2005, 05-05 Permit App: 05001451 Residence Project Number: 05001451 Inv: 1 'Application Date: 5/5/2005 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
...K ':,,»-•"';',. :at rii ,, ,�kirw.�k'. ".: �. ;'.,..., :Yr'" lt�K«��k ;�, ku� aC"�:mea+ r.W.xw4' ;er.=aurwrraaa.a�sa.5w 3.Y:.:a».
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: 29 Right: 6 Rear: 12 Phone: (208)762-9106
Group Name:
Site In formation: Project Name:
Plat Key: Name: RANGE District: East
Parcel Number: 55202.1414 Block: 2 Lot: 14
SiteAddress: 19201 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: .00 Acres Width: 83 Depth: 107 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .._._ . x h ,� . .
Review
Site Plan Review I Released By:
Plan Review
Released By.u..
1/1 /Ct
Approach/Drainage Released By ,
Sewer Review , - _
Released By:; "�. --
Permits: 7 -g ,,
Operator: DMD Printed By: DMD Print Date: 5/5/2005
Project Number: 05001451 Inv: 1 'Application Date: 5/5/2005 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
Group: R-3 Type: VB
Group: U-1 Type: VB
Total Area 2225
Building Height 18
Stories 1
Dwelling Units 1
Impervious Surfa 3747
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 507 $9,633.00 507 $9,633.00
RESIDENCE R-3 VB 1,718 $128,300.24 1,718 $128,300.24
Totals: 2,225 $137,933.24 2,225 $137,933.24
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,206.55
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $482.62
Permit Total Fees: $1,693.67
Operator: DMD Printed By: DMD Print Date: 5/5/2005
Project Number: 05001451 Inv: 1 Application Date: 5/5/2005 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 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
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
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
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: $90.00
Operator: DMD Printed By: DMD Print Date: 5/5/2005
Project Number: 05001451 Inv: 1 Application Date: 5/5/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summa :.:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,693.67 $1,693.67 $0.00 $1,693.67
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,918.67 $1,918.67 $0.00 $1,918.67
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: DMD Printed By: DMD Print Date: 5/5/2005
' BUILDING PERMIT APPLICATION WORKSHEET
• San •. City of Spokane Valley Community Development Department
pokan- e Building Division
11707 E. Sprague Avenue, Suite 106
E CE4 Spokane Valley, WA 99206
4000vaiieC� ne: (509) 688-0036; Fax: (509) 688-0037
!VI (N
hew EtpI- N "; MATION v
Street Address: CI G ` i _)--\-\ 1'1Ue
Assessor's Tax Parcel Number(s): 55,D . 1y1t--\
I • I
Legal Description: , \" . •
9 : '
PERMIT DESCRIPTION:
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
A Owner: ii Ot ,NA ® Applicant: cjCu .
Phone: I.p-,Q It,kr) Fax: l c a-L C5-7 Phone: Fax:
Address: ( 0S llJ. l. C' c i'1Psky2 Address:
City State Zip Code City State Zip Code
14 Contractor: SGa')`'\ ❑
Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #:\(AL 11\ QVett&JM Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION j
HEIGHT TO PEAK: i DIMENION�S: '1 #OF STORIES:
MAIN FLOOR TO'SQ. FTG: 2N FLOOR SQ. FTG: UNFIBASEMENT SQ. FTG:
FINISHED BASEMENT SO, FTG: I GARAGE SQ. FTG: I DECK/COV. PATIO SQ. FTG: I
507
iLl ;61,/
OCCUPAGROUP: CONSTRUCTION TYPE: I HEAT SOURC
NCY E
#OF BEDROOMS: � TOTAL HABITAB SPACE: I IMPERVIOUS SURFACE AREA:
COST OF PROJECT: I 30% SLOPES ON PROPERTY: I SEWER OR ON-SITE SEPTIC
I I SYSTEM? ,'[,�tik,
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 property owner.
Print Name Signature
ac' s .
Method of Payment: (Fa [I permit applications will only be 4depted with major ban kca;o,'
Cash •1 'D;..check ❑ tals ercard ❑ VISA Q Qfber
°`.° 1.; 4
Bar�keard n `°�,f Expires: ;,Wfl'4#.;
Authorized Signature:
.,I *.j ,,
.
