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2005, 10-26 Permit App: 05004006 Residence
Project Number: 05004006 Inv: 1 Application Date: 10/26/2005 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: 18 Right: 40 Rear: 30 Phone: (208)762-9106 Group Name: Site Information: Project Name: Plat Key: Name: RANGE District: East Parcel Number: 55202.2209 Block: 6 Lot: 10 SiteAddress: 6 Owner:Name: VIKING CONSTRUCTION INC I C ��(�, �j /"S t;`-& Address: 2605 W HAYDEN Location::CSV HAYDEN LAKE,ID 83835 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 11,869 Sq Ft Width: 66 Depth: 85 Right Of Way(ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: :: Wiz. . .. Review Site Plan Review Released By: Originally Released: 10/25/2005 By: CJJANSSE Plan Review Released$y: Originally Released: 10/26/2005 By: CJJANSSE Approach/Drainage Released By: Originally Released: 10/25/2005 By: CJJANSSE Sewer Review Released By: Permits: O F „R.,11.4,,Arimvy. ,h .N =a, ., . _. , Operator: CJJ Printed By: CJJ Print Date: 10/26/2005 Project Number: 05004006 Inv: 1 Application Date: 10/26/2005 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 2468 Building Height 24 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VB 478 $35,697.04 478 $35,697.04 BASEMENT U R-3 VB 670 $10,050.00 670 $10,050.00 DECK R-3 VB 96 $1,440.00 96 $1,440.00 GARAGE U-1 VB 493 $9,367.00 493 $9,367.00 RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00 Totals: 2,737 $131,234.04 2,737 $131,234.04 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,172.95 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $469.18 Permit Total Fees: $1,646.63 Operator: CJJ Printed By: CJJ Print Date: 10/26/2005 Project Number: 05004006 Inv: 1 Application Date: 10/26/2005 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: AIR DESIGN INC Firm: AIR DESIGN INC Address: 1807 E FRANCIS AVE Phone: (509)487-4328 SPOKANE,WA 99207 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 RANGE 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $85.00 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 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 3 NUMBER OF $18.00 Permit Total Fees: $84.00 Operator: CJJ Printed By: CJJ Print Date: 10/26/2005 Project Number: 05004006 Inv: 1 Application Date: 10/26/2005 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary• ._. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,646.63 $1,646.63 $0.00 $1,646.63 Mechanical Permit $85.00 $85.00 $0.00 $85.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1,865.63 $1,865.63 $0.00 $1,865.63 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: CJJ Printed By: CJJ Print Date: 10/26/2005 Permit Center 'D E Cep ~ �`'( ` Imo, Spokane PE T NUMBER (DW 11707 E Sprague Ave, Suite 106 —Val 1ev Spokane Valley.W A 99206 ticMIT FEE: I /509)680 0036 FAX. 509)688 ��/�'.\ 1 �/ �J V7)V 00-VVJV PHh. �JV7�OdD-V�� l/ Community Development ww.v.spokanevallev.oro.com ❑ 6-1 Residential Construction tX New Construction o Accessory Bldg Permit Application o Addition/Remodel ❑ Deck ❑ Other: SITE ADDRESS SC\ ), \r\%c 1'l\C‘co\. ,Ui ASSESSORS PARCEL NO: j (i�. (4LEGAL DESCRIPTION: wA \.-, l( aa _t ,to I.rc- u cl Building owner Contractor Name: N ukily\ et,n<-11'U_6--1 y\ Name: . Ylr'_ Address: ;lt cl 0,'t Xl 05 Address: City: Op 1�- L�, Zip: ' 3B35 City: Zip: Phone: l%' ,~1t;2-0(tht 0Fax: Dk• -1tc:3 - `jC7 Phone: Fax: Lic No: Nr 111x1 N .kCe6tc)Exp.Date: Contact Person . City Business Lic No: • Name: Phone: Describe the scope of work in detail: Cost of Project: $ **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHTO PAK:_,:3_ DIMENSIONS9 ,:_ OF STORIES: TOTAL HABITABLE SPACE: cp. MAIN F OOR TO SQ. 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: Mt AREA: FINISHED BASEMENT� GARAGEra.ott DECK/COV. PATI SQ. FTG: 30% SLOPES ON .M `SQ. FTG: r �`� r./^':. 