2005, 12-23 Permit App 05004738 Residence, GarageProject Number: 05004738 Inv: 1
Application
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
Setbacks: Front 33 Left: 36 Right: 12 Rear: 20
Site Information:
Plat Key:
Date: 12/23/2005 Page 1 of 3
Contact: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
C - S - Z: HAYDEN LAKE, ID 83835
Phone: (208) 762-9106
Group Name:
Project Name:
Name: Hidden Valley
District: East
Parcel Number: 55073.1943 Block: 1
SiteAddress: 17422 E INDIANA AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Area: 7,546 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Lot: 43
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Width: 53 Depth: 92 Right Of Way (ft): 38
Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Originally Released:
Released By:
12/23/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released:
12/22/2005 By: TMELBOU
Released By:
L
Sewer Review
Permits:
Originally Released:
12/23/2005 By: cjjanssen
Released By:
AM
Operator: CJJ Printed By: CJJ
Print Date: 12/23/2005
Project Number: 05004738 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: VIKING CONSTRUCTION
Address: 2605 W HAYDEN AVE
HAYDEN, ID 83835
Description Grp Type
2ND FLOOR R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
DUCT SYSTEMS
GAS APPLIANCE<=100,000BTU
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
GAS APPLIANCE - MISC.
Approach
Date: 12/23/2005 Page 2 of 3
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: VIKING CONSTRUCTION
Phone: (208) 762-9106
This Application: Total Project:
So Ft Valuation So Ft Valuation
939 $70,124.52 939 $70,124.52
70 $1,050.00 70 $1,050.00
462 $8,778.00 462 $8,778.00
613 $45,778.84 613 $45,778.84
Totals: 2,084 $125,731.36 2,084 $125,731.36
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,139.35
$4.50
$455.74
$1,599.59
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$40.00
$12.00
$10.00
$10.00
$10.00
$30.00
Permit Total Fees: $112.00
Operator: CJJ Printed By: CJJ
Print Date:
12/23/2005
Project Number: 05004738 Inv: I
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Date: 12/23/2005 Page 3 of 3
Contractor: FRED'S PLUMBING Firm: FRED'S PLUMBING
Address: 146 AQUA CIR 3 Phone: (509) 772-2846
COEUR D ALENE, ID 83815
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
SHOWERS 2 NUMBER OF $12.00
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
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $1,599.59 $1,599.59 $0.00 $1,599.59
Mechanical Permit $112.00 $112.00 $0.00 $112.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,863.59 $1,863.59 $0.00 $1,863.59
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 12/23/2005
p[Ysoke
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688
-O036 FAX: (SO9)688-0O37
www.spokanevallev.ora.com
Residential Construction
Permit Application
PERMIT NUMBER: 2
I PERMIT FEE:
.$(New Construction
o Addition/Remodel
o Other:
❑ Accessory Bldg
o Deck
SITE ADDRESS ill-1 q-,4 6 - 3..y1L ir`,, r\ck , (AV .. r�
�r�PNk` bb�7�13 , (_j-I Q LEGAL DESCRIPTION: t .( j� ��� 1 c. c
ASSESSORS PARCEL NO:
Building owner
Name: \ '.. I(i.t `1L\
Address: '1 .) \6
0(46.' 'I.\
City: 1LA( 4\
Zip:
7,6'67‘1
Phone: ] iy,.' CU Li ;, Fax: ) (u.)-- US, C_, 1
Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor
Name: '-2-4 hW.)
Address:
City: Zip:
Phone: Fax:
Lic No: \I l�`:iv(' `CW)3Exp. Date:
City Business Lic No:
Cost of Project:
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEA
L(` ��
DIMENSIONS:
35 'x3`� ' L''
# OF STORIES:
TOTAL HABITABLE SPACE:
15 ��
MAIN FL OR TO SQ.
FTG:
C-) I '3 U IL
No
2 FLOOR SQ. FTG:
,
1C3 pig
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
19 13
FINISHED BASEME T
SQ. FTG:"�
GARAGE SQ. FTG:
o t�
DECK/CO PATI SQ. FTG:
'7 0
30%SLOPES O
PROPERTY:
# OF BEDROOM
`�
CONSTRUCTION TYPE:
N t✓s >
HEAT SOURCE:
c-�/��
SEWER OR SEPTIC?
