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2005, 05-23 permit App: 05001729 ResidenceProject Number: 05001729 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/23/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front 33 Left: 14 Right: 12 Rear: 21+ Site Information: Plat Key: Name: RANGE Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE C - S - Z: HAYDEN, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: ROW District: East Parcel Number: 55073.0715 Block: 1 SiteAddress: 17321 E KNOX AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 7,057 Sq Ft Nbr of Bldgs: 1 Review Information: Urban Residential 3.5 Lot: 21 Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Hold: ❑ Width: 59 Depth: 100 Right Of Way (ft): 38 Nbr of Dwellings: 1 Review Site Plan Review Released By. Plan Review Released By: Approach / Drainage Released By: (c1 L.t.,, (5 Landuse/Zoning Sewer Review Operator: K_C Printed By: K_C Print Date: 05/23/2005 Project Number: 05001729 Inv: 1 Permits: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/23/2005 Page 2 of 4 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 Description GARAGE RESIDENCE Type: VB 1202 20 1 1 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 Grp Type Notes U-1 VB R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Operator: K_C This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 395 $7,505.00 395 $7,505.00 1,202 $89,765.36 1,202 $89,765.36 Totals: 1,597 $97,270.36 1,597 $97,270.36 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Printed By: K_C Permit Total Fees: Fee Amount $979.75 $4.50 $391.90 $1,376.15 Print Date: 05/23/2005 Project Number: 05001729 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/23/2005 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 AIR CONDITIONER:4-15 TONS VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Contractor: BELKNAP PLUMBING Address: 3414 S ADAMS RD VERADALE, WA 99037 Item Description TOILETS/BIDETS SINKS 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 3 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $12.00 $3.00 $20.00 $30.00 $10.00 $10.00 $95.00 Firm: BELKNAP PLUMBING Phone: (509) 921-5913 Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Operator: K_C Printed By: K_C Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 $12.00 Permit Total Fees: $72.00 Print Date: 05/23/2005 Project Number: 05001729 Notes: Inv: 1 Application Date: 05/23/2005 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,376.15 $95.00 $72.00 Invoice Amount $50.00 $1,376.15 $95.00 $72.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,376.15 $95.00 $72.00 $1,593.15 $1,593.15 $0.00 $1,593.15 Page 4 of 4 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: KS Print Date: 05/23/2005 DING PERMIT APPLICATION WORKSHEET Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 one: (509) 688-0036; Fax: (509) 688-0037 Spokane jUalle, dML'WN1 REQUIRED SITE INFORMATION Street Address: (1 t 11,1-\ C\ Assessor's Tax Parcel Number(s): V6,,'(.C\;\ L-1 Legal Description: PERMIT DESCRIPTION: <--)\_!Ilk ['Building Permit ❑ Relocation ❑ Change in Use 0 Grading O Tenant Improvement ❑ Fire Safety ,DiCute.L _Ci—C\ ((.q4 t'! \OLI— ❑ Manufactured Home O Other OWNER/APPLICANT INFORMATION Owner: V. \L'01C\ Phone: it;,,-Gtt;tQ Fax,: Address:���5 City Contractor: Phone: State Address: Fax: City State Zip Code [ Applicant: '; LAir Phone: Fax: Address: City State Zip Code 0 Architect: Phone: Fax: Address: City State Zip Code WA State Contractor License #: \4 �k 11�I� \C -t Contact: Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PIEAKj� SO -0 DIMENSIONS: � Liu D )( �'I!J ''J # OF STORIES: MAIN FLOOR TO SQ. FTG: II 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: / FINISHEBASEMENT SO. FTG: 2LI/A 1 GARAGE/SQ. FTG: 3i5 1 DECK/CO . ATIO SQ. FTG: 1`(1 OCCUPANCY GROUP: E ,. CONSTRUCTION TYPE: Ib. HEAT SOU E: # OF BEDROOMS:, TOTAL HABITABLE SPACE: 12.41L. IMPERVIOUS S�RFACE AREA: Z'S7Co COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? 5EwE2 MANUFACTURED NOM Width: Manufacturer: Length: • Year: Pit Set: RELOCATION Previous Address: Proposed Use: FIRE SAFETY Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: DatefTime: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE plans Examiner: kddress: Phone: Fax: City State Zip nspector: Phone: Fax: %ddress: City State Zip SPECIAL INSPECTIONS BOLTING ❑ CONCRETE ❑ REINFORCEMENT fl WELDING :irm Name: Phone: nspector(s): Fax: DISCLAIMER he permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this ansaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. eferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. iwnership of resulting development ri hts granted by any issued permit inu to the property owner. rint Name £ L c'/ AbS i2 ./ Signature rethod of Payment:.. (FOxed permit applications will only be'accp, ted with major bankcard) ] Cash ankcard #: ❑ Cf eck 0 Mastercard .':'.` ❑ VISA uthorized Signature: :~«i:., a ©,'99her • SCITY Or�'G� Ilk po ne mS\T)iIIv Project Address:, Owner: \i L. Mailing Address: Contractor: Mailing Address: MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue; Suite 106 Spokane Valley, INA 009na Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: , i%(A q tr.... I-, 7X..5... License #: Phone (Daytime Contact): I),�- Zip Code s "/C"..* Zip Code City, C` State C_. c Phone #: Ctv �\ State AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL A0.7OJ T 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 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 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 =- 6 USED APPLIANCE (WSEC min. AFUE USED 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 LOG, GAS INSERT, GAS FIREPLACE X $10.00 = .13 RANGE 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) 5 X 61.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 3 x $10.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or Tess 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 1 X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON 1 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 610.00 = 32 WOOD STOVE - FREE STANDING X 625.00 = II METHOD OF PAYMENT: ❑ CASH 0 CHECK EI VISA ❑ ISO CARD #: DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Spokane Project Address: 119,3 AC)-/— 1-1Vie-- �s Owner: t� <.. Mailing Address: r '\ GT ; 4.- • PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, 'W4 9320Cift Phone: (509) 688-0036; Fax: (509) 688-003W FOR INSPECTIONS, CALL (509) 688-0054 Contractor: Mailing Address: > ;, [i= <..� k ik: Permit Use: I`4 Phone (Daytime Contact):.?`..;- -! • r h. City t State License #: x :' . F L C LLQ 'hone #: wF City .. Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 0 X $6.00 = 2 URINALS X $6.00 = 3 TUBS i X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS LAYS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT X $6.00 = 6 DISHWASHER 1 X $6.00 = 7 CLOTHES WASHER I X $6.00 = 8 GARBAGE DISPOSAL 1 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, 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 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: 0 CASH 0 CHECK ❑ VISA 0 MASTERCARD nnr=• FXPIRFS' SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code i o �' '. ccs w Q aFsiv m . m m O c i V 25" 60-204 iliRk ms a c w .gra gig a o m• 2 g a 1 AIMAISS 10V MTM • FRONT-ai.- ammo SITE 'LAN oer SCALE: 1"= 20'- 0" LOT 21 BLOCK 1 HIDDEN VALLEY SPOKANE VALLEY, WASHINGTON PARCEL # 55073.0715 70.00' 14'-0" r)j 44'-0" e 12'-0" RANCNER DO CONC. PORCH AND SIDEWALK r WATER 59.82' SEWER KNOX AVE. CROWN OF STREET SUNLAKE