2005, 03-01 Permit App: 05000592 Residence r T
Project Number: 05000592 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: 7 Rear: 44 Phone: (208)762-9106
Group Name:
Site Information Project Name
Plat Key: Name: RANGE District: Sout
Parcel Number: 45213.9065 Block: 2 Lot: 4
SiteAddress: 1223 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: intrip . r „ u ...m mr...W. . . ,, w u maammmtimomm
Review
Site Plan Review I Released By: _/L.If
Plan Review Released',By: 1 <
Approach/DrainageReleased By -
Sewer Review Released,By _ _
o ,
Permits: >. aa ;a m :: ,. rmcw trraairs .�, a;� r
Operator: K_C Printed By: K_C Print Date: 03/01/2005
L T
Project Number: 05000592 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 1916
Building Height 20
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VB 917 $18,340.00 917 $18,340.00
CARPORT U-1 VB 108 $1,620.00 108 $1,620.00
GARAGE U-1 VB 364 $6,916.00 364 $6,916.00
RESIDENCE R-3 VB 999 $74,605.32 999 $74,605.32
Totals: 2,388 $101,481.32 2,388 $101,481.32
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 2 #OF UNITS $2.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $84.00
Operator: K_C Printed By: K_C Print Date: 03/01/2005
Project Number: 05000592 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
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Payment Summary: n.grf -.-rommamagz c.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Penint $1,411.43 $1,411.43 $0.00 $1,411.43
Mechanical Permit $84.00 $84.00 $0.00 $84.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$1,591.43 $1,591.43 $0.00 $1,591.43
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: KS Printed By: K_C Print Date: 03/01/2005
- BUILDING PERMIT APPLICATION WORKSHEET
{
SOkCiT� - ` --\ Valley Community Development Department
ane Vi`lt "+/`po,0,00V %:/0( E. Sprague Avenue, Suite 106
i . - Spokane Valley, WA 99206
gj3iikrgone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: VW)) J . \(W(\ \j-\ f V- -
Assessor's Tax Parcel Number(s): 15 D 13c [Du, 14 6 13 CCL L y to
Legal Description: LOA- VV__ D Noyy -. Q
PERMIT DESCRIPTION: cqlQ. (N.,(\,- Lk 12.5 IetD trU C) W1 a l \_9JJl ikcI ( CT.
wilding Permit Change in Use I I Grading ❑ Manufactured Home
n Relocation Tenant improvement I j Fire Safety Li Other
OWNER/APPLICANT INFORMATION
•
[/ Owner: L F,v, C0M4 ftCAI on I-9/ Applicant: (SC9L'\-(2
Phone: 'iuj -caDO Fax: "")lp,L1$hl Phone: Fax:
Address: • ,, _ _ 1 ► .• ► - Address:
City State _tp Cod City State Zip Code
Contractor: cjC - I Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: y14(1tQ(.,1etbl. Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: .4.4)i DIMENSIONS: 3.7 4 x 5b' #OF STORIES: 1 1/�
MAIN FLOOR TO SQ. FTG cck. 21 FLOOR SQ. FTG: z. UNFIN B SEMENT SQ. FTG:
FINISHED BASEMENT S . FTG: GARAGE SQ. FTG: W tr] DEC COV. PATIO SQ. FTG:
at` 7
I OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
1 7t t.ZLt. }-i4M►t...`i gc-S‘E .tJTi/act. 61•
# OF BEDROOMS: Lt TOTAL HABITABLE SPACE; _ IMPERVIOUS SURF/AREA:,
COST OF PROJECT: 130% SLOPES ON PROPERTY: SEWER OR ONS-SITE
1 ! 1---V lit SYSTEM? Su-z-&
i t
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
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
(1 BOLTING CONCRETE REINFORCEMENT I1 WELDING
Firm Name: Phone: Fax:
Inspector(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 Paymee t. (Faxed permit applications will only be accepted with major bankcard)
7 Cash [1 Check 7 Mastercard 7 VISA' [ Other
Bankcard #: Expires:
Authorized Signature:
PLUMBING PERMIT APPLICATION
Sar 0 ane
City of Spokane Valley Community Development Department
Pp0 BuildingDivision
'I E li ey 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920E
Phone: (509) 688-0036;Fax: (509)688-0037
FOR INSPECTIONS, CALL(509)688-0054
Project Address: 1 ' Permit Use: Sr— .
Owner: V ' ' Phone (Daytime Contact):k :—Iii'E-9
Mailing Address: tr.rf) 1 ) aP, 4 i C(10 i� O i j1,,`} \1 i t-,'-'F-,3r)
} r
City State Zip Code
Contractor: lf"�.✓A b'x t-, -i-
kr i k`)€_ni,' License#: if--L -C' 1 i' l�Phone#: � -Qat Cat-:6c-i 13
Mailing Address: _� ', y t `
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6.00 =
2 URINALS % X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
5 SINKS LAYS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD, i 4
PREP/CULINARY/MEAT "( ,
IX $6.00 =
6 DISHWASHER
7 CLOTHES WASHER ` X $6.00 =I
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENERX $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 15
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
0 CASH 0 CHECK ❑"VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
t
vEIF1f1> lllr MECHANICAL PERMIT APPLICATION
()rs 4,4\tikelti
City of Spokane Valley Community Development Department.
BuildingDivision
44,0%. i ii,Vaeyll
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. 11W)) $ . \�0.y� I ' 1s. 1_01.4\32_, Permit Use: t47
Owner: I; rc -n( .r ;
- This site plan is beingsubmitted for the purpose of
�f p p 4
obtaining a building permit and is a true and correct
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representation of the proposal. All known property
lines/dimensions,curb lines,structures and easements .p C_p690,11N, _
diti
have been identified. Also indicated are wetlands, �'y� 4,
Qbodies of wat r p Slopes ua�er gr�tical areas. t`��tils
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