2005, 03-01 Permit App: 05000587 Residence Project Number: 05000587 Inv: 1 Application Date: 03/01/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: VIKING CONSTRUCTION
NATURAL GAS Address: 2605 W HAYDEN AVE
C-S-Z: HAYDEN,ID 83835
Setbacks:Front 39 Left: 5 Right: 9 Rear: 36 Phone: (208)762-9106
Group Name:
Project Name:
Site Information:
Plat Key: Name: RANGE District: Sout
Parcel Number: 45213.9065 Block: 2 Lot: 2
SiteAddress: 1215 S VAN MARTER LN Owner:Name: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
Location::CSV HAYDEN,ID 83835
Zoning: UR-7* Urban Residential-7*
Water District: Hold: ❑
Area: 6,700 Sq Ft Width: 50 Depth: 134 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:•
l ',
/� r
A ler
Plan Review Released 1 F #
Approach/Drainage Rleasety1.t
Sewer ReviewsCER
Releaed3yxr��''� . "
c c 000 q
Operator: K_C Printed By: K_C Print Date: 03/01/2005
Project Number: 05000587 Inv: 1 Application Date: 03/01/2005 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
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 1224
Building Height 18
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VB 25 $375.00 25 $375.00
GARAGE U-1 VB 516 $9,804.00 516 $9,804.00
RESIDENCE R-3 VB 1,224 $91,408.32 1,224 $91,408.32
Totals: 1,765 $101,587.32 1,765 $101,587.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,004.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $401.98
Permit Total Fees: $1,411.43
— Mechanical Permit
Contractor: FITTING MECHANICAL Firm: FITTING MECHANICAL
Address: 10223 HAPPY TRAIL Phone: (208)687-6949
RATHDRUM,ID 83858
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: K_C Printed By: K_C Print Date: 03/01/2005
Project Number: 05000587 Inv: 1 Application Date: 03/01/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509)921-5913
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 1 NUMBER OF $6.00
Permit Total Fees: $72.00
IONSMSPERII
Payment Summary• - _ �.... � , �:.�, m: W .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,411.43 $1,411.43 $0.00 $1,411.43
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,568.43 $1,568.43 $0.00 $1,568.43
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: 03/01/2005
;y`
�l �Y_.. BUILDING PERMIT APPLICATION WORKSHEET
CITY° Ci' f S ra Valley Community Development Department
poene . - Building Division
Valley -- ; 11707 r. Sprague Avenue, Suite 106
Spokane Valley, VVA 99206
.000
�� D rye: (509) 688-0036; Fax: (509) 688-0037
0CfO1. DflN
REQUIRED SITE INFORMATION
Street Address: 1 `). Y
Assessor's Tax Parcel Number(s): 5 31301 l.A.0 ' s 4 rj ` J CI bLoG1
Legal Description: ?)\V I C r v5 TbQ _
PERMIT DESCRIPTION: -CAM Ij \ij) 1°l(�j LO t ( eic-
1-- Building Permit 1 I Change in Use ( I Grading 7 Manufactured Home
I Relocation Tenant Improvement Fire Safety 1 1 Other
OWNER/APPLICANT INFORMATION
Owner: Y( K Uv-_t Q Applicant: `Y Lam.
Phone: 1tL4 -cl1plo Fax: —1L4—�� Phone: Fax:
Address: avtt�`� U . `<<G r\ Address:
City State Zip Code City State Zip Code
__V Contractor: ( ,k3,1-1 Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: 'V W\ IJ(' Q?)di\T Contact:
PERMIT1BUILDING INFORMATION
HEIGHT TO PEAK: i e t s.U DIMENSIONS: 6 > #OF STORIES: '
MAIN FLOOR TO SQ. FTG: 2"U FLOOR SQ. FT UNPIN BAS7 NT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
f�
I OCCUPANCY GROJ'P: CONSTRUCTION TYPE: HEAT SOURCE:
e. c t�7t z. HhMtC.-`t' Les(PTAL_._ I aelAS
# OF BEDROOMS: TOTAL HABITABLE` � �
SPACE: IMPERVIOUS SURFACE REA:
COST OF PROJECT: 130% SLOPES ON� PROPERTY: I SEWER OR ON-SITE SEPTIC I
� /
V� I SYSTEM? 5EGU
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:Evia[�u�a�.�uic�.
