2005, 03-17 Permit App: 05000801 Residence Prbject Number: 05000801 Inv: 1 Application Date: 03/17/2005 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
.,;,, Via,"w,psgs <,a=,�, .� ..< ,>,,..�. .x, .r'"r�a� ,,x .,�>., �_. :«...«ze»•.'�.'
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: 8+ Right: 12 Rear: 24+ Phone: (208)762-9106
Group Name:
Site Information Project Name:
Plat Key: Name: RANGE District: East
Parcel Number: 55202.1409 Block: 2 Lot: 9
SiteAddress: 19307 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: 10,011 Sq Ft Width: 87 Depth: 114 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: �aiw�rfim� �. �� = a Vu2"._.,_ ... . .
Review
� c
Site Plan Review Released By: , ® t . 4
Plan Review Released BY: n1/4-4—ZOWI,
Approach/Drainage Released By: A
Sewer ReviewB +
Released By:
6 _fi„ t_c
Permits:
Operator: K_C Printed By: K_C Print Date: 03/17/2005
Project Number: 05000801 Inv: 1 Application Date: 03/17/2005 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 1625
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 48 $720.00 48 $720.00
GARAGE U-1 VB 851 $16,169.00 851 $16,169.00
RESIDENCE R-3 VB 1,625 $121,355.00 1,625 $121,355.00
Totals: 2,524 $138,244.00 2,524 $138,244.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,212.15
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $484.86
Permit Total Fees: $1,701.51
Operator: K_C Printed By: K_C Print Date: 03/17/2005
Project Number: 05000801 Inv: 1 Application Date: 03/17/2005 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
AIR CONDITIONER:4-15 TONS 1 NUMBER OF $20.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 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 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: K_C Printed By: K_C Print Date: 03/17/2005
Project Number: 05000801 Inv: 1 Application Date: 03/17/2005 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: •4.100/00M4 -•. MAW
Payment Summary: ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,701.51 $1,701.51 $0.00 $1,701.51
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,936.51 $1,936.51 $0.00 $1,936.51
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: 03/17/2005
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„`LDNCI PERMiT APPLiCATOK VyrORKSiiEET
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�(_t oµ e� -----..=;i?.-: o , ent Department
;�� - City�f�/�J p2�ti=n;��/aiiey Community Jen ego m�
oD [E ( E O V LS P-,r;i1r'inr( (-)it�1S'Cf?
.1.. -�+ti.ors_ F C ` 1-j.)l i 1707 S_nr r e A�_n C rite 1O.=
r vgileii g t 2025 J _Spokane Val/6-y, WA 99206
6.--;:;,--.a.,--- G.; -_.or-ie: ( 09) 688-0036; Fax. (509) Jt8-0037
D 11IE . Th1k
REQU[RED Sf T E E FOR AT[O
Street Address: \ g351 E k -+41 Ne--
ASSE;Sso1 r S Parc l Number%s): 1-'L�,-1 e j1 5`)<J`-"A ' n---13_
Legal Description: _f-J- ekVCCIC ,- � `�;l�t'1 t (x-css (.aoctS
PEccfieuET rESCRGP uON:
`�!iiding Permit n Change_ h Use Grading n Manufactured Home
1 1 Reiocatio i — Tenant improvement ( I Fire Safety I 1 Other
OWNER/APPLICANT B iFOR6' AT'BONi
n Owner: .\[ jitiLiYA Nns-k-vl5. t u1 ["'' Applicant: i' ;'(Y _... .
Phone: `1��.--tIOlD Fax: —ltd- -o-i Phone: Fax:
Address: ',-)A0 as Ls,._ • - cS2.J\ k-c__ Address:
qIu{rA 'FR ->3`J
City \ State Zip Code City State Zip Code
Contractor: Nate n Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: V lk L)0 i Ck OContact:
PERk& TIBU[LDBNG BE FORWEATEO
HEIGHT TO PEAK:,6 - CI6As // DIPti�Ei�7-oil)e jell #OF STORIES:1
MAIN FLOOR TO SQ. FTG: 2N" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
/67:5A)/At
FINISHEDBASEMENT SQ. FTG: GARAGESQ. FTG: DECK/CO PATIO SQ. FTG:
1 /A if51 fir
Or-f--;fL pL`NC" `'UP: CONSTRUCTION TYPE: HEA i SOURCE:
1) i- ICES?0E 4L---- CA
TOTAL r OF BEDROOMS:v 1 r��HABITABLE SPACE: IMPERVIOU SURF:�`.CE AREA:
LI301-1j
COST OF PROJECT: ; 30% SLOPES ON PROPERTY: I SEWER OR ON-SITE SEPTIC
SYSTEM? 5 E(,)FZ,
PLUMBING:PERMIT APPLICATION
crL�� "C\ City of Spokane Valley CommunityDevelop ent dlepa itm Department BS Q e 11707 E. Sprague Avenue, Suite 106
lleySpokane Valley, WA 9920E
40/Va
Phone: (509) 688-01236;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
�3al re. Permit Use:
Project Address: 1 � u-1 5.