Calltt24 hoursrCbefore inspec'don required
?hone 1Vp.�S6C3-VVJv r!�>. 507.6p8-O03/
4.001t-Oey DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION ,�� `
Location of property l e‘;1 c) C1 AU --
" cA;ddresslP'arceJ#, if available)
A.ppiicarit Name 'G x: ;�,i � .e� �'4 s �'• Q i^ � <,
011ahone
e
Contractor's ia&tie
Cc�6itrac ") .�.�.. `��- 4�"
eI
Address `�•-�t���`� \ P _Phone w' r=,---' ki, .. --ci i t
:;(•,,
Contractor's Reg# Y‘ �°� '� R r-l(t ; L Expires _ /F :li
PROJECT DESCRIPTION (Provide site sketch)
LIResider tial Driveway _ Cornmerciaf/lndustrial Driveway
ri Existing Curb & Gutter Rural Rod Section
riCulvert installation ,r7 Sidewalk Repair/Construction
Other conditions t Y\J r
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE ins:ection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Expiration Date
Name of Holder Si nature l
Fees Paic€$ Date frit
* TOTAL PASS.a5 **
PLUMBING PERMIT APPLICATION
STY
la
� City of Spokane Valley Community Development Department
pBuildingDivision
\TaI 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920
40 0, 1eY
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: \d1 C SO—AAA NQ- Permit Use: '
t r t i ,.., 1� 1 • f ,1 Phone (Daytime Contact):; ::. :---7( ,: -91L,..,-"
Owner: 'k 4 t�l t F. i dl..: , - 4 _x._�'�.-� -
Mailing Address: ( _,)t,, 4 `' l.1 v(; }-\ )'-' ;, I`:%,j` + ` `', - '\ (,.:,mc. , E ,
,, , City dv State Zip Code
Contractor i'-'..y.1L c c -•. -a r- i I.-,y -,! License#: E x J V,? -.C- tib° 'hone#: "!, .C2i --C,- ; -- F6c1 t'
f-1 c., --. t \ t ; , ,••, -�
Mailing Address: , � `� j,-3�'�st , a`r�',. . ‘ t rt;', c -` c.A; , G-it_�% i
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6.00 =
2 URINALS { X $6.00 =
3 TUBS l 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, 11
PREP/CULINARY/MEAT
6 DISHWASHER I X $6.00 =
7 CLOTHES WASHER I X $6.00 =
8 GARBAGE DISPOSAL I 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
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 $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
,,._.-' _ MECHANICAL PERMIT APPLICATION
SCITY O: .. - City of Spokane Valley Community Development Department
pokane , BuildingDivision
ValleV 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA oo9na
Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address:. )"
�cv , 1 . \ � Permit Use: -
Owner: \1:1<'i i ; l t ;,-Aq (f - -Lr " ti... Phone (Daytime Contact): .14.;-;-.- -1i ,:3 i i t
Mailing Address: At.,i�, LL-) P:;`- ,('
;.;, n Pk `. : 4, t -'� ) '' ir,=i j
l City i State Zip Code
�`t G1 .L.1---n '?a\r 01'�� kk..cr. License#: L C: < .') �:
SITE ELAN 1
SCALE: 1"=20'-0"
LOT 14 BLOCK 2
COUNTRY CROSSINGS
SPOKANE VALLEY,WASHINGTON o
ADORES: C . I �
ZONE AM . `
ROAD WID - -
FRONT ' Aiiiy c 16 - X15.2$ _
COMMENTS �./M
REVIEWED BY W I!k llrir a.d..._t
/
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CONCRETE
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This ells plum N being • for the • rooms of
obtaining a buNdIng gem it • is a true • correct
►apr...MNion a firma . ... . All kno .
mea/dfnmunieta,curb bus
have been • Aho • are .wetlands, 83.719' ,,
bodies dM ,70.!.. 1' 1 areas.
�„, 6_i SEWER
Data:nect, 7 ..
SIXTH AVENUE
---- -•-------------------------------------------- CRO WN OF STREET
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