2005, 04-20 Permit App: 05001273 Residence Project Number: 05001273 Inv: I Application Date: 04/20/2005 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 INC
NATURAL GAS Address: 2604 W HAYDEN AVE
C-S-Z: HAYDEN LAKE,ID 83835
Setbacks:Front 39 Left: 5 Right: 10 Rear: 35 Phone: (208)762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: Sout
Parcel Number: 45213.3304 Block: 1 Lot: 4
SiteAddress: 1306 S VAN MARTER LN Owner:Name: VIKING CONSTRUCTION INC
Address: 2604 W HAYDEN AVE
Location::CSV HAYDEN LAKE,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: 114-
Plan Review Released By: 1 / ' .1
A,
7 Li
it r : Released By:
CSOC%, c ciS
Operator: K_C Printed By: K_C Print Date: 04/20/2005
Project Number: 05001273 Inv: 1 Application Date: 04/20/2005 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 1232
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VB 18 $270.00 18 $270.00
GARAGE U-1 VB 440 $8,360.00 440 $8,360.00
RESIDENCE R-3 VB 1,232 $92,005.76 1,232 $92,005.76
Totals: 1,690 $100,635.76 1,690 $100,635.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $999.35
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $399.74
Permit Total Fees: $1,403.59
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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: K_C Printed By: K_C Print Date: 04/20/2005
Project Number: 05001273 Inv: 1 Application Date: 04/20/2005 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 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 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Notes:
Payment Summary: ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,403.59 $1,403.59 $0.00 $1,403.59
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,555.59 $1,555.59 $0.00 $1,555.59
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: 04/20/2005
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•
BUILDING PERMIT APPLICATION WORKSHEET
: San'ort - -.,.,..
City of Spokane Valley Community Development Department
P Mane ,
� —( 'H Building Division
�r II11707r Sprague Avenue, Suite 106
400 a I Spokane Valley, WA 99206
w L. F t: ,one: (509) 688-0036;Fax: (509) 688-0037
(IailiFilEiVgiiig ii40.6RMATION
Street Address: \-6z ,.p 5 vC ,1 mc -- \.
Assessor's Tax Parcel Number(s): LkbcD\3(4'Q5
Legal Description: LTA- q a\L \ rC(r15 T6,,a_.
PERMIT DESCRIPTION: `11T ,to 1 rinks )j q 'V i CI. . Cjy
+uilding Permit n Change in Use n Grading n Manufactured Home
C Relocation ❑ Tenant Improvement n Fire Safety [ Other
OWNER/APPLICANT INFORMATION
I
17/- Owner: ut.Ln
Qfl -rftfI La 2--- Applicant: �\,_iccA >
Phone: '1(D -cd Fax: • . - CI Phone: Fax:
Address: ,• k \ , ' '' Address:
City State Zip Code City State Zip Code
RJ ' Contractor: n Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: V UL\ \c bj'Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:or ,+t DIMENSIONS: 35 X s._6t I #OF STORIES: 1
MAIN FLOOR TO `CF G 2"" FLOOR SQ. G: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENTS . FIG: GARAGE SQ. TG: Lk ulla+ DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROU CONSTRUC,T iON TYPE: HEAT SOUROE:
#)cj LC FA 04( L.. '( (21=S c'Pew-rriA I c-- C-r AS
#OF BEDROOMS: TOTA i HABITABLEHBI�' SPACE: IMPERVIQU SURFACE AREA:
3
COST OF PROJECT: 30% SLOPES N PROPERTY: SEWER AOR ON-SITE SEPTIC
A SYSTEM? 5�
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
❑ BOLTING ri CONCRETE ❑ REINFORCEMENT n 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 own
z,
Print Name /"r0,7,e 47- /6,7d Signatur-
Method
of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 7 Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
r •
MECHANICAL PERMIT APPLICATION
smv
lle City of Spokane Valley Community Development Department 1
BuildingDivision
,�����E
11707 E. Sprague Avenue, Suite 106
e I Spokane Valley, WA 99205
41100
Phone: (509) 688-0036; Fax: (509) 688-0037
2 \(0-1C1
� !� `/ FOR INSPECTIONS, CALL (509) 688-0054
J �jLP \0-1 1 n V.�if la.. i Permit Use: �‘`+--
Project Address:. r
Owner: \I k<i �-"', i c= 'I f --t_o n, D-1.` Phone (Daytime Contact): ,1--)T-7,:' --ii� --C-i it L-
t
Mailing Address: ,':-''''4,-.C. t_,._), Ci,„% il`, 3 :.Y' 1 ; . ..tt )'^\ ,t_t.i `C';:-le;-;<)
\ C t State Zip Code
'i ` -; s1t,r. Ih Vii_ License#: Lc)--<-,--.-f)F-�L-E('': Phone#: - ' `"?' -'iii-,`� .
Contractor: x�t �- `
Mailing Address: 1-,7 1 (�E "6r�4'-4 Ni'x�, 'v- Wilk I .s�'\ -E �Z''s".Z _i"1�
City, State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1
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 =
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 1,001-1,75DM 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 =
13 RANGE 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) cD 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 OEM X $19.00 =
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE 1 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 STOVJINSERT X $10.00 =
32 WOOD STOVE-FREE STANDING X $25.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK ❑VISA 0 MC DATE: PROCESSING FEE $35.00 1
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
• /►
PLUMBING PERMIT APPLICATION
0 Oarvcin ka City of Spokane Valley Community Development Department
p0 C BuildingDivision
11707 E. Sprague Avenue, Suite 106
40001%11eY Spokane IV alleys WA 9'320E.Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: Y30,1 . Vit mevor Permit Use: -t;' `
t1 . °"-, "l 1 il'1 . 1 • ��1 (Daytime moi , � •L�_�1tm ;'
Owner: ‘ `, ,i t � ;: >>1 :,_;<. e- A Phone Qa ime Contact -- 1 C ,
•
,t
Mailing Address: R f "a h ' G a, ;, r i ; r=' �J'-E :: "� r
',, . City t. State Zip Code
Contractor: r J . 1 i; ) I` ,)_a I i iT ( r� 'r License#: TTS,LV ,;t Cl'.eu,i hone#: ,,._. i - ,2:i' _. _I f. �
Mailing Address: tt-c _cl •c,- 'A1k . (-'',. . Vi;V'`t rE r', ..• k,4,,. '-'0,_:) I
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS Q X $6.00 =
2 URINALS X $6.00 =
3 TUBS a X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT eD X $6.00 =
5 SINKS LAVS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD, 1
PREP/CULINARY/MEAT
6 DISHWASHER 1 X $6.00 =
7 CLOTHES WASHER I, X $6.00 =
6 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, 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 ❑ VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct M
representation of the proposal. All known property w
lines/dimensions,curb lines,structures and easements
have been identified. Also indicated are wetlands,
bodies of water, s p
Signed: slopes oro er n 1 areas.
''�
Date: y/.. C-
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