2005, 10-13 Permit App: 05003682 ResidenceProject Number: 05003682 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2005 Page 1 of 3
Project Information:
neltieMMEMMOIVANOTORMWIMMIX1
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS
Setbacks: Front 33 Left: 11 Right: 28 Rear: 21
Site Information:
Plat Key:
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
:.
s
Name: Hidden Valley District: East
Parcel Number: 55073.1931
Block: 1 Lot: 31
SiteAddress: 2002 N TSCHIRLEY RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: .00 Acres
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released
y:
Plan Review
Originally Released: 10/13/2005 By: CJJANSSE
Released By:''
Approach / Drainage
Originally Released: 10/13/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 10/13/2005 By: CJJANSSE
Released By:
Operator: CJJ
Printed By: CJJ
Print Date: 10/13/2005
Project Number: 05003682 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2005 Page 2 of 3
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Description Grp Type
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Approach
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
16 $240.00 16 $240.00
395 $7,505.00 395 $7,505.00
1,194 $89,167.92 1,194 $89,167.92
Totals: 1,605 $96,912.92 1,605 $96,912.92
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$972.75
$4.50
$389.10
$1,366.35
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: CJJ Printed By: CJJ
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
$10.00
$85.00
Print Date: 10/13/2005
Project Number: 05003682
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2005 Page 3 of 3
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Fee Amount
$50.00
$1,366.35
$85.00
Invoice Amount
$50.00
$1,366.35
$85.00
$1,501.35 $1,501.35
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,366.35
$85.00
$0.00 $1,501.35
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: 10/13/2005
Permit Center
SiS kane
11707 E Sprague Ave, Suite 106
• .....0Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.or,.com
Residential Construction
Permit Application
PERMIT NUMBER
PERMIT FEE:.
XNew Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS d ,1-('i1 t r
ASSESSAR EL NO: ,'At 1"� . (;�T IS LEGAL DESCRIPTION: L4 -61C
Building owner
Name: \t Z x
Address:D.-WSU..) . I -Vi 1.'k�61 Y1 I
City: I I 0 U I1 Zip: ?;-:c
Phone: 1 Li2' Ct 1 00 Fax: '] (D).— L« L;l
Contact Person '.
Name:
Phone:
Describe the scope of work in detail:
Contractor
Name: ,t -v"'‘ -S)
Address:
City: Zip:
Phone: Fax:
Lic No: v UL -1 N\;(1(t >6)Exp. Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO EAK:
DIMENSIONS:
`-�ti `) S':3i
# OF STO IES: -
TOTAL HABITABLE SPACE:
( 1)9T
MAIN FLOOR TO SQ.
FTG:t e� (
N�
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEME
SQ. FTG: K.
GARAGE SQ. FTG: o
3 S S
DECK/COV. PATIO SQ. FTG:
k L? K__
30% SLOPES ON
PROPERTY: Jp-
�
# OF BEDROQ�IS:
_.__. -.---- --7
CONSTRUCTION TYPE:
f ��'[.i ivT 1 c_
HEAT SOURCE:
jib
SWER OR SEPTIC?
�tJC L
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
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard D VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
0 Other
„L....4zIczallev
A tEc.fp ,t: d _start date
;.P`PLECTO6ii
Location of property
A ppiic ant E�"artlla '
Address
Call 24 hou.. "ucivLG i, wpeaton requi e -d
Phone 509.688-00'36 1 Fax ��/i.V (J U��i I%3�
DEPARTMENT OF PUBLIC WORKS
Parmft. t��R
APPROACH PERCH ET
Address/Parcel ft, if 'vraiBatvie)
h
1- 'CI CU 112,Phone q
Contractor's _ _tf L 4:.i�
Address
1!t, Utic`i ? c'1 Phone ',.�� �� . _•C
Contractor's Regi �(1 i�,ht .'� ('._ 1 Clc ::_'; �'S Expires / i @
PROJECT DESCRIPTIO (Provicde site sizeich)
Residential Driveway L___f Commercial/industrial Driveway
Existing Curt) & Gutter Rural Road Section
11
Culvert installation
FIC Other conditions ;rkj
Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERfihiTi FEE $
ins..ectiart Fee$
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card #
Herne of Holder
Fags Pa€d$
Signature
Date
Expiration Date
Iriit
c* TOTAL PRGE.05 **
Spokan' e�
j Val ley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanev allev.org.com
Mechanical Permit Application o Commercial
SITE ADDRESS
ERMr1 UMBER•;'
R FEI
esidential
Building owner
Name: X A t)(`C\ ` l 1 C� Inn Phone:�(*)..1jr.� £ [p( Fax Are-,. ) -dal
i,00
Address: U--) . ' NiN _ City �o! )6 f\ State IC( Zip '9"AS
Contractor ..:
Name: 1( l WStt1 Phone: Fax:
Address: City State Zip
License No: City Business License No:
Contact
Name: Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
I
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
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 (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
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
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)
3
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
5
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
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE 11 HOOD
1
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
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
=
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
10/20/2005 09:03 2087624507
ViKiNU UUNSI
Site lnformation
Project Information
Site Address: 2002.N TSCHiRLEY RD
Parcel Number: 55073,1931
Subdivision: HiDDEN VALLEY ADD
Block: 1 Lot: 31
Zoning: UDR Low Density Residential
Owner: ViKiNG CONSTRUCTION INC
Address: 2605 \V HAYDEN
HAYDEN LAKE, ID 83835
Building inspector: Dan T -Toward
Water Dist:
Project Number: 05007882 Inv: 1 issue Date: 10/17/2005
Permit Use: NE\V SEWER CONNECT, HiDDEN VALLEY
Applicant: ViKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
Contact: ViKiNG CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, TO 83835
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (208) 762-9106
Phone: (208) 762-9106
Rear:
1 Permits
Sewer Connection Permit
Contrnctor: OWNER
License 4: 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 confimi 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 arc clear and unobstructed to the main
sewer. Scwcr lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the iob site inspector for verification. To locate buried cables, gas piping, watcr lines, etc.
CALL BEFORE YOU DIG, (509)450-8000.
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,
Payment Summary
Total_Fees Amount Paid AS1LtottntQwing
5100 00 5100.00 50.00
ra Date
10/17/2005
Processed By: Hansen, Tom
Printed By: HiNTZ,. FAITH Page 1 of 1
OCT 20 2005 09:25
Receipt #
0451
Payment Amt.
$100.00
PERMIT
2087624507 PAGE.05