1 )iL PROPERTY: l--)1p+r- #OF BEDROOM CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed, Signature�� 11'i,S. t)....k 10,Ar, Date A-l Jc- Method of Payment: (Fayed permit applic.., ns will only be accepted with major bankoard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 Permit Center SjM5J ane 11707 E Sprague Ave,Suite 106 jValley Spokane Valley,WA 99206 �ERMtT?�TLTMBER (509)688-0036 FAX:(509)688-0037 PERMIT Community Development www.spokanevallev.ora.com RMIT FEE Plumbing Permit Application ❑Commercial Residential SITE ADDRESS ��}, . �1 t( \(_`©Y- C \ Building owner \(1,1(3,1''`` Name: i I k�i� Li,1 KkY�.0�ld(1 Phone: 309, -SAO Fax ...!-)1D9)‘ —LiSC)-1 Address: _.'(&i7")5-. L e City OR t U IA State ,Lt' Zip j� -"Y\ Contractor Name: Phone. �r} — 5ct I Fax: ( Address: 4 `1 1 J 5� ' City bearkkL State Jc1j; Zip et L2,--) License No: L► .til b l l)k City Business License No: Contact Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS Q , X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = LAVSBASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER 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,CONDENSATE _ X $6.00 = ROOF DRAINS/OVERFLOW 12 DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER.CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = MISCELLANEOUS PLUMBING 20 FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 _ = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Permit Center Spo`kan e 11707 E Sprague Ave,Suite 106 DEjij7N[j14$ER .0000 Valley Spokane Valley,WA 99206 (609)688-0036 FAX:(509)688-0037 PERMITTEE. ''" Community Development www.spokanevalley.or a coni Mechanical Permit Application`` o Commercial 'Residential SITE ADDRESS (-LekJ n\\C Ali \ -- Building owner Name: X 1 Y,,3t X`(,; l'> f't i f i'ltY1 /��,(\(' Phone: �.. , -gift, Fax k'9 .') ,'`srt. ) Address: C1 t-1 Q�r-G i.,11 f City t T State 1c Zip�'1', 5 Contractor Name: �r tr )()_SCO Phone: Fax: Address: City State Zip License No: City Business License No: • , Contact ; Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 % X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 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 = 5 USED,APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 - , X $100.00 = 7 BOILER/REFRIGERATION 1-100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101-500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001-1,750M BTU X $35.00 ,= 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 = 13 RANGE 1 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) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 14 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 $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD il 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 = 33 REPAIR&ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 _ = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR-RESIDENCE X $19.00 = 37 INCINERATOR-COMMERCIAL X $22.00 = METHOD OF PAYMENT: SUBTOTAL _ ❑CASH 0 CHECK 0 VISA ❑MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 . Call ;_rc.-11),c Lispecon re-gut-red trr ?hon. 509 6 -0076 Fa:4 509.6E8-0037 cane 1- DEPARTMENT OF PUBLIC WORKS . - Antrctpataci stz.rt, data Permit # PW APPROACH PERliftET Location of property L () ) ( C,VAlltan1)\A Viddress/Parcel # vail-Valle) AppEiiC:ant kV' Address. • , ) L• k.A n.,„ • r Contractors klarne VL4 (./.•. nilAddnes kJ . U...1 6. , OLIII Phon ,e e,I.Ur, ) 4—`11(41.) Contractor's Rege CAte6 1\3 Expires F-3 PROJECT DESCRIPTION (ProvOcile site sketch) ResidentialDriveway Commercial/Industrial Driveway Existing Ciith & Gutter L] Rural Road Section 1 1 Culvert Installation H Sidewalk Repair/Construction 1:71 Other conditions tyJ ' See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. ".: oriaiiwaRusarkaagialatiormicitimanum, SPECIAL CONDITIONS: PERMIT FEE $ rtior Fee$ I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# Expiration Data Name of Holder Sionature Fe-es 17-'afcl$ E.)ata Inzt ** TOTRL PRGE.05 **