2005, 08-24 Permit App: 05002950 Residence Project Number: 05002950 Inv: I Application Date: 08/24/2005 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C-S-Z: HAYDEN LAKE,ID 83835
Setbacks:Front 36 Left 12 Right: 49 Rear: 29 Phone: (208)762-9106
Group Name:
Site Information: Project Name:
Plat Key: Name: RANGE District: Sout
Parcel Number: 55202.2102 Block: 5 Lot: 2
SiteAddress: 19202 E 7TH 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: 12,448 Sq Ft Width: 115 Depth: 96 Right Of Way(ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Site Plan Review [
Released By:
Originally Released: 08/16/2005 By: cjjanssen
Plan Review Released By:
Originally Released: 08/23/2005 By: TMELBOU
Approach/Drainage Released By:
Originally Released: 08/16/2005 By: cjjanssen
Sewer Review Released By:
Operator: CJJ Printed By: KJK Print Date: 08/24/2005
Project Number: 05002950 Inv: 1 Application Date: 08/24/2005 Page 2 of 3
r
THIS IS NOTA 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
This Application: Total Project:
Description Grp Type Notes Su 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 96 $1,440.00 96 $1,440.00
GARAGE U-1 VB 493 $9,367.00 493 $9,367.00
RESIDENCE R-3 VB 1,000 $74,680.00 1,000 $74,680.00
Totals: 3,057 $141,202.76 3,057 $141,202.76
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
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
Operator: CJJ Printed By: KJK Print Date: 08/24/2005
Project Number: 05002950 Inv: 1 Application Date: 08/24/2005 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
- — 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
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: CJJ Printed By: KJK Print Date: 08/24/2005
35 2150
=`n SING PERMIT APPLICATION WORKSHEET
SO'i1 '" Ci �11 "� Valley Community Development Department
pokarie Cr, \-,
— ........._!ng� rDivision
T
iJev°
ii%iti rnr�r.rrn Grinn�r� C'r� 6l' .. `rte e: ... e._,,ale
` Spokane Valley; WA 99205
v 0 U0 e: (509) 688-00366; Fax: (509) 688-0037
Rugs ED SITE INFORMATION
Street Address: \q.d- Es- i'
Assessor's Tax Parcel Number(s): q) -la . -I O�
Legal Description: -A a I. . __1 , ' t�
PERMIT DESCRIPTION: qc_1(c._
-q"-Building Permit n Change in Use n Grading E Manufactured Home
❑ Relocation n Tenant Improvement n Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
[I' Owner: V1(,_;_llei' Applicant: (�(°f,-W�-
Phone: ita-Q►p1D Fax: 1Io�. (1 Phone: Fax:
Ad ress: Svc W, ei KU n I Address:
—1 aWK
City State Zip Code City State Zip Code
F . Contractor: <`Ji_nA_Q ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City State Zip Code
WA State Contractor License #: V\V-i,,L1 ? Y Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 0, r-- i DIMENSIONS: ‘ i� , #OF STORIES:
MAIN FLOOR TO SQ. FTG: wd 14 2' ' FLOOR SQ. FTG: �,{5 c.r,_ UNFfN BASEMENT SQ. FTG: Vick-
_
FINISHED BASEMENT SQ. FIG: 44- GARAGE SQ. FTG: .45.2_
1 e f DECK/COV. PATIO SQ. FTG: v K-
9 6562 4175 %'5 , u.oro o!'a(r) D .c lrl
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
C. f\ -, 1-oCG C) A i !
OF BEDROOMS: 41 I TOTAL HABITABLE SPACE:7, ) IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 1I30% SLOPES ON PROPERTY: '
I SEWER 'R ON-SITE SEPTIC
TA. - -M? } kit-0— 1
MANUFACTURED ROME
Width: Length: Year: Pit Set:
MGHuIL,LUtGI
RELOCATION
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:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
•
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
f] BOLTING ❑ CONCRETE n REINFORCEMENT ❑ 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
fif'ethod of Psyenerlt: (Faxed permit applications will only be accepted with major bankcard)
n Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
r •
PLUMBING PERMIT APPLICATION
'llidNiart
1'�an^C City of Spokane Valley Community Development Department
�H"� BuildingDivision
>����� 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 9920f,
Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: let - - S -14\ Ali-t— Permit Use: -, �'"t\
Owner: \/ ,)IC.i f^ Phone (Daytime . �- —' ff(JL,_.
,% , City w State Zip Code
Contractor: .,.;✓ kJ " t k
i , al II iT 1)F"•1 License#: i -3 V1,',?- L= Phone#: `�; ;-E --0,.3.1- 5ci
Mailing Address: ' >� s =., ,,:N,. \,L 1'\r'a 4 F i `'k "4` ::%
City State Zip Code
#OF TOTAL
_ DESCRIPTION OF WORK UNITS X COST = AMOUNT
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 =
2 URINALS X $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
5 SINKS LAVS/BASINS,BAR,FLOOR,
KITCHEN,LAUNDRY,UTILITY, X $6.00 =
JANITOR,PHOTO,X-RAY,FOOD,
PREP/CULINARY/MEAT
6 DISHWASHER I X $6.00 =
7 CLOTHES WASHER 1 X $6.00 =
8 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, j, 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 0 MASTERCARD PROCESSING FEE $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE: J
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
1
SCTVcoTrc MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
NA" BuildingDivision
' llev 11707 E. Sprague Avenue, Suite 106
e
Spokane Valley, WA oo9na
Phone: (509) 688-0036;Fax: (509) 688-0037
�- A FOR INSPECTIONS, CALL(509) 688-0054
Project Address:. tq a t] `�,<'L°`
Owner: A,f ‘,.)i 1- ; i :t-ri -ii " ;rt;,: Phone (Daytime Contact): .=3:�� , . '
iii :
Mailing Address: - ,(:. �) ^ '^ i134.
CityState ZipCoderi
Contractor. r%TY") � 'P �(JA `cu License#: Lc �; F-, i-s. Phren It nom' f
Mailing Address: _
City State Zip Code
DESCRIPTION OF WORK *OF TOTAL
UNITS X COST = AMOUNT
-
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ( 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 400,000X =
7 BOILER/REFRIGERATION 1-100M BTU X V $100.00
$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 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) _ /5 X _ $1.00 =
18 DUCT SYSTEMS
X $10.00 =
19 VENTILATING FANS l 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 CFMX $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
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 STOVERNSERT
Y. $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: I I
AUTHORIZED SIGNATURE:
--
Call 24 hours before in Tection required
SOOT/Sli ge\4411414 Phone 509.688-0036 Fax 509.688-0037
Valley DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW
APPROACH PERMIT
APPLICATION
Location of property lei —
Address/Parcel#, if available)
Applicant Name ; '"\.1 - .-\ -
Addressilklikjj,CialLagPhone f
Contractor's Name ViA (1)0A-jr, -)
Address `. . OLP Phone_3CCF- -90 -Cl/(7)(d.:
Contractor's Reg# k C-1(6!', Expires3111L_____
PROJECT DESCRIPTION (Provide site sketoh)
Residential Driveway Commercial/Industrial Driveway
EExisting Curb & Gutter Rural Road Section
riCulvert Installation Sidewalk Repair/Construction
PT1 Other conditions I ' \ c-• •
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
•••k
SPECIAL CONDITIONS:
_ -
PERMIT FEE $ Ins section Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card# Expiration Date
Name of Holder Sitnature
Fees Paid$ Date lnit
** TOTAL PAGE.05 **