{ --- RELOCATION -- --
--
Previous Address:
Proposed Use:
FIRE SAFETY
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 Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
I I BOLTING CONCRETE fl REINFORCEMENT WELDING
Firm Name: Phone: Fax:
I nspector(s):
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)
7 Cash 7 Check IT Mastercard • 7 VISA' Other
Bankcard #: Expires: ' 'il4#:
Authorized Signature:
MECHANICAL PERMIT APPLICATIONy Community Development Department
Sn(��can City of Spokane Valle
��1��lliiulll BuildingDivision
•
c�
40000\
11707 E. Sprague Avenue, Suite 106
'a ev Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. ID-_15 0,Mi.. Permit Use: t'---
Owner: I; ' ' ' -,;\ezz.', I 4 -r\r\ etc. Phone (Daytime Contact): ,' -,-'1'3---ci t ^;
Mailing Address: ,C Ui, I 1" C Yah , TIM '- "7
City State Zip Code
Contractor: kaisf P Me:Pj O Ct �rs� ' License#: L D ` L-!h Phone#: fir;'�Air,51';`,
Mailing Address: fr1 e i,)?ri\�l- U%lI tom_4 ' t,� TI -a
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 t 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 =
USED APPLIANCE(WSEC min,AFUE
5_ rating) Equal to or less than 400,000 X $50.00 =
USED APPLIANCE(WSEC min.AFUE
6 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 =
,3 RANGE i
` X $10.00 =
14 DRYER X $10,00 =
15 FUEL BURNING WATER HEATER i X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 3 X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 3 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 1 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: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
I t
PLUMBING PERMIT APPLICATION ,
SpoKane` � 0111\ City of Spokane Valley Community Development Department
BulldingDivision
Valley
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920b
,,,
\\(\C4\
/ Phone: (509) 688-0036;Fax: (509)688-0037
\J 1 �iJ( l FOR INSPECTIONS, CALL(509)688-0054
Project Address: 1. -I 5 > • V Cc�X�\ X1•0=au'■-%o •U l• Permit Use:
Owner: �1 ki in k:}� - c_i-iCA Phone (Daytime Contact): --/V� -QI ,
Mailing Address: (,C r)r) 1a i E t c. o i� ' W i I j.'0 a� t' fe- r5
W city State Zip Code
Contractor: l .:?. L �x -, r " 17`u ri,1 License#: ?{;LV - U€•,, hone#: .P.xzei--Qai- nci 1--
Mailing
3Mailing Address: VzIlit 6 rl Cf' u1/4.--jr,„1/4 q qt3-7
_
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS a X $6.00 =
2 URINALS X $6.00 =
3 TUBS D X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT g X $6.00 =
5 SINKS LAVS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD, t 1
PREP/CULINARY/MEAT ^'t
6 DISHWASHER t X $6.00 =
7 CLOTHES WASHER t X $6.00 = OM
8 GARBAGE DISPOSAL t X $6.00 = El
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, X $6.00 =
CONDENSATE
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 =
VENT, PLUMBING,REVERSAL REPAIR,REVERSALS
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER,
HOSE BIB,STEAMER,PROOFER, X $6.00 =
CARBONATOR,SWAMP COOLER
17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK
VALVE,AND R.P.B.P.D.FOR: X $6.00 =
VATS,TANKS,BOILERS . ,
18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK
19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 =
METHOD OF PAYMENT: SUBTOTAL
❑ CASH 0 CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
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