2005, 05-11 Permit App: 05001552 ResidenceProject Number: 05001552 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 36 Left: 10 Right: 6 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: 55202.1911 Block: 2
SiteAddress: 708 S MICHIGAN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,000 Sq Ft
Urban Residential 3.5
Lot: 25
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: II]
Width: 80 Depth: 125 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
V
r
Released By: .._, -1 - ALi1{ ,./tiLL
Plan Review
Released By:
Approach / Drainage
Released By: LL4XLCA
Sewer Review
Permits:
Released By:
,9-5tict
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001552 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 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
Description
CARPORT
GARAGE
RESIDENCE
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Type: VB
1565
20
1
1
Grp Type
U-1 VB
U-1 VB
R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
135 $2,025.00 135 $2,025.00
714 $13,566.00 714 $13,566.00
1,565 $116,874.20 1,565 $116,874.20
Totals: 2,414 $132,465.20 2,414 $132,465.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$1,178.55
$4.50
$471.42
$1,654.47
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001552 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 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
GAS LOG OR GAS INSERT
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
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
$85.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001552
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/11/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,654.47
$85.00
$84.00
Invoice Amount
$50.00
$1,654.47
$85.00
$84.00
$1,873.47 $1,873.47
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,654.47
$85.00
$84.00
$0.00 $1,873.47
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: 05/11/2005
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
Street Address: 1053
tAIAv h trp r1 Pi d
Assessor's Tax Parcel Number(s): F� - I C -I i
\ 1Ln 1 [*r L\ 604)5 LrC S
PERMIT DESCRIPTION: < V`( i;-tC\C
wilding Permit ❑ Change in Use ❑ Grading D Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
Legal Description:
OWNER/APPLICANT INFORMATION
DVOwner: \I'�C',�
E Y Applicant: k~S�
Phone: 1 Fax: ") 7 Phone: Fax:
A dress: L5 lk) . +�� + 0 `-- Address:
City `' State Zip Code City State Zip Code
E' Contractor: `,))..XY�-- ❑ Arch t:
Phone: Fax: Phon
Address: Addr s :
City State Zip Code City (D State Zip Code
Ki
WA State Contractor License #: v lk.AtQ; OI.CA.�; :1 Contact: L U E) 11
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: St t `� 1
DIMENSIONS: rCt v L0% Ltt
j '
k� -FLOOR
# OF STORIES:{
MAIN FLOOR TO SQ. FTG:
2N° SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
rei
GARAGE S . FTG: t
DECK/COV.i AO IQ. FTG:
•
O CUPANCY O P
C-`i.StDITI
CONSTRUCTION TYPE:
A;'—
HEAT SQQ4JRCE:
t i LE:AutAt
# OF BEDROOMS:
TOTAL HABITABLE SPACE:I 516,
IMPERVIQUSSURFACE AREA:
COST OF PROJECT:
30% SLOPE ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? E:(t-Dre--
MANUFACTURED. HOME
Width:
Manufacturer:
Length:
Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Paint Booth:
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:
I nspector(s):
❑ REINFORCEMENT
Phone:
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) AH 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 �I
er I k bsO,;.2 Signature (''
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA 0 Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
•
•
•
ail 24 hours before inspection required
?hone 509.668-0036 Fax 509.61'8-0037
DEPARTMENT OF PUBLJC WORKS
Antrcfpated start date
Prmt#PW
APPROACH PERMIT
PLECATEQH
LocatIon of property 1 (Ai, S, MILK), clan
t _ (45,cgcfres:F/Parcal 4, if EYagabEe2)
Applicant
-
Address -Q-r. " ' bone - •
Contractor's Name V Li,(Y"N L.Lif\riftri,(74- --y")
Address J, rCi5.--C r -N11
Contractor's Reg4
Phone
PROJECT DESCRIPTION (PrQvicie stte
ElRes ide nti a D rlyevra y
ri Existing Curb 64 Gutter
riCulvert Instailation
Other conditions 17Y\A
7
Expires
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
r
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
ins ection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card #-
Name of Holder
Fees PaId$
Sionature
Date
Expiration Date
** TOTAL PR6E.25 **
Spokane
• \ailey
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 00o11�
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): ,4-;-:- ,-1I .7.--2-)-)i Ic ...).L
City C State Zip Code
��.� Irl ` :'
i..!--..,,'1/4„,,:-..',•::;::,.,,tr,;,,:\,F ; f'. Phone #: -r ,r� hip. � :
^?. c ' --
Zip Code
Project Address: 1 � M -k-1'., ll(An 'W
Owner: \i i . " i, -;......-Al ;-[ 4-1_ 1 47.L _
Mailing Address: <,'•-.7.t'":-. is i__;._' , ' :- : tl r = •_ t.^, 1y'_.y--
!yl f -Nil ?'.1" Y. �j Ift c/f 7,
Contractor: I - G -. �\ ..1 License #:
Mailing Address: -, ri C 5 4 .r -'i ti. ., t......_,..4....: i,
,
State
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
i/ OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
019.00
=
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
0100.00
=
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
=
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
112
13
RANGE
1
X
$10.00
14
DRYER
X
010.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
_
X
$10.00
=
17
GAS PIPING (each outlet)
J
X
01.00
=
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
010.00
=
31
WOOD OR PELLET STOVE/INSERT
X
010.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
' METHOD OF PAYMENT:
0 CASH 17]CHECK ID VISA 111MC
CARD ff:
DATE:
SUBTOTAL
PROCESSING FEE
035.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
0;0"
Siokane
.0011/alley
Project Address: 1 Ct)
Owner: \'
3
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, W4 99206
411)
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (503) 688-0054
Permit Use:
Mailing Address: >r
Phone (Daytime Contact): _.5 ;---1
Contractor: :.. i
;°,!;ailing Address:
City
State Zip Code
License#: ihone #:,
F7,C2.
wf _
City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
eD
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
4
X
$6.00
=
6
DISHWASHER
i
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
i
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 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
20'30bd
LOSb Z9L 80Z
BE :lid S1!JUC mo now
616
Sroma COON,TY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
I
Site Information
Project Information
Site Address: 708 S MICHIGAN RD
Parcel Number: 55202.1911
Subdivision:
Block:2 Lot: 25
Zoning: UNK Unknown
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: LEONARD LUNO
Water Dist:
Project Number: 05002949 Inv: 1 Issue Date: 5/3/2005
Permit Use: SEWER CONNECTION - COUNTRY CROSSING 1ST
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:
1
Permits
Sewer Connection Permit
Contractor: VIKING CONSTRUCTION License it: VIKMCI88DJ
SEWER CONNECTION 1 585.00 PROCESSING PEE
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 lints, ctc.
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 tho Washington State Dept of Labor and Industries,
including those related to trench safety.
1 515.00
5100.00
1
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
5/3/2005 2351 5100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
E 'd 1617 '°N u0 flJgsu03 8UI) A AVS8:8 SO Z
AotMEas
1 �L4 Ci4
ZONE
ROAD WIDTH _
FRONT 36, ` FLANKING. 4\ \;\.
COMMENTS
REVIEWED ST . Cl "
•
ELM, \ Nr
SCALE: 1"---- 20'- 0"
LOT 25 BLOCK 2
COUNTRY CROSSING
SPOKANE VALLEY, WASHINGTON
Q1. 80.00'
CONC.
PORCH AND
SIDEWALK
Lc.,,,, GROUND
POWER
WATER
MrIrC FIT CrA N R J
HALLADAY