2004, 12-08 Permit App: 04009352 ResidenceReview
Site Plan Review
Project Number: 04009352 Inv: 1
Application
Date: 12/08/2004 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -
NATURAL GAS
Setbacks: Front 36 Left: 10 Right ' ear: 45
Site Information:
Plat Key:
Name: unknown
Contact: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
C - S - Z: HAYDEN, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
District: East
Parcel Number: 55202.0273 Block: 1
SiteAddress: 515 S LONE TREE RD
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 11,395 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .
Lot: 6
Owner: Name: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Hold: ❑
Depth: 0 Right Of Way (ft): 38
ReleasedBy:
Plan Review
Released! By.
7:0/POIllek
Approach / Drainage
Fteleased<By:
Sewer Review
Permits:
5Mt-f4-/-
Released By.
Operator: K_C Printed By: K_C Print Date: 12/08/2004
Project Number: 04009352 Inv: 1
Application
Date: 12/08/2004 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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
Type: VB
1610
19
1
1
Description
GARAGE U-1
RESIDENCE R-3
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
Type Notes
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Sq Ft Valuation
483 $9,177.00
1,610 $120,234.80
Totals: 2,093 $129,411.80
Units Unit Desc
Operator: K_C Printed By: K_C
SELECT
SELECT
SELECT
Permit Total Fees:
Print Date:
Total Project:
Sq Ft Valuation
483 $9,177.00
1,610 $120,234.80
2,093 $129,411.80
Fee Amount
$1,161.75
$4.50
$464.70
$1,630.95
12/08/2004
Project Number: 04009352 Inv: I
Application
Date: 12/08/2004 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
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Units
1
1
4
3
1
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
NUMBER OF
Permit Total Fees:
Plumbing Permit
Units
2
4
1
1
1
1
1
3
Operator: K_C Printed By: K_C
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$96.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
12/08/2004
Project Number: 04009352 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/08/2004 Page 4 of 4
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$50.00 $50.00
$1,630.95 $1,630.95
$96.00 $96.00
$84.00 $84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,630.95
$96.00
$84.00
$1,860.95 $1,860.95 $0.00 $1,860.95
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: 12/08/2004
rIG
BUILDING PERMIT APPLICATION WORKSHEET
/ley Community Development Department
RI rilr{ing Divi cion
11 O h-_ Snragus Uvenue Suite 106
Spokane Valley; WA Q9206
o e: (5O9) 688-0036; Fax: '5O9 688-0037
E etITHsvif
D
n
L
REQUIRED SITE INFORMATION
Street Address: 6\6 L \s(-,&
Assessor's Tax Parcel Number(s): r 61X 66 9o3 .
Legal Description: LA-- (cft\CfcU'
PERMIT DESCRIPTION: '‘Apt �f'\� 9� �11� : Vay--
1-atilding
Permit
n Relocation
n Change in Use n Grading
n Manufactured Home
n Tenant Improvement Five Safety n Other
OWNER/APPLICANT INFORMATION
R
Owner: \kv'c k c -,-Y\
Phone: --)kL3 A j ckD Fa
Address:
q u Act `1 �, - — '�
City ' State zip Code"
Contractor: `j( \iU
Phone: Fax:
Address:
City
State
Zip Code
Riz Applicant: \_Q --
Phone: Fax:
Address:
City
State Zip Code
n Architect:
Phone: Fax:
Address:
City
State
WA State Contractor License #: (i_Lei NContact.
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: ii
OW
DJMENSIpNS: / el
`Z).2--0qcZ • ‘
# OF STORIES:
MAIN FLOOH TO SQ. FTG:
al0
2ND FLOOR SQ. FTG:
/WA
UNFIN BASEMENT SQ. FTG:
/'
E
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
`-Yi
CONSTRUCTION TYPE:
DECK/COV. PATIO SQ. FTG:
/S
HEAT SOURCE:
nCr� !FANCY
P„� . GROUP:
e
# OF BEDROOMS:,
TOTA HABIT,:LE PACE:
IMPERV!OU URFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? pw iQ
•
Snokane
\7aiiey
Project Address:
Owner: \) I f
Mailing Address:
Contractor:
Mailing Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA OO'na
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: --
phone (Daytime Contact):y,i
City t State Zip Code
Lc s� �:, -V' Phone #:
Cit\, State Zip Code
License #:
•
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
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
rating)
More than 400,000
X
0100.00
=
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
1
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)
11
X
01.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
3
X
010.00
=
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 11 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
060.00
=
30
LPG STORAGE TANK
X
010.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
0
METHOD OF PAYMENT:
CICASH D CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
S�I'
Naley
Project Address: (5kC) S. j(� " C -e..- e_d
Owner: ` i) : ` `f i
Mailing Address: x;
Contractor:
Mailing Address:
'TN...yy1
•
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9520t 41)
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): ..�-`;-.-P- --i((.1.:,-
-.,
. i-? fir, ---'- '-. -- r
r..
City C. State Zip Code
License #: 'i.:1,, - w: >' Phone #: ;l` - tl==E -
l 1.
City
� G
State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
a
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
,9
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
4
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
t
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,
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
DATE:
0 VISA 0 MASTERCARD
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
SITE FLAN
SCALE: 1"= 20 - 0"
LOT 6 BLOCK 1
COUNTRY CROSSING
SPOKANE VALLEY, WASHINGTON
60.15' o`
SIDEWALK
10'-0"
52'-0"
15'-2 1/2"
CONC.
PATIO
\ RANCHER A
\ A \\\\\ \\ \��\\V \\
\, „\
CONC.
PORCH AND
SIDEWALK
UNDER
GROUND A
POWER
CONCRETE
DRIVE.;
WATER
SIDEWALK
60.25'
LONE TREE ROAD
CURB
SEWER
CROWN OF STREET
CROWN OF STREET
SIXT1-1 AVENUE