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2002, 03-26 Permit App: 02001922 ResidenceProject Number: 02001922 Inv: 1 Application Date: 3/26/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ................................................... Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS Setbacks: Front 25 Left: 10 Right: 10 Rear: 35 Site Information: ................................................. Plat Key: 005862 Name: SHELLEY LAKE Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE C - S - Z: HAYDEN, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: District: F Parcel Number: 45242.1703 Block: 7 SiteAddress: 504 S MOORE LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Area: 8,050 Sq Ft Urban Residential 3.5 Lot: 3 Owner: Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Hold: ❑ Width: 70 Depth: 115 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information:::................................................................... Review Site Plan Review Released By. >; Approach / Drainage Sewer Review Permits: Operator: RMB Printed By: RMB Print Date: 3/26/2002 Project Number: 02001922 Inv: 1 Application, Date: 3/26/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE Phone: (208) 762-9106 HAYDEN, ID 83835 Const Category: New Nbr Of Dwellings: Bldg W x D: 57 x Req Parking: Building Characteristics Group: R-3 Type: VN 1 Occupant Load: 0 Building Height: 18 Stories: 1 55 Building Sq Ft: 1718 Sprinklers: 0 Handicap Parking: 0 Critical Materials: El This Application: Total Project: Type Notes Sq Ft Valuation Su Ft Valuation VN 498 $5,976.00 498 $5,976.00 VN 1,718 $106,516.00 1,718 $106,516.00 Description Grp GARAGE U-1 RESIDENCE R-3 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: FITTING MECHANICAL Address: 10223 HAPPY TRAIL RATHDRUM, ID 83858 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER Totals: 2,216 $112,492.00 2,216 $112,492.00 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Fee Amount $960.00 $4.50 $211.20 Permit Total Fees: $1,175.70 Mechanical Permit Units 1 1 3 4 1 Operator: RMB Printed By: RMB Firm: FITTING MECHANICAL Phone: (208) 687-6949 Unit Desc NUMBER OF ##ONOF1 4 R ,.. NUMBER OF NUMBER OF Fee Amount $0.00 `$3.00 $40.00 $10.00 Permit Total Fees: $75.00 Print Date: 3/26/2002 Project Number: 02001922 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/26/2002 Contractor: FRED'S PLUMBING Address: 146 AQUA CIR 3 COEUR D ALENE, ID 83815 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Plumbing Permit Units 2 4 1 1 1 1 1 3 Page 3 of 3 Firm: FRED'S PLUMBING Phone: (509) 772-2846 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $24.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 $84.00 OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4 BLOCK 5 - LOTS 2 THROUGH 6 & 19 BLOCK 6 - LOTS 1 THROUGH 10 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $1,175.70 $1,175.70 $75.00 $75.00 $84.00 $84.00 $1,334.70 $1,334.70 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,175.70 $75.00 $84.00 $0.00 $1,334.70 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: RMB Printed By: RMB Print Date: 3/26/2002 VU,VV,LVVL CAA JV O VII VIVO arunno,r. DLVV. IEJIJUJ SroioxECouxn PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE. ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Addrc5E: oAccit/L ASSCSSOI'S Tax Pucci Nurnber(s): Jj Legal Description: 3 .?AeAL LL Project Description: 24tuilding Permit Change in Usc O Grading I (').±(L1 O Manufactured Horne Permit 0 Relocation 0 Sign O Tenant (New/Changc) O Other .I)eI3ariiiiini•;.sti's Gii.134:-.,'.•'-'''::"‘'.:' ::- :-:.' ''''':'-. . .,. . . ''' 'I." -.: . „ - • . ' ' " .'.= ' 2 '. .. : • • l' ': :.!.., • ,,,,,,,..-.., .:-::- ',`....' ' ,: f,' ';ri•,".f:';'•.,'.?!.:,.P. Water puuia,tPutveloci , sewet D:cte•fcc/Putveyor , ' 0 Cnntractor 7-kond width FrP.rtt Phone HI. .1%111133$ ittldllIg. AI MN; titidrr 44 ctr!, SMIC Zip 07, time Zrp . , . ' ' ' ' ' ' itabc':` ''', ' ''•,'',^ School Dintricc , ' , rite D*tocr )•,. ',j ,, • '..t`Ft • , , ' - ' ''',',, 0: ,,,,,,:-'n- .; ' '.. ,';',.. OWNER/APPLICANT INFORIVIATION OS 0 Indicate rho florid 1 ontaaedn &wain r, et gt"On ncr Pho`se- :)C.