2005, 01-21 Permit App: 05000190 Residence Project Number: 05000190 Inv: 1 Application Date: 01/21/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
C-S-Z: HAYDEN,ID 83835
Setbacks: Front 36 Left: 31 Right: 12 Rear: 31 Phone: (208)762-9106
Group Name:
Project Name:
Site Information: :„„:„„::„„„„„„„:„„„„....„„„:„:„:„
Plat Key: Name: RANGE District: East
Parcel Number: 55202.0273 Block: 2 Lot: 7
SiteAddress: 19323 E 6TH AVE Owner: Name: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
Location::CSV HAYDEN,ID 83835
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: El
Area: 0 Sq Ft Width: 98 Depth: 90 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review Released
Y. d -
Plan Review
-ReleasedB •y
.
ci;i47.1.4
SeAdo-er- ?_,eu
*ppreatiri-Dfainage...„ ReleasedBy::-..
a A' Airr011ir
.Seyeet-Re*igix AppreAc-hi-AReleased By. /
Permits: .
PV-L Ci (dCi.-C,,t.,c-e, , 4 •
Operator: DMD Printed By: DMD Print Date: 01/21/2005
Project Number: 05000190 Inv: 1 ,Application Date: 01/21/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: VIKING CONSTRUCTION Finn: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208)762-9106
HAYDEN,ID 83835
Item Description Units Unit Desc Fee Amount
APPROACH INSPECTION 1 NUMBER OF $25.00
CONST IN ROW-APPROACH 1 NUMBER OF $25.00
Permit Total Fees: $50.00
Building Permit
Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE Phone: (208)762-9106
HAYDEN,ID 83835
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB 462 $34,502.16 462 $34,502.16
BASEMENT F R-3 VB 986 $19,720.00 986 $19,720.00
DECK R-3 VB 127 $1,905.00 127 $1,905.00
GARAGE U-1 VB 503 $9,557.00 503 $9,557.00
RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00
Totals: 3,078 $140,364.16 3,078 $140,364.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,223.35
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $489.34
Permit Total Fees: $1,717.19
Mechanical Permit
Contractor: FITTING MECHANICAL Firm: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL Phone: (208)687-6949
RATHDRUM,ID 83858
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: DMD Printed By: DMD Print Date: 01/21/2005
Project Number: 05000190 Inv: I ,Application Date: 01/21/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509)921-5913
VERADALE,WA 99037
ent umm
a
Pam S
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,717.19 $1,717.19 $0.00 $1,717.19
Mechanical Permit $85.00 $85.00 $0.00 $85.00
N
$1,852.19 $1,852.19 $0.00 $1,852.19
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
0
o Co
Operator: DMD Printed By: DMD Print Date: 01/21/2005
5' E[ Drk G rce--- r P iC e. irt. r E _
."..
6�iLc.sl[<lS i✓� iNrkl F�.:"P`L'tLrFii �CzJE''� F��C`�F\r ��`
Siijie
'a ,i= alley y Development Department
_� 1 �1 all ComrflrLlnii
L`-� l.9 LLQ ti i�J � rest rilr!irn (li,iryrni�
_....0:4,S� T _. D i i71./7 _ .n ra r l U v.,:,3,7 ,,,:.-,.. i r i`a 106
V
lexT
pokane Vr-llev, WA 99205
r.a � .., i rf�, (60g)} sCQ^ t _
6f rte� . (509) Eta-0037
(--,--;. - ci
'
REQUIRED SITE INFORMATION 01,5 ' 160
Street Address: 16\\'5 :-)) ,, SOA OS\Y<-- '
t ss s•sor'C• _L l `(�. ber( \-� r .
f, C ��.ru 6ci3: �aiG�1 �"+SSE"+PtC��C�. 6-0 U-). ����
Legal Description: - t6kuC rk L'ut,,$),4-vq ( fosswcie:-).
