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2005, 07-11 Permit App: 05002711 ResidenceOS -23-�I BUIL• DING'PERMIT APPLICATION WORKSHEET E C EN113 SOO-kw r T ` a i JUL 1 1 2005 UHILDON e Valley Community Development Department Bu/./ fng Division 170 P. , Gvnnue , Suite 10F Spokane Valley, WA 99206 Phone: (509) 688 -0036; Fax: (509) 688 -0037 REQUIRED SITE INFORMATION Street Address: C.K 1k; �s Assessor's Tax Parcel Number(s): Q 11 6b bTl3 (fl �q Legal Description: PERMIT DESCRIPTION` Lo\- 3E ? I U(,a.k -r' I Y0. Q 2 Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home n Tenant Improvement C Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Owner: Phone: '1IOto Fax: Address: 1:. . (/ & L •. lkrQ TA 4'9 City State Zip Code City Contractor: °Lx.fU L ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: [K Applicant: Phone: Fax: Address: State Zip Code City State Zip Code City State Zip Code WA State Contractor License #: V 1k1 Nrcigi2 P `O Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: ao1 -G it DIMENSIONS: 1� Ei -U1 6 q # OF STORIES: i �Z MAIN FLOOR TO SQ. FTG: -r � ! 1 2ND FLOOR SQ. FTG: i } 1��� UNFIN BASEMENT SQ. FTG: %o� FINISHED BASEMENT SQ. FTG: 90� GARAGE SQ. FTG: a DECK/COV. PATIO SQ. FTG: h �k. ry OCCUPANCY GROUP: U- CONSTRUCTION TYPE: HEAT SOURCE: G,, ptS T.-4 Mb Ake # OF BEDROOMS: LI I TOTAL HABITABLE SPACE: 6� S.S IMPERVIOUS SURF ©AREA: ' Fr. COST OF PROJECT: 30% SLOPES ON PROPERTY:. A SEWER OR ON -SITE SEPTIC SYSTEM? 56-k✓E,la__ MANUFACTURED HOME Width: 'l alIufal.lurer. Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: Fire Sprinkler: # of Heads: Fire Alarm: Tent: Fireworks Display: Blasting: Valuation: Above /Underground Storage Tank Size: Paint Booth: Date/Time: WASHINGTON STATE NON- RESIDENTIAL ENERGY CODE Plans Examiner: Address: Phone: Fax: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: ❑ REINFORCEMENT Phone: I nspector(s): Fax: ❑ WELDING 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. Print Name Signature Method of Payer errf: (Faxed permit applications will only be accepted with major bankcard) Cash 3artkcard #: Authorized Signature: ❑ Check Mastercard ❑ VISA ❑ Other Expires: V €N#: l Spokane ��alley PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite W6 Spokane Valley, WA 992' Phone: (509) 688 -0036; Fax: (509) 688 -00., FOR INSPECTIONS, CALL (509) 688 -0054 Permit Use: j r Project Address: Owner: Mailing Address: C,F., °t ►� � P_ (, 14_0 t c i--N )' Contractor: 1"�."3,. k�'^x) i)�� S� 1 Mailing Address: 3- to � - ' ,`: A �� 1l�_l�^i ,f Phone (Daytime Contact): `.- %(�x -� City State Zip Code License #: ! f-i OOP- C— i66tE:Phone #: f , t (ft rE r E "` q- -7 City State 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 $6.00 3 TUBS X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6.00 = 5 SINKS LAVSIBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X -RAY, FOOD, PREP /CULINARY/MEAT 1 I /1 X $6.00 = 6 DISHWASHER 1 X $6.00 = 7 CLOTHES WASHER i 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 66.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS /OVERFLOW DRAINS X 66.00 = 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 66.00 = 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 66.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 66.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 06.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 06.00 METHOD OF PAYMENT: ❑ CASH [J CHECK ❑ VISA ❑ MASTERCARD ,,.,T=. FXPIRFS: SUBTOTAL PROCESSING FEE 635.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code Siolane \Talley Project Address:. kl acci ICS Owner: \r`t ' -l- r i-rvc MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688 -0036; Fax: (509) 688 -0037 FOR INSPECTIONS, CALL (509) 688 -0054 Permit Use: `r PPhone (Daytime Contact): State Zip Code Mailing Address: , t [' ;. t'\ 0' Contractor: H'tI !Ti 1)i\f' cll. License Mailing Address: C,E • #: city, t t:;,L Phone #: ( City State Zip Code AUTHORIZED SIGNATURE DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 it X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 3 UNLISTED APPLIANCE SAdditional Fee) Equal to or less than 400,000 More than 400,000 X X $50.00 $100.00 = 4 UNLISTED APPLIANCE (Additional Fee) 5 USED APPLIANCE (WSEC min, AFUE rating) Equal to or less than 400,000 More than 