2005, 09-13 Permit App: 05003353 ResidenceProject Number: 05003353 Inv: 1
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 Contact:
Address:
C - S - Z:
Phone:
Group Name:
Site Information: Project Name:
Plat Key:
Setbacks: Front 33 Left: 9 Right: 12 Rear: 21
Name: Hidden Valley
VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
(208) 762-9106
District: East
Parcel Number: 55073.1927 Block: 1
SiteAddress: 2104 N TSCHIRLEY RD
Location:: CSV
Lot: 27
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,500 Sq Ft Width: 65 Depth: 100 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: 05003353 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
GARAGE
RESIDENCE
1202
20
1
1
Grp
S-2
R-3
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
Fee Amount
1 NUMBER OF $25.00
Permit Total Fees:
Building Permit
$25.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Type Notes
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
395 $15,357.60 395 $15,357.60
1,195 $89,242.60 1,195 $89,242.60
Totals: 1,590 $104,600.20 1,590 $104,600.20
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$1,021.75
$4.50
$408.70
$1,434.95
Print Date: 09/13/2005
Project Number: 05003353 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
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
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: 05003353 Inv: 1 Application Date: 09/13/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$25.00
$1,434.95
$85.00
$78.00
Invoice Amount
$25.00
$1,434.95
$85.00
$78.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$25.00
$1,434.95
$85.00
$78.00
$1,622.95 $1,622.95
$0.00 $1,622.95
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
4.000ValleY
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.omcom
Residential Construction
Permit Application
PERMIT NUMBER
PERMIT FEE:
o New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS p I (M ki I ht r V-6
ASSESSORS PARCEL NO: j017) , L1 is LEGAL DESCRIPTION: LA -')l a k yGds,
j J
Buildingjowner
Name: \IL\1 v11CA
Address: � � `.. , ;
lley
fi• rrr�n.Fra r•F__ _.j,_..� ..L.,.G...
.P'PLGC ;.TOCK
Location of property
App;fiarpt Name
C i : G iii bc:Ukc iii4peC Ton re 3' uired f
/�
Phone 5O9.68E-OO~6 i a509.62S-0C/37 f
DEPARTMENT OF PUBLIC WORKS
Permit # FW
APPROACH PERMIT
c� IUt� 'W„
A:ddress6F'arcel #, if aY'aiLabte )
Mrs �`--i- F.kCJU�r.; "hone -
Contractor's Name �s �. }f? °� k �� kl��'-�`" RT;:r'`-)
Address ,`)
Phone A/
Contractor's R g# :A Lk Expires
PROJECT DESCRIPTION (Provide site sizatch)
11
ResidierttialDrii eway
Exiisting Curb a Gutter
Culvert installation
h Other conditionsMr`�f
Commercial/Industrial Driveway
El Rural Road Sectio
.F1 Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITION'S:
PERMIT FEE $ Irea ectierrp Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card m
`
Name of Holder
Pass Pald$
"� iryti�r< Dat:.
Sionature
Dale frim
f* TOTAL FRGE.05 **
Project Address:.
Owner:
IZECHANiCAi PERMIT APPL(CA T iO;'
City of Spokane Valley Community Deieloprnent Department
BulldlnaDiv;Slon
11707E Spraaue Avenue cure 106
Spokene Va!!e , inVA 009nA
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0954
Permit Use:
Mailing Address:
r ,^./i r�
Contractor: J: '.i E' /
Address:
idiuiiiirg nUUI ss: CDJ.
l: .til
License #:
Phone (Daytime Contact):
City, tState
,..-E:-'<:-..::.), -.4rn
,. Phno 7/#•
`-; a l
Zip Code
ANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
x.
$10.00
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$19.00
22
EVAPORATIVE COOLERS
23
TYPE HOOD
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
3-15 TON
27
AIR CONDITIONER
15-30 TON
28
AIR CONDITIONER
30-50 TON
29
AIR CONDITIONER
More than 50 TON
30
LPG STORAGE TANK
X
X
x
X
X
X
X
X
31
WOOD OR PELLET STOVE/lNSEpT
32 i WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
❑ CASH ❑ CHECK In VISA ` MO
CARD n:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
210.00
250.00
210.00
$12.00
$20.00
225.00
235.00
$60.00
$10.00
210.00
$25.00
=
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Zip Code
DESCRIPTION OF WfWORI:
# OF
UNITS
X
COST
=
•slGI.0
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
I
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
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
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE
rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE
rating)
More than 400,000
X
2100.00
=
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)
X $1.00 =
18
DUCT SYSTEMS
X $10.00 =
ANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
x.
$10.00
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$19.00
22
EVAPORATIVE COOLERS
23
TYPE HOOD
24
TYPE II HOOD
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
3-15 TON
27
AIR CONDITIONER
15-30 TON
28
AIR CONDITIONER
30-50 TON
29
AIR CONDITIONER
More than 50 TON
30
LPG STORAGE TANK
X
X
x
X
X
X
X
X
31
WOOD OR PELLET STOVE/lNSEpT
32 i WOOD STOVE - FREE STANDING
METHOD OF PAYMENT:
❑ CASH ❑ CHECK In VISA ` MO
CARD n:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
210.00
250.00
210.00
$12.00
$20.00
225.00
235.00
$60.00
$10.00
210.00
$25.00
=
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Zip Code
Project Address:
Owner:
\ -kam .qA
PLUMBING W BING !ERMIT APPLICATION
City of Spokane Valley Community Deveic.;pmer,t DeparuMent
S ildingDivision
707 E Sprague AN uo Suite 106
Spokane Valley, VvA a;'20
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR IiVSPEC f LOWS, CELL (509) 588-0054
Permit Use:
Phone (Daytime Contact)::;:.
IViGlilt iy nuut cao. ..
Contractor:
Mailing Address: 3LA,
License #:
City,
City
State
Phone #:
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.D0
=
3
TUBS
D
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
X
$6.00
=
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
,
X
$6.00
=
8
GARBAGE DISPOSAL
r,
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
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
..
$6.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
r1ATr'
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Zip Code