(1 f�
PERMIT DESCRGP T iiON: / 0 E\' k ) . , (�W:3--C.,-kcal _
I 734.aiding Permit Change in Use I I Grading Wilamufactured Home
I Reiooat o f n Tenant improvement Fire Safety I I Other
OWNER/APPLICANT INFORMATION
r Owner: V IA_,0(4" . (ISAY'l�-1 `10i1 I -I Applicant:
Phone:,.- �tkFax: afr, --4,)- a"7 Phone: Fax:
Address: 2too; n""uL Y' f_ Address:
A L a-Q in C?)3 35'
City State Zip Code City State Zip Code
E Contractor: S r0 _ I I Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: 11 Lk-i N CA,Ot Contact:
[I PEREAMBUILDING INFORMATION
HEIGHT TO PEAK: ii DIME!V!9NS: , r #OF STORIES:
2q'-/o"k 1 6 )( 's 2
MAIN FLOOR TO SQ. FTG: 2N FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
1000 4462 AJ/N
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECKICOV. PATIO SQ.creG 5o3
0CC; rpp,Nry 3RO:1P: CONSTRUCTION TYPE: HEAT SOURCE:
r OF BEDROOMS TOTAL ABI I g BLE SPACE: Ih�PE.N.OUS �UP.F.-`.CE ,-`,RIA:
`-i zyy�C 26' 7
COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
SYSTEM? sewee_
MECHANICAL PERMIT APPLICATION
Spokane • City of Spokane Valley Community Development Department
BuildingDivision
fley 11707 E. Sprague Avenue, Suite 106
40001,,i
Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
t ��� � � � FOR INSPECTIONS, CALL(509) 688-0054
{
Project Address:. 1 Permit Use: <-_f��t
Owner: I '- ' -,r\-,' _ 1r1 D- Phone (Daytime Contact):
Mailing Address: A i=., LIC), II 1' CIL' VI Aue Lts Y . '�
city, t State Zip Code
Contractor: H '1 I-A r j`1C J\ cr j 1...e,---‹..<:)
License#: F',-.L-16 Phone#: y r _fi r,/
-- ..;f(r;
Mailing Address: ,-)-I i- 617.-.ti✓ -r\r"r�i - Wig a ,� -i`C%tZ 1N k"--7&_�i.s--,
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = 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 =
USED APPLIANCE(WSEC min.AFUE
5 _ rating) Equal to or less than 400,000 X $50.00 =
USED APPLIANCE(WSEC min.AFUE
6 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 1,001-1,750M BTU X $57.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU X $95.00
12 GAS LOGE GAS INSERT,GAS FIREPLACE X $10.00 =
13 RANGE
_X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER I 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 14 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
I 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 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH ElCHECK 0 VISA 0 MC DATE: PROCESSING FEE
$35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION
voliane
0114 City of Spokane Valley Community Development Department
BuildingDivision
Valle 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99201
40, Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: Ct 3 . L - S 1.)e-cti1 e ,Q Permit Use: ,st
Owner: I L (-4 '-,' t'1 i Li1)`� Phone (Daytime Contact): :. r-1v -91 Ute,
Mailing Address: >F> 1) E.-a i Lin 0)� 00" 1. l ;I J,,1 aN 5:2)F-47)
-IAW City t- State Zip Code
Contractor: .:2.-[, b-11 ° �",.�.-i�l� i,.k"� ' License#: ?fr:L I R\i j°- C IAPhon!e#: F CCI -C.�.1- ci 13
Mailing Address: 9 0-1 c i `-4, 'k. . \ Y f t '
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 , X $6.00 =
2 URINALS , X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT ,X $6.00 =
5 SINKS LAVS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
5
PREP/CULINARY/MEAT
6 DISHWASHER 1 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, X $6.00 =
CONDENSATE
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 = _
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 =
VENT, PLUMBING,REVERSAL REPAIR,REVERSALS _
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER,
HOSE BIB,STEAMER,PROOFER, X $6.00 =
CARBONATOR,SWAMP COOLER
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
VALVE,AND R.P.B.P.D.FOR: X $6.00 =
VATS,TANKS,BOILERS
18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
METHOD OF PAYMENT: SUBTOTAL _
0 CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Call 24 hours before inspection required
Strilime Phone 509.688-0035 Fax 509.688-0037
40000Valley
DEPARTMENT OF PUBLIC WORKS
Anticipated start date _. Permit # PW
APPROACH PERMIT
APPLICATION
Location of property . at )--a) 50(A\
Address/Parcel #, if available)
Applicant Name i ^. ' ' r. ; , 1
Address `_ r - " ' r '-hane � - a `!,
Contractor's Name \ILLYri
:11 '(11(14- 6.Cc)
Address ` r,Cfc aftl ,, '1 Phone (90;`-} '% —e!
