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2005, 05-11 Permit App: 05001548 Residence Project Number: 05001548 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 34 Left: 12 Right: 28 Rear: 32 Phone: (208)762-9106 Group Name: Site Information: Project Name: ROW Plat Key: Name: RANGE District: East Parcel Number: 55202.1602 Block: 4 Lot: 2 SiteAddress: 19222 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: 10,133 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: Plan Review Released By: i 41,PA LI + z h'� Approach/Drainage Released By: QL>fJ.44,4,./C Sewer Review Released By: ,__ d_9 LI Permits: Operator: K_C Printed By: K_C Print Date: 05/11/2005 Project Number: 05001548 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 2468 Building Height 25 Stories 2 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq 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 140 $2,100.00 140 $2,100.00 GARAGE U-1 VB 492 $9,348.00 492 $9,348.00 RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00 Totals: 3,100 $141,843.76 3,100 $141,843.76 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: 05/11/2005 Project Number: 05001548 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 3 #OF UNITS $3.00 VENTILATING FANS 4 NUMBER OF $40.00 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: $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 TOILETSBIDETS 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: 05/11/2005 Project Number: 05001548 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 $1,725.03 $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: 05/11/2005 °- BUILDING PERMIT APPLICATION WORKSHEET Silokine City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 906 Valley 40010-Vay Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 F REQUIRED SITE INFORMATION Street Address: \Cif)'4 -� � Assessor's Tax Parcel Number(s): 5_,),40-,- 1 I.GU� Legal Description: ter ; Oc,61 U Cukn k,,( eyasty'c PERMIT DESCRIPTION: CA11: u i x i ..0‘f„`) WI 0,4.(2dArLi6,.... LXX 99- R--Building Permit ❑ Change in Use ❑ Grading El Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION Er Owner: \I E Applicant: 'y:> _Q Phone: 12, -Ck A. Fax: Th. u Sc1 Phone: Fax: Address: O 1 _ t Address: City State k Zip Code City State Zip Code LV Contractor: S _.- 11 Archit _ e PhonFax: Phone U WF_, rn) Address: Address: J City State Zip Code City D State ip Code �� Contact: ., OLITh WA State Contractor License#: �'tCl �.lt� C � Spokane Valley Bus. Liscense #: Contact: PERMITIEUILDINO INFORMATION HEIGHT TO PEAK: ' I U DIMENSIONS:5.�3� ` e #OF STORIES: a 1 MAIN FLOOR TO SQ. FTG: 2ND FLOOR SQ. FTG: L�C 1 UNFIN BASEMENT SQ. FTG: l a. FINISHED BASEMENT SQ. FTG: I GARAGE SQ. FTG: k.k Q^ I DECK/COV.`AATO SSQ. FTG: OCCUPANCY GRQ`UP: CONSTRUCTION TYPE: `d- I HEAT SOURCE: ) f: vnt - CA AIL i # OF BEDROOMS: '..J TOTAL HABITABLasp 1 IMPERaO S SSUUc FACE AREA: COST OF PROJECT: 30% SLOPES ONPI OPERTY: SEWER OR ON-SITE SEPT ' k Pt SYSTEM? ' • .,,i �. MECHANICAL PERMIT APPLICATION HT1 ori .. r ` City of Spokane Valley Community Development Department Kane BuildingDivision \7c� ��T 11707 E. Spraaue Avenue, Suite 106 biles Spon ane tiaiie1, 1 A oo�n� s/ Phone: (509) 688-0036;Fax: (509) 688-0037 FOP INSPECTIONS, CALL (509) 688-0054 Project Address.. ' CD-(5-5 1-1I) t Ili Permit Use: Owner: 'fir` '� i :Th,-:, i r: -.-t'; .4.--u--,^, ,i1.4.-,(:_ Phone (Daytime Contact): =}7!-_ -1 :;,..74-c)(i : Mailing Address. ,-t i,. ---; L i,-k;, `( I-', )>". Y) i`1.- ~ti.. -\ ,tJ i .�;:-•r••--3 l r City, t State Zip Code _ Contractor: E--",. am r_:" t; 6-`1\v' i,VI J fLc,-1 %�`V' Phone#: --A ;:i- I;-,^1 't-`I"`. t t_; 1'� , ,_ License#: �: Mailing Address: ,F ,-,qc hti' '.\ -,,, ^V i,, 1',A.