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2005, 10-13 Permit Apo: 05003679 ResidenceProject Number: 05003679 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/13/2005 Page 1 of 3 Project Information: r Permit Use: NEW RESIDENCE W/ATTACHED GARAGE -GAS Setbacks: Front 33 Left: 6 Right: 5 Rear: 20 Site Information: Plat Key: Name: Hidden Valley MOOMMINSMOISSMSZMON Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C - S - Z: HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: District: East Parcel Number: 55073.1909 Block: 1 SiteAddress: 17501 E MANSFIELD AVE Location:: CSV Zoning: UR -3.5 Water District: Area: 6,500 Sq Ft Urban Residential 3.5 Lot: 9 Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Width: 65 Depth: 100 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: mmg,,,,,,,,,,,,mcmg-xeszammg, Review Site Plan Review Released By: Plan Review Originally Released: 10/13/2005 By: CBATES Released By: Approach / Drainage Originally Released: 10/13/2005 By: TMELBOU Released By: Sewer Review Permits: Originally Released: 10/13/2005 By: CJJANSSE [Released By: Operator: CJJ Printed By: CJJ Print Date: 10/13/2005 Project Number: 05003679 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/13/2005 Page 2 of 3 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 Description Grp Type BASEMENT F R-3 VB GARAGE U-1 VB RESIDENCE R-3 VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Notes Contractor: FITTING MECHANICAL Address: 10223 HAPPY TRAIL RATHDRUM, ID 83858 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS GAS LOG OR GAS INSERT HOOD -TYPE II Units 1 1 Approach Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Unit Desc NUMBER OF NUMBER OF Fee Amount $25.00 $25.00 Permit Total Fees: $50.00 Building Permit Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 This Application: Total Project: So Ft Valuation So Ft Valuation 714 $14,280.00 714 $14,280.00 494 $9,386.00 494 $9,386.00 1,249 $93,275.32 1,249 $93,275.32 Totals: 2,457 $116,941.32 2,457 $116,941.32 Units 1 1 1 Unit Desc SELECT SELECT SELECT Fee Amount $1,088.95 $4.50 $435.58 Permit Total Fees: $1,529.03 Mechanical Permit Units 1 1 3 4 Operator: CJJ Printed By: CJJ 1 1 Firm: FITTING MECHANICAL Phone: (208) 687-6949 Unit Desc Fee Amount NUMBER OF $10.00 NUMBER OF $12.00 # OF UNITS $3.00 NUMBER OF $40.00 NUMBER OF $10.00 NUMBER OF $10.00 Permit Total Fees: Print Date: $85.00 10/13/2005 Project Number: 05003679 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/13/2005 Page 3 of 3 Contractor: BELKNAP PLUMBING Address: 3414 S ADAMS RD VERADALE, WA 99037 Notes: Payment Summary:.a Permit Type Approach Building Permit Mechanical Permit • Fee Amount $50.00 $1,529.03 $85.00 Plumbing Permit Firm: BELKNAP PLUMBING Phone: (509) 921-5913 Invoice Amount $50.00 $1,529.03 $85.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $50.00 $1,529.03 $85.00 $1,664.03 $1,664.03 $0.00 $1,664.03 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: CJJ Printed By: CJJ Print Date: 10/13/2005 Permit Center Spokane 11707 E Sprague Ave, Suite 106 4000 Val /eY Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www•spokanevallev.org.com Residential Construction Permit Application PERMIT NUMBER,„5 W PERMIT FEE: New Construction o Addition/Remodel o Other: o Accessory Bldg o Deck SITE ADDRESS ng:,,c) 1 6. ++ -- ASSESSORS P CEL NO: 5 � ,3 15 LEGAL DESCRIPTION: W� q ova_ Building owner DIMENSIONS:�� , Name: TOTAL HABITABLE SPACE: Name: v \...x Yr\ 2Nu FLOOR SQ. FTG: , City: Zip: Address: )kset ;t3 Lic No: V k.vi_t ; ii CC 6)Exp. Date: City: \,k‘ k CONSTRUCTION TYPE: , vD ..)TA (L- ,, r Zip: i i; l's"-, ?ij SEWER OR SEPTIC? --(nJ E—JZ ` Phone: t),,-6-0,', '1U- ( CIL, Fax: c'r 1(),4-k.j ) Contact Person Name: Phone: Describe the scope of work in detail: Contractor