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2005, 08-29 Permit App: 05003103 Residence Project Number: 05003103 Inv: 1 Application Date: 08/29/2005 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: _ Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN C-S-Z: HAYDEN LAKE,ID 83835 Setbacks:Front 36 Left: 32 Right: 43 Rear: 118 Phone: (208)762-9106 Group Name: Site Information: Project Name: Plat Key: Name: RANGE District: East Parcel Number: 55202.1903 Block: 2 Lot: 17 SiteAddress: 19101 E 6TH AVE Owner:Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN Location::CSV HAYDEN LAKE,ID 83835 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 16,604 Sq Ft Width: 91 Depth: 118 Right Of Way(ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Site Plan Review Released By: Originally Released: 08/25/2005 By: cjjanssen Plan Review —OrReleased By: r / Approach/Drainage Released By: Originally Released: 08/25/2005 By: cjjanssen Sewer Review Released By: Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 Project Number: 05003103 Inv: 1 Application Date: 08/29/2005 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 Item Description Units Unit Desc Fee Amount APPROACH INSPECTION 1 NUMBER OF $25.00 CONST IN ROW-APPROACH 1 NUMBER OF $25.00 Permit Total Fees: $50.00 Building Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 Building Characteristics Total Area 1959 Building Height 26 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VB 1,130 $84,388.40 1,130 $84,388.40 BASEMENT U R-3 VB 829 $12,435.00 829 $12,435.00 DECK R-3 VB 32 $480.00 32 $480.00 GARAGE U-1 VB 550 $10,450.00 550 $10,450.00 RESIDENCE R-3 VB 829 $61,909.72 829 $61,909.72 Totals: 3,370 $169,663.12 3,370 $169,663.12 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,385.75 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $554.30 Permit Total Fees: $1,944.55 Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 Project Number: 05003103 Inv: 1 Application Date: 08/29/2005 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 3 #OF UNITS $3.00 VENTILATING FANS 5 NUMBER OF $50.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $105.00 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 4 NUMBER OF $24.00 SINKS 6 NUMBER OF $36.00 TUBS 3 NUMBER OF $18.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $114.00 Operator: CJJ Printed By: CJJ Print Date: 08/29/2005 Project Number: 05003103 Inv: 1 Application Date: 08/29/2005 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes . �,n. h: Payment Summary: : . k= :. ... Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,944.55 $1,944.55 $0.00 $1,944.55 Mechanical Permit $105.00 $105.00 $0.00 $105.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $2,213.55 $2,213.55 $0.00 $2,213.55 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: CJJ Printed By: CJJ Print Date: 08/29/2005 J-:G 0) LE ( L 1 G PERMIT APPLICATION WORKSHEET - iityo�S o n U' lley Community Development Department SiMane Building Division 11707 E. Sprague Avenue, Suite 106 .0,VValley .� d [L t Q Rq ne. (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION ' Street Address: NO O L Assessor's Tax Parcel Number(s): 6s:).c) , °tO3 Legal Description: Cl r6r,Gk_..Q C • ,,,,,A " v Of-cc-,-,,,,9 PERMIT DESCRIPTION: Sfr-V- 13-143uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety LI Other OWNER/APPLICANT INFORMATION Eir Owner: \ ❑ Applicant: 1v-• Phone: ` Fax: i(,A-U.'G1 Phone: Fax: Address: )t.i0 C UJ t ch_(\_. Address: City State Zip Code City State Zip Code 0 Contractor: 3L.,1N . ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License#: 1(1;4 it 01 Ct I') Contact: Spokane Valley Bus. Liscense #: Contact: PERMIT/BUILDING INFORMATION 1 HEIGHT TO PEAK: 2‘,1,....5,, +. DIMENSIONS: i/81 a,t a, !4,re #OF STORIES: MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: ori 0 Z.,'1 //30 OK c 619 FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: �1.r." NJ 5 f:..) 6 t."''; t!(Fid:.c p r.t' E ;t2z., ,.:. OCCUPANCY GROUP: - . CONSTRUCTION TYPE: HEAT SOURCE: 67A5 f---,fw #OF BEDROOMS: TOTAL HABITABLE SPACE: J 5�.� IMPERVIOUS SURFACE AREA: -----\ COST OF PROJECT: 30%SLOPES ON PROPERTY:N, SSEWTEMOR? ON-SITE vi SEPTICr�'',f 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 ❑ 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 prope owner L Print Name Signature --1)1)44-0k.