HomeMy WebLinkAbout2005, 08-10 Permit App 05002748 ResidenceProject Number: 05002748 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/10/2005 Page 1 of 4
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
Phone: (208) 762-9106
Group Name:
Site Information: Project Name: ROW
Plat Key:
Setbacks: Front 33 Left: 31 Right: 12 Rear: 24
Name: Hidden Valle
Parcel Number: 55073.1
SiteAddre 17403 E INDIANA AVE
Location:: CSV
Zoning: UR-3.5
Water District:
ock: 1
Urban Residential 3.5
Area: .00 Acres
yaw
District: East
ot: 37j`
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 48 Depth: 66 Right Of Way (ft): 38
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/04/2005 By: cjjanssen
Released By:
Originally Released: 07/28/2005 By: TMELBOU
Approach / Drainage
Released By:
Originally Released: 08/04/2005 By: cjjanssen
Sewer Review
Permits:
Operator: CJJ Printed By: CJJ
Print Date: 08/10/2005
Project Number: 05002748 Inv: I
Application
Date: 08/10/2005 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
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Total Area
Building Height
Stories
Dwelling Units
1552
24
2
1
Description Grp
2ND FLOOR R-3
DECK R-3
GARAGE S-2
RESIDENCE R-3
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Building Characteristics
Tyne Notes
VB
VB
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Sa Ft Valuation
939 $70,124.52
56 $840.00
462 $17,962.56
613 $45,778.84
Totals: 2,070 $134,705.92
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Total Project:
Su Ft Valuation
939 $70,124.52
56 $840.00
462 $17,962.56
613 $45,778.84
2,070 $134,705.92
Fee Amount
$1,189.75
$4.50
$475.90
$1,670.15
Operator: CJJ Printed By: CJJ
Print Date:
08/10/2005
Project Number: 05002748
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor. FITTING MECHANICAL
Address: 10223 HAPPY TRAIL
RATHDRUM, m 83858
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Date: 08/10/2005
Page 3 of 4
Mechanical Permit
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$18.00
$96.00
Operator: CJJ Printed By: CJJ
Print Date:
08/10/2005
Project Number: 05002748
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Inv: 1
Fee Amount
$50.00
$1,670.15
$95.00
$96.00
Invoice Amount
$50.00
$1,670.15
$95.00
$96.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Date: 08/10/2005
Amount Owing
$50.00
$1,670.15
$95.00
$96.00
$1,911.15 $1,911.15 $0.00 $1,911.15
Page 4 of 4
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: CJJ
Print Date: 08/10/2005
Address:
SpoTkjiie
Vail
::- - 2R"9-�
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley, Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
C E g V E Spokane Valley, WA 99206
I I 1 I Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SIT, FORMATION
RETt�L�O
Street Address: 1 ~11-v3
Assessor's Tax Parcel Number(s): 1(`, (J'1�1),f)L i3 . ,�1 1f
Legal Description: ttyk l ?) r',r_1( 1 trt&c rOro l
PERMIT DESCRIPTION:
R-Suilding Permit
❑ Relocation
❑ Change in Use ❑ Grading
0 Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
Owner:
Phone: LIC.tW Fax: 1
Address: aoLy
City k State Zip Code
Contractor: `.tee; wse._
Applicant:
Phone: Fax:
Address:
City
State Zip Code
0 Architect:
Phone: Fax: Phone: Fax:
Address:
City State Zip Code City State
WA State Contractor License #: V l� ri 1\_;lCl Contact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 2 �' 31
DIMENSIONS: 3s $ 3 9 ' / tt
b
# OF STORIES:._
MAIN FLOOR TO SQ. FTG:J ' `'''
2R° FLOOR SQ. FTG: R 39c. ,--UNFIN
BASEMENT SQ. FTG: 0
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: L � � . '
DECKICOV. PATIO SSO.. FTG:
L
OCCUPANCY GROUP:AZ'
('�' t- rt4 t L`f'
CON TRUCTION TYPE:
\ t�
HEAT SOURCE
�_�
# OF BEDROOMS:
TOTAL HABITABLE SPA E:
F CE AREA:
IMPERVIOUS�Si RF
ts�
COST OF PROJECT:
30% SLOPES ON PROPERTY:
L'f A-
SEWER OR O -SITE SEPTIC
SYSTEM? r
i MANUFACTURED HOME f
Width:
Length: • Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
d
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:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ 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
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
• Qtriokane
•
•
Address c`� Uk Utu„ ici_o
Anticipated start date
Call 24 hours before inspection required
Phone 509.688-0035 Fax; 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Permit # Pill
APPROACH PERMIT
APPLICATION
Location of property_ fl14 L3 1rd
(Address/Parcel #, if available)
Applicant Name \ t 1(1"�P ( l rlt i ->-1 trj 4--(Gct e
Address r ��� r _ � 2Phone -`tfe s -to() q I CI,—
Contractors!
Name bri..��' r �,�' '.i‘A Ltd d.r
Phone (.1)O -, ��� _C f i (r
Contractor's Reg# \I i`_ 1 (6.S -\i' Expires 2 d i
PROJECT DESCRIPTION (Provide site sketch)
U Residential Driveway
Existing Curb & Gutter
riCulvert Installation
El Other conditions
UCommercial/Industrial Driveway
LRural Road Section
nSidewalk Repair/Construction
Sea construction requirement: and details on reverse. Bond/insurance
file with the Cite
SPECIAL CONDITIONS:
PERMIT FEE $
Inspection Fee$_
hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card #
Marne of Holder
Fees Paid$
SF! nature
Date
Expiration Date
!nit
** TOTAL PAGE.u5 **
SOkane
4001/k/alley
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99205
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address:. r11-k 2 s-r-v Permit _ Use:
<.)
Phone (Daytime Contact):
C' State Zip Code
Contractor: f'' y4 Di.,0,... ,::!1,_\., License #: Phone #:
Zip Code
Owner: \i
Mailing Address: , t , a 1'1
Mailing Address:Ci ' State
DESCRIPTION OF WORK
OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
i
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
5
USED APPLIANCE (WSEC min. AFUE
rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE
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
1
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
jj
'-'� 45
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:
ID CASH 0 CHECK 0 VISA ❑ MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuiidngDivision
11707 E. Sprague Avenue, Suite 106
�y Spokane Valley, WA 9920i�
Phone: (509) 688-0036; Fax: (509) 688-003
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: nubs f-�; T I Permit Use: SFP1
r
Owner:y k(12C��'" ri Phone (Daytime Contact):-4�li<a-�l „
Mailing Address:
Contractor:
Mailing Address:
License M
#: ��-Qa���i3
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•
DESCRIPTION OF WORK
R OF
UNITS
X
COST
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$8.00
=
2
URINALS
X
$8.DD
3
TUBS
X
$6.00
=
4
SHOWERS TRAP
BATH STALL ONSITE BUILTX
$6.00
5
SINKS
LAVSBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR PHOTO, X-RAY, FOOD,
PREPICULINARYMIEAT
I 1
!.�
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
(
X
$6.DD
_
8
GARBAGE DISPOSAL
t
X
$6.00
9
WATER SOFTENER
X
$6.00
=
10
ELECTRK: HOT WATER TANK
NOTE: IF GAS SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.D0
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
$8.00
=
13
FOUNTAINS DRINKING
X
S6.0
_
14
WATER PIPINGIDRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER PROOFER,^�
CARBONATOR SWAMP COOLER
J
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR:
VATS TANKS BOILERS.
X
$6.00
=
16
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
11
MEDICAL GAS rootlet
NITROUS OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
_ TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
•
•