DIMENSIONS:�� , Name: TOTAL HABITABLE SPACE: Address: 2Nu FLOOR SQ. FTG: , City: Zip: Phone: Fax: Lic No: V k.vi_t ; ii CC 6)Exp. Date: City Business Lic No: CONSTRUCTION TYPE: , vD ..)TA (L- Cost of Project: **************The followinE MUST be complete: (write N/A if not applicable)********************** HEIGHT T. PEG, w DIMENSIONS:�� , # OF STORIES: TOTAL HABITABLE SPACE: MAIN FL•OR TO SQ. FTG: ' , _ J i 1 [ T 2Nu FLOOR SQ. FTG: , UNFIN BASEMENT SQ. FTG: ,) IMPERVIOUS SURFACE AREA: G(o FINISHED BASEMENT SQ. FTGT]f GARAGE SQ. FTG: c! <_. Lk. -1 DECK/COV. PATI S . FTG: �U 30% SLOPES ON n_ PROPERTY: /3/ t---i- '� # # OF BEDR6OMS: n CONSTRUCTION TYPE: , vD ..)TA (L- HEAT SOURCE: ��7/1- SEWER OR SEPTIC? --(nJ E—JZ 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature 0104 1 ,JJl_iCl..l, Date Method of Payment: (Faxed permit apple tions will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: ❑ Other Authorized Signature: REVISED 8/25/2005 Can 24 hours bJ0 iusnection required Phone 509.688-0036 Fax 509.68-0037 I pey DEPARTMENT OF PUBLIC WORKS Antfctpatad start data Permit # PW APPROACH PERMET APPLEGATFOR M..4= Location of property 11 (1,kddresWParcel #, if amil aablle) Applicant F,;",arrge f \ 11 " 11-3 Address Ok)0,11LLJALPhone A„ Contractor's klanie... U.1/r6:41.i,..r-t" On Address kU. OLP Phone -CO Contractor's Rege ‘1/4!!e eM Expires PROJECT DESCRIPTION (Provide site sizetotn) 1 1 ResidentialDtiveviray Existing Curb & Gutter Culvert installation Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction Other conditions 1,)AMP,Ithil ( See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. SPECIAL CONDITIONS: PERIMT FEE $ Inspection Fee$ I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Date LELLLeof Fees Paid$ Signature Date IrLit ** TOTAL PAGE.05 ** Permit Center Spokane 11707 E Sprague Ave, Suite 106 ley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.ore..com Mechanical Permit Application o Commercial o Residential SITE ADDRESS `-1 3V \ Building owner Name: X it )(�(,, 11 C ttY\ (' Phone: n(`j�l.� n Fax _A- '7 -u tl Inc (lf,• t 9 l ,� City Address: 4-tQrr W)(I11 �`k' ,£ t to in State -to Zip 1;)p). a�s Contractor Name: P' n Phone: Fax: 11( q Address: 1 City State Zip License No: City Business License No: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or Tess 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 $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 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 t X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) '2j X $1.00 = 18 DUCT SYSTEMS X $10.00 19 VENTILATING FANS 4 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 $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I 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 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: ❑CASH 0 CHECK 0 VISA 0 MC DATE: rnRn n. EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Spokane jUalley DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION \l 0_,..-C*-)451-R-LACTL PART IAPPLICANT: V( KSI067 MAILING ADDRESS: carcf:DS. t4A.` D A')E CITY: 1o.,�s7L" IJ - STATE: ) A' - O PHONE: (HOME) 2.1* -1 Ca- `dip (WORK) (CELL) ZIP: 83U 35 - NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW LEGAL OWNER: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: (HOME (WORK) (CELL) TAX PARCEL No: LEGAL DESCRIPTION: LQ -1--- 1 isb VA L L ', STREET ADDRESS OF SITE: 3t_cDc.,kz--, ) y 4N5 l -k ► 3 Cr ?Yo l,3 SECTION(S) TOWNSHIP RANGE ZONING CLASSIFICATION: COMPREHENSTVE PLAN CATEGORY L O YJe rjl'1 TYPE OF ADMINISTRATIVE EXCEPTION REQUESTED: 2...e IC_ ►Ge.I4kIZ �14Q�� 5€ ZAc__. 7-.cT257-- 7 c 1 cj EXPLAIN REASON FOR REQUEST: h i -t- JZ-ezAR. S f A l" 5 --Top Dk S ► 11�L� �f UA��/.�cc^_.