Contractor's Reg# 0 i(-,1% C.‘ 'NS Expires 6 i k )(f;
PROJECT DESCRIPTION (Provide site sketch)
Residential.Driveway [J Commercial/Industrial Driveway
L Existing Curb & Gutter Rural Road Section
i l Culvert Installation L ! Sidewalk Repair/Construction
PI Other conditions V
See construction requirements and details on reverse.Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $ Ins,ection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Expiration Date
Name of Holder Si•nature
Fees Paid$ Data !nit
** TOTAL PAGE.05 **
RIGHT OF WAY PERMIT PROVISIONS
,
•
GENERAL •
Fees and Rates In addition to the permit application fee of$16.00,inspection on each permit will be billed to the permittee at a rate of
$50.00 per hour with a$25.00(1/2 hour)minimum. Permittee signature on permit constitutes an agreement to these
and below terms and provisions. SCSFRSC 9.04
1.Authority. This permit is issued pursuant to the Spokane County Standards for Road and Sewer
Construction as adopted by the City of Spokane Valley and the Washington State Department
of Transportation (WSDOT)Standard Specifications for Road,Bridge and Municipal
Construction. SCSFRSC 1.01, 1.06
2. Definitions The word"City"means the City of Spokane Valley acting by and through the Public Works
Director or his duly authorized representative.
3. Keep Permit on the Job This permit shall be kept at the site of the work and shall be shown to any representative_of
the City,or any law enforcement officer on request.
4. No Precedent Established This permit is granted with the understanding that this action is not to be considered to
establish a precedent concerning any kind of encroachment within the City right-of-way.
SCSFRSC 9.01(7)
5. Permits from Others When the law requires the consent to any work hereunder from any other public board or
person having jurisdiction,this permit shall be suspended in operation unless and until such
consent is obtained. SCSFRSC 9.01(7)
6. Other Work This Permit is to be strictly construed,and no work other than that specifically mentioned is
authorized hereby. SCSFRSC 9.02(1)
7. Permission from Property Owners Whenever it is necessary to secure permission from abutting property owners,such authority
must be secured by the permittee prior to commencing work.
8. Protection to the Public The work shall cause the least possible inconvenience to the traveling public.At least one-
way traffic shall be maintained at all times during the working day(7 a.m.to 5 p.m.) .Two-way
traffic shall be maintained from the close of the working day to the start of the next working
day.All warning signs,lights,devices and procedures shall conform to MUTCD and WSDOT
Standard Specifications for Road, Bridge and Municipal Construction.
SCSFRSC 1.03, 8.01, 3.12, 9.02
9.Standards of Construction Any matter not specifically mentioned herein,or covered by direct reference,shall conform to
the Spokane County Standards for Road and Sewer Construction and the Washington State
Standard Specifications for Road, Bridge and Municipal Construction.
SCSFRSC 1.01
10. City Supervision All work shall be performed to the satisfaction of the City.The City may inspect the work but is
not required to do so. SCSFRSC 9.02, 9.04, 9.06
11. Expense of Review and Inspection On work which in the judgement of the City requires Engineering Review of plans and/or the
presence of an employee of the Public Works Department as an inspector,the actual cost
(including salary,traveling expense,and overhead)of such inspection shall be paid by the
permittee upon presentation of a statement therefor.The cost of any tests required by the City
shall be borne by the permittee. SCSFRSC 9.02(1)
•
12. Restoration of Right-of-Way All portions of the right-of-way,and all adjacent areas directly affecting such,if disturbed by
work pursuant to this permit,shall restore the surface of the right-of-way or public property to
at least the currently adopted City Standards or as required by the Public Works Director
through a right-of-way permit,depending on special circumstances.
SCSFRSC 8.04, SC5-04A
13. Existing Utilities The permittee shall contact all utilities to determine the location of any existing facilities prior
to excavation.The Washington One Call ticket number and name shall be kept on the job site
and be available to any representative of the City Public Works Department or any law
enforcement officer on request.The permittee shall also contact the local water purveyor,
sanitation district or other utility not affiliated with Washington One Call to advise them of the
proposed project.The date and name of this contact must also be kept on the job site.The
permittee shall immediately notify the owning utility of any damage to their existing facility.
