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2004, 12-08 Permit App: 04009353 Residence Project Number: 04009353 Inv: 1 ' Application Date: 12/08/2004 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit ProjectInformation: ..................................................... . Permit Use: NEW RESIDENCE W/ATTACHED GARAGE- Contact: VIKING CONSTRUCTION NATURAL GAS Address: 2605 W HAYDEN AVE C-S-Z: HAYDEN,ID 83835 Setbacks: Front 36 Left: 12 Right: 31 Rear: 36 Phone: (208)762-9106 Group Name: Site Information: Project Name: ....................................... Plat Key: Name: unknown District: East Parcel Number: 55202.0273 Block: 3 Lot: 2 SiteAddress: 19408 E 6TH AVE Owner: Name: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Location::GRE HAYDEN,ID 83835 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 10,012 Sq Ft Width: 98 Depth: 102 Right Of Way(ft): 38 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: j . e2tAttitts Plan Review Released ByOA(" .1( . '... ... 'i/Le Approach/Drainage Released By. Sewer Review Released By: DHCO � -1l Operator: K_C Printed By: K_C Print Date: 12/08/2004 Project Number: 04009353 Inv: 1 Application Date: 12/08/2004 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 1482 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 DECK R-3 VB 96 $1,440.00 96 $1,440.00 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: 2,070 $121,463.76 2,070 $121,463.76 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT PEE 1 SELECT $1,116.95 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $446.78 Permit Total Fees: $1,568.23 Operator: K_C Printed By: K_C Print Date: 12/08/2004 Project Number: 04009353 Inv: 1 • Application Date: 12/08/2004 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 RANGE 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 TOILETS/BIDETS 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: 12/08/2004 Project Number: 04009353 Inv: 1 Application Date: 12/08/2004 Page 4 of 4 • THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Note Payment Summary: .:., . Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,568.23 $1,568.23 $0.00 $1,568.23 Mechanical Permit $95.00 $95.00 $0.00 $95.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,815.23 $1,815.23 $0.00 $1,815.23 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: 12/08/2004 ....pcs ;- - � • BUIL, ►'G PERMIT APPLICATION WORKSHEET `TI,° • 15) E, i y i t o T. ey Community Development Department , ne Building Division alley a � : 11707 E. S-pragoe Avenue, Suite 106 D Spokane Valley, WA 99206 '- . .000 �< Da_A : (509) 688-0036; Fax: (509) 688-0037 __ Dfid REQUIRED SITE INFORMATION , Street Address: AetU bah\ 1e i% Assessor's Tax Parcel Number(s): �( Yl-k' .q.) CA C:1- 13 41 (.cUJ'\#hL1 "Leal ©escription: C�osSt { �j 1 PERMIT DESCRIPTION: e)U'iLI 1v. ` -). .V) 1 (.6111,01 -U ' (1Q -V/Building inc3 Permit — Change in Use Grading n Manufactured H© e Relocation n Tenant improvement n Fire Safety I I Other OWNER/APPLICANT INFORMATION TV.- Q,LOSA1(0..d Owner: \it(l A1({ L- Applicant: 1YQ-Phone: 1i,'k�-qta, I Fax: ilc -4 o 1 Phone: Fax: Address: Address: City State Zip Code City State Zip Code 11/'Contractor: �r'� 1-y Q_ I I Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code City State Zip Code WA State Contractor License #: V IC( )C4Ci!RNj Contact: PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: I `0d DIMENSIONS: �� "' #OF STORIES: , 42 MAIN FLOOR TO Q. FTG: 2' FLOOR SQ FeTt : UNFIN BASEMENT(SQ...FTG: ICAO "A CoL, K3/tA FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: cc Co OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT OURCE: 511,(.. .0 1-AAMAt G.-`'.( I�:5 t' re'J�t AC_- l�S lO(2-E- # OF BEDROOMS: TOTAL HABt. ITABLE IMPERVIOUSS RFACE AREA: COST OF PROJECT: 1 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC 1 I D/63t SYSTEM? -,....u--)c.42___ MANUFACTURED HOME Width: Length: Year: Pit Set: Manufacturer: RELOCATION 1 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: WASHHGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner: Phone: Fax: Address: City State Zip Inspector: Phone: Fax: Address: City State Zip SPECIAL INSPECTIONS fl BOLTING fl CONCRETE (1 REINFORCEMENT PI WELDING Firm Name: Phone: Fax: I nspector(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 7 Check [ Mastercard n VISA E Other Bankcard #: Expires: VIN#: Authorized Signature: ,‘ • . PLUMBING PERMIT APPLICATION S� �(ri City of Spokane Valley Community Development Department �H"� BuildingDivision \ J.Valley 11707 E. Sprague Avenue, Suite 106 , v 400, Spokane Valley, WA 9920E Phone: (509) 688-0036;Fax: (509) 688-0037 n FOR INSPECTIONS, CALL(509) 688-0054 Project Address: VQtilj St 44\ kt_ Permit Use: r7 V k ✓� -��� ,� ; t Phone (Daytime Contact : - F;, -9I&(�� Owner: ` , �� -t:;t� Yt ) Mailing Address: ? `A ►i? U • : '+-- (\)� 'y Y 'k. s �� , EE City State Zip Code Contractor: `-1-.),-,.2_ �v ).. L� !.t� i. I-, �'i; , M C ` Phone#: FY,--C1-L F.3 ` /3 ' r i rl �� License#: ti .� '�E�iiG �i Mailing Address: .t.1-A E t . " 14', °'`\r. . . ‘i)(it ri r. t r_ Uc h q 5-7 City- State Zip Code #OF TOTAL DESCRIPTION OF WORK UNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS _� X $6.00 = 2 URINALS X $6.00 = 3 TUBS D. X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 3 X $6.00 = 5 SINKS LAYS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT Y 6 DISHWASHER 1 X $6.00 = 4 7 CLOTHES WASHER 1 X $6.00 = 8 GARBAGE DISPOSALX $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 o CASH ❑ CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION Q • Spokan City•of Spokane Valley Community Development Department LBuildingDivision dooTal iev 11707 E. Sprague Avenue, Suite 106, Spokane Valley, WA 9920: Phone: (509) 688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address: teitkoca Permit Use: -0,1t--• Owner: \/ s ; ^� -;� I 4 r , Phone (Daytime Contact): Mailing Address: �C . I:-\ , -t n City, State Zip Code Contractor: �'t s.x ;.�'r Wei)CAW License#: F,t IFN: Phone#: Mailing Address: 7,1 r E �1✓� g - ^, -t"C,� 1 �'r '. City State Zip Code DESCRIPTION OF WORK #OF TOTAL 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 ' 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 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 X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON $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 ❑VISA ❑MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: 4 I { Slit i _ J J �� .ice JSY �i.� J�l ,.i ;2 �. 11 SCALE: 1"=20'- 0" mi :?; LOT 2 BLOCK 3 COUNTRY CROSSING SPOKANE,WASHINGTON fliiQ • 1\6 A 98.00' 'lilb IIll\ il li 7 N / 12'-0" 54'-6" '. 31' 6" y M _WOOD= DECK � ST v � aakSLY 4; �' - 'sem. -w4¢ �. 4 � .(C, SLOP! a NJ,Etm i£_ ENTRY o C - :) -5-wio n , I � � ` ' n-€ .c. - '4 I CONC. W O EWAY PORCH AND W DRIVSIDEWALK o WATER •I M WALKWAY UNDER POWERGROUNDO 98.00' SWALE E PROPERTY LINE ICURB CROWN OF STREET CLAIRINGTON