Owner: Vt V.i rt''' �l �x'1',k -Lc")
Phone (Daytime Contact):)--:,..?---1(,9 w%,
�` t F ' ' ': I r 6)0 Y\ Ii,�'' 'k i.i' 6` Z ZipCode
Mailing Address: ��`. a > City%' State
^-' -.ti u . �\i n-,i License#: LL k���� - crl“ ,Phone# k.. -Q-al- 6GI i',3
Contractor: t� t` -I, s r ,—*
A� _ !'� 1. �1.�, r N.1�Y' [ �`,. \;C_ uka %•
Mailing Address: . City State Zip Code
#OF TOTAL
UNITS X COST AMOUNT
DESCRIPTION OF WORK
WATER CLOSET,BIDETS Q X $6.00
_
1 TOILETS
X $6.00 _
2 URINALS
1 X $6.00
=
3 TUBS _
4 SHOWERS(PER TRAP)
BATH,STALL ON-SITE BUILT X $6.00
5 SINKS LAVSBASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD, i
PREP/CULINARY/MEAT 1—�
X $6.00 =
6 DISHWASHER
I
X $6.00 =
7 CLOTHES WASHER
X $6.00 -
6 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER =
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS
AREA,CASE,COIL,TRENCH, X $6.00 =
CONDENSATE
X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS =
X $6.00 - ,
13 FOUNTAINS,DRINKING X $6.00 =
14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION,
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
CHECK BREAKER,
17 CROSS CONNECTION DEVICE VACUUMX $6.00 =
VALVE,AND R.P.B.P.D.FOR:
VATS,TANKS,BOILERS
18 INTERCEPTORS
GREASE TRAP,SAND TRAP, X $6.00 =
CHEMICAL HOLDING TANK
NITROUS,OXYGEN X $6.00 =
19 MEDICAL GAS(per outlet) X $6.00 =
20 MISCELLANEOUS PLUMBING FIXTURE SUBTOTAL
METHOD OF PAYMENT: $35.00
0 CASH 0 CHECK ❑ VISA 0 MASTERCARD
PROCESSING FEE
DATE:
EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
.. ` MECHANICAL PERMIT APPLICATION
QTI City of Spokane Valley Community Development Department
3 ile BuildingDivision
11707 E. Sprague Avenue, Suite 106
4 .,,,io
1a ev Spokane Valley WA 90206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. \Q 6'1 G ' tx-h 4 _ Permit Use: Sri:-
Owner \t*Iv' i , c;r\-<t-tit "r 4-u- ^, 'Lr Phone (Daytime Contact): w,T�;- ,-"I : i i,C(
Mailing Address: - .,i: LC ,�� t .._LC. t^ i-kr.= ,- "; ,,L, \ -1.) t;:k5F6
N. City, t State Zip Code
Contractor: [-I LfP1 ?P S<<),-.t kartfL License#: L C> '"-L-E"": Phone#: -:;. ,:�=- (r.`. ',
Mailing Address: r;,-1 i (:-:•e: L. �'i\i-,,,-- \-i.' %.ii,: k -t-c-.'- ,:;� 1 t'sF. -5
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(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 X $10.00 =
13 RANGE X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER 1 X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 3 x $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 5 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 1 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:
.4--i, Ili'', E
ADDRESS C , — SCALE: 1"=20'-0"
;ONE
ROAD WIC "G148-
d �` i{� LOT 9 BLOCK 2
COUNTRY CROSSINGS
FRONT —F
COMMENTS -r,� t1POKANE VALLEY,WASHINGTON -.,C1--
REVIEWED BY i
25.14' 62ito
.36' _ �
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8'-6" 67'-0" A 12'-0" t) M ti
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CONC.
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oo
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87.5' C.,-.
I w IUSEWER
SIXTH AVENUE CROWN OF STREET
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,structures and easements
I have been identified. Also indicated e w lands,
bodies of , teep slopes o! Ecri areas. BURNETT
Signe • f.7-7i-- 7! `�e-�
Date: ' q/C''`f