2005, 09-13 Permit App: 05003348 ResidenceProject Number: 05003348 Inv: I
,Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/13/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 33 Left: 14 Right: 12 Rear: 32
Site Information:
Plat Key:
Name: Hidden Valley
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: 55073.1936 Block: 1
SiteAddress: 2011 N TSCHIRLEY RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 7,219 Sq Ft
Urban Residential 3.5
Lot: 36
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 65 Depth: 111 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 09/12/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 09/13/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 09/12/2005 By: cjjanssen
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 09/13/2005
Project Number: 05003348 Inv: 1
,Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/13/2005 Page 2 of 4
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Total Area
Building Height
Stories
Dwelling Units
Description
BASEMENT F
DECK
GARAGE
RESIDENCE
1855
21
1
1
Grp
R-3
R-3
U-1
R-3
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Type Notes
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Operator: CJJ
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
950 $19,000.00 950 $19,000.00
125 $1,875.00 125 $1,875.00
360 $6,840.00 360 $6,840.00
981 $73,261.08 981 $73,261.08
Totals: 2,416 $100,976.08 2,416 $100,976.08
Units Unit Desc
1 SELECT
1 SELECT
Printed By: CJJ
Permit Total Fees:
Fee Amount
$999.35
$4.50
$1,003.85
Print Date: 09/13/2005
Project Number: 05003348 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/13/2005 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
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Units
1
1
3
3
1
1
1
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
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
$30.00
$10.00
$10.00
$10.00
$85.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
2 NUMBER OF
3 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
$18.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $78.00
Print Date: 09/13/2005
Project Number: 05003348 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/13/2005 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$25.00
$1,003.85
$85.00
$78.00
Invoice Amount
$25.00
$1,003.85
$85.00
$78.00
$1,191.85 $1,191.85
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$25.00
$1,003.85
$85.00
$78.00
$0.00 $1,191.85
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: 09/13/2005
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
.000,V
,lle Spokane Valley, WA 99206
Y y (509)688-0036 FAX: (509)688 0037
Community Development www•spokanevallev.or,.corr:
Residential Construction
Permit Application
PERMIT NUMBER: 334S
PERMIT FEE:
o New Construction o Accessory Bldg
o Addition/Remodel o Deck
o Other:
SITE ADDRESS VI 1`•-\
�
` 1 `
ASSESSORS PARCEL NO: ,51,1-5 < D 1 \ 5 LEGAL DESCRIPTION: t--- � 310 t li
Building owner
Name: \1 i L '
Address: J , ( X\
City:1 4(X52 Zip:?;•ia J
Phone: 1.0 -10.-4)( Fax: -ID?) -1 La —k -LSC),
Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor
Name: .1C, i yN_k.
Address:
City: Zip:
Phone: Fax:
Lic No:Na.lk . kCk•60JExp.Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
20 . �"
DIMENSIONS: 6#
3g4x `13
OF STORIES: t
TOTAL HABITABLE SPACE:
(.--SS--/c3/
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: (3 S
FINISHED BAS HENT
SQ. FTG: CiS�
GARAGE SQ. FTG:
3�
DECK/COV. SQ. FTG:
G-
30% SLOPES ON A l
PROPERTY: /v/P-'
# OF BEDROOMS'
c,jONSTRUCTION TYPE:
/�ESI'I✓Gl�jiik.
HEAT SOURCE:
4.6c S
SEW R OR SEPTIC?
CWr✓te_.,
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.
"kq1,(1
iSignature IN\ Date 1 t ,)C
Method of Payment: (Faxed permit app!
D Cash ❑ Check
Bankcard #:
ns will only be accepted with major bankcard)
❑ Mastercard ❑ VISA
Expires: VIN#:
❑ Other
. Authorized Signature:
REVISED 8/25/2005
Antr.ctpatccii Sta� 6 date
AP'PLfCA1Ok
Location of property
Appii , nt Hama
I Call 74 lio i -s efor mine(.._. re_ ui ed 1
IPhone 509.58E-0036 Fa;; 509.6E8-0037
DEPARTMEt OF PUBLIC WORKS
Permit # PW
APPROACH PEREET
otl
T�rhrrl�,
.Addees. /Parcel #, if available)
Address f ;a 'honG_'��v��-
Contractor's Hanle c `t, '.