14. Future Moving of Installation In the event it becomes necessary, in the opinion of the City,to remove or relocate the
encroachment permitted hereunder,such shall be accomplished by and at the sole expense
of the permittee,and within such time and manner as may be required by the City. SCSFRSC
8.01
15.Joint and Several Obligation If there is more than one perfnittee subject to the terms of this permit,then all of the terms of
this permit shall bind the permittees individually and collectively,and said permittees shall be
individually and collectively liable therefore. SCSFRSC 9.02
16. Maintenance The permittee agrees by the acceptance of this permit to exercise reasonable care to
maintain properly any encroachment placed by it in the right-of-way and to exercise
reasonable care in inspecting for and immediately repairing and making good any injury to
any portion of the right-of-way which occurs as a result of the maintenance of the
encroachment in the right-of-way or as a result of the work done under this permit,including
any and all injury to the right-of-way which would not have occurred had such work not been
done or such encroachment not been placed. SCSFRSC 10.02, 10.03
UTILITY AND UNDERGROUND
1. Cutting Pavement All construction in asphalt shall be horizontal-directional bored wherever possible.Open cut
construction must be specifically permitted or may be authorized by the City inspector to
accommodate unexpected field conditions.When pavement is cut it shall be done in a
manner which causes the least possible damage to the adjacent pavement.After the utility is
placed and the trench is backfilled and based,the pavement shall be sawcut to a minimum of
1 foot beyond the edge of the trench in any direction.Any cuts within the traveled way shall be
overcut to a full lane width at a minimum. If the cut extends beyond centerline,the final cut
shall extend the full lane width.All cuts shall be a minimum of3 feet wide to accommodate
sufficient compaction equipment. If the trench edge is within 5 feet of the edge of the roadway
pavement,the pavement shall be removed to the edge of the roadway. SCSFRSC 8.04, SC
5-04a, WSDOT 5-04.3(w)
2. Backfill and Compaction Backfill and pavement material compaction shall conform to Spokane County Standards
For Road and Sewer Construction 2-03.3(14)D,and 4-04.3(5).
3. Replacement of Pavement The surface of all trenches in the traveled way shall be temporarily patcfhecotberwise
surfaced at the end of each working day. Such temporary patching or other approved
surfacing shall be kept in a smooth,firm,dust-free condition for the safe use of the public until
the final surface patching is completed. Cold mix asphalt may be used as a temporary
patch material.After ditch edges have been sawcut,the base and pavement shall be
replaced.The thickness of the base and paving to be replaced shall be determined in the field
and shall be at least equal in section to that adjacent to the trench area. Pavement shall be a
minimum of 2 inches thick. Pavement shall be replaced with hot mix asphalt which shall
conform to state requirements for 3/4"maximum medium grading.Base material shall
conform to State requirements for Base Course.
SCSFRSC SC5-04a, WSDOT 5-04.3(5)e
4. General Minimum cover over utilities shall be 24 inches below finish grade.
Disposal of spoil material shall be outside the right-of-way unless otherwise specifically
approved by the City.
Maximum length of work under construction at any time shall not exceed 1000 feet.
Reasonable care shall be taken to avoid damage to major roots of trees.
If an independent contractor installs a utility,the operator of the utility must accept the work
before final approval of the work by the City.
SCSFRSC SC5-04a(3), WSDOT 5-04.3(5)e
5. Responsibility for Failures The permittee shall be responsible for correcting any failures of any work done under this
permit for a period of two years after completion of the project.
SCSFRSC 10.02
6. Five-year prohibition Cutting or trenching pavement surfaces that have been reconstructed within the past five
years shall be prohibited in accordance with the requirements of Spokane County Standards
for Road and Sewer Construction,Section 8.04.
SITE PLAN
SCALE: 1"=20'-0"
LOT 7 BLOCK 2 —1C ).--
COUNTRY CROSSING
SPOKANE VALLEY,WASHINGTON
—e-- 98.00'
+ \ \
r:::::-.
/ ( 31'-6" / 54'-6" / 212'-0" / `r''
DECK `n
11111111
:—, SPLIT ENTRY :,
CA N "'
O O
CONC.
PORCH AND
SIDEWALK
CONCRETE:
WATER — DRIVE ' UNDER
- A GROUND b
POWER
M
SIDEWALK,
0
98.00' submitted for the purnnse of
This efts plan is i»inQ e
SEWER obtaining *building permit and is a r,t,, , . ,:,.,,,ct
representation nt ;ti, ,ar toloNn property
linesrdim,. .; idws and easements
SIXTI-4 AVENUE ti', . .
cR�,� oF TYE '- 'ndicated are wetlands,
--- ----- ---- ------ --- — --- --- ----h,uue.. ,.-& 2Lc:Si pe • oth' ritical areas.
Signe•• ®...-
f /\AJ
( Date:. / O
ADORES,
2O CLARINGTON
pogoAD WIDTH •
FRONT ' ' F NK)
AIWA= SPEC
COMMENTS may vrp 14
REVIEWED B ...