2005, 07-12 Permit App: 05002348 Residence Project Number: 05002348 Inv: 1 Application Date: 07/12/2005 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: 2605 W HAYDEN
C-S-Z: HAYDEN LAKE,ID 83835
Setbacks:Front 39 Left: 6 Right: 10 Rear: 32 Phone: (208)762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: Sout
Parcel Number: 45213.3308 Block: 1 Lot: 8
SiteAddress: 1322 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: 6,678 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: CatailikkvtiL„
Plan Review Released By: LI
Sewer ReviewReleased By: 71 (>
I c
Permits: m .
Operator: K_C Printed By: K_C Print Date: 07/12/2005
Project Number: 05002348 Inv: 1 Application Date: 07/12/2005 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 1300
Building Height 21
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 486 $9,234.00 486 $9,234.00
RESIDENCE R-3 VB 1,300 $97,084.00 1,300 $97,084.00
Totals: 1,786 $106,318.00 1,786 $106,318.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,032.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $413.18
Permit Total Fees: $1,450.63
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 3 #OF UNITS $3.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $85.00
Operator: K_C Printed By: K_C Print Date: 07/12/2005
Project Number: 05002348 Inv: 1 Application Date: 07/12/2005 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 1 NUMBER OF $6.00
Permit Total Fees: $72.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,450.63 $1,450.63 $0.00 $1,450.63
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,607.63 $1,607.63 $0.00 $1,607.63
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: 07/12/2005
SfókaiierlBUILDING PERMIT APPLICATION WORKSHEET
a 'Jcp EC, y ¶pe ey Community Development Department
l� 1VJ Building Division
Valley _ 11707E. SpragueAvenue, Suite 906
D400, Spokane Valley, WA 99206
P • -: (509) 688-0036; Fax: (509) 688-0037
ED :_ u
REQUIRED SITE INFORMATION
Street Address: 115?; _ Mli" UaLX\-Q__-
J
Assessor's Tax Parcel Number(s): �J�1301 D J 5
Legal Description: TAIDCI . \ \"( o
PERMIT DESCRIPTION: 5 I2
19 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
[t/ Owner. I1� ft,\ - Applicant:
Phone: '�lD�- i Fax: i o -' 51 Phone: Fax:
Aggress:
I • a 0 • Address:
Oa q&ur � • d i State Zip Code
City `' State Zip Code City
I Contractor: Q5rY\S ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License#: v1V,._1.MaG.,'c Contact:
Spokane Valley Bus. Liscense#: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: '
DIMENSIONS , �� #OF STORIES: I
24) .� -( •D X (,3 -0
MAIN FLOOR TO SQ. FTG: 2"u FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
I FINISHED B SEMENT SQ. FTG: GARAGE Q. G: DECK/COV. PATIO SQ. FTG:
il.dJ /A qi47 'QM
OCCUPANCY GROUP:n CONSTRUCTION TYPE: HEAT SOURCE:
IL
1 t,JS
# OF BEDROOMS:_ TOTAL jTABLE SPACE: IMPERVIOUS SURFACE AREA:
ZS`?°/ 5g, Pr
COST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
SYSTEM? 5El.)E
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
q 1
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 ❑ CONCRETE ❑ 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:'Maxed permit applications will only de•accRpted with major bankcard) , •, ,��
�,
❑ Cash [ . Check ❑ Masteroarre ❑ VISA 0' Other
•
Bankcard #:' " Expires:
Authorized Sfg`rhatfre. ' '
PLUMBING PERMIT APPLICATION
Sas__ c ne City of Spokane Valley Community Development Department
j�j�"� BuildingDivision
lley
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 992
.000Vta
Phone: (509) 688-0036;Fax: (509)688-00.5,
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: 17)DD `l \(1,0 r k Y Ln. Permit Use: Std
�
���+'
Owner: �M (01� Phone (Daytime Contact):k ;-1c-9-9l
�_i �'+
Mailing Address: ADC").C"). 1;) t S Cl o i- 54116jt\ ak C% f'23 )
` r, City State Zip Code
Contractor: 1.i?I b ire WWI brl( ( License#: 1-1-L VR € -Cita Phone#: F),_-04--Q..I- ER/3
Mailing Address: . 3LA to r.> f-1-1(1 "�!.`-s k . Wy-iitr rk 4_ u....,,,,,.1/4
-` ` ei ctt'5-7
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITSrX COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS O� X $6.00 _ _
2 URINALSr-� X $6.00 =
Q 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 I
PREP/CULINARY/MEAT L-�
6 DISHWASHER 1 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,DRINKINGX $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, 1 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 0 CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
MECHANICAL PERMIT APPLICATION
S
CITY poane
` kCity of Spokane Valley Community Development Department
�(j nBuildrngDivision
\ ����1 11707 E. Sprague Avenue, Suite 106
Alik r� Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
(�,,,�� FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. , �1� 4�-� � \_ "� SP
C---
‘_04\ -•
1-b�� \ Permit Use:
Owner: /I 'i -.,\z--i 4 - '- -i..r C. Phone(Daytime Contact): R,4(- ,-')4;I.--CII t.-)Mailing Address: A C� LC), . C y r At.� J_ 'rks r'\ `e.) kli'S
-t t A City. State Zip Code
Contractor: H it s.._t'T'.i Me011[a..,l' 'fk_!_ License#: LG-�:*:)hLih Phone#: ;-3101.;.---11424;f(r,`3,,
Mailing Address: f',""J 1 (;E j`y'il , tut-.L4 t"s'&..i
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 4 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 1-1DOM 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 =
RANGE t 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) 3 X $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 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 s 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 $35.00 _
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
SITE ELAN
SCALE: 1"=20' 0" .__
LOT 8 BLOCK 1
MORRIS PLACE
SPOKANE VALLEY,WASHINGTON
-
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EASEMENT
WATERUNDER
GROUND
POWER
616' 34.46'
1,
SEWER
•
This site plan is being submitted for the purpose of VAN__M,4RTER_LANE______CROWN OF STREET
obtaining a building permit and is a true and correct
representaion of the propsal.All known property
line/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands,
bodies of water,steep slopes or other critical areas.
Signed: DANNy TOR.GteRSON COLUMBIA
Date:J 1-&N e 30. 2005