2009, 10-05 Permit App: 09003157 ResidenceProject Number: 09003157 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/5/2009 Page 1 of 3
Project Information:
Permit Use: NEW SFR -SEWER Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN AVE
C - S - Z: HAYDEN, ID 83835
Setbacks: Front Left: Right: Rear: Phone: (208) 762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55191.3207
SiteAddress: 621 S MOEN ST
Location:: CSV
Block: Lot:
Owner: Name: VIKING CONSTRUCTION DBA VI
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID #19
Area: 9,031 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: -.
Review
Building Plan Review
Released By:
Originally Released: 10/5/2009 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 10/1/2009 By: mpalaniuk
Released By:
Approach
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208) 762-9106
HAYDEN, ID 83835
Operator: jmm Printed By: jmm
Print Date: 10/5/2009
Project Number: 09003157
Inv: 1
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/5/2009 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Description Grp Lips Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS 1 DUCT
RANGE
HOOD -TYPE 11
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Su Ft Valuation Sq Ft Valuation
1,220 $118,132.60 1,220 $118,132.60
1,669 $124,640.92 1,669 $124,640.92
60 $900.00 60 $900.00
483 $9,177.00 483 $9,177.00
Totals: 3,432 $252,850.52 3,432 $252,850.52
Units Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,850.55
$4.50
$740.22
$2,595.27
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: jmm Printed 13y: jmm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$13.00
$4.00
$13.00
$44.00
$10.00
$11.00
$106.00
10/5/2009
Project Number: 09003157 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/5/2009
Plumbing Permit
Contractor: THOMAS PLUMBING & HEATING Firm:
Phone:
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units Unit Desc
3 NUMBER OF
6 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
I NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Page 3 of 3
Fee Amount
$18.00
$36.00
$12.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$120.00
Fee Amount Invoice Amount Amount Paid
$2,595.27 $2,595.27
$106.00 $106.00
$120.00 $120.00
$2,821.27 $2,821.27
$749.18
$0.00
$0.00
Amount Owing
$1,846.09
$106.00
$120.00
5749.18 $2,072.09
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: jmm Printed By: jmm Print Date: 10/5/2009
Spokane
Community Development
• Residential Const
Permit Applicatio
epic y:tVt.-
11703 E SPeo1raLA: e it ''
polcanal IO ;:VN V97_06
509)6 -0036 Fp.Xia(4
(6509 -0037 •
w
'w.sookane. a6dv.at �u
3l
Tien
varve
Subrnatal *---
PERMIT NUMBER: 2-3 jS%
PERMIT FEE:
New Construction
dition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
ASSESSORS PARCEL NO: ; )5 I .?
LEGALDESCRIPTION: Wk 1 1-1C..D1 4.4ScIaA Pau_
Building Owner:
Name:V('tJ T\ 117��1 udL(Y 'Lk( •
Address:
State:Th Zip:238J5
City: Viakkeitn
Phone: (:;c3 f) -etla0
Contractor:
Name:\ kb �
Address:`
City:
State: Zip:
Faxhorej 110» t4 51
Phone: Fax:
Contact Person
Name: ,)dnr rlatc.
Phone:
Describe the scope of work in detail:
Contractor Lic No: Exp Date:
• VIVA i\ leirrk
City Business Lic. No:
Cost of Project: $ C6rOCcu •
Mks Q lea l�o_r 1)3 c th t & L McCrae
at
Proposed Use: SPt2 ..
***
****The following MUST be complete: (write N/A if not applicable)**********
HEIGHT TO PEAK
2C1 l 4
DIMENSIONS: t
4 x '181 -GI(
# OF -STORIES:
TWO
TOTAL HABITABLE SPACE.
FC�,2 %f9
Z8, .F.
MAIN FLOOR TO SQ.
FTG: tato s,Fb(z,
2"D FLOOR SQ. FTG:
JS O S. i-.
/669
UNFIN BASEMENT SQ. FTG:
`�
IMPERVIOUS SURFACE
A: 2 ARE
JS.C.
,O�
FINISHED BASEMENT
SQ. FTG: .1"-i A.
GARAGE 5 FTG: .. .
4/ . S. r.
DECK/COV.PATIO SQ. FTG:
s.c. ?C 01-4,
30% SLOPES ON
PROPERTY: NO
# OF BEDROOMS:,...,CONSTRUCTION
TYPE:
REStDEMTl4L
_60.
