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2005, 03-17 Permit App: 05000799 ResidenceProject Number: 05000799 Inv: 1 Application Date: 03/17/2005 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Protect Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C - S - Z: HAYDEN LAKE, ID 83835 Setbacks: Front 36+ Left: 36+ Right: 22 Rear: 30+ Phone: (208) 762-9106 Group Name: Site Information: _ Project Name: Plat Key: Name: RANGE District: East Parcel Number: 55202.1603 Block: 4 SiteAddress: 611 S HOLIDAY RD Location:: CSV Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 16,724 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Lot: 3 Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Depth: 0 Right Of Way (ft): 38 Review Information: - Review Site Plan Review Released By: Plan Review Released By: go@jL W\b r,Lcr Approach / Drainage Released By: Sewer Review Permits: Released By: 711 Operator: K_C Printed By: K_C Print Date: 03/17/2005 Project Number: 05000799 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 03/17/2005 Page 2 of 4 Approach Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Item Description APPROACH INSPECTION CONST IN ROW - APPROACH Units Unit Desc 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $25.00 $25.00 $50.00 Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Building Characteristics Group: R-3 Type: VB Total Area 1718 Building Height 22 Stories Dwelling Units I This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq FI Valuation CARPORT U-1 VB 248 $3,720.00 248 $3,720.00 GARAGE U-1 VB 740 $14,060.00 740 $14,060.00 RESIDENCE R-3 VB 1,718 $128,300.24 1,718 $128,300.24 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 2,706 $146,080.24 2,706 $146,080.24 Units Unit Desc 1 SELECT I SELECT 1 SELECT Fee Amount $1,256.95 $4.50 $502.78 Permit Total Fees: $1,764.23 Operator: K_C Printed By: K_C Print Date: 03/17/2005 Project Number: 05000799 Inv: 1 Application Date: 03/17/2005 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: FITTING MECHANICAL Address: 10223 HAPPY TRAIL RATHDRUM, ID 83858 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS CLOTHES DRYER RANGE GAS LOG OR GAS INSERT HOOD -TYPE II Contracto Address: BELKNAP PLUMBING 3414 S ADAMS RD VERADALE, WA 99037 Item Description TOILETS/BIDETS SINKS SHOWERS 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 5 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $12.00 $5.00 $20.00 $30.00 $10.00 $10.00 $10.00 $10.00 $117.00 Firm: BELKNAP PLUMBING Phone: (509) 921-5913 Units Unit Desc 2 NUMBER OF 4 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Operator: K_C Printed By: K_C Fee Amount $12.00 $24.00 $12.00 $6.00 $6.00 $ 6.00 $ 6.00 $18.00 Permit Total Fees: $90.00 Print Date: 03/17/2005 Project Number: 05000799 Inv: I Application Date: 03/17/2005 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes• Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,764.23 $117.00 $90.00 Invoice Amount $50.00 $1,764.23 $117.00 $90.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,764.23 $117.00 $90.00 $2,021.23 $2,021.23 $0.00 $2,021.23 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: K_C Printed By: K_C Print Date: 03/17/2005 *kw__ k _ Valley BUI CE L1117)Ea MAR 0 8 2005 WIID0�1 NG PERMIT APPLICATION WORKSHEET alley Community Development Department Building Division 117T/7 8. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 e: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: loll V01 C i'la Assessor's Tax Parcel Number(s): Qrq cej 5(3 a. Ota -13 Legal Description: PERMIT DESCRIPTION: (, [/—Building. Permit ❑ Change in Use Grading ❑ Manufactured Home ❑ Tenant improvement ❑ Fire Safety ❑ Other ❑ Relocation OWNER/APPLICANT INFORMATION Owner: V 3,0LIMI t1145Av1Q�(t;11 Phone: 1194-.