2005, 05-11 Permit App: 05001551 Residence Project Number: 05001551 Inv: 1 Application Date: 05/11/2005 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 35 Left: 5 Right: 5 Rear: 20+ Phone: (208)762-9106
Group Name:
Site Information: Project Name ROW
Plat Key: Name: RANGE District: East
Parcel Number: 55202.1413 Block: 2 Lot: 13
SiteAddress: 19207 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: 12,257 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
6iivii,y,..„,
Plan Review Released By: 62
LL F` Ll Olt altilli.A_r(�
Approach/Drainage Released By: 4 ,
.- r -e.�
Sewer Review Released By: i. 'ar®- / /
11/4
6 - ()_%°\
Operator: K C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001551 Inv: 1 Application Date: 05/11/2005 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
Total Area 1799
Building Height 21
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
GARAGE U-1 VB 549 $10,431.00 549 $10,431.00
RESIDENCE R-3 VB 1,799 $134,349.32 1,799 $134,349.32
Totals: 2,348 $144,780.32 2,348 $144,780.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,245.75
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $498.30
Permit Total Fees: $1,748.55
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001551 Inv: 1 Application Date: 05/11/2005 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 4 #OF UNITS $4.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $86.00
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 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Operator: K_C Printed By: K_C Print Date: 05/11/2005
Project Number: 05001551 Inv: 1 Application Date: 05/11/2005 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 $1,748.55 $1,748.55 $0.00 $1,748.55
Mechanical Permit $86.00 $86.00 $0.00 $86.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,962.55 $1,962.55 $0.00 $1,962.55
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: K_C Printed By: K_C Print Date: 05/11/2005
• LDING PERMIT APPLICATION WORKSHEET
CITY°' — - , - 3 ., t f o0 - ,e Valley Community Development Department
pOaIk� LJ Building Division
11707 E. Sprague Avenue, Suite 106
Vail (� Spokane Valley, WA 99206
4000
tL.rlE ��rr � �L a hone. (509) 688-0036; Fax: (509) 688-0037
igINI
I REQUIRED SITE INFORMATION
Street Address: \f Q 3-6—I L 64-10, C-
Assessor's Tax Parcel Number(s): .6�GdQ Q \3\3
Legal Description: LA- is "6\ Oc_ c `,1-A-Y Ll 'S'1 --10\
i 1\
PERMIT DESCRIPTION: ' . ' 6_ _ . • ' Algb ., i_i 6 e . t_ ' '_
FRIBuiiding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: Vo 100 Er" Applicant:
Phone: lu)c _-Gir Fax: _Lk t"7 Phone: Fax:
Address: ' . .(. _ . • Address:
CityA Li rjto-) .Lf) B-3P,`�
I. State Zip Code City State Zip Code
EV--Contractor: `' f Lh'jj ❑ Architect:
Phone:
Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: Vt. t(UC1.Ct > -Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 1) DIMENSO 4IO4jS:kL1� 6 p i� #OF STORIES: I
1O'I_
MAIN FLOOR TO SQ. FTG: 2Nu X.00R SQ. FTG: ( UNFIN BASEMENT SQ. FTG:
FINISHED WA
I BASEMENT SQ. FTG: I GARA E Q FTG: I DECK/COV. PATIO SQ. FTG:
'-I 1 �1iA
OCCUPA CY GROUP: CON TRUCTION TYPE: I HEAT SOURCE:
f ;t I AitS
#OF BEDROOMS: J TOTAL HABITABLE SPACE: I IMPERVIOUS $ RFACE AREA:
11941 4-1CP1.4 4°
COST OF PROJECT: I 30% SLOPES ON PROPERTY: I SEWER OR ON-SITE)SEPTIC
SYSTEM?
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
C 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.
1 . /
Print Name fi i%,?7( . ,/-2!? Signature -4 ,��•
c�
•
Method of Payment: (Fa):ted permit applications will only babacepted with major bankcard)
❑ Cash ❑•Ck ❑ Mastercard "E 4t;' ❑ VISA Otlzer
sr .
Bankcard #: • r . Expireg:t VIN#: 1',
Authorized Signature4.\ •'
,t
,
MECHANICAL PERMIT APPLICATION
`'"vpuCity of Spokane Valley Community Development Department
ixaneBuildingDivision
vail11707�� E. Sprague Avenue, Suite 106
f�► T Spokane Valley, WA 99206
40000
d Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. \q4Gc L^^J ''h
Permit Use: <.)��-
Owner: \I;\< i ; ' ', 'v (7)1'\=:::;01. 'f 41. -..i.r c Phone (Daytime Contact): .4--f-r-,-:---4- --()ciL:(
Mailing Address: - < C, L3, RJ E _, in pa,i. f i b rt l`1 �:,' �-?j
. C t State Zip Code
Contractor: Hf,_GJ LX'),;: .c.)A.�I,O'0..:R..1"("1;. ' License#: L.c--4-_-_,•:.)F-:, 1" Phone#: -45-r- C:C.;^-moi(-r`)--7.
Mailing Address: r ( (-::c. ;. �`k�i\-4--rti. ,.i,::< 12 , ~;f\ -j ' =;C".
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST = AMOUNT
I
1 FUEL BURNING APPLIANCE Equal to or less than 100.000 i 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 I X $10.00 =
13 RANGE I X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATERX $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) /4 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 LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVEJINSEP.T 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 $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
•
PLUMBING PERMIT APPLICATION
4,;,^ n4 City of Spokane Valley Community Development Department
�1�1``HH`"`!! BuildingDivision
e`t
11707 E. Sprague Avenue, Suite 106
400 Ny "lSpokane valley, WA 9920E`` "`
Phone: (509) 688-0036;Fax: (509) 688-0037
�`
l i FOR INSPECTIONS, CALL(509) 688-0054
Project Address: 1 en-0-1 .1-A\ _ Permit Use: - '", ,
Owner: t�' V!
Call 24 hours before inspec'aon required
�SGt'f011%ittk
Phone, 509.688-0036 Fx 509.6H-0037
opokalle
\ lley DEPARTMENT OF PUBLIC
Antfcfpated start date Permit # P
APPROACH PERftlET
APPLECATEOH
Location of property 1�� bi-41
'1
cA� ddiress/Parcel#, if avallabie)
A,pplicaar t Fume f, !,
Address -4(f c) )!' rl
"'r
11
Contractors Name \st a ru t'' - '
Address ,.L1-1 U . Pi. ,, � 'hone
�T.
Contractor's R g# Expires >1/:
PROJECT DESCRIPTION (Provide site sketch)
Resider tial; Driveway Commercial/Industrial Driveway
LExisting Curia & Gutter Rural Road Section
ri Culvert Irtsfaliation f J Sidewalk Repair/Construction
Fl Other conditions (\iaV r•. '
t
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS: ,
PERMIT PEE iris ectiion Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit Gard.
Card# Expiration Date
Name of Ffoider _ Si nature
Fees Paid$ Data frit v,
** TOTAL FARE.05 **
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This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct a
representation of the proposal. All known property .i 0
lines/dimensions,curb lines,structures and easements Z 0
have been identified. Also indicated are wetlands, 1 •• ' Z
bodies o•
f w. . step slot.-.Pr .cher critical areas. / ..Z£/L Oi S£1 xSigne. ". /il s
Date: 05 U¢