� i7 �— 1 �-(• aS to. l o� c `c5` F - `i .i- —�—,� -�"-01,) l 136:-/ �'V iJ e C (7 O - �C\F"t t3E Y A LL ... yr APPLICABLE SECTION(S) OF ZONING CODE: NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE LNCLUDED WITH THIS APPLICATION PART II LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) I,ZIrqj1 US(Y) , (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. ADDRESS: U\e>� � (City) n, PHONE: l>?', I lG P TV ZIP: ttr3 33 (Signature) (Date) STATE OF WASHINGTON ) ss: COUNTY OF SPOKANE ) NOTARY (For Part II above) 411 SUBSCRIBED AND SWORN to before me this U day of 11 11 , 20 Oen �i)\)0 NOTARY SIGNATURE Notary Public in and for the State of Wg#en Residing at: 1 l CLUT),CCL 01\A My appointment expires: ck 13 PART III (To be completed by the Planning Staff) DATE SUBMITTED: �� "�,� C_ RECEIVED BY: FEE: FILE NO.: PART IV DETERMINATION File No: AE -136 - C The Department of Community Development fmds that the information provided by the applicant and required compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not adverse affect on the adjacent properties nor the public's general health, safety and welfare. The Department of Community Development approves / denies this "Administrative Exemption" as conditioned below, for the property described in Part I, pursuant to Sections 14.506.000 and 14.506.020 of the Zoning Code. This administrative exception is subject to the following conditions of approval: 1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future property owners, heirs or any successor in interest to the property subject to the conditions of approval contained herein. 2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code. 3) The applicant shall comply with all applicable development regulations and standards. 4) The applicant and property owner shall comply with the following additional conditions: This administrative exception is hereby approved this day of C �c /7 cJ� , 20GJ Approved by: C /^ l% C -= Title: Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendar days after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call (509) 921-1000 Rev 6/03 '',7105 09:03 2087624507 VIKINU UUNSi srOn4 CaMY; Site Information I�A1t'`NXI`dT OF `3UYLJJ1NG V toabrw Y A%i�rtr '' S Fc Site Address: 17501 E MANSFIELD AVE Parcel Number: 55073.1909 Subdivision: HIDDEN VALLEY ADD Block: I Lnt: 9 Zoning: LDR Low Density Residential Owner: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Building Inspector: Dar Howard Water Dist: Project Information Project Number: 05007880 Inv: I Issue Date: 10/17/2005 Permit Use: NEW SEWER CONNECT, HIDDEN VALLEY Applicant: VIIUNG CONSTRUCTION INC 2605 W HAYDEN HAYDEN LAKE. ID 83835 Phone: (208) 762-9106 Contact: VIKING CONSTRUCTION INC 2605 W HAYDEN HAYDEN LAKE, IA 83S35 Phone: (208) 762-9106 Setbacks - Front: Left: Right: Rear: Group Name: Protect Name: 1 Permits Sewer Connection Permit Contractor: OWNER License p: OWNER SEVER CONNECTION 1 U5.00 PROCESSING FEE 1 $15.00 Total Permit Fee: 5100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE- REQUIRED. Contractor or applicant is to field locate and confirm the cicvaticn and position of sewer stub prior to any other excavation. Sewer stubs arc to be checked prior to connection to ensure that they have acceptable grade and arc clear and unobstructed to the main sewer. Sewcr lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG. (509)456.8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER 13E NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS rN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including chose related to trench safety. Payment Summary Total Fees Amount Paid AmountOwine $100.00 $100,00 50.00 Iran Date Receipt # Payment„ Ella 10/17/2005 6451 5100.00 Prncessed By: Hansen, Toni Printed By: HINTZ, FAITH Page 1 of 1 OCT 23 2005 09:25 PERMIT 2087624507 PAGE.03