HEAT SOURCE: '
Cook,S Co2LED 1418
SEWER OR SEPTIC?
SE e2
•
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. 5) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE: IBJ/
Method of Payment:
❑ Cash
BanItcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
DATE: QI t301(S
❑ Mastercard - ❑ VISA
Expires: VIN#:
Wicane
® %MM1ey
•
Permit Center
11703 E Sprague Ave, Suit
Spokane Valley, WA 9920
(50916SS-0036 FAX (509,
ss�ty' spokenevallev m
Community Development
Plumbing Permit Application
SITE ADDRESS:
RECEIVED
CSV PERMIT CENTER
:I COCJ 34) 2009
Project #
PERMIT NUMBER:
PERMIT FEE:
Name - ;nmSr l Residegtial1
nemlttal
11 wilding Owner
Naive. Phone Pax
�1�(li7" �Ip)- riiDl; ,)L-1/44,-7(e)-Ltem-,
le,
Addles, t- !11' Stale Zi
�1.,u,i>�. 1Ir���c y,, 'I�v? 1�tt�.), TI'� P F�f»-)
Co nIrae for
Name hs
► •i/ I) al Si :::_3CBZ-.6 �1 '9211 ,Fax.
Addicss. Stale Zip'
License Nnil+ohntDI*' r l3 25 c': Rus".—.: i„r.
Coiilacl
Name Phare'
DESCRIPTION OF WORK
r OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
•h/:rEl: NLOSe i, CIDE .
X
$6.00
=
2
URINALS
X
$6.00
3
TUBS
^
�j
X
56.00
=
4
SHOWERS (PER TRAP)
BATT'.. STALL ON -':ITE BUILT
_
X
56.00
5
SINKS
LAVS/BAiINS 9AR, FL^.OR, KI; Y17 Y,
LAIINDP.Y,:JTILITY, JA,' TOR, PI' Cit).
X-RAY. FOC J,-''EP/CULINARY MEA
X
$6 00
=
6
DISHWASHER
X
5600
=
7
CLOTHES WASHER
I
X
$6,00
8
GARBAGE DISPOSAL
I
X
$6.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NG1 E IF GrJ. -U. 1:'5HAPu•L?L
X
56.00
=
11
FLOOR DRAINS
AREA CA...,,:, - :`I(. 1 SEM_ l
Cr: •,.-N;;. TE •
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
=
13
FOUNTAINS DRINKING
X
$600
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING REVERSAL
it STAI.I 11IUii ALTERATION, REPAIR,
REVERSALS
X
56 00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6 00
16
WATER USING DEVICE
ICE AN/OR CG:: EE MA;tED, FIC -SE BIP,
Ii° I.I4EF
7P.00F Eh. CAitt.” •4A:Xi, SWALMP
CC''. TR
n
-✓A
X
$6 00
17
CROSS CONNECTION DEVICE
VACUUM N;.A:: % , :-,ECK VALDE
AND R P.n.P.D FOR• SA; S. TAhn F,
BOILERS
X
$6.00
16
INTERCEPTORS
GREASE TRAP, SAID TRAP,
CHEMICAL HOLDING TANK
X
$6 00
=
15
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56,00
=
21)
MISCEI LANEOUS PLUMBING FIXTURE
X
$6 00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
SUBTOTAL
(]CASH 0 CHECK. 0 VISA 0 MC E.XPIPL-::
PROCESSING FEE
535.00
Card# kit:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE
KEVISED 8(16/05
(ley'
Cominumt)' Development
Mechanical Permit Application 1 n o mercial
Mbe_n 51 -
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)68S-0036 FAX' (3091688-0
esvw sunt: allevalle\'nl'a
RECEIVED
CSV PERMIT CENTER
jtj27 2Slq
srrE ADDRESS
PERMIT NUMBER:
PERMIT FEE:
Residential
Building Owner
-
Naine: \ ,1, i,,.,
Phone /)ti�:r �.�_ (`111 ,i:
Fac' ilYCi "� i.:)..1
U i - Li 0---1
l
Address.
1 h i11, tiT'
{� i
y�
li`\q'
City: �I :Vt.(' ",
O'�
Slate' .- Zip Cl l`C, '14�
✓
#
Curd reeler.
Name' I{\_ bip
Y l 1C
PSone
5cci-U7T-u3a
City
Fax
State Zip.
