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2002, 09-03 Permit App: 02007519 ResidenceProject Number: 02007519 Inv: 1 . Application Date: 9/3/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Setbacks: Front 25 Site Information: Left: 8 Right: 5 Rear: 34 Plat Key: 005862 Name: SHELLEY LAKE PUD Ir,apNg':': ik,#°i Contact: VIKING CONSTRUTION, INC Address: 2605 N HAYDEN AVE C - S - Z: HAYDEN LAKE, ID 83835 Phone: (208) 762-9106 Group Name: Project Name: Parcel Number: 45242.1705 Block: 7 Lot: 5 District: F SiteAddress: 512 S MOORE LN Owner: Name: VIKING CONSTRUTION, INC VERADALE, WA USA 99037 Address: 2605 N HAYDEN AVE Location:: VER HAYDEN LAKE, ID 83835 Zoning: UR -3.5 Water District: Area: 8,050 Sq Ft Nbr of Bldgs: 1 Review Information: Review Site Plan Review Plan Review Special Reviews Urban Residential 3.5 Hold: ❑ Width: 70 Depth: 115 Right Of Way (ft): 30 Nbr of Dwellings: 1 Approach / Drainage Sewer Review Operator: CKF waled By: Released By: Released By: 4 02-'lE1,1 Printed By: CKF Print Date: 9/3/02 Project Number: 02007519 Permits: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/3/02 Page 2 of 3 Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description Grp GARAGE U-1 RESIDENCE R-3 mem km-auv-, Building Permit Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Type Notes VN VN 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 HOOD -TYPE II Type: Building Height: Sprinklers: 0 Critical Materials: 0 This Application: So Ft Valuation 516 $6,192.00 1,718 $113,388.00 Totals: 2,234 $119,580.00 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Stories: Total Project: So Ft Valuation 516 $6,192.00 1,718 $113,388.00 2,234 $119,580.00 Fee Amount $995.00 $4.50 $218.90 $1,218.40 Mechanical Permit Firm: FITTING MECHANICAL Phone: (208) 687-6949 Units 1 1 2 3 1 1 Operator: CKF Printed By: CKF Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $2.00 $30.00 $10.00 $10.00 $74.00 9/3/02 Project Number: 02007519 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/3/02 Page 3 of 3 Plumbing Permit 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 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 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: $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 $1,218.40 $74.00 $84.00 $1,376.40 Invoice Amount $1,218.40 $74.00 $84.00 $1,376.40 Amount Paid Amount Owi g $0.00 $0.00 $0.00 $0.00 $1,218.40 $74.00 $84.00 $1,376.40 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: CKF Printed By: CKF Print Date: 9/3/02 03/08/2002 08:18 FAX 509 477 4703 SPOKANE ,C0 BLDG. 0003 ScPI SPOKANT COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE FNFORC. MINT 1026 WFST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION SuedAddresE;: 6' coce__ lil 1 Assessor's Tax Parcel Number(s): Legal Description: IA 1coic1 Project Description: Q -Building Permit ).\1 (alui(un) pm -TT • Grading O Manufactured Home Permit O Relocation 0 Sign O Tenant (New/Change) O Other epartineut Use',Onl -Water Dishier// t^;94r; School Duetier - FitcDim+ce OWNERJAPPLICANT INFORMATION hitikrrc f[arld br lMrrairtd n• urrtin+ ff>re .Owner. , f ' Tnnwe: , Ot/ 6) 1.�ycy N - q 1 G L]Y\tal+hcanr Y ♦ V"^ c F.,. CDUlJ� Yip ..--1 ) Phone.• Fac: Mailing ddrtxt: Mailing Address: 1.- ..Ik Buihlint: height to . •al It # of staricF I V. State. Zip c .eJi -:T;0- - (ja) 3c fal•. Stare, Zip -- (:rnttxtor none Fax O At-.hitect Engineer Plume Fm: Mailing; audresr Mailing addtc9+ cin, Snit Zip .. [arc, State zip C.