< t+ Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: • PLUMBING PERMIT APPLICATION SaiV ot- __ � City of Spokane Valley Community Development Department BuildingDivision ie11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 9920E Phone: (509) 688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 Project Address: tC U CA 0-1A k)t- Permit Use: 't\ i r • �r `, ',� , " ,,� Phone (Daytime Contact): . - �_` _,,F 7 , Owner: ‘ i a t El:. ,N? �Ati 1 ) Mailing Address: ? ^, , "'„-' `t.7 ' 7 c: t 1,4',.)." i-t t U';\ ._i_ i✓-, t ',," , City' State Zip Code Contractor: - _., �` k',', u� T~'� "', ";i ("i%•k License#: e`1-;LVi,,k .. C-Ttt: Phone#: r),:���'i _c. t L. 13 ' i'' Int, ,, 9 6 ^� Mailing Address: e _� 7t 3 'w-f',Ct ..,,L:% rt City- State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS 4 X $6.00 = 2 URINALS X $6.00 = 3 TUBS 3 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, tp PREP/CULINARY/MEAT _ 6 DISHWASHER 1 X $6.00 = 7 CLOTHES WASHER i 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, 5 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 0 MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: spovaa, lr "^ MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department 7 BuildingDivision / �]�j i 1707 E. Sprague Avenue, Suite 106 Spokane Valley, V/A 009na Phone: (509) 688-0036;Fax: (509) 688-0037 Project Address:. KIM t FOR INSPECTIONS, CALL(509) 688-0054 Owner: -,� ; ., e- Permit Use: ,--t` \� . ,�'i ; 'i, -t :.i.rtci_ phone Cont ,�_, Mailing Address: -L-,c,-.-,-;: k.J,": e (Daytime act) �;�yr =Y ,. F; Contractor: ' �„ r Sri t a� , (� .'C JACity, T State Zip Code a_i License#: LI ;...;-)i:,r_.,U('",. Phone -,;,,C:5-•- .-,. }i Mailing Address: ` . E:.� ;C: ;t.J City State Zip Code DESCRIPTION OF WORK #OF TOTAL I UNITS X COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 i X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 © UNLISTED APPLIANCE Additional Fee E.ual to or less than 400,000 -© $50.00 li UNLISTED APPLIANCE(Additional Fee)_I More than 400,000 USED APPLIANCE(WSEC min.AFUE $100.00 rating) Equal to or less than 400,000 USED APPLIANCE(WSEC min.AFUE $50.00 ratin. More than 400 000 $100.00 7 BOILER/REFRIGERATION 1-100M BTU $15.00 8 BOILER/REFRIGERATION 101-500M BTU $28.00 9 BOILER/REFRIGERATION 501-1,000M BTU $39.00 10 BOILER/REFRIGERATION 1,001-1,750M BTU $57.00 11 BOILER/REFRIGERATION More than 1,750M BTU $95.00 12 GAS LOG,GAS INSERT,GAS FIREPLACE $10.00 13 RANGE , $10.00 14 DRYER $10.00 15 FUEL BURNING WATER HEATER ` 1 $10.00 16 MISC.FUEL BURNING APPLIANCE $10.00 17 GAS PIPING(each outlet) $1.00 18 DUCT SYSTEMS $10.00 19 VENTILATING FANS 5 $10.00 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM $12.00 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM $19.00 22 EVAPORATIVE COOLERS TYPE I HOOD $10.00 iii 111 $50.00 TYPE II HOOD $10.00 II HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER 3-15 TON ® $12.00 ell $20.00 AIR CONDITIONER 15-30 TON III 111 $25.00 111 AIR CONDITIONER 30-50 TON _© $35.00 IN fl AIR CONDITIONER More than 50 TON -© $60.00 II 30 LPG STORAGE TANK © $10.00 II ® WOOD OR PELLET STOVE/INSERT ® $10.00 ll 32 WOOD STOVE-FREE STANDING X $25.00 IS METHOD OF PAYMENT: II 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE I $35.00 CARD#: EXPIRES: 1 J TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Call 24 hours before inspection required O t� + Phone 509.588-0035 Fax 509.688-0037 { 40$0\illey DEPARTMENT OF PUBLIC WORKS Anticipated start date Permit # PW APPROACH PEREtifT APPLECA m EON Location of property \ek 1 ` n 1 Ic\It- r cAddress�/Parcel if available) Applicant NameS`'NO: �` �i �dr. Q ._ Address �° ,F - ..)2 . <'- G 4 f Contractor's Plaine fit'L E: 'l G ` ,r Address r, L 061.401- 1 Phone c ri': ; --et/C: Contractor's Reg# Vi 9 � � 1 ." ) 1LT Expires PROJECT DESCRIPTION (Provide site sketch) Residential Driveway U Commercial/Industrial Driveway Existing Curb & Gutter Rural Road Section TiCulvert Installation n Sidewalk Repair/Construction gl Other conditions "1.)1\A)? t t' ,i ( „ rt r h See construction requirements and details on reverse. Bond/insurance certification must b — file with the City. SPECIAL CONDITIONS: PERMIT FEE $ Lection Fee$ I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# Expiration Date IName of Holder Si nature _ Fees Paid'$ _ Date init ** TOTRL PRGE.05 **