1n
Address
I 7�
Accuse No c)(R\ )'r Diu h�
City Husmcss Ls
Contact
Name
Phone
DESCRIPTION OF WORK
OF UNITS
COST
TOTAL AMOUNT
FUEL BURNING APPI.IANCE '
Eo.:el iu c . m than 100,000
2 FUEL BURNING APPLIANCE More than 1 ie,000
X
X
3 UNLISTED APPLIANCE (Additional Fee) Equal to a lets than 400,000
4 UNLISTED APPLIANCE (Additional Fee) More than 400,000
X
X
$12.00
$15.00
550 00
100 00
5 USED APPLIANCE (WSEC min AFUE ralmq) Equal to or less than 400,000
6 USED APPLIANCE (WSEC min. AFUE rating): More than 400,000
7 BOILER/REFRIGERATION 1- 100M BTU
X
x
550.00
5100.00
x
$12.00
8 BOILER/REFRIGERATION
101 - 50ON BTU
X
520 00
9 BOILER/REFRIGERATION
501- 1000M BTU
X
$25.00
10 BOILER/REFRIGERATION
BOILER/REFRIGERATION
2 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
15 FUEL BURNING WATER HEATER
• :.01 - 1,750M BTU
.So. than 1,75'1 BTU
X
x
X
535.00
$60 00
510 00
x
X
6 MISC. FUEL BURNING APPLIANCE
17 GAS PIPING (each outlet)
18 DUCT SYSTEMS
4
19 VENTILATING FANS
20 AIR HANDLER (DOES NOT include ducting) Equal to o: less than 10,000 CFM
21 AIR HANDLER (DOES NOT mciude dueling)__ beater r:on 11000 CFS'.
22 EVAPORATIVE COOLERS
23 TYPE I HOOD
510 00
$10.00
510.00
$10.00
51 00
$10.00
$10.00
x
512 00
X
X
515.00
$10.00
$50.00
24 TYPE II HOOD
X
510 00
25 HEAT PUMP/AIR CONDITIONER
0-3 TON
$12.00
26 AIR CONDITIONER
4-15 TON
520.00
27 AIR CONDITIONER
15-30 TON
x
$25.00
28 AIR CONDITIONER
0-50 TOF
x
$35.00
29 AIR CONDITIONER
30 LPG STORAGE TANK
31 WOOD OR PELLET STOVE/IPISERT
32 WOOD STOVE - PREE STANDING
33 REPAIR & ADDITIONS
More than 50 TOM
-x
60.00
x 510.00
X 51(1,00
34 VENTILATION SYSTEMS
35
36
37
VENTILATION MECHANICAL EXHAUST
-x
X
525,00
515.09
x
12.00
INCINERATOR —RESIDENCE
INCINERATOR —COMMERCIAL
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA ❑ MC
CARD N.
AUTHORIZED SIGNATURE:
REV/SED 8/26/05
x
x.
x
512.00
519.00
522.00
EXPIRES
.IN.
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
fiaane
Va11ey.
Community Development
Approach Perrnit Application
Permit Center
11703 E Spraeuc Ave,
Spokane Vallev, •vA
(509)688-0036 FAX:
Www spoka nevnllev or
RECEIVED
Sulfa a. V PERMIT CEN Ep9a I Nunr1BER:
9206 ` P ' MIT FEE:
5091688-0030CT 01 2009
Project ----
Name
Submittal
PROJECT ADDRESS (J -k s. 11 O'en
START DATE
ANTICIPATED OMPLETION DATE
I3 uilding Owner:
Contract
Name: \I) Lix ^i
Name. i
di tnil
Address`: iIDI c;, l)-) k -1/1t. Ott 7i\ 111k .
Addre
City: Ih°11 y k aa'1 State. 1 n '-ip,n n'
City: State:
Zip:
Phone. •.)c ,,c;,, .iI n -ill h eat
Paz: ril.i") .. ,) [. l Cl'
Ph he: Fax:
Contact Person
.
