SLOPES ON
PROPERTY:
/`.t-/
# OF BEDROOMS: 7
CONSTRUCTION TYPE:
�I ..rte,
HEAT sour- RCS:
C,4s
SEWER OR_ SEPTIC?
S r,..4,itg
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed
Signature
Method of Payment: (Faxed permit a
❑ Cash ❑ Check
Bankcard #:
J:Luct7,1
Date
lications will only be accepted with major bankcard)
❑ Mastercard ❑ VISA
Expires: VlN#:
❑ Other
Authorized Signature:
REVISED 8125/2005
Permit Center
Spokane 11707 E Sprague Ave, Suite 106 ,
��Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalleY.org.con)
Plumbing Permit Application o Commercial
SITE ADDRESS —1 Og. - CSI • M C k/1 9(1(i f Re
Building ownerI\I A Vk
Name: y lfl x
‘r)142 _% P
Address:
Contractor rey
Name: 1-.(1V�
5
Address:
License No: P �� ��` 1)-1Vhk_o
.14 Residential
Phone: ,;[ Ct t 9.n
City
11
Fax J —1(64— ASt)-1
Zip;30,
State
PhoneNn —q ` pp1.9
i >C 13 Fax:
\[
City Y(',i f YtjP State
City Business License No:
Zip '1`l 62)"1
Name:
Phone:
1
2
3
4
5
DESCRIPTION OF WORK
TOILETS
WATER CLOSET, BIDETS
URINALS
TUBS
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
6
7
DISHWASHER
CLOTHES WASHER
8
9
GARBAGE DISPOSAL
WATER SOFTENER
10
# OF UNITS
X
X
X
X
X
X
x
X
X
COST
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
TOTAL AMOUNT
X
$6.00
ELECTRIC HOT WATER TANK
11
FLOOR DRAINS
12
ROOF DRAINS/OVERFLOW
DRAINS
13
14
15
16
FOUNTAINS, DRINKING
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
X
$6.00
X
$6.00
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
WATER USING DEVICE
17
18
19
20
21
22
CROSS CONNECTION DEVICE
INTERCEPTORS
GRINDER, SUMP PUMP
X
$6.00
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
3
X
$6.00
X
$6.00
X
$6.00
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
•
PRIVATE SEWAGE DISPOSALJSYS
INDUSTRIAL WASTE
INTERCEPTOR
X
$20.00
X
$15.00
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
❑ VISA 0 MASTERCARD
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05
Spokane
..„00Valley
Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 '
www.spokanevallev.org..com
Application o Commercial
SITE ADDRESS _1 of • r A lqC'� i -R
r(Residential
Buildin owner -U I
�(�{f>
Name: X1 tt r(,;Q i A C Inn C Phone: % Q).-
�
-Q 1 n� Fax 10
State Zip � 1� 5
City
�L �j ldiC op i Y1 i. 'i
b IN .4,,c
Address: �
Contractor
;� ,,(),Si Yl Phone: Fax:
Name: \ ( Y Zip
City State
Address:
City Business License No:
License No:
Contact
Phone:
Name:
OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
DESCRIPTION
APPLIANCE
Equal to or less than 100,000
I
X
$12.00
=
1
FUEL BURNING
APPLIANCE
More than 100,000
X
$15.00
=
2
FUEL BURNING
APPLIANCE (Additional Fee)
Equal to or Tess than 400,000
X
$50.00
=
3
UNLISTED
APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
4
UNLISTED
SEC min. AFUE ratin.)
Equal to or less than 400,000
X
$50.00
=
5
USED,APPLIANCE
APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
6
USED
1 - 100M BTU
X
$12.00
=
7
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
8
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
9
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
10
BOILER/REFRIGERATION
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
11
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
12
X
$10.00
13
RANGE
DRYER
X
$10.00
=
14
FUEL BURNING WATER HEATER
1
X
$10.00
=
15
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
16
17
GAS PIPING (each outlet)
5
X
$1.00
=
DUCT SYSTEMS
X
$10.00
=
18
VENTILATING FANS
3
X
$10.00
=
19
20
AIR HANDLER (DOES NOT include ducting)
Equal to or Tess than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
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
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
SUBTOTAL
METHOD OF PAYMENT:
DATE:
0 MC
PROCESSING FEE
$35.00
❑CASH 0 CHECK 0 VISA
^ . EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
GI?
Call 24 hours before irispection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Antfc patad start, dats Permit fi PW.
• APPROACH PERI
ASTLEGATiipiii
Location' clef property b
f •
A ppl!lc:anl: FAarriieJL
(AddresVParcel # favaiIple)
Contractor's Name """'(')
Address Oki\ Phone c::)Ofe.)
Contractor's Reg# .k•V.:,\LI (Lk
PROJECT DESCRIPTION (Provide site sizt0h)
Residentiall.Driveway Commercial/Industrial Driveway
ri Existing Curb & Gutter
1 1
Culvert Installation
F.] Other conditions brV
Rural Road Section
Sidewalk Repair/Construction
te?'11, h
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
ON.
PERlipT FEE $
ins ection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit oard.
Card # Expiration Date
Name of Holder
Fees Paid$
Sionature
Date
knit
** TOTAL PAGE.05 **
11/15/2005 06:10 2087624507
VIKING CONST
Site Address: 702 S MICHIGAN RD
Parcel Number: 55202.1910
Subdivision: RANGE
Block:
Lot:
Zoning: MDR Medium Density Rcs
Owner: VIKING CONSTRUCTION INC
Address: 2005 W 'HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: Dan Howard
Water Dist:
Sewer Connection Permit
Prnlect Number: 05008700 Inv: 1 Issue Date: 11/10/2005
Permit Use: NEW SEWER CONNECT, COUNTRY CROSSING
Applicant: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (208) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
f.1A'DEN LAKE. ID 83S35 Phone: (208) 762-9106
Setbacks -Front: Left: Right:
Rear:
Permits
Contractor: VIKING CONSTRUCTION
SEWER CONNECTION
Group Name:
Project Name:
Licence*: VTKINCISBQ!
5,S5.00 PROCESSING FEE 1 $15.00
Tout] 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 arc clear and unobstructed to the main
sewer, Sever lines should he constructed to allow for gravity Clow 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. C.ALI. 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.
Payment Summary
Total Fees AmountPaitl AmountOwing
8100,00 $100.00 50.00
Processed 13y: Hansen, Tom
Printed By: WENDEL, GLORIA
NOU 15 2005 07:32
Tran Date
11/10/2005
Parte I of 1
Recei t # Payment Amt
7083 $100.00
PERMIT
2087624507 PAGE.01