2005, 05-19 Permit App: 05001692 Residence Project Number: 05001692 Inv: 1 Application Date: 05/19/2005 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: 5 Rear: 39 Phone: (208)762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: Sout
Parcel Number: 45213.3306 Block: 1 Lot: 6
SiteAddress: 1314 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: 0 Depth: 0 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review ,
Site Plan Review Released By: fAII, 111111,
Plan Review Released By: CV _ 1 fif,,Tho-
1-1
Sewer Review Released By: a
Permits:
Operator: K_C Printed By: K_C Print Date: 05/19/2005
Project Number: 05001692 Inv: 1 Application Date: 05/19/2005 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 1344
Building Height 21
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
CARPORT U-1 VB 88 $1,320.00 88 $1,320.00
GARAGE U-1 VB 513 $9,747.00 513 $9,747.00
RESIDENCE R-3 VB 1,344 $100,369.92 1,344 $100,369.92
Totals: 1,945 $111,436.92 1,945 $111,436.92
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,060.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $424.38
Permit Total Fees: $1,489.83
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: 05/19/2005
Project Number: 05001692 Inv: 1 Application Date: 05/19/2005 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 $1,489.83 $1,489.83 $0.00 $1,489.83
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,641.83 $1,641.83 $0.00 $1,641.83
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: 05/19/2005
. BUILDING PERMIT APPLICATION WORKSHEET
SCm City of Spokane Valley Community Development Department
o� f Building Division
11707 E. Sprague Avenue, Suite 106
aIlevSpokane Valley, WA 99206
40010V
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
n
Street Address: l'a\q _ _ !.� :i1 I�.�._ ! _ T - — —
; ■� L l., L
Assessor's Tax Parcel Number(s): ` � 1 Z.C1 O 6 IF
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Legal . „
Description: U.)1- U 3\ clL _ \ MTVkcp,p rr) I L D � N 1,
PERMIT DESCRIPTION: ~� Ai I t ', a& 1 1;�ti _ ,� - "'y
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner:
\ii 91 Q Applicant: <-alQ •
Phone: 1 - lao Fax: '10,0 Phone: Fax:
Address: A-u S f_ Address:
Y6-k.'° lSLP •I 3 -i5
City State Zip Code City State Zip Code
[2/ Contractor: -S(- rrS1... 0 Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License#:V 1U.,l NOACWkNT Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: O tot i DIMENSIONS: << #OF STORIES:
MAIN FLOOP.TO SQ. FTG: 2N°FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
�'3�C� � DECK/COV. PATIO SQ. FTG:
FINISHED BASEMEN SQ. FTG: I GARAGE SQ. FTG: 2 I I �
t J
OCCUPANCY GROUP: C.NSTRUCTION TYPE: I HEASOURCE:
S. k t-- _ Wt t L. Y .. % 'w
OF BEDROOMS: TOTAL HABITABLESPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE P
TIC
IL-- A
SYSTEM?
r
+ PLUMBING PERMIT APPLICATION ION
•
SO
T\(.poune City of Spokane Valley Community Development Department
BuildingDivision
4` 11707 E. Sprague Avenue, Suite 106
400,
Valley
Spokane Valley, WA 9920C�h{ Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: OkA _ , \! Yl Permit Use: T
� •
Owner: Its. , 1� �,i ,� :-:,';,=.. '-' Phone daytime Contact): L. � - I r
�, , -,(-.
E � -r ,
Mailing Address: F�- ;E i (. )� - a r"' l 1.:j '.�' r�`;
City; State Zip Code
i �s C.12; E�one#: ,��, 1i F 17,
Contractor a I 0 ,: e ,.C_ ; ,1I. I License#: a , 'i: �.
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Mailing Address: >�,,'IJ-it _ .'> �7;f t f Y. . k,, r r 4:rk. !, ;..L_ 2-
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City
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS Q Y. $6.00 =
2 URINALS X $6.00 =
I�
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, J�
PREP/CULINARY/MEAT 1
I X $6.00 =
6 DISHWASHER '
7 CLOTHES WASHER X $6.00
6 GARBAGE DISPOSAL 1 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 rD
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 I X $6.00 =
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: l TOTAL PERMIT FEE DUE: I
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
ne
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department.
3poj BuildingDivision
V911124 T11707 Ey Sprague Avenue, Suite 106
-� � Spokane Valley INA 000n�
410W- `� Phone: (509) 688-0036; Fax: (509) 688-0037
�y `f FOR INSPECTIONS, CALL (509) 688-0054
�. ��-� l V � �� Permit Use: ` .
Project Address:. ..,
Owner i 'v i -- :. 4th,.'-', '�,i.J-Lci_ Phone (Daytime Contact). . ;= ,,,'....4-- I A,
Mailing Address: -: ..i L:.L) , I= r I `,..r i-r 1- ( �'� :r_ r )r,--_-_,-,---,--)
_,- , __ .,,1 r ` Citi / State Zip Code
Contractor: ti., c� ° r�' 0,0-Irkl.l'r..�l_ License#: t.�c;" F--Li Phone#: -';(1;:-r --` _21 'F'�ir`
Mailing Address: �'^ i, �,r ,,I i'\,ii' V{ r �.,,,L.,, L _'t _:1 \ -.0 ,f _rte ��
City State Zip Code s
0 OF TOTAL
DESCRIPTION OF WORK UNITS X COST = ALIOUVT
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 BOILERIREFRIGERATION 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) 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
❑CASH ❑CHECK 0 VISA ❑MC DATE:
PROCESSING FEE $35.00
CARD m: EXPIRES. TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
i
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btainin is being sub
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