2005, 06-07 Permit App: 05001942 Residence Project Number: 05001942 Inv: 1 Application Date: 06/07/2005 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 36 Left: 20+ Right: 12 Rear: 20 Phone: (208)762-9106
Group Name:
Site Information: Project Name: ROW
Plat Key: Name: RANGE District: East
Parcel Number: 55202.1601 Block: 4 Lot: 1
SiteAddress: 19302 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: 11,137 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: "
Approach/Drainage Released By: k, ¢
r _..�" l
Sewer Review Released By: �/ (14(O3
; k(C)
Operator: K_C Printed By: K_C Print Date: 06/07/2005
Project Number: 05001942 Inv: 1 Application Date: 06/07/2005 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 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VB 100 $1,500.00 100 $1,500.00
GARAGE U-1 VB 528 $10,032.00 528 $10,032.00
RESIDENCE R-3 VB 1,799 $134,349.32 1,799 $134,349.32
Totals: 2,427 $145,881.32 2,427 $145,881.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,251.35
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $500.54
Permit Total Fees: $1,756.39
Operator: K_C Printed By: K_C Print Date: 06/07/2005
Project Number: 05001942 Inv: 1 Application Date: 06/07/2005 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
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: $96.00
Plumbing Permit
Contractor: BELKNAP PLUMBING Finn: 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: 06/07/2005
Project Number: 05001942 Inv: 1 Application Date: 06/07/2005 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 $1,756.39 $1,756.39 $0.00 $1,756.39
Mechanical Permit $96.00 $96.00 $0.00 $96.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,980.39 $1,980.39 $0.00 $1,980.39
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 06/07/2005
( ._(„,, it.:,„ , , :., ,CS- 0'0-
" BUILDING PERMIT APPLICATION WORKSHEET
CMSÔkàne E eyvf,$pok ;ley Community Development Department
�JJ 11'��ll Building ldin Division
9
4000 jlky — D !!7O E. Sprague Avenue Suite 1 Q6
1�:,,, Spokane Valley,. WA 99206
P te: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 1 Q31 n kit_
Assessor's Tax Parcel Number(s): 5c _01.3 . 1 LO\
Legal Description: UA--A \ 1 LC q (( UL,-.-4/ (.1c 3 M
PERMIT DESCRIPTION: in(` y ,, �1 ° ' L
TV(Building Permit fl Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
HZ Owner: vdUly ❑/ Applicant: `kms
Phone: 1. Vii( t il, Fax: 1U.L1 '1 Phone: Fax:
Address: ... .l} „ . ,: '/ ' Address:
l CAUn T fie��cS
City State Zip Code City State Zip Code
Contractor: `�i-.t'�� ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #:V t iL►N Ck etQ3c61�1 Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: Ili_co DIMENSIONS: 6 Sr i 46, i #OF STORIES:
MAIN FLOOR TO SQ. FTG: '791 2'vu FLOOR SQ. FTG: N UNFIN BASEMENT SQ. FTG: NI A'
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: Z DECK/COV. PATIO SQ. FTG:
N G
fgoNic vifac..i.A t oo 5q..r -r-
OCCUPANCY
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
# OF BEDROOMS: TOTAL HABITABLE SPACE: -, SURFACE AREA:
-5 17 9 -To- r4 t_ 2724. +
COST OF PROJECT: 30% SLOPES ON PROPERTY: ki SEWER OR ON-SITE SEPTIC
�' SYSTEM? 1 rlJE 1
PLUMBING PERMIT APPLICATION
•
S"mane City of Spokane Valley Community Development Department
BuildingDivision
ValleYSpokane
11707 E. Sprague Avenue, Suite 106
Valley, WA 9920E
Phone: (509) 688-0036;Fax: (509)688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: Permit Use: SFR,