Phone c.f.) -,
Contractor's Reg# `! \
PROJECT DESCRIPTION (Provide site sketch)
EiResidential Driveway Commercial/Industrial Driveway
ri Existing Curb & Gutter LJ Rural Road Section
11
Culvert Installation
Fl Other conditions
Sidewalk- Repair/Construction
See construction requirement and details on reverse. Bond/insurance certification must be on
file with the City.
PERWT FEE $ Inspection Fee$ _ „
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card #
Name of Holder
Fess Paid$
Sionature
Date
Expiration Date
it it
** TOTAL FAGE.05 a,*
S'ip Lax;
Project Address:. f)U I.I ly 'TSC all r
Owner. \
MECHANICAL PER (T APPLICATION
City of Spokane Valley Community Deve pRent ,^ -51 -
B uiidincDivision
11707 E Spraoue Avenue Suite 106
Sp^!:ane Ve.11ey, WA oo3na
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR r!lrc?`CTIONS, CALL (509) 688-0054
Permit Use:
Mailing Address: _ _r , �-t: . . P:.
H. _ .,.--../) r
Contractor: . ,.�: i• 1" -, i, It,, i I -,f-: FI License $'-':
i
1
2
3
4
5
6
7
8
9
10
11
12
13 RANGE
%-'-__s_.
nUUICDJ.
Phone (Daytime Contact):
City, t - State
Zip Code
DESCRIPTION ION OF VifORK
# OF
UNITS
X
COST
=
-- TOTAL
AVIXOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
315.00
=
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
3100.00
=
USED APPLIANCE (VVSEC min. AFUE
rating)
Equal to or Tess than 400.000
X
$50.00
=
USED APPLIANCE (VVSEC min. AFUE
rating)
More than 400,000
X
$100.00
=
BOILER/REFRIGERATION
1 - 100M BTU
X
$15.00
=
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00
=
.BOILER/REFRIGERATION
501 - 1,000M BTU •
X
$39.00
=
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$57.00
=
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00
=
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
310.00
17
GAS PIPING (each outlet)
18
DUCT SYSTEMS
3
X
$1.00
X
$10.00
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
$10.00
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
TYPEIHOOD
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
20
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
£10.00
32 WOOD STOVE - FREE STANDING
$25.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ V!SA ` MO
CARD :
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SJBTOTAL
PROCESSING FEE 335.00
TOTAL PERMIT FEE DUE:
ri
Zip Code
iul 5 U.
fie
,411"1 -
Project Address:
75C iA t r .L P -f
Owner: , j!_.
PLUMBNGPctifiT APPLICATIOI-sZ
City of JpoKarte Valle)' Community ✓er ei•✓pmerrt Department
BuiidingDivision
11707 c S ague Avenue, Suite 105
Spokane 'VQilt y, VV/- 3720%
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR R iNSPECT!Ot' S, CALL (009) 588-0054
IViGfufly nuulcao.
Contractor:
Mailing Address:
•
1
Permit Use:
Phone (Daytime Contact: - --,'l
i f
City 1
State
License #: _ i''� - ;:''LPhone #:
r\1
City
Zip Code
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
r1
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
D
X
$6.00
=
2
URINALS
x
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
96.00
=
5
SINKS
•JANITOR,
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
_
7
CLOTHES WASHER
1
X
$6.00
=
8
GARBAGE DISPOSAL
%
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
"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
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
96.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
935.00
TOTAL PEPM1T FEF Ill F•
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
r1
Zip Code
SPOKARE GOWN
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 201 1 N TSCHIRLEY RD
Parcel Number: 55073.1936
Subdivision: RANGE
Block:
Lot:
Zoning: LDR Low Density Residential
Owner: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Building Inspector: Dan Howard
Water Dist:
Sewer Connection Permit
Contractor: OWNER
1
Project Information
Project Number: 05006766 Inv: 1 Issue Date: 9/13/2005
Permit Use: NEW RESIDENTIAL SEWER CONNECT, HIDDEN
VALLEY
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:
Permits •
License #: OWNER
SEWER CONNECTION
1 $85.00 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 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 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. 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
$100.00
AmountPaid AmountOwing
5100.00 50.00
Tran Date
9/13/2005
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
5511
Payment Amt
$100.00
PERMIT