-I)JJ�
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature � 7-A,��
Date 0-1 I D I O
Method of Payment: (Faxed permit applls tions will only be accepted with major bankcar d)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005
03/21/2006 10:13 2067624507 VT;C_TNG CONST G'
FPIF 29 2023 16: 45 FR TO 12067.2=527
C�an' ��yI'� 11707 baa! Sprague Avenue, Su ie 106 605Soo-0036 - Pncn4
d 71]C) clllC Soc"ne Valley, WA 99206 509-688.0037- Fax
For Znspoctions, call 509-688-0054_
Plumbing Pem it Application
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Sjokan
ley
Community Development
Mechanical Permit
• SITE ADDRESS ti `(-1. c� ¶�1(� t ("�1(;� OUC___
Permit Center
11707 E Sprague Ave, Suite 106.
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
nv.'w.spokanevallev. ore.com
Application ❑ Commercial
PERMIT NUMBER:
PERMIT FEE:
Is( Residential
Building owner
Name: \ 11{ E Yl".t :tl;; 't i 1k1 i\.'\
lfv.
Phone: /'[.Y:•-'�il. I) 'Ct If t(.;
Fax .�;�
, - ti -�_-:1C1'.1
Address: q 1-1 i l_�,f^I! , ,1
I.. f
City I.-(i: S {j1.�i'',r
State ((-,t
Zip Y:`>
;.-', K
Contractor
Name: 4r1t1/- 4Nf'S r; t"1
Phone:
Fax:
Address: x,City
State
Zip
License No:
City Business License No:
Contact
Name:
Phone:
•
•
1
2
3
4
5
6
7
8
9
10
11
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED,APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
# OF UNITS
X
COST
= TOTAL AMOUNT
Equal to or less than 100,000
More than 100,000
x
X
$12.00
$15.00
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
BOILER/REFRIGERATION
101 - 500M BTU
12
X
X
X
X
X
$50.00
$100.00
$50.00
$100.00
$12.00
X
X
X
X
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
GAS LOG, GAS INSERT, GAS FIREPLACE
$20.00
$25.00
$35.00
$60.00
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
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
0)
X
X
$1.00
$10.00
19
VENTILATING FANS
x
$10.00
20
21
22
23
24
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER DOES NOT include ductin.)
EVAPORATIVE COOLERS
TYPE IHOOD
TYPE II HOOD
Equal to or less than 10,000 CFM
Greater than 10.000 CFM
X
$12.00
$15.00
X
X
$10.00
$50.00
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
27
AIR CONDITIONER
28
AIR CONDITIONER
29
AIR CONDITIONER
30
LPG STORAGE TANK
3-15 TON
15-30 TON
30-50 TON
More than 50 TON
$20.00
X
$25.0D
X
$35.00
X
$60.00
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
x
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
35
VENTILATION MECHANICAL EXHAUST
36
INCINERATOR - RESIDENCE
X
$12.00
X
$12.00
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD 4:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8r26r05
•
•
•
• Pey
0.32 _4 hou s be:oze i;SDe'non req red
.P o tea 509 68 O36 nn +
t Vbt�. ✓V�.I.JJ�`.hJJV
D ART E i-. OF P-UBLIC WORKS
Location of property
App>Eicant Hair'riia
�Ellf # .
APPROAICE1 PERMIT
a
Acndres. /Parcel , if available)
Adldress 1 ! 16..116)...L04. ItiPhoniari
Contractors Hama i. ' 4 .r, l -,�''i i�"'i. —
Address � r1(�� � Utiljtabfl Phone �', ' .��•
Contractor's Reg '�(i � F,@tip 4-Expires )(0
PROJECT DESCRIPTION (Prcnrf k site sketch)
�SeskflerntiaI 1Dr tfeway � Cornmercia,lfinC ccstriai Driveway
ri Existing Curb 8r. Gutter
1 1
Culvert Installation
FjOther conditions
l� Rural Board Section
Sidewalk l epair/Coc,:structiard
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONEfm'EONS:
PERMET FEE inspection Fee$ ., _
1 hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
A
Card m apiratlon Cate
j Name of Holder
CF�t 'E`_afcfst
• s v.i t c.c a �e W
Sionature
Data frit
*4 TOTAL PAGE.05 **