2005, 04-20 Permit App: 05001278 Residence Project Number: 05001278 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 39 Left: 5 Right: 8 Rear: 35 Phone: (208)762-9106
Group Name:
Site Information Project Name:
Plat Key: Name: RANGE District: Sout
Parcel Number: 45213.3406 Block: 2 Lot: 6
SiteAddress: 1307 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: 'y `)"it,1 f '°
Plan Review Released By:C , W -
_e .5 4.1. ')
01 1 � u )
� Released By; ,
Operator: K_C Printed By: K_C Print Date: 04/20/2005
•
Project Number: 05001278 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 1302
Building Height 17
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 438 $8,322.00 438 $8,322.00
RESIDENCE R-3 VB 1,302 $97,233.36 1,302 $97,233.36
Totals: 1,740 $105,555.36 1,740 $105,555.36
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,027.35
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $410.94
Permit Total Fees: $1,442.79
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 2 NUMBER OF $20.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $64.00
Operator: K_C Printed By: K_C Print Date: 04/20/2005
Project Number: 05001278 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
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,442.79 $1,442.79 $0.00 $1,442.79
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,578.79 $1,578.79 $0.00 $1,578.79
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
r
�} BUIL NG PERMIT APPLICATION WORKSHEET
SÔkne
(� E et * leyCommunityDevelopmentDepartment
Building Division
Valley
11707 E.
z bSprague Avenue, Suite 106
s
.00
Spokane Valley, WA 99206
D D N (509) 685-0036; Fax: (509) 688-4037
�I REQUIRED SITE INFORMATION
Street Address: 13C-1 \1cn \ \\ k
,
Assessor's Tax Parcel Number(s): I-t6ak` iao s 't y 6 13ciGlAol)
Legal Description: \ '6(DLL 1110('t S TCi t 4
PERMIT DESCRIPTION: 1P \ C 1 iliMI'WJ( CCS
wilding Permit n Change in Use n Grading ❑ Manufactured Home
f l Relocation E Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: ` I , 1 � � [V Applicant:
Phone: `11i�.�t10(f; Fax: '�i`pa--t. VC'1 Phone: Fax:
Address: 9ioc W, `n iie- Address:
City State Zip Code City State Zip Code
I -Vr-V Contractor: `�Ck, 2� E Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: NI 16 t ,Clct'taais Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: _14c` DIMENSIONS: 3 -7 ' K S'1 #OF STORIES: C
MAIN FLOOR TO §91IFTa 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATI SQ. FTG:
LA
OCCUPANCY GROUP: C NSTRUC T ION TYPE: HEAT SOURCE:
#OF DROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30% SLOPE_�O,N PROPERTY: SEWER OR Oji-SI�S IC
�/ SYSTEM? +`
MANUFACTURED' OME
Width: Length: Year: Pit Set:
`Manufacturer:turer:
v►ariU►aC�ui ai.
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
1 SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT U 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 p��ner
Print Name r^®4/Z /47 Signature s r
i
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check T Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
MECHANICAL PERMIT APPLICATION
`T' ' City of Spokane Valley Community Development Department
tie BuildingDivision
�
/7����� 11707 E. Sprague Avenue, Suite 106
e T Spokane Valley, WA oo"na
doo
Phone: (509) 688-0036;Fax: (509) 688-0037
t
t
C
�r i Contact):FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. v36---\ ,> . YQ..n \1\0. Ln• Permit Use: ` '
-
-
Owner \/4 K i ;"‘..i-, l r '\�;f-Q'( .( 4"�i ", :r.-C'L..,- Phone (Daytime .��T�• `�E'-- L'(rl :'�;
Mailing Address: mow,,, y L: r 1� 7 .1= i-i , 1`_ ', c i.r\ �;:' � j
L City, t State Zip Code _
Contractor: ` U ,,J-):-)J .(\te'�' ''ei.A:._ri'` ' License#: Lam. �:`-:�F;;il' Phone#: -57:-'----k--'1:)-c(-`-
Mailing Address: r,,4 r E -., .71-1\rvij� i: i;: t P i-17H-: N .--i.
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 I 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 1 X $10.00 =
16 MISC.FUEL BURNING APPLIANCEX $10.00. =
17 GAS PIPING(each outlet) r,! X $1.00 =
18 DUCT SYSTEMSX $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 HOODX $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 I $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
` PLUMBING PERMIT APPLICATION
ScrfY U City'of Spokane Valley Community Development Department
Num BuildingDivision
������ 11707 E. Sprague Avenue, Suite 106
Spokane Valley, W4 99201
Phone: (509) 688-0036; Fax: (509) 688-0037
\r _, A/} FOR INSPECTIONS, CALL(509) 688-0054
Project Address: l'? 5 1 S ` 04 lk� 1* . Permit Use: `::-r`,.
Owner: t'` ,I iIkk; yet s I,," x R"',_,`.i"i.:,::i Phone (Daytime Contact):k. ;-_' , ° -9(L ,
,,^, ? i ^.''� .. ,r-
Mailing
�
Mailing Address: - —,E
,F,,, - 4r l-P f"-;.c; )"4 1--:P, k' r,- .j
'4 -4,a' ,ro, .!J. _ )t. -,:-.,r.
' ;
City t. State Zip Code
u ;i 1 :��, . -i License#. `'`- U : l,T,' LTL'.phone#: "�� Vic;
Contractor: � :,�.� L� �� r; ��•: ( tia_��, ;� I '; e z��� :t �I; -I - ��- I ��
Mailing Address: t_4 y .
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 p! 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,
PREP/CULINARY/MEAT
6 DISHWASHER i X $6.00 =
7 CLOTHES WASHER 1 X $6.00 =
8 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
0 CASH ❑ CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
1
b
obtainingsite aplan buildingisbeing permitsuandmitted is afor truethe andpurpose correctof W
This
representation of the proposal. Ail known property Q
lines/dimensions,curb lines,structures and easements f--�
have been identified. Also indicated are wetlands, C/`1
bodies of water teep slopes eziari. areas.
Signed��i / y Qr
Date: ,7// ‘; XI
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