2005, 09-22 Permit App: 05003351 ResidenceProject Number: 05003351 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/22/2005 Page 1 of 4
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 20 Left: 10 Right: 5 Rear:
Site Information:
Plat Key:
Name: Hidden Valley
'`,;,-'1261134,111T3-0(0^MANWW,'...M.4.14KV ,,.!VOISMS,ACIMr:2,4MON.VALMON.VMMW:
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
1-14.M.MadelegateMIONNVPINMARFORMINMMOMP:RWAMOMMEMEVNEIMENSOMONSMINI
District: East
Parcel Number: 55073.1926
Block: 1
SiteAddress: 2108 N TSCHIRLEY RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 6,500 Sq Ft
Urban Residential 3.5
Lot: 26
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold:
Width: 65 Depth: 100 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ATQII“V,- -•''':7'"..332:MIMESIUMW(10 .--,7mmengenowswuz:Imaxelaapsnrausavuz:nmal warm*
Review
Site Plan Review
Released By:
ADMINISTRATIVE EXCEPTION
Plan Review
Originally Released: 09/21/2005 By: CBATES
Approach / Drainage
Released By:
Originally Released: 09/22/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Operator: CJJ
Originally Released: 09/12/2005 By: c en
Printed By: CJJ
Print Date: 09/22/2005
Project Number: 05003351 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/22/2005 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
DECK
GARAGE
RESIDENCE
1318
20
1
1
Grp
R-3
U-1
R-3
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
Fee Amount
$25.00
Permit Total Fees: $25.00
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Ty a Notes
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Si" Ft Valuation
36 $540.00
475 $9,025.00
1,318 $98,428.24
Total Project:
Sq Ft Valuation
36 $540.00
475 $9,025.00
1,318 $98,428.24
Totals: 1,829 $107,993.24
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Print Date:
1,829 $107,993.24
Fee Amount
$1,038.55
$4.50
$415.42
$1,458.47
09/22/2005
Project Number: 05003351 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/22/2005 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
TOILETSBIDETS
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
Units
2
4
2
Operator: CJJ Printed By: CJJ
1
1
1
3
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
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$18.00
$84.00
09/22/2005
Project Number: 05003351 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/22/2005 Page 4 of 4
Notes: :.Fh
Payment Summary:
Permit Type Fee Amount Invoice Amount
Approach $25.00 $25.00
Building Permit $1,458.47 $1,458.47
Mechanical Permit $85.00 $85.00
Plumbing Permit $84.00 $84.00
:MSN, VYANS9:120,MNStliratIMPEttWINONOMKORMW:',A5MINTOMM,
$1,652.47
$1,652.47
Amount Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Amount Owing
$25.00
$1,458.47
$85.00
$ 84.00
$1,652.47
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: CJJ Printed By: CJJ Print Date: 09/22/2005
Pemut Center
Spode11707 E Sprague Ave, Suite 106
\JalIe Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.om.com
Residential Construction
Permit Application
PERMIT NUMBER: s-1
PERMIT FEE:
EtKew Construction
❑ Addition/Remodel
o Other:
❑ Accessory Bldg
o Deck
ii
SITE ADDRESS 41 06 1 \1r 1
ASSESSORS PARCEL NO: 5 50-1 3 ( S1 LEGAL DESCRIPTION: LU P Lck ( I LC i'1 ydifi.
Building owner
Name: V
Address: `).t
4,\31 lr\ Zip: 3/B3
Phone: luh,-- Dq iILX2Fax:
City: 1
Contact Person
Name:
Phone:
Describe the scope of work in detail:
%C2
Contractor
DIMENS x L -V7
# OF STORIES:
i
Name: Sq iv\S__
MAIN FLOORTOSQ.
FTG: 1 o 1�
2Nu FLOOR SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA: 2S 33
FINISHED BASEMENT
SQ. FTG:
City:
Zip:
30% SLOPES ON
ar
Phone:
Fax:
# OF BEDROOMS:
3
Lic No:
Exp. Date:
SEWER OR SEPTIC?
5 E..rz
City Business Lic No:
\( kj-j tQL,G? ic))
1
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEASIONS:
T 6,,K:
DIMENS x L -V7
# OF STORIES:
i
TOTAL HABITABLE SPACE:
i Sts
MAIN FLOORTOSQ.