Owner. V 1k(rtTi lt-,A i "-f Phone (Daytime Contact) ; -1 r -91
Mailing Address: • C,F> 1 ,lic4. 4 i ll,0 i\ 020') 1, 1 ,'-4 t. >;>Ft I~5
`' �` City t State Zip Code
Contractor: r.)..:3I I - I i V
-; -LITI i i fl('I License#: t'f;L Vit - C 1tOLPhone#: .F, )-C. 1- 6cii 1-
�, c
Mailing Address: t � t f..`-4, t 4). . \€. I Ct ck 1- n, �t��-��
City State Zip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS X COST at AMOUNT
1 TOILETS WATER CLOSET,BIDETS D X $6.00 =
2 URINALS X $6.00 =
3 TUBS rg X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT of X $6.00 =
5 SINKS LAYS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT
6 DISHWASHER 1 X $6.00 =
7 CLOTHES WASHER I X $6.00 =
8 GARBAGE DISPOSAL I X $6.00 =
9 WATER SOFTENERX $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 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
' MECHANICAL PERMIT APPLICATION
,;,,a�q0"figaCity of Spokane Valley Community Development Department
11 t��� BuildingDivision
\ 11 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address:. \(A3 Dx- U.44-` ()‘oe__ Permit Use: `
Owner: i s 'i „ m'-< ( ` 4 f_,^, "1.-tic_ Phone (Daytime Contact): , ,- s-,- -- -s'I i ,s( :
Mailing Address: C%�: u3, C%� Y1 t x' 13 -1(\ 1 ` %:.�� ;
City) State Zip Code
H
Contractor: -thfri f) L'
#i' �t .t ') License#: LG--;:::` Ft-i6 Phone#: i -' n-1- (rf‘ -'
Mailing Address: ) i Q (6. ;r✓j'11 tU 1 :
-7 Z t"\ s7 4
City State Zip Code
#OF TOTAL
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(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 1 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 J 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 11 HOOD R 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
0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
SITE PLAN .
SCALE: 1" = 20' - 0" Fsow No'cods Fa—�==
RENEWED db ----
LOT 1 BLOCK 4
COUNTRY CROSSINGS
SPOKANE VALLY, WASHINGTON
33' 10 11/16" 65'-0" 1 12'-0"
110.89' �j 0�.l
Q .i . . "a-- ,.., PROPERTY LINE T
20'-10 11/32" b
'Y%` FLANKINGSTRE O
\e- t.:'•:;:•.•1:
;tiY ;rB N
;�'ory%? i r '%%'CONCRETE';'••
ties i ':�1:�4ATIOl's!•
iSrS , i REAR YARRSETBACK LINE • ; ,�, atyiy
♦ j
gilt l.tl.•J:i!}r,t:10
V'},t ltr:i, liJt,:tr,
IIsi
A •N ;Ui
d iii
W s WS 'ROPOSED eV . co
2 p RANCHER
W w •
CD rtrt a ,-+
v d ; 0.
.i d
:ilei
•
, /
tit
i Art :t:i;
i tit it:t; :.,.•.,:.,.•.,:.: it:t,
.c •4.4.,iJ}r.cr.•t
{ CONCRETE •
,i,i,iri,tri,il,:c,
' f"• PORCII& 'sip:,s CRETE,t,
t,.c ! SIDEWALK llIV
tit;i. `� •it;i;tii%tit;t;t, -
• :rrr,Yyrrr
..rr .
rq
t'•./. o D Q ,,irArAA
, r:e,3.1.7.,,X, rO
,A,x,i,A,x;},ArA,
'.: �r w Z •:�,x,t.x,A.s,.;,t. • GROUND
F? '9t 2' g ii;iii;i;i;i;t;i, POWER
;,_fete t,. I WATER 3 ,�
f� ...4.2..4...4('V'4'. •
l:� ,',;Y,.., ;tlt,:t,}Ic;:•,.m <J:II;,,t,•c,Y,d;"•:Y,t,s ,V..V. x;* * 'c t.•,tit,e, r`.It,t!
• ¢::lilt,t: ,
, i,`:•� ,,,:i,\,s;ti;;l;;i:,•.;�,>>.:W.sY,A,3,ti:ti;,:;.5$IDEWALKi;K •it;y:iJ;c;A,`i.iA,•;'5 0';:ii;A,:•/\
N. \I ,,,,I
PROPERTY LINE 81.00' ;i:i:t;A:i%Alt%i,
%3:ti;.i;i;�i.X%3;3,
CURB
SIXTH AVENUE
This site plan isingpemitancdsatrthe
andcore COLLEEN SL ., BECKNER/ BASS
obtaining a building permit and in a true and correct
represcntaion of the propsal.All known property
line/dimensions,curb lines,structures and easements
have been identified.Also indicated arc wetlands,
bodies of water,steep slopes or other critical areas.
Signed: Y
Date: 5-^ err-