2005, 08-12 Permit App 05002895 Residence, GarageApplication
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
Phone: (208) 762-9106
Group Name:
Site Information: Project Name:
Plat Key:
Project Number: 05002895 Inv: 1
Setbacks: Front 36 Left: 15 Right: 24 Rear: 22
Name: RANGE
Date: 08/12/2005 Page 1 of 4
District: East
Parcel Number: 55202.1809 Block: 7
SiteAddress: 19316 E 4TH AVE
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Lot: 9
Owner: Name: VIKING CONSTRUCTION INC
Address: 2605 W HAYDEN
HAYDEN LAKE, ID 83835
Hold: ❑
Area: 11,844 Sq Ft Width: 107 Depth: 109 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 08/12/2005 By: cjjanssen
Released By:
Approach / Drainage
Originally Released: 08/10/2005 By: TMELBOU
Released By:
Sewer Review
Permits:
Originally Released: 08/12/2005 By: cjjanssen
Released By:
Operator: CJJ Printed By: CJJ
Print Date: 08/12/2005
Project Number: 05002895 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Date: 08/12/2005 Page 2 of 4
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 1565
Building Height 19
Stories 1
Dwelling Units 1
Units Unit Desc
I 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
Building Characteristics
This Application: Total Project:
Description Grp Notes Su Ft Valuation So Ft Valuation
DECK R-3 VB 135 $2,025.00 135 $2,025.00
GARAGE U-1 VB 505 $9,595.00 505 $9,595.00
RESIDENCE R-3 VB 1,544 $115,305.92 1,544 $115,305.92
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,184 $126,925.92 2,184 $126,925.92
Units Unit Desc Fee Amount
1 SELECT $1,144.95
1 SELECT $4.50
1 SELECT $457.98
Permit Total Fees: $1,607.43
Operator: CJJ Printed By: CJJ
Print Date: 08/12/2005
Project Number: 05002895 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contracto
Address:
FITTING MECHANICAL
10223 HAPPY TRAIL
RATHDRUM, ID 83858
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Mechanical Permit
Date: 08/12/2005 Page 3 of 4
Firm: FITTING MECHANICAL
Phone: (208) 687-6949
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$96.00
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$12.00
$24.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $84.00
Operator: CJJ Printed By: CJJ
Print Date: 08/12/2005
Project Number: 05002895
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: /
Fee Amount
$50.00
$1,607.43
$96.00
$84.00
Invoice Amount
$50.00
$1,607.43
$96.00
$84.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Date: 08/12/2005
Amount Owing
$50.00
$1,607.43
$96.00
$84.00
$1,837.43
$1,837.43 $0.00
$1,837.43
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: 08/12/2005
Spokane
�Ualley
CE-289
B
E C l5c(t3P oi%S,-k
AUU 0 9 ZO O
ING PERMIT APPLICATION WORKSHEET
Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
one: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Ic•31(11`
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
RBuilding Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: �L'" Jam`
Phone: 1109., (Alta° Fax:
Adress: Dkpc,c Vino,
City lam"` State
Contractor:.:rri
Zip Code
Phone: Fax:
Address:
[3-- Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City State Zip Code City
WA State Contractor License #: t6BS) Contact:
Spokane Valley Bus. Liscense #:
State
Contact:
Zip Code
PERMITIBUILDINO INFORMATION
HEIGHT TO PEAK: `
tt
DIMENSIONS: �.`)/\ 1 \L 6t(
# OF STORIES:
MAIN FLOOR TO fQ. FTG:
rr
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
.-DECK/CON. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
P.c.5i14.5TVA.t t._...
URC :
HEAT SOURCE:
7
`7(NiI-E tc-`T
OF BED ,,OOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS lURFFfACE AREA:
Li
COST OF PROJECT:
30% SLOPE PROPERTY:
SEWER OR ON --SITE SEPTIC
SYSTEM? Sj_( 1
MANUFACTURED HOME
Width:
Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent Fireworks Display: Blasting: DatefTime:
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
Firm Name:
❑ REINFORCEMENT
Phone:
I nspector(s):
Fax:
❑ WELDING
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 1)�l.tXiile. Signature l LJW)I01.\i1k-Si CA _.)-lik-X-A91/
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
E Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
„el Valley
AnticEpated tart date
AP7'LICA T CON
Location of property
Applicant Manic
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PU UC WORKS
APPROACH PERMIT
Address F � x:,i�, �, ' �i^ ti ' 'Phone ' ; -1L0 ---q
,p o MCI' -F �
Contractor's Name_ i
_. �.1(' r �' ``� 'ti'°� 1
Address C -i ”) , Ufa OLP Phone � r,4 `" l 0(p
Contractor's Reg# \Q 1 V4V4 _ 1 eltd S 7.01 Expires i
PROJECT DESCRIPTION (Provide site sketch)
TIResidential priveway
u Existing Curb & Gutter
nCulvert Installation
UCommercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Other conditions_,.br1/4A .1 t:
See construction requirements and details on reverse. Bond/insurance certification must he on
file with the City.
SPECIAt. CONDITIONS:
PERMIT FEE $ Inspection Fee$
1 hereby authorize the City aF Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Fees Paid$
Sf•nature
Data !nit
** TOTAL PAGE.05 **
Stiokane
,OValley
dipv-
Project Address:. VQ0i11(,
Owner: \J
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spo!;ane Valley, L'VA 90206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Mailing Address:
Contractor:
Mai ing Address:
� L -
Lry-Ji
C \!' t L1 tr
tiN
City State
Phone #t:
City State
Phone (Daytime Contact): ,�� ` ,�"?f 3--L (
�} Zip Code/
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
-
TOTAL
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
=
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
1
X
$10.00
=
13
RANGE
1
X
$10.00
=
14
DRYER
j
1
X
$10..00
=
15
FUEL BURNING WATER HEATER
I
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
a
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
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:
0 CASH ❑ CHECK 0 VISA 0 MC
CARD #:
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
Project Address: Rl' h
Owner. V 4IC(Y'C'a
Mailing Address:
Contractor:
Mailing Addl
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: JFR
Phone (Daytime Contact):kzr7 ' -QiLcl
# OF
TOTAL
DESCRIPTION OF WORK
UNITS
X
COST
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS ER TRAP
BATH, STALL, ON -SITE BUILT
X
$6.00
=
5
SINKS
LAVSBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
X
$6.00
=
JANITOR PHOTO, X-RAY, FOOD,
1 '
PREP/CULINARYIMEAT
6
DISHWASHER
t
X
$6.D0
=
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
(
X!$6000)
=
9
WATER SOFTENER
X
=
10
ELECTRIC HOTWATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
X
=
CONDENSATE
12
ROOF DRAINSIOVERFLOW DRAINS
X
=
13
FOUNTAINS DRINKING
X
=
14
WATER PIPING/DRAIN-IN WASTE,
INSTALLATION, ALTERATION,
X
=
VENT, PLUMBING, REVERSAL
REPAIR REVERSALS
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE ANIOR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
n
X
$6.00
=
GARBONATOR, SWAMP COOLER
J
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 r outlet
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
SUBTOTAL
PROCESSING FEE
$35.00
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
TOTAL PERMIT FEE DUE:
nATF EXPIRES _
BANKCARD
0
AUTHORIZED SIGNATURE: