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2005, 04-06 Permit App: 05001091 Residence Project Number: 05001091 Inv: 1 Application Date: 04/06/2005 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 24 Left: 5 Right: 10 Rear: 25 Phone: (208)762-9106 Group Name: Site Information: Project Name: ROW Plat Key: Name: RANGE District: East Parcel Number: 55202.1412 Block: 2 Lot: 12 SiteAddress: 19215 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: 10,101 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review i Site Plan Review Released By: 1 Plan Review Released By: / ) Approach/Drainage Released By: Sewer Review Released By: ` .` - /9cir-/ Permits: .,o," Operator: K_C Printed By: K_C Print Date: 04/06/2005 v Project Number: 05001091 Inv: 1 Application Date: 04/06/2005 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 3436 Building Height 19 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB 1,718 $25,770.00 1,718 $25,770.00 GARAGE U-1 VB 664 $12,616.00 664 $12,616.00 RESIDENCE R-3 VB 1,718 $128,300.24 1,718 $128,300.24 Totals: 4,100 $166,686.24 4,100 $166,686.24 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,368.95 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $547.58 Permit Total Fees: $1,921.03 Operator: K_C Printed By: K_C Print Date: 04/06/2005 Project Number: 05001091 Inv: 1 Application Date: 04/06/2005 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 6 #OF UNITS $6.00 AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 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: $128.00 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 3 NUMBER OF $18.00 SINKS 5 NUMBER OF $30.00 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: $102.00 Operator: K_C Printed By: K_C Print Date: 04/06/2005 Project Number: 05001091 Inv: 1 Application Date: 04/06/2005 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 $1,921.03 $1,921.03 $0.00 $1,921.03 Mechanical Permit $128.00 $128.00 $0.00 $128.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $2,201.03 $2,201.03 $0.00 $2,201.03 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: 04/06/2005 _ BUILDING PERMIT APPLICATION WORKSHEET • SCM' `.1_ ❑ ( iCo ipoV Community Development Department Mane T Building Division 1'r 707 E. Sprague Avenue, Suite 106 n Spokane Valley, WA 99206 Fah • (509) 688-0036;Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 1 G r -\b & �i z ,1 ')v` Assessor's Tax Parcel Number(s): .ycr (552,u, , C) --13 Legal Description: tij \.)-- (Ve } 6.:Arq 6iD5Q-i.x\r15 PERMIT DESCRIPTION: 3Ple--- / (-__ , Building Permit n Change in Use (l Grading ❑ Manufactured Home ❑ Relocation fl Tenant Improvement n Fire Safety n Other OWNER/APPLICANT INFORMATION it Owner: \lL ,' E Applicant: �C'x--rc'\ Phone: �u -Co Fax: I Phone: Fax: Address: ,3i,ci 0 �>, (, k 5\ _ Address: t Chi v3p)33 City Stafe Zip Code City State Zip Code DV Contractor: rAS n Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: V a V(\,LIqq 'S Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: ` �i s.q DIMENSIONS: 4x25 • S-5- / #OF STORIES: 1 MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: 17/8 FINISHED BASEMENT SQ. FTG: GARA ESQ. FTG:' k DECK/CO . P' _A Q. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: 31, 71,-C-• FAVI lc L.Y c ps--yTrAt.