FTG: 1 o 1�
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: 2S 33
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG: , (—
DECK/COV. PATIO SQ. FTG:
L-
30% SLOPES ON
ar
y 7 c5
PROPERTY: N�
# OF BEDROOMS:
3
CONSTRUCTION TYPE:
eaS t VoT I (..—
HEAT SOURCE:
C-702tS
SEWER OR SEPTIC?
5 E..rz
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 1,, Q;�►��1�
Date �1 lq Oj
Method of Payment: (Faxed permapplications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005
ci..I l• (FT�- R4`-
„I-14 tjav
t
Ca J ec gn re -lured
-JO! n •app nn•,7
Dnp �. • ^^
14,1 JV%.V:J%.-'Jll]
D:EPARTMENTOF PICiLfCRKS
Arrt npated Gtart data
Ferrrat# FW
APPROACH P E L,,' Li, C 1
,P`PUC I 'Ei
Location of property i D') '� �,1 rl ai
ppicant Mame address/Paroal iE avaiiaNe)
App
Addlrr±;ws"�a' '��� 1'� ��=�.�'Phone
Contractors. Hanle
•ill
Address e� (f G i - ?' �.�OLP 3C -,
Contractor's Reg# '4 4 ,�
PROJECT DESCRIPTION (Provide site sketch)
Residentaaii Driveen'ay
fl Existing Curb ea Gutter
Culvert instaliatioti
CornmercieWindustrial Driveway
111 Rural Road Section
n Sidewalk Repair/Construction
Other conditions ' 1
See construction requirement and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITION'S:
PERM@T FEE
Epectbon Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card m
Name of Folder
FQes Pat-'$
Signature
xpI ation Date
Date It zit
of TGTRL PAGE . 05 1,*
r'I
S� ei ne
7;IiiaT
Ci
Project Address:.
Owner:
.ion T5ci-„r
MECHANICAL PERMIT APPLICATION
City of Spokane VaIlev Commune., Deva( n;..;_n_ -
Bu1/cingDlvision
11707 E. Sprague Avenin Suite 106
Spokane 1/�Ilov WA 009'14.
Phone: (509) 688-0036: Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: ` r.
Mailing Address:
Contractor: L i!r • . • t. E r r (LL
nr.
i�%i cei lii i� uuiCSJ.
phone
phone (Daytime Contact):
City t
License • C_ G
City
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
F
UMTS
):
COST
=
TAL
AG OT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$15.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (VVSEC min. AFUE
rating)
Equal to or less than 400,000
X
$50.D0
=
6
USED APPLIANCE (WSEC min. AFUE
rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 1DOM 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)
2)
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS13
X
$10.00
=
20
AIR HANDLER (POES 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
y
1
X
$10.00
=
J
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
510.00
=
32
WOOD STOVE - FREE STANDING
1
X
$25.00
=
METHOD OF PAYMENT:
CASH ❑CHECK 71 V:SP, ❑ MC
CARD:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
L uli w
Kane
at tr
LJ
Project Address:
a 1 0?5��h
Owner:
?_L i(,liBiNG PERF i i APPLICATION
City of S[.-)0ranB 1C/C)Community ✓c✓
eivNieii Department
B uiidin gD!vision
707 E. Sprague Avenue, Suite 105
Spokane Valley, VV/I JJ2 J'_
Phone: (509) 688-0036; Fax: (509) 658-0037
FOR INSPECTION'S, CALL (509) 688-0054
IViGIH{ I !VUUI GJJ. ' 7. .3 •
Contractor:
•
Permit Use:
Phone (Daytime Contact): ±)-.._ ;' /
.j ..l. I
f.
Mailing Address:
License #:
City.
"r
City
State Zip Code
State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
pQ
X
$6.00
=
_
2
URINALSrr��
X
$6.00
=
3
TUBS
o!
Y.
$6.00
=
4
SHOWERS (pER TRAP)
BATH, STALL ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X,RAY, FOOD,
PREP/CULINARY/MEAT
IA
X
$6.00
=
6
DISHWASHER
i
X
$6.00
=
7
CLOTHES WASHER
\
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
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
S35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SPS CouRTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Site Address: 2108 N TSCHIRLEY RD
Parcel Number: 55073. i 926
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:
Project Information
Project Number: 05006768 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:
1
Permits
Sewer Connection Permit
Contractor: OWNER
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
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
9/13/2005
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
5511
Payment Amt
$100.00
PERMIT