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2002, 08-15 Permit App: 02007009 ResidenceProject Number: 02007009 Inv: 1 =Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contact: VIKING CONSTRUCTION, INC Address: 2605 HAYDEN AVE C - S - Z: HAYDEN LAKE, ID 83835 - Phone: (208) 762-9106 Group Name: Project Name: Date: 8/15/02 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 25+ Left: / Right: Rear: -7' lb Site Information: Plat Key: 005862 Name: SHELLEY LAKE iffe Ata.MICMaggSlIZEGMWMCIEN.MMURM District: F Parcel Number: 45242.1706 Block: 7 Lot: 6 SiteAddress: 516 S MOORE LN Owner: Name: VIKING CONSTRUCTION, INC VERADALE, WA USA 99037 Address: 2605 HAYDEN AVE Location:: VER HAYDEN LAKE, ID 83835 - Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 7,475 Sq Ft Hold: ❑ Width: 65 Depth: 115 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review e Plan Review Plan Review Ree usedBy: Approach / Drainage Released B Sewer Review Permits: I A Released Operator: JAS Printed By: JAS Print Date: 8/15/02 =2 Project Number: 02007009 Inv: 1 ' Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/15/02 Page 2 of 3 Contractor: VIKING CONSTRUCTION Address: 2605 W HAYDEN AVE HAYDEN, ID 83835 Const Category: New Nbr Of Dwellings: Bldg WxD: x Req Parking: Description BASEMENT U GARAGE RESIDENCE Grp R-3 U-1 R-3 Building Permit Firm: VIKING CONSTRUCTION Phone: (208) 762-9106 Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Type Notes VN 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: Stories: Sprinklers: El Critical Materials: 0 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,189 $14,624.70 1,189 $14,624.70 365 $4,380.00 365 $4,380.00 1,189 $78,474.00 1,189 $78,474.00 Totals: 2,743 $97,478.70 2,743 $97,478.70 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 1 2 4 1 Operator: JAS Printed By: JAS 1 Fee Amount $880.00 $4.50 $193.60 $1,078.10 Firm: FITTING MECHANICAL Phone: (208) 687-6949 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 $40.00 $10.00 $10.00 $84.00 8/15/02 Project Number: 02007009 Inv: 1 :Application Date: 8/15/02 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Notes: Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $12.00 $18.00 $12.00 $12.00 $6.00 $6.00 $6.00 $6.00 Permit Total Fees: $78.00 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 Disclaimer: Fee Amount Invoice Amount $1,078.10 $84.00 $78.00 $1,078.10 $ 84.00 $78.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,078.10 $84.00 $78.00 $1,240.10 $1,240.10 $0.00 $1 I 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: JAS Printed By: JAS Print Date: 8/15/02 `03/08/2002 08:18 FAX 509 477 4703 SPOKANE CO BLDG. 01003 spoicANE cowry PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISI ON OF BUILDING & CODE ENFORCEMENT 1026 WF.ST BROADWAY .AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION StrcctAddresF:�� Assessor's Tax Parcel Number(s): Legal Description: Project Description: !3 Builrling Permit O Change in Usc O Grading O