2005, 07-05 Permit App: 05002259 Residence Project Number: 05002259 Inv: 1 Application Date: 07/05/2005 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- Contact: VIKING CONSTRUCTION INC
NATURAL GAS Address: 2605 W HAYDEN
C-S-Z: HAYDEN LAKE,ID 83835
Setbacks:Front 50 Left: 50+ Right: 10 Rear: 21 Phone: (208)762-9106
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: RANGE District: East
Parcel Number: 55202.1902 Block: 2 Lot: 16
SiteAddress: 19107 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: 10,120 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By: L f tib
Plan Review )
Released By: — v L t &. t. �
Approach/Drainage Released By: (1.0, `y„
Sewer Review (
Released By: 75- 4)-
Permits:
Operator: K_C Printed By: K_C Print Date: 07/05/2005
Project Number: 05002259 Inv: A
I Date: 07/05/2005 pplicationPage 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
Group: R-3 Type: VB
Total Area 2468
Building Height 28
Stories 2
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
2ND FLOOR R-3 VB 482 $35,995.76 482 $35,995.76
BASEMENT F R-3 VB 986 $19,720.00 986 $19,720.00
DECK R-3 VB 96 $1,440.00 96 $1,440.00
GARAGE U-i VB 492 $9,348.00 492 $9,348.00
RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00
Totals: 3,056 $141,183.76 3,056 $141,183.76
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,228.95
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $491.58
Permit Total Fees: $1,725.03
Operator: K_C Printed By: K_C Print Date: 07/05/2005
Project Number: 05002259 Inv: 1 Application Date: 07/05/2005 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: FITTING MECHANICAL 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 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
RANGE 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $95.00
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
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 1 NUMBER OF $6.00
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 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Operator: K_C Printed By: K_C Print Date: 07/05/2005
Project Number: 05002259 Inv: 1 Application Date: 07/05/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,725.03 $1,725.03 $0.00 $1,725.03
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,972.03 $1,972.03 $0.00 $1,972.03
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: 07/05/2005
' - � WORKSHEET
BUILDING PERMIT APPLICATION
cmSp.ohane
- .E, [� t C tv o l!k Valley Community Development Department
) Building Division
11707 E. Sprague Avenue, Suite 106
.Ile o Spokane Valley, WA 99206
40,V
one: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: tCM-1 l-tP►L
Assessor's Tax Parcel Number(s): .5 c .C.),)_ .. lam -
Legal Description: L, t J z ( iuiWL.( c r O 6L
0
PERMIT DESCRIPTION: 51:72_
Aiding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: ''i� (� ' '� Applicant: i
Phone: U�. II.Fax: '1I b; -1-i. Phone: Fax:
A•dress: ,_ ► - ! _ ,e_ Address:
City t • - Zip Code City State Zip Code
Contractor: c—YI k -- ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: VlL_i NO- t C Qt?j ontact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION 1
HEIGHT TO PEAK:, ' kit( DIMENSIONS: S k%(o x r OF STORIES:
MAIN FLOOR TO SQ. FTG: 211"FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
l o0o --tEa
FINISHED EASEMENT SQ, FTG: GARAGE SQ. FTG: I DECK/ OV. P TIO SQ. FTG:
9 tS ��� i 9�
O CUPANCY GROUP: CONSTRUCTION TYPE: I HEAT SOURCE:
s ,4-E f-AwAt e-`t :iz C .t t-'i a-t L.-- i &a.a-�
# OF BEDROOMS: Lk TOTAL HABITAB E SPACE: IMPERVI•US SURF CE AREA:
COST OF PROJECT: 30%SLOP O PROPERTY: SEWER OR ON-SITE SEPTIC
�- SYSTEM? - ,t)t``74._.-
MECHANICAL PERMIT APPLICATION
SC1TVOrlCity of Spokane Valley Community Development Department
poi(ane BuildingDivision
\' 1
ley 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. t q I(fl t o 4' PPermit Use: `
Owner: /t '• " ':(\e-z' 4 `-r1 "-1T-n.c Phone (Daytime Contact): r .--cl' ,(1-_,-,
Mailing Address: A LS u3. ` '' (IT, t'\ At z' S . .S ('L `iv') rit -)
City State Zip Code
Contractor: HT Lt- i 'l , Pi' OJ' -CCS., License it: Lei•<-:-.)hLi Phone#: -`40;,,---)(04.At-,5 ,
MailingAddress: ll I? ✓ ' ' `' 4
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 t 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 =
RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER . 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 I 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 _
DATE:
0 CASH ❑CHECK 0 VISA 0 MC PROCESSING FEE $35.00
CARD#: EXPIRES: 1 TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION,
cm
Ci-8
i1Ile City of Spokane Valley Community Development DepartmePt
(� BuildingDivision
�
40,,
11707 E. Sprague Avenue, Suite 106
ey Spokane Valley, WA 992'
Phone: (509) 688-0036;Fax: (509)688-00...
�_ n FOR INSPECTIONS, CALL (509) 688-0054
Project Address: 1�k61 V � U1 . Nx._, Permit Use: Si--
Owner: V tk ri 'J; U,- con Phone (Daytime Contact): ;-1(riL3-91
h.
Mailing Address: tr�`>Fi Air Li C,0 Il` n�i 1\ 'IN % > �7
t
—1-rt \, City State Zip Code
Contractor: l ).:?1 blit Year b..ry2t License#: l l,L V P-c it .Phone#: )0i--Qat- 6c113
Address: Lit ') �. `- t . �i�Y CL I ,' _ U. " ti Q CZ 7
Mailing City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST _ = AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $8.00 =
X
2 URINALS $6.00 =
3 TUBS X $6.00
4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT 1 X $6.00 =
5 SINKS LAVS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD, 5
PREP/CULINARY/MEAT
6 DISHWASHER 1 X $6.00 =
7 CLOTHES WASHER l X $6.00 =
B GARBAGE DISPOSAL t X $6.00 =
9 WATER SOFTENER t 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 0 CHECK ❑ VISA 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Z0'3Odd L0SI7Z9L80Z 8t:21 S00Z 02 NRC
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ADDRESS 1 10 r) f - L -i' 6 c� -Ebb N ZONE Lam- '3. _
ROAD WIDTH 5 ` -Z
SCAZE: I"=20'-0" FRONT 5& FLANKING /L
LOT i, 16 BLOCK 2 COMMENTS
COU1'TRY CROSSING REVIEWED BY !I ,_ y : r� ,:i
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This site plan is being submitted' for the purpose of qi��"'I;”r
obtaining a building permit undis a true and correct lj,
I representation of the propsul.All known property
tine/dimensions,curb lines,strtictUrvs and easements
have been identified.Also indicated arc wetlands,
bodies of water,steep slopes oriother critical areas,
sib�rted; Rre MR'Rvr -
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