C ntractoi Lica): it t P tri 4 L• t\iExp Date:
Name:
ity Business Lic. No:
Phone:
' PROJECT DESCRIPTION (Provide site sit -till)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Commercial/industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with i u
DISCLAIMER
The pernvttee verifies, acknowledges and agrees by thrix signatures that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Owners/1'y of this City of Spokane \'alley Permit inure to the property owner. 3) The
signatory is the property owner or has permission r.
rll:-r: nil th-- ptnperny owner in This transaction. 4) All constmcuon is to be done in
full compliance with the City of Spokane Valley Develnpmenr C.:dr Refer.... i J codes are available for review at the City of Spokane
Valley Permit Center. 5) This City of Spokane Valley permit is not a permit of approval for any violation of fedei al, state or local laws,
codes cu. ordinances. 6) Plans of additional infnrmaticfit nisi he .er:aired to be submitted, and subsequently approved before this
application can be processed.
Signature 'cJ t v-Jllj' V IIS2_
Aft -that? ofPayment \\
❑ Cash ❑ Cliecl: ❑ n'hastercard ❑ VISA
BAIA:card #: Empires: VIN#:
Date
e
Authorized Signature:
REVISED 3/5106
•-Y11,e` `4 -a4 ••
Spokane
Valley®
For City Use Only,/ n
PLUS Project Nurriber / '' 3/4-5)S-7
Project Address 6 / 7 /n &tits
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206.
509.688.0036 1 Fax: 509.688.0037.♦ permitcenter@spokanevalley.org
•
As part of our on-going commitment to customer service during -the 'review, process of, your project
application, we are' providing you with a TARGET DATE for the initial- technical application review: If for
any reason. we cannot:meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is 73/-7
The TARGET ,DATis the date we estimate your project application will have had its initial, technical
review. It is not the date 'for approval 'or permit issuance. . •,
Tips for a Snioother Project Application Review
i Submit complete, accurate plans and documents.
Extra time ntay be required for re-submittals'as project application reviewers
mdv be several clays before.thev can look at your new or revised information:
Designate a specific contact person to:communicate with the City. .
6177ile the person designated as the applicant's contact person with the City can be changed one individual with the
expertise for dealing with reviewer comments would he the hest choice for the entire review process.
Call staff regarding the status ofyour project,only after the target date shown at the top ofthe page. '
Although. yon should be contacted on,or by the target date, please feel fire to contact us if you haven't heard ft om us
by your target date. Staff may contact you before the target date if the initial rei'iew is complete. By following' this
procedue, you will save time and allow the reviewers to complete the work mar'erpeditioush. ,
vork oil multiple applications and it
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter -complete: This means- all,of the required
documents, as indicated on your Pre -Application Checklist have been submitted or -have., been approved ,for deferred
submittal. This does not prevent technical staff from requesting additional; information as a result of their technical review,
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable'and free •
from substantive Claws that•would prevent technical staff from completing the technical review once it is -started: When .
this step is complete, your application will be routed to the appropriate staff andremain in their review queue until it
comes up for review. ,
3. Technical Compliance. Once an application is administratively -complete, itis routed to technical staff for compliance
review. Depending on the type of• project, technical staff may include multiple' reviewers. You should be contacted by;
phone, fax, email, or mail by your TARGET DATE once'the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review:of the application iS.complete, including any' subsequent re •
-
submittals, each reviewer' Will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified oti'your
application for permit pick-up. information regarding fees and "pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK- BUILDING FILE REV 9/07
SITE PLAN
SCALE: 1" = 20' - 0"
LOT 7 BLOCK 2
PRASADA PLACE
SPOKANE VALLEY, V3T. APPROVED
RECEIVE
CSV PERMIT C
CT 012
Project #3 lS
Name
Submittal#�
621 S. MOEN ST.
BY: ed
DATE' '04609
NO E USTTNG OR PROPOSED
ACCESSORY STRUCTURES
AT TICS TIME
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This sne plan is being submitted fur 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 arc wetlands,
bodies of water, steep slopes or other critical areas.
Signed. 9 ',p. '4
Date: 9-24.09
ALLEN , CASERTA B GRAND ENTRY
60.00' PROPTDITY LINE
r
"CONCRETE
t.OT AREA -
9,0)1 S.P.
20' IHry, REAR YAR0 SETBACK LINE
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CSV PERMIT C
CT 012
Project #3 lS
Name
Submittal#�
621 S. MOEN ST.
BY: ed
DATE' '04609
NO E USTTNG OR PROPOSED
ACCESSORY STRUCTURES
AT TICS TIME
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This sne plan is being submitted fur 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 arc wetlands,
bodies of water, steep slopes or other critical areas.
Signed. 9 ',p. '4
Date: 9-24.09
ALLEN , CASERTA B GRAND ENTRY