-- C-7A-S #OF BED OOPIIS: TOTAL SPACE: IMPERVIOUS SURFACE AREA: _ ?c8 -30‘ COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR N-SITE SEPTIC '1-.. f c SYSTEM? . _- ii MANUFACTURED HOME Width: Length: Year: Pit Set: — Manufacturer: : RELOCATION Previous Address: Proposed Use: ARE 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 C CONCRETE n REINFORCEMENT n 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 Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check E Mastercard _ VISA El Other Bankcard#: Expires: VIN#: Authorized Signature: , i MECHANICAL PERMIT APPLICATION • QT' �ic�0"\ City of Spokane Valley Community Development Department ne BuildingDivision Sprague Avenue, Suite 106 __di" \7- ©� r 11707 E.Spokane Valley, WA 90205 44. ^ Phone: (509) 688-0036;Fax: (509) 688-0037 . FOR INSPECTIONS, CALL (509) 688-0054 Project Address:. \cY-.5 j.AAA tt'V€_ Permit Use: St"---t-.1Owner: \i s 4.I r) 1 ,'c.. -i V-4-t_, '\ " .i r.c Phone (Daytime Contact): ,- ;--17-:----=1 ,;--(-)1 iliac Mailing Address: � L ,i .s._I . _`C t't ;Au!? i- ,I!, 1a_t. ti I-4'1 - 'e;;y 5<_i j Kt } City t State Zip Code Contractor. , si.1 4 , .i)J f'.S�t.x Y1.1,",_ License#: L G `%S LI 6 Phone#: 9r---"1} -A(r, , Mailing Address: r,-1 i (E z,'t'!y-\- �.y" i..1i Th--,.F - �.. s-i "j� .i`s City State Zip Code #OF TOTAL DESCRIPTION OF WORK 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 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 X $10.00 = 14 DRYER I X $10.00 = 15 FUEL BURNING WATER HEATER I X $10.00 = 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) l0 X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS 11 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 I 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 0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: I PLUMBING PERMIT APPLICATION rICITTVp City.of Spokane Valley Community Development Department 1\�p0 BuildingDivision !gyp'"! tie 11707 E. Sprague Avenue, Suite 106 Valk vSpokane Valley, WA 9920E40 00 Phone: (509) 688-G 36;Fax: (509) 688-0037 FOR IN'SPECT!OKS, CALL(509) 688-0054 Project Address: k C(' S t U Permit Use: err\ Owner: .E k i 17 it,,, . icc. �. I` Phone (Daytime Contact): . ---lV )-Q i L Mailing Address: •:;)i :,1 ►),'\) aP ;,,, )"� a i-, Cityt" State Zip Code Contractor S--.�_i E v x j., i�.-1 " ;i fri License#: 1` -. 1, r: k�,-i --0:31- 13 �-t,, �� Mailing Address: i-- .,_ U t 1 i t Z!d,�< :r, City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = X $6.00 = 2 URINALS 3 TUBS YYX $6.00 4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT .'��J X $6.00 = 5 SINKS LAYS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR,PHOTO,X-RAY,FOOD, f....,' PREP/CULINARY/MEAT X $6.00 = 6 DISHWASHER 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, 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, 3 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: This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions,curb lines.s, indicates and easements ! 'J •� t �� have been identified. Also indicated are wetlands, E 1 .' �` . bodies of water, - p slopes o► oth al areas. 4.1., � � .J �'� Signed: — SCALE: 1"=20'-0" Date: 3 0.5____ 5 LOT 12 BLOCK 2 COUNTRY CROSSING SPOKANE VALLEY,WASHINGTON t -_ h -11 1/2"* ‘,,g , ---(----- ) -82:4 __-I - .00001:00 tom' ig �' (/ (- re—1111 `y�� CON cc J PATIO �n N i I (I -',1-4;„'`-'''''_1(7 kV -7,,:iti?!--,, '''7::,4, �t� �a .� -_sem i .\1\L./ 9 k y - 4, : t r sig ,t.7.1. -,:„.„1;i--1,,,i.,'„,.. y ,,,,,:„.,„p,„ Y� usvy 2+2 -j''' .\ t . :-y as -tr-' -t,,- a '" x CSI CONC \ { #` a # PORCH AND r s3 SIDEWALK i sore n k, � f ss:win' r- I t \ \ Ii UNDER N ROUND . OWER • DRIVEWAY cry / WATER o \J 5'-11 1/16" v cU -_._ g3 23, \ STET � REENBRIAR WATTS / G