�S� I- t -Q' r, ._1..4 c s 1C.; City State Zip Code #OF TOTAL i DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 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(VVSEC 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 = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER k 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 4 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 I o CASH 0 CHECK 0 VISA 0 MC DATE: j PROCESSING FEE I $35.00 CARD m: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: X PL UMEING PERMIT APPLICATION SOTt U City of Spokane Valley Community L'evelopment Department pone BuildingDivision ' • 7_imp_ 11707 E. Sprague Avenue, Suite 106 Spokane Valley', WA 9920 "' 4311 -- J Phone: (509) 688-0036;Fax: (509) 688-0037 t � y�, FOR INSPECTIONS, CALL (509) 688-0054 Project Address: `4 6 - tell \ \V_ Permit Use: r' '\ ©Winer: t , c!_ ''; _,( Phone (Daytime Contact): r;:..:.-- -�` F'C L;5, Mailing Address: -,, ,i,), .0 r I ). r r ` s;-,i�, ;n, '�, L....:-)7....-:i _ City State Zip Code Contractor: n ' i ►�. i -: ' ", t.J '" 1-. .. License# '„ ,' . 'i,-.1.',1,'-, ''' ,Phone#: .�:'" F:-€ I. ,. k i 1 .—--r, l.,,Railing Address: ....'---,1 ,1,--,.' _ ') p� .f t N N . 1:f, (N..(' l ,, . ' `r t ; City State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS 5 X $6.00 = 2 URINALS X $6.00 = 3 TUBS Q X $6.00 =- 4 4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT X $6.00 = 5 SINKS LAYS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = a. JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT 6 DISHWASHER I X $6.00 = - 7 CLOTHES WASHER t X $6.00 = B 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, A� X $6.00 = CARBONATOR,SWAMP COOLER 17 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 I X 56.00 = I METHOD OF PAYMENT: SUBTOTAL ❑ CASH ❑ CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: 1 BANKCARD NUMBER: AUTHORIZED SIGNATURE: . ' t d\ Call 24 hours before inspection requiredrequired Phone 509.688-0026 Fax 509.628-0037 „:90.Aane ,7,00\ iley DEPARTMENT OF PUBLIC WORKS Arttfcfpated start data Permit # PW,, APPROACH PiERET A,PPLECAT[OR Location of property ICID -i:-) SisL-W\ D1kt. (Address1Parcel#, if available) Applicant Natens_ 11:,... ,.....L.:._. ...L.. ...4,--tf:::_____ _/..._ . ;4....___V° ( ' '''''' ``– --.7 -1.--Th f . – ---7,,i ; .iv i c ' ---,ro, ; , ,c,.. AddrassLLC fL,::,..j.1,_;_!_.,.,,._,.)y, ,, :....._,.,..J i. -J,a.,Phoclie, ar'.,f."' •":-.17,--.. -?-4—(3 „ Contractqrs Rama V L , Vrq Address2c __Phione .-j”...).c , -M2 -°1 ,- c2. Contractor's Reg# skf‘ V.-,i k..,' 0,_ C4ct.J.;!) T.:'):), Exrsfl PROJECT DESCRIPTION (Prvvide site sicetoh) 111 ResidentialDrh,,eway CornmerciaWindustriai i:Priveway _ 17 Existing Curb & Gutter - Rural Road Section I i Culvert Installation Sidewaik Repair/Construction , ri Other conditions f\s,NV: i,''("., ('; 1 ______ See construction requirements and details on reverse. Bond/insurance certification must be on file with the City. Aillidollialiftormomminsn=n== 1m.. " . .. .,......, SPECIAL CONDITIONS: ' i ' ••• " ............. .,, PERMIT FEE $ Ins.ection Fee$. .„.., . I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card# apiration,Date I Name of Holder SionatureI - Fees Pard$ Deth inft ** TOTRL FP3E.05 ** Y. 1"= ' 0" 4 r LOT 2 BLOCK20- � COUNTRSCALEY CROSSIN SPOKANE VALLEY,WASHINGTON This sib pian Is being submitted for the purpose of obtaining a building pe11 rmit and is a true and correct representation of the proposal. All known property linesidimensions,curb linea,structures and easements have been identified. Also indicated are wetlands, bodies of water,,steep elopes or other critical areas. Signed: C3 X Date: , -�3 5 \ 95.00' L. .(r--__')." \ .( \\ 54 b';' ) 2' 0" '-6" 28' 6" Ny /! j lW0cSD DECK _ ' ( V n ll"- .-=':;-'''-' - - •--� 51.01'} N s'"P' M O d1 6 __ -- ,--i .3 L .� DRIVEWAY UNDER ( \) CONC. GROUND POWER PORCH AND w SIDEWALK " -- M M \,,,./' AY 4. 7' TER AWA ----- ----= 9 8 -- - - $ ----- .. -- 1- _ __ s"'ACF �' CURB — - - - -- - _ __ CRCIN,NOFSTP,EET AO0R1111111/4-90-4 NOAO WIDTH 3SFRONT . )4.1 FIAMaNG )44A' REVIEWEDtwii �� i 1-t., OLARINGTON