+narucrion y r tt ICA Suitt Contactor lttnrcCamact'I i k ( i\I CL t'Ai5 atnc: PROJECT INFO - Building Information l Buihlint: height to . •al It # of staricF Main flour N. f . LInfin; i d bantam , t'q ft llimrnsrone /--)/ 55 Torsi habitable: pow 11I 2" door Fq. fr. Fini, hcd lrnccmcnt mi. fr. Qccupp1 ev , ,j> C.+narucrion y r tt r� i. Garage- %`� 1 i Deck Ft). ii. Co - t 9f proiect 1 Ir.+1 +c,rce icctric. R� c.) 03/08/2002 08:18 FAX 509 477 4703 SP.OKAN£ 0 BLDG. 2004 Manufactured• I- oriie ' = ; Width: Length- Whir is the squsre footage of the sign face? How high it the sign? Year. Make: # of signs Arcs of existing signs Arc there slopes greater than 30% on the property? (30c in 100 fr) ( /%) 0 Yes No Prue ISCI1 INC Value Inspector Relocation„' •1, irs' Safe ,..^ _ . .. ,. .v,\I ,= ,1`,•".,+ Pres•iqu: address Phone fire Sprinkler Tent _ Paint booth Fire Alarm Fireworks display _ _ Arc there slopes greater than 30% on the property? (30c in 100 fr) ( /%) 0 Yes No Prue ISCI1 INC Value Inspector Phone ,Special Id?. - ., ." ” . _Non=Resid_entalziergy}ode'Compliaiic€? ` 1:nm Name Phone Pians Examiner Phone Inspectors: Are there any wetland:, streams or ponds within 200 fact of the property? If yt.r, idratin on ,itirrylax D YesLffif No Address Arc there slopes greater than 30% on the property? (30c in 100 fr) ( /%) 0 Yes No Are critical or ha2ardous materials used or stored on site? D Yes o 'xi;the'property located Within 1000 feet of sNatural 1 esourceArea? ;-..Yet: , 0 . No' Inspector Phone 0 Concrete 0 Welding 0 'Bolting 0 Reinforcement Addeess ADDITIONAL SITE ZNPORMATION Are there structures on the property? O Ycs O' No 19Gt, ,den '1 on rile blah - What is the current property c? s • uarc feet or acres) Is any part (lithe property within 250 feet of a shore• e? Wm,idurn Mem* no sire plan 0 Yes What is the currept se of t} is pro ? r{� ick h your property in a designated wildlife habitat area? 0 Don'r know D Ycs 3 No Will the site be served by a septic system? 0 Yes L9'No I5 any lint of the property within 3 100 yr flood plain? If lu!r, idtrttib on _air plan O Maybe D Don't know D Yes 6d' No Are or will there be wells loured on the property? If Ye.; idMdri• on ib, the plan 0 Yes (3YNo Are there any wetland:, streams or ponds within 200 fact of the property? If yt.r, idratin on ,itirrylax D YesLffif No Is (here evidence of 511 or excavation nn the ptoperty? O Yes Lel" No Arc there slopes greater than 30% on the property? (30c in 100 fr) ( /%) 0 Yes No Are critical or ha2ardous materials used or stored on site? D Yes o DEPARTMENT USE ONLY -Is the property in,t designated Srarrrtwat f -r cohrrol`Rrea?.:'•'".' ' , , ; -lapubiic sewctyavailable tie the• site?''.' ' 0 Y .0 Is the property inside the ASA?, • O'Yes; '•'O-:y:N�o :' v : ,Is'_pubbc•witu`available-ro,nc�site?- -,Q Yes D No Is the property inside the PSSA?".' ' •' 0 Yes ' _'❑. No 'xi;the'property located Within 1000 feet of sNatural 1 esourceArea? ;-..Yet: , 0 . No' Mac Itecrirrd: METHOD OF PAYMENT 0 CAM 1 Staff Rcprelencuve: Y/5a ❑ CHECK ❑ 1111111111111 L. _.. . ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1=:X7'1 RE:i: R.1NKC.1R1) N{ Mlil:R: .\LIT! IO1ttZI*D S.)GN.17UR1{' 5IJW1 OTAJ. • , -, , , : •- - TOTA7. FEE ninakiUA(Pb'rusrrrF isnisirlrtr-:A, -'1K1. CH11Ck_S PAT AULF,.,TQ ,SPpkANF • -, COUNTY PPINITCF\•7 R . Ir )L SCALE: 1" = 20' - 0" LOT 5 BLOCK 7 SHELLEY LAKE VERADALE, WASHINGTON 70.00' 57'-0" UNDER GROUND POWER ADDRESS L S, ZONE ROAD NV'IDTII 3Q FRONT. --FLANKING - COMMENTS , REVIEWED�r ? CONCRETE PATIO CONCRETE DRIVE f.JIHMER J CONCRETE PORCH & SIDEWALK WATER 70.00' OO LANE • • This sate plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of water, steep slopes or other critical areas. Signed: Date: ISLEY