--- 1 ki,.._) - (T 11-11' ,,,I, h NI iVAArC) l.,Cri-A if- LA itx\ c ,--- :9; IL; - LVSCI 0 Apphcant. Phonc! Faro Mailing Addreri. Mraling Addregt DlinCrililOnti Cly, sow. Z. tkiLLVLSCil , -r-L'c. cc2A.e:NS (in. store, 7,1, ()CC111t1ty iptup(:tmg (--• Li k,(1 0 Cnntractor Pliant- fax 0 ArchitccriLnfonecr - Phone HI. .1%111133$ ittldllIg. AI MN; titidrr 44 ctr!, SMIC Zip 07, time Zrp . WA State Contractor ticcnrc 4, ‘../ t - CO,Ii30 IlainC PRO ECT INFORMATION , • • Bu.ilding Information . . , Tiothling het& to prit: rS1 F.-' # of storks • I Ninin floir)r gti (1. i•—i trce) Linfin;F.hed bas.on._,It ACI. ft_ DlinCrililOnti Trgai habliabit* ,ruct. 2"" floor N. fi. Fini.tht.4 bristment 11.1. ft. ()CC111t1ty iptup(:tmg (--• Li k,(1 tructiun type L ;lime( !!,:j..,ft. llvd; sq. ft. • t of pr icct co,l 11,..., ,,,,, M.' c....0 cawgag. etc.) VO/VO/LVVG VV.1V FAA VVo Y1I VIVO J1 Vll ralrl� VW YY✓V . Manufactured Horne � � *4. , , � „ ' Width: I,engtIr Whir is the square footage of the ngn ince? I low high is the sign? Year. Make: # of signs Arca of existing signs Fireworks display _ _ Addresn Proposed Use Relocation' Elie Safek Pam Name What iit the current use of this p (t'` -m I cid, 4,^J6V V -I u't , Pnr;ouc nddrt•<'. Will the site be served by a septic system? 0 Ycs GI No Paine booth Fire Sprinkler Tent _ Fire Alarm Fireworks display _ _ Addresn Proposed Use Valva Special Inspecuons': ,equired . • =.Non-ResidentEa7 energy} Code COi'npha4ce . Pam Name What iit the current use of this p (t'` -m I cid, 4,^J6V V -I u't , Phone Will the site be served by a septic system? 0 Ycs GI No Mans Examiner Phone Inspectors. Is there evidence of 511 or excavation on the property? / 0 Yes( No Arc there slopes greater than 30% on the property? (30 ft‘se in 100 fr) ( ..,......""in) 0 Ycs Gf' No Are critical or haeardous materials used or stored on sire? 0 Ycs D No Addresn Inspector Phony 0 ('oncrctc 0 Welding 0 Bolting 0 Reinforcement Add.ess ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yee O No If yet, Mem* on life flan What is the current property size? (square fccr or acres) (- Is any part of the property within 250 feet of a shore)nr? liver, identyy no site p/nn 0 Yes D No What iit the current use of this p (t'` -m I cid, 4,^J6V V -I u't , Is your pmpcny in a designated wildlife habitat area? 0 Don'r know 0 Ycs D No Will the site be served by a septic system? 0 Ycs GI No Is any part of the properry within a 100 yr flood plain? If y'I, ideuri fy on .ole /ilanIjye 0 Maybe 0 Don't know 0 Ycs E/ No Are or will there be wells locared on the property? / , idenhjy on ibe the pkm 0 Yes 01No Are there any wetland:, screams or ponds within 200 feet of The property? If ves, ideality es, rite plan 0 Yes el No Is there evidence of 511 or excavation on the property? / 0 Yes( No Arc there slopes greater than 30% on the property? (30 ft‘se in 100 fr) ( ..,......""in) 0 Ycs Gf' No Are critical or haeardous materials used or stored on sire? 0 Ycs D No DEPARTMENT USE ONLY Is the property in a designated Sromtwatcx ControlArea? I5; public sewtxavailablc to the site?'.' "' ' 0 Ycr; ,0 No Is the property inside the ASA? . - • , 0 Yes; ''0:No ' 0 Yei` ,D No••;.. '. .Is public•.w r'adai)able rotbe,site? 0• Yes 0 No _ • .. •. . Is the property inside the PSSA? - ❑, Yes ' "'0 NO Is.theproperty located within 1000 feet of a Natural Resource Area? •-fa Yes . O . NO' ..... Derr Itecnrtd. Staff ficprecnnut e: METHOD OF PAYMENT VISI' t F ❑r:Asll ❑CI!CK 0 pi... . 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD EXPIRES: 11.1NKC \RU NI1M111.12: \lPll 1(1'.17.1+1) 61(;N.17'URli_ SIJWI Ol'AI. • - TOTAL. FEE MINIMUM PLieeMWTFLE IS 1.15.00 rt F.A. s. until! CHECKS enl-AMMLY,TO ,crOKnNE, COUN!Y I ItRMrr CENTI'R SITE PLAN SCALE: 1"= 20'-0" ADDRESS ZONE SAA --`3 4 ROAD WIDTH 30 FRONT o5 FLANKING COMMEN REVIEWED LOT 3 BLOCK 7 SHELLY LAKE SPOKANE COUNTY, WASHINGTON V r LN E 70.00' PROPERTY LINE '+- 5T0" 101.00 UNDERGROUND POWER 101.00 CONCRETE PATIO MAIN LEVEL ELEVATION 102.50 PROPOSED RANCHER GARAGE FLOOR ELEVATION 101.00 100.75 100.50 CONCRETE DRIVE 100.25 101.00 CONCRETE PORCH & SIDEWALK 70.00' N101.00 WATER 99.50 SEWER This site plan is being submitted for the purpose of CROWN OF STREET obtaining a bu!'ding permit and is a true -am -lot) representation of the proposal. AM known property lines/dimensions, curb lines, structures and easements MOORE LANE have been identified. Also indicated are wetlands, bodies of water, steep slopes or other critical areas. Signed: �,. Date: cv N c ,-F-11•413i2.1 ,