-910L0 Fax: 1t.oa-'- -(7 Address: Q ik`uf_c) rip Statee P(g)5 City contractor: Phone: Address: Fax: City State Zip Code WA State Contractor License #:'V1ke, 1 N CLQM1 Applicant: Phone: Address: Fax: City State Zip Code Il Architect: Phone: Fax: Address: City Contact: State Zip Code PERMITBUILDING INFORMATION HEIGHT TO PEAK: ' tod DIMENSIONS:�� # OF STORIES: ( MAIN FLOOR TO SQ. FTG: 11( 2m" FLOOR SQ. FTG: glif UNFIN BASEMENT SQ. FTG: eC FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG:7`-(0 DECK/COV. ATIO SQ. FTG: OCCUPANCY GROUP: ✓ SC tc',Lt% Fs' -t 1 L— 1 1 CONSTRUCTION TYPE: a E pe/..7Ti AL HEAT SOURCE: C-zAS OF BEDROOMS:. TOTAL HABITABLE SPACE: 17 (a. IMPERVIOUS SURFACE AREA: `ka-ct COST OF PROJECT: 30% SLOPES ON PROPERTY: (of pc SEWER OR ON-SITE SEPTIC SYSTEM? ,fie' -O . Sitio-lune Valley • Project Address: Uk k S• 1At`k C F F"` Owner: Ff t tG. i fl I it n'K i�F'OC ion Mailing Address: QirzF, i 1 l j'+ Ol0 n Contractor: 1 :.9 4-4k Il t t 1i Y"V"f Mailing Address: 3L 4 tiA t� 4-4k t nci { PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99202 Phone • (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 1 Permit Use: �r Phone (Daytime Contact): :e-ltr A-9/ City! e#:?f-i 01,1P- C\ifU'hone#: hag--G2x2-5c-i13 0ig03 f • Licens State Zip Code \\(.p 4 -fit!'\ f' t)r, -! A.1M -- — City = " State— ' - _- Zip Code DATE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: OF WORKrr��UNITS # OF X COST = TOTAL AMOUNT DESCRIPTOR WATER CLOSET, BIDETS p( X $6.00 = 1 TOILETS X $6.00 = 2 URINALS t X $6.00 3 TUBS TRAP) BATH, STALL ON-SITE BUILT ^ d X $6.00 = 4 5 SHOWERS (PER SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT 1' 'T X $6.00 - ( X $6.00 = 6 DISHWASHER 1 X $6.001 = 7 CLOTHES WASHER X $6.00 = 6 9 GARBAGE DISPOSAL WATER SOFTENER NOTE: IF GAS, SEE MECHANICAL X X $6.00 $6.00 = - TANY. 10 11 ELECTRIC HOT WATER FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 DRAINS X $6.00 = 12 ROOF DRAINS/OVERFLOW DRINKING X $6.00 = 13 14 FOUNTAINS, WATER PIPING/DRAIN-IN WASTE, REVERSAL INSTALLATION, ALTERATON, REPAIR, REVERSALS X $6.00 = VENT. PLUMBING. GRINDER, SUMP PUMP X $6.00 = 15 16 SEWAGE EJECTOR - 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 = NITROUS, OXYGEN X $6.00 = 19 MEDICAL GAS (per outlet) PLUMBING FIXTURE X $6.00 = 20 MISCELLANEOUS METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: DATE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: *lane p lane coosalIey Project Address:, Owner: \/ Ili I C> l i i r R;i1-1 U' -41_; f\ Mailing Address: , (iQ• ri fX& Contractor: 1 ! i P \OJ \ u fljL License Mailing Address: to d rl L r -t}✓ Yr\r'Y4,1 ' ) i,'1as, 1� MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99205 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: 5;-•I Phone (Daytime Contact): t (1 0\ S 1 Y; ireii5 Ci 1 State Zip Code #:LG �; ht -1("1 Phone #: 7� -='• ?: ^-- �ilr; j`, \,eriatc City State Zip Code AUTHORIZED SIGNATURE. DESCRIPTION OF WORK # OF UNn-s X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I' _ X 315.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X 319.00 = 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 3100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X 350.00 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X 310000 = 7 BOILER/REFRIGERATION 1 - 100M BTU X 315.00 8 BOILER/REFRIGERATION 101 - 500M BTU X 328.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X 339 00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X 357.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X 395.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE 1 x 310.00 = 13 RANGE ( X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER 1 X 310.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 5 X 31.00 = 18 DUCT SYSTEMS X 310.00 19 VENTILATING FANS 3 X 310.00 = 20 AIR HANDLER (DOES NOT indude ducting) Equal to or less than 10,000 CFM X 312.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 319.00 = 22 EVAPORATNE COOLERS X 310.00 23 TYPE I HOOD X 350.00 = 24 TYPE II HOOD 1 X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 312.00 = 26 AIR CONDRIONER 3-15 TON 1 X 320.00 = 27 AIR CONDITIONER 15-30 TON X 325.00 .- 26 26 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X 360.00 30 LPG STORAGE TANK X 310.00 = 31 W00D OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREESTANDING X 325.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK ❑ VISA ❑ MC CARD 4. DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE. • UNDER GROUND a POWER ADDRESS ZONE ROAD WIDTH FRONT COMMENTS REVIEWED WI WATER SCALE: 1"= 20'- 0" LOT 3 BLOCK 4 COUNTRY CROSSING SPOKANE VALLEY, WASHINGTON 116.49' CONC. PATI() CONC. PORCH AND SIDEWALK Oj. ,. 20'x20' TURN AROUND EASMENT SLOPE S% IN 10' 11.97' This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of waHep ope��r. ptFy1rcitil areas. Signed /s� Date: W/41_. •