2005, 09-13 Permit App: 05003350 ResidenceProject Number: 05003350 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: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: Hidden Valley
Setbacks: Front 33 Left: 28 Right: 6 Rear: 20
District: East
Parcel Number: 55073.1925
Block: 1
SiteAddress: 2116 N TSCHIRLEY RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 8,643 Sq Ft
Urban Residential 3.5
Lot: 25
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 88 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: 05003350 Inv: I
' 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 20
Stories 1
Dwelling Units 1
1833
Description
2ND FLOOR
BASEMENT F
GARAGE
RESIDENCE
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
Finn: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Grp Type
R-3 VB
R-3 VB
S-2 VB
R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
This Application: Total Project:
Sq Ft Valuation Su Ft Valuation
625 $46,675.00 625 $46,675.00
611 $12,220.00 611 $12,220.00
600 $23,328.00 600 $23,328.00
509 $38,012.12 509 $38,012.12
Totals: 2,345 $120,235.12 2,345 $120,235.12
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$1,111.35
$4.50
$444.54
$1,560.39
Print Date: 09/13/2005
Project Number: 05003350 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
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Units
1
1
3
4
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
$40.00
$10.00
$10.00
$10.00
$95.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
I NUMBER OF
3 NUMBER OF
Operator: CJJ Printed By: CJJ
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $96.00
Print Date: 09/13/2005
Project Number: 05003350
Notes:
Inv: 1
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: „r
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$25.00
$1,560.39
$95.00
$96.00
Invoice Amount
$25.00
$1,560.39
$95.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$25.00
$1,560.39
$95.00
$96.00
$1,776.39 $1,776.39
$0.00 $1,776.39
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ
Print Date: 09/13/2005
Spokane
�,,f Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org.com
Residential Construction
Permit Application
PERMIT NUMBER,
PERMIT FEE:
LY1New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS
(
)1 14 1 l r I n L 2o
ASSESSORS PARCEL NO: 53L-13 , I.1 V) LEGAL DESCRIPTION:
Building owner
Name: Vt'(,I,ak
Address: 4IQ S
Zip: f3?PP33
City: l ,'LOD IN
Phone: `al ,(1,-) -LI I UpFax: , .- ')lei- Lt$ CI
Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor.
Name: c(3,,,r.\.__Ct-
Address:
City: Zip:
Phone: Fax:
ii
Lic No: Vi 1,'(i qui, lClj h1TExp. Date:
City Business Lic No:
Cost of Project:
************** MUST be complete: (write N/A if not applicable)**********************
The followin
HEIGHT O PEAL
g
DIMENSIONS: i h
# OF STORIES: 1 1 2
TOTAL H TABLE SPACE:
MAIN FLOOR TO SQ.
FTG: -Dl1 t
"
2FLOOR SQ. FTG:
%'� 62 �J
UNFIN BASEMENT SQ. FTG:
2C.146,
IMPERVIOUS SURFACE
AREA: 1�
FINISHED BASEM T
SQ. FTG: iv( l
GARA Q. FTG:
�aCv C>r
DECK/COV. PATIO SQ. FTG:
�..[ /
30% SLOPES ON
PROPERTY:
# OF BEDR OMS:
CONSTRUCTION TYPE:
.�
HEAT SOURCE: cy♦♦nt`
V NJ
SEWER OR SEPTIC?
_J.JZ
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.
Signature
n kJJijr\Qi
I i 1
Date
Method of Payment: (Faxed permit a{ lications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature:
REVISED 8/25/2005
'41\
Antoipated start, date
L;cation of property
Call ,4 hours before irsUection required
Phone 509.688-0036 FaX 509.6{38-0037
DEPARTMENT OF PUBLIC WORKS
PErrnit # PW
APPROACH PEREti7fT
V;ddrevc/Parcei #, if availiabie)
Address f tl ; r p kk POI 'IM 'fit iL I � � PP hone
F - � �.. ,\ �• 7 � Com.+ �; -
Contractor's Wla t,e ‘i L
Addres � �. - OLP Phone ).=, :, Xi
Contractor's Rey# \kf 1 �� i; :� �' C -f ').1.`-) .1 Expires
PROJECT DESCRIPTION (Prov6dis site sketch)
Residential Drir9eway
1-7 Existing Curb & Gutter
I1
Culvert Instaliatian
1'l Other conditions rJ'
EiCommercial/Industrial Driveway
11 Rural Rod Section
Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT iT FEE E ectiort Feet
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration mate
1 Name of Holder
Fees Paid$
Signature
Dater itiit
* TOTAL FRGE.05 **
Project Address:
PLUMBING P=RMI T APPLICA T iO'
City or Spokane Valley Community Development Department
3uildingDivision
11707E. Sprague Avenue, Suite 106
Spokane Valley, Vv'A 9320C.
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR iNSP,ECT7OtcS, CALL (509) 688-0054
I I L n1 1Sd\t r j Ick
Owner: � !!_
viai{ii Ry. Address:
r . L
Contractor: A E...a r I• .. _::_�,
Permit Use:
Phone (Daytime Contact): [ -!
Mailing Address:
City I
License #: l:..,� _. i ��`'�‘..Phone #..
State Zip Code
City
State
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
.�1r 4r, iV
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
TOILETS
WATER CLOSET, BIDETS
3
X
$6.00
=
1
X
$6.00
=
2
URINALS
TUBS
3
X
$6.00
3
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
4
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
��
X
$6.00
=
DISHWASHER
X
$6.00
=
6
CLOTHES WASHER
1
x
$6.00
=
7
GARBAGE DISPOSAL
1
X
$6.00
=
8
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:
rl CASH ❑ CHECK 0 VISA ❑ MASTERCARD
_. I71M-C-
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
.�1r 4r, iV
Zip Code
Sp'_
Project Address:.
Owner:
Mailing Address:
Contractor:
i✓iGiiii i
Address: , '`.i �i I � �, ., fi 1. �, fA(��l}•^�,:J'
I55
/dam Y'
MECHANICAL PERMIT APPLICATiON
City of Spokane Valley Cornmuni i Development De
partment-
BuildinaDi'✓:sior
11707 B. Sprague Avenue Suite 106
Suite r
Spokane Valley, WA 99205
Phone: (509) 688-0036; rax: (509) 688-0037
FOR iNSPECTI: W S, CALL ;509j 688-0054
Permit Use:
'hone (Daytime Contact):
City, k
License L
".
-J•1
State
Phnno iF•
�\
/.-
Zip Code
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK'
,..ny
#OF
UNITS
X
COST
=
tate
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
$19.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
X
$50.00
$100.00
=
=
4
UNLISTED APPLLANCE (Additional Fee)
More than 400,000
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
$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 - 1,75DM 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
i
X
510.00
=
14
DRYER
X
510.00
=
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
=
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
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
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
.710.00
=
32
WOOD STOVE - FREE STANDING
1
X
$25.00
=
METHOD OF PAYMENT:
n
O CASH Eli CHECK 7.1S , , ❑ ".1C
CARD #:
DATE:
SUBTOTAL
I
1
PROCESSING FEE
I^s.n0
EXPIRE$
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Zip Code
SPOKi COAT{
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 2116 N TSCHIRLEY RD
Parcel Number: 55073.1 925
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
1
Project Number: 05006767 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: (209) 762-9106
Contact: VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835 Phone: (209) 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
1
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