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2005, 06-16 Permit App: 05002052 ResidenceProject Number: 05002052 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/16/2005 Page 1 of 4 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Setbacks: Front 36 Left: 16 Right: 12 Rear: 39. Site Information: Plat Key: Name: RANGE Parcel Number: 55202.1906 Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C - S - Z: HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: ROW Block: 2 Lot: 20 SiteAddress: 614 S MICHIGAN RD Location:: CSV Zoning: UR -3.5 Water District: Area: 10,000 Sq Ft Nbr of Bldgs: 1 Review Information: Review Site Plan Review Plan Review Approach / Drainage Sewer Review Permits: Urban Residential 3.5 District: East Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Hold: ❑ Width: 80 Depth: 125 Right Of Way (ft): 38 Nbr of Dwellings: 1 Released By: l { 1 {1 U 1 L - Released By: �_ 1 1 Released By: _ULI3 Released By: Operator: K_C Printed By: K_C Print Date: 06/16/2005 Project Number: 05002052 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/16/2005 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 1565 21 1 1 Grp U-1 R-3 Units l 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 Building Characteristics Tvne VB VB Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Notes This Application: Sq Ft Valuation 474 $9,006.00 1,565 $116,874.20 Totals: 2,039 $125,880.20 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: K_C Printed By: K_C Permit Total Fees: Print Date: Total Project: Sq Ft Valuation 474 $9,006.00 1,565 $116,874.20 2,039 $125,880.20 Fee Amount $1,139.35 $4.50 $455.74 $1,599.59 06/16/2005 Project Number: 05002052 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/16/2005 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 GAS LOG OR GAS INSERT HOOD -TYPE 1I Contractor: BELKNAP PLUMBING Address: 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 Units 1 1 4 3 1 1 1 Units 2 4 1 1 1 l 1 3 Operator: K_C Printed By: K_C 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 Firm: BELKNAP PLUMBING Phone: (509) 921-5913 Fee Amount $10.00 $12.00 $4.00 $30.00 $10.00 $10.00 $10.00 $10.00 $96.00 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 06/16/2005 Project Number: 05002052 Inv: 1 Notes: Application Date: 06/16/2005 Page 4 of 4 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 Invoice Amount Amount Paid Amount Owing $50.00 $50.00 $0.00 $50.00 $1,599.59 $1,599.59 $0.00 $1,599.59 $96.00 $96.00 $0.00 $96.00 $84.00 $84.00 $0.00 $84.00 $1,829.59 $1,829.59 $0.00 $1,829.59 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: 06/16/2005 *akin?Valley �J .:G LEQt1ERE1)' E'NE44 BUILDING PERMIT APPLICATION/ WORKSHEET City of Spokane Valley Community Development Department it fR,ilrling (litiicinn t'- �� , i i ir, i E. .�nrag us venue Suite 70F (j ) Spokane Valley, WA 99206 e h 5n e: (509) 688-0036; Fax: (509) 688-0037 MATION Street Address: 1U tc_`A,( t' Assessor's Tax Parcel Number(s): Legal Description: 31cdc_ C Lt Cx 5 Ulf -VA S PERMIT DESCRIPTION: Building Permit ❑ Change in Use ❑ Grading [j Tenant Improvement ❑ Fire Safety ❑ Relocation ❑ Manufactured Home n Other OWNER/APPLICANT INFORMATION Owner: V Phone: nka CCU) Fax: Address: ct) . iktiqd0-n —1--t City State Contractor: .FvNsL. Phone: Fax: Address: Zip Code City State Zip Code R Applicant: -r^ Phone: Address: Fax: City State Zip Code 11 Architect: Phone: Fax: Address: City WA State Contractor License #:V' Lt k3@ lct (XJ Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK:,t o -z. -� DIMENSIONS: 5Z 4=11-6 t` # OF STORIES: MAIN FLOOR TO SQ. FTG:' 56,5 2'�" FLOOR SQ. FTG: ��� UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG. N/A. GARAGE SQ. FTG: del 74 DECK/COV. PATIO SQ. FTG: Kir pow OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: (mac /�5 .. Jam_ h OF BEDROOMS: 5 TOTAL HABITABLE SPACE: '6.S` IMPERVIOUS SURFACE AREA: 3OcS' &71)•;7, COST OF PROJECT: 30% SLOPES ON PROPERTY: NVAT SEWER OR ON-SITE SEPTIC SYSTEM? StNF� MANUFACTURED HOME Width: ttita:.t:irvr: Length: Year: Pit Set: RELOCATION Previous Address: Proposed Use: Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth: Tent: Fireworks Display: Blasting: Date/Time: Valuation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Inspector: Phone: Fax: Address: Zip City State Zip SPECIAL INSPECTIONS ❑ BOLTING ❑ CONCRETE Firm Name: I nspector(s): ❑ REINFORCEMENT Phone: 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 Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard VISA ❑ Other Bankcard #: Expires: VIES#: Authorized Signature: *lane .001Valley PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 9920. Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: SFR, Phone (Daytime Contact):k;---V -9/ D illairU City State Zip Code Iii 13 Project Address: k-Dlu J - A Owner: \I 1 . i rc Mailing Address: .Arii',F1 1 i - ! j �Z 0 )-\ Contractor: Mailing Address: 3L t >PAtek s f`,`� • License #:t { Lk(!� - C 1 tPhone #: V?V-Ct c(ri CL City State LiCp 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 17 X $6.00 = 3 TUBS 1X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT d X $6.00 = 5 SINKS LAVS/BASINS, BAR FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT % '`� X $6.00 = 6 DISHWASHER I X $6.00 = 7 CLOTHES WASHER 1 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 f 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 rIATF• ❑ VISA 0 MASTERCARD EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code - 0", *lane • 400,Valley Project Address:. ks\M Owner: i c ' • ' -., C�1t ;r1 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: SEC - 4 "i c_ Mailing Address: 1✓, u3 , ft ir\ At,e Contractor: HI LU ie_PiVjki_r(ti License Mailing Address: ,r -r1 i' , ( ✓ r-rvy- t :i";.i F Phone (Daytime Contact):, .2- 1 Q ( :fit) `e.; City, ' State Zip Code L0- `) Lih Phone #: -C--A(r, , State Zip Code #: C 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 $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 1 X $10.00 = 13 RANGE X 510.00 = 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) y X 51.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 5 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 $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II 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 $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: 0 CASH 0 CHECK 0 VISA 0 MC CARD #: DATE: SUBTOTAL PROCESSING FEE 535.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: 06/10/2005 08:23 2087624507 Scca�N Cou,krt VIKING C:UN51 SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 rmum ULI uo 1 Site Information Site Address: 614 S MICHIGAN RD Parcel Number: 55202.1906 Subdivision: Block: 2 Lot: 20 Zoning: UNK Unknown Owner: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN HAYDEN LAKE, ID 83835 Building Inspector: LEONARD FLUNO Water Dist: Project Information Project Number. 05004027 Inv: 1 Issue Date: 6/9/2005 Permit Use: SEWER CONNECTION - COUNTRY CROSSING Applicant: VIKING CONSTRUCTION INC 2605 W HAYDEN HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Contact: VIKING CONSTRUCTION INC 2605 W HAYDEN HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: VIKING CONSTRUCTION License #: VIKINCI88D.J SEWER CONNECTION 1 $95.00 PROCESSING FEB Total Permit Fee: FOR SEWER INSPECTIONS CALL (S09) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY 1 515.00 8100.00 Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lints should be constructed to allow for gravity flow firom 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 YOUDIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER. BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. Payment Summary Total Fees AmountPaid AmoutttQw nQ $100.00 5100.00 $0.00 Tran Bata Receipt 0 Pavment Amt 6/9/2005 Processed By: BURRIS, ROBIN Printed By: HINTZ, FAITH Page 1 of 1 JUN 10 2005 08:40 3282 8100.00 PERMIT 2087624507 PAGE.02 SITE PLAN SCALE: 1" = 20' - 0" .• 0 or LOT 20 BLOCK 2 d� COUNTRY CROSSING 1ST. ADD. SPOKANE VALLEY, WASHINGTON 80.00' PROPERTY LINE 52'-0" K 12'-0" PROPERTY LINE CONCRETE'i'. 80.00' er PROPERTY LINE SEWER • MICHIGAN ROAD UNDERGROUND POWER rtrererer erect • „r:tr,:c r, ,r Tr:� This sitc plan is being submitted for the purpose of obtaining a building permit and is a true and correct rcprcscntaion of the propsal. All known property line/dimensions. curb lines, structures and casements havc been identified. Also indicated arc wetlands, bodies of water. steep slopes or other critical areas. Signcd: Date: RHEINSCHMIDT, ASHLUND