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2005, 04-20 Permit App: 05001272 Residence • Project Number: 05001272 Inv: 1 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 38 Left: 5 Right: 5 Rear: 45 Phone: (208)762-9106 Group Name: Site Information: Project Name: Plat Key: Name: RANGE District: Sout Parcel Number: 45213.3305 Block: 1 Lot: 5 SiteAddress: 1310 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: (4,iti/G fru", Plan Review Released By: � �/ -L inn Released By: Operator: K_C Printed By: K_C Print Date: 04/20/2005 Project Number: 05001272 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 1175 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 16 $240.00 16 $240.00 GARAGE U-1 VB 360 $6,840.00 360 $6,840.00 RESIDENCE R-3 VB 1,175 $87,749.00 1,175 $87,749.00 Totals: 1,551 $94,829.00 1,551 $94,829.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $958.75 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $383.50 Permit Total Fees: $1,346.75 Mechanical Permit Contractor: FITTING MECHANICAL Finn: 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: 05001272 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 3 NUMBER OF $18.00 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: $72.00 Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,346.75 $1,346.75 $0.00 $1,346.75 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $72.00 $72.00 $0.00 $72.00 $1,492.75 $1,492.75 $0.00 $1,492.75 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 BUILDING PERMIT APPLICATION WORKSHEET 2- ❑ C,ityafl 14 k. - Valley Community Development Department SÔkneE w Lc Building Division val 1707 F. Ave , ,Spraguenate, Suite �06 -;3UOLDEIN d Spokane y40000 ( one: (509) 688-0036; Fax: (509) 688-0037 I REQUIRED SITE INFORMATION �I Street Address: i3 t 0 J, Yb-r\ \\ l_n . Assessor's Tax Parcel Number(s): Y)a t act`Gl.p 5 Legal Description: 6 /-6( _ ' Yw1.S -P6-0-- PERMIT DESCRIPTION: S leq,e, t IlyANt (Rof .\I l ci K0Ack t - • wilding Permit [l Change in Use ❑ Grading Manufactured Home ❑ Relocation n Tenant Improvement n Fire Safety n Other OWNER/APPLICANT INFORMATION � Owner: . .►_• .\ 'it( _` Cr` Applicant: SUS-�-- Phone: ')k> * �i p Fax: 1 -iA Phone: Fax: Address: .,- • ye" .- Address: City State Zip Code City State Zip Code [ii/Contractor.�y)L A _ ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: V'J1JM(`X12 )c6).3-Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: 1 1 ' 3(f DIMENSIONS: LkOt k S�� #OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ..FIG: UNFIN BASEMENT SQ. FTG: U .-1S- FINISHED l �S J2 FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COY.P TIO SQ. FTG: OCCUPANCY GI QPP: CONSTRUCTION TYPE: HEAT SOURCE: St SLC 1-A1041 1/4...'-r 4..es c De.h.7t"s4t L.- .4 # OF BEDROOMS TOTAL`HABITABLE SPACE: IMPERVIAU�,SU FARCE AREA: COST OF PROJECT: 30% SLOPE ON PROPERTY: SEWER ORSITE�SEPTIC , Q/P SYSTEM? 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: 1 WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Zip Inspector: Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS El BOLTING ❑ CONCRETE El REINFORCEMENT ❑ 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 Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check 7 Mastercard n VISA 0 Other Bankcard#: Expires: VIN#: Authorized Signature: sokanePLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department Bnud, Si e 1 i 0n 11707 E. Sprague Avenue, Suite 106 lley Spokane Valley, WA 39920E 4 0 0 0*V Phone: (509) 688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 10 •, I. ► LJ - Permit Use: -=' Project Address: _ << ; ,.� Phone (Daytime Contact): —fit oc Owner: r I�i ` I �l .E , r--,,�-, Mailing Address: - ` _:-,Cs, t s r^r '� City t State Zip Code -te ' " - t.„.,Ph- C t Phone#: C-I - Contractor x k' °� "`€ License#: � 1 �.i�, Mailing Address: tp 7i nryF k City �` State Zip Code #OF ©UNITS COST e AMOUNT TOTAL DESCRIPTION OF WORK 1 TOILETS WATER CLOSET,BIDETS =© $6.00 $6.00 111 2 URINALS d $6.00 Ei 3 TUBS ©'© $6.00 n 4 SHOWERS PER TRAP BATH,STALL,ON-SITE BUILT 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN,LAUNDRY,UTILITY, $6.00 JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT t e $6.00 IN 6 DISHWASHER l © $6.00 7 CLOTHES WASHER i El © $6.00 111 8 GARBAGE DISPOSAL © $6.00 9 WATER SOFTENER © $6.00 ri NOTE: IF GAS,SEE MECHANICAL - 111 10 ELECTRIC HOT WATER TANK II 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, © $6.00 CONDENSATE © $6.00 12 ROOF DRAINS/OVERFLOW DRAINS El © $6.00 n�� 13 FOUNTAINS,DRINKING © $6.00 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, REVERSALS II - VENT, PLUMBING,REVERSAL REPAIR IN 15 SEWAGE EJECTOR GRINDER SUMP PUMP © $6.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, $6.00 CARBONATOR,SWAMP COOLER CHECK BREAKER. 17 CROSS CONNECTION DEVICE VACUUM $6.00 VALVE,AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, III $6.00 II CHEMICAL HOLDING TANK OXYGEN _© $6.00 II 19 MEDICAL GAS .-routlet NITROUS, $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE SUBTOTAL 111METHOD OF PAYMENT: PROCESSING FEE $35.00 0 CASH 0 CHECK 0 VISA 0 MASTERCARD EXPIRES: TOTAL PERMIT FEE DUE: DATE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: a , • MECHANICAL PERMIT APPLICATION c1T1 �q City of Spokane Valley Community Development Department IACIne BuildingDivision i 1707 E. Sprague Avenue, Suite 106 VgleV Spokane Valley, WA 99205 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address:. < \10 Permit Use: ,` - Owner Ai,;i i ;"Y') i G;,,n.c. -t'I 4-1_1-,', "-LAC_ Phone (Daytime Contact): ,=Y -T;._--L i f_ L Mailing Address: <-4(!r,i_� ;,.._,,L-1 , i . _.C L'. n 1-432$ c r \ Jjr e;St..�','6 r+-t .1-r i 1 City State Zip Code Contractor: ---Li.,i, "T id's' �3J\ ffj License#: ;= '. mm Phone#: -;Err-'" c, '. (r,5-r Mailing Address: r i; 6f: t '4,i l L%_i L IL .4,-.c,:;-•, -i -(--7;i 5. City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = 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 = 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 = 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) t t� X J $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 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 t 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 = r - 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANKX $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#: EXPIP,ES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: H 4 This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation property • tines/dimensions,of curbthe linesproposal.,structuresAllknown and easementsH have been identified. 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