400,000 X X $50.00 $100.00 6 USED APPLIANCE (WSEC min. AFUE rating) 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 More than 1 750M BTU X X $57.00 $95.00 = = 11 BOILER/REFRIGERATION 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = RANGE 1 X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER ` X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) Ill X X $1.00 $10.00 = = 18 DUCT SYSTEMS 19 VENTILATING FANS ' '1• 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 d X X $19.00 $10.00 = = 22 EVAPORATIVE COOLERS 23 TYPE 1 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 $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = METHOD OF PAYMENT: El CASH ❑ CHECK ID VISA El MC CARD #: SUBTOTAL DATE: PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE pcan oe \lley Call 24 hours b:.fore it De uoa required ?tone 5n0 //� ^^ nn p iitv1.1,/ �GO -V�J ^� Fax �V7.�00�1�V�'! DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PWIi. APPROACH PEREET APPLICATfON Location of Property K PA Address /Parcel #, if available) Applicant Name run Address ^) f ..r ! r1 hone- ��,, 5• Contractor's 6 arne , ,._.1)t 5 - Address Phone Contractor's Reg# PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Existing Curb & Gutter Culvert Installation Other conditions Commercial/industrial Driveway Rural Road Section Sidewalk Repair /Construction See construction requirements and details on reverse. Bond /insurance certification must be on file with the City. SPECIAL CONDITIONS: PERMIT FEE $ inspection Fee$ 1 hereby authorizes the City of Spokane Valley to charge the fee for this permit to my credit card. Card „ Expiration Date Name of Holder Slaneture Fees Paid$ Data init ** TOTAL PRGE . 05 ** Project Number: 05002711 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/04/2005 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 Setbacks: Front 33 Left: 14 Right: 12 Rear: 26 Phone: (208) 762 -9106 Group Name: Site Information: Project Name: ROW zwirm Plat Key: Name: RANGE District: East Parcel Number: 55073.1935 SiteAddress: 2012 N ARC RD Location:: CSV Zoning: UR -7 Water District: Block: Lot: Urban Residential -7 Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Area: .00 Acres Width: 65 Depth: 110 Right Of Way (ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Page 1 of 4 Review Site Plan Review Released By: Plan Review Originally Released: 08/03/2005 By: DDompier Released By: Approach / Drainage Originally Released: 07/11/2005 By: TMELBOU Released By: ISSUED Originally Released: 08/03/2005 By: DDompier Operator: Printed By: CJJ Print Date: 08/04/2005 Project Number: 05002711 Inv: 1 Application ' Date: 08/04/2005 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Review 05 -5319 Permits: Originally Released: Released By: 08/03/2005 By: mturbak 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 Group: R -3 Total Area Building Height Stories Dwelling Units 1 Type: VB 1855 21 2 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 Building Characteristics Description Gtr Type BASEMENT F R -3 VB DECK R -3 VB GARAGE U -1 VB RESIDENCE R -3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Notes This Application: So Ft Valuation 906 $18,120.00 96 $1,440.00 360 $6,840.00 949 $70,871.32 Totals: 2,311 $97,271.32 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: Printed By: CJJ Permit Total Fees: Print Date: Total Project: Su Ft Valuation 906 $18,120.00 96 $1,440.00 360 $6,840.00 949 $70,871.32 2,311 $97,271.32 Fee Amount $979.75 $4.50 $391.90 $1,376.15 08/04/2005 Project Number: 05002711 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/04/2005 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 3 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 Units 2 3 2 1 1 1 3 Operator: Printed By: CJJ 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 $18.00 $12.00 $6.00 $6.00 $6.00 $18.00 $78.00 08/04/2005 Project Number: 05002711 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/04/2005 Page 4 of 4 Payment Summary: „ Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,376.15 $1,376.15 $0.00 $1,376.15 Mechanical Permit $85.00 $85.00 $0.00 $85.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $1,589.15 $1,589.15 $0.00 $1,589.15 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: Printed By: CJJ Print Date: 08/04/2005