2004, 12-08 Permit App: 04009354 Residence r
Project Number: 04009354 Inv: I 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 83854
Setbacks: Front 36 Left: 31 Right: 12 Rear: 20+ Phone: (208)762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: unknown District: East
Parcel Number: 55202.0273 Block: 3 Lot: 1
SiteAddress: 19414 E 6TH AVE Owner: Name: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
Location::GRE HAYDEN,11) 83854
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,947 Sq Ft Width: 108 Depth: 102 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 (O .[
Sewer ReviewReleased By
Permits:
Operator: K_C Printed By: K_C Print Date: 12/08/2004
( Y
Project Number: 04009354 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 1799
Building Height 20
Stories 1
Dwelling Units 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
COV DECK R-3 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 I SELECT $1,251.35
STATE SURCHARGE I 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: 12/08/2004
Project Number: 04009354 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 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 Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509)921-5913
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
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: $90.00
Operator: K_C Printed By: K_C Print Date: 12/08/2004
Project Number: 04009354 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
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 $90.00 $90.00 $0.00 $90.00
$1,992.39 $1,992.39 $0.00 $1,992.39
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: 12/08/2004
_a-- . BUILDING PERMIT APPLICATION WORKSHEET
uT�' _ Cit' of Spoke Valley Community Development Department
poKane D E [� �� Building Division
T �
r !;%!1 7 P. Sprague Avenue, Suite 1 06
40,
r e v� c v�.:
i i ca 7 _
, '/ 2 2C „ Spokane Valley, WA 99206
CD ,cue: (509) 666-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: I q g 1 Lt e 31)1.- to V.
Assessor's Tax Parcel Number(s): �� R.,..y_et� ,rjF5' 3L<) . V �3�l - it 65`-j .
Legal Description: ..1A I � C _�(_ 7 (I Ar-kk (iorq5
PERMIT DESCRIPTION: ifkiy1 dol (0\0 . j CtitNiii ' ' '-'", qa.y 0.(4,_
yrBuilding Permit I I Change in Use Grading fl Manufactured Home
(l Relocation Tenant Improvement n Fire Safety n Other
OWNER/APPLICANT INFORMATION
Owner: X k_ J\C\ Q1.d-(iUn E Applicant: gi,7
Phone: --KDA A t Fax: -10a_450---7 Phone: Fax:
Address: , ,(LV j l) , t,L \ V_ Address:
City State Zi?NP City State Zip Code
P' Contractor: rt` _ I I Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: Y 1,lL.i la_aBtSContact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:alO I DIMENSIONS. i (or #OF STORIES:
MAIN FLOOR TO
SQ. FTG: 2'V" FLOOR S FTG: UNFIN BASEMENT SQ. FTG:
rk
FINISHED BASE ENT SQ. FTG: GARAGE S'Q. FTG: DECK/COV. PATIO SQ. FTG:
C/A. s 100
OCCUPANCY GROUP. CON TRUCTION TYPE: HEAT SOURCE:
61 ,L_Ie F "ttL.-`t SS NI) = i L— C� AS
#OF BEDROOMS: 2 TOTAL HABITABLEPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
KVA SYSTEM? 5 ( c.4.)E.1e-,
- r
MANUFACTURED HOME
Width: _ Length: Year: Pit Set:
Manufacturer:
- — --
RELOCATION
-
Previous Address:
Proposed Use:
(� FRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASFI&NGT.N STATE ICON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
f l BOLTING n CONCRETE n REINFORCEMENT I I 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)
L Cash ❑ Check El Mastercard (-1 VISA E Other
Bankcard #: expires: VIN##:
Authorized Signature:
PLUMBING PERMIT APPLICATION
crl'�'a j'L � City of Spokane Valley Community Development Department
pcilianBuildingDivision
T 1 1707 E. Sprague Avenue, Suite 106
4000;
/a.e 7 Spokaner 'Valle." WAt 910V
Phone: (509) 688-0036; Fax: (509) 688-0037
V FOR INSPECTION'S, CALL(509) 688-0054
Project Address: Iql�`u �,L-�� Permit Use: ::r�7',
°\
e r • ,^;�,� ' U•_ Phone (Daytime Contact): -:..4 -.-- 7!
n
Owner: i,. , t al c ._ f ,
'i
G b^ ! p 'T-' �3:s �A..,J' F. '.�` (,... • )(. c 1 r
Mailing Address: ^�:4r , iii U' a /-� I City, State Zip Code
Y,„ - 1,-"-,kr- ! `.`. , 'hone#: ;- - - r t r
Contractor I~'. I �w;, '. 'J�_! ;( I License#: ;� �,, g, o
--7'.", 1, : s •
Mailing Address: `} ,i--.F ..,., t---Fid t ,F', u sCit Y F,;A; s.G- State rZip Code
#OF TOTAL
DESCRIPTION OF WORK UNITS/ X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS o! X $6.00 =
2 URINALS X $6.00 =
3 TUBS 3 X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 0. , X $6.00 =
5 SINKS LAYS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
)-4
PREP/CULINARY/MEAT
6 DISHWASHER I X $6.00 =
7 CLOTHES WASHER I X $6.00 =
B 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 `Y. $6.00 =
16 WATER USING DEVICE ICE AN/OR COFFEE MAKER,
HOSE BIB,STEAMER,PROOFER, 5 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 I X $6.00 = I
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE I $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
~
`°
om- :., MECHANICAL PERMIT APPLICATION
�11ItK Q ''°*-po S
ne City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
_.,,,N
c� I Spokane volley, vv , oo°na
Phone: (509) 688-0036:Fax: (509) 688-0037
', FOR INSPECTIONS, CALL (509) 688-0054
Project Address: trr"lq`q `C)l*1Permit Use:tV)t :
Owner: V 1; s 4-Lf-,n, ' ,i-ro.: Phone (Daytime Contact): -rb .'- -1 � -t i f`.
-
Mailing Address: i; C fC �s l , `r.';,,... ir, yy,r ;.--17 : l:`A r r_i r ;,' .;; `)
---,...4- , �� i City.. t State Zip Code
Contractor: _. !i , ti-,, P ,�''I'', , ".;..:'r.._I' ',5;_ License#: Lt✓,- ;'.r-LIl.,, Phone# -- F:' -C:oaii;
Mailing Address: rra a ;l 1I,L , - "4,. �' �,\
; fi; :�.:: � r E L. :!c::l' 1.,, c;- f
R City State Zip Code
Y OFTOTAL
DESCRIPTION OF WOR'Ic UNITS , X I 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 I X $10.00 =
13 RANGE 1 X $10.00 =
14 DRYER X $10.00 =
15 FUEL BURNING WATER HEATER 1 X $10.00 =
16 MISC.FUEL BURNING APPLIANCE11 X $10.00 =
17 GAS PIPING(each outlet) 1"1 x $1.00 =_
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS 3 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 1 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
❑CASH 0 CHECK ❑VISA 0 MC DATE: PROCESSING FEE $35.00
EXPIRES.
CARD*: I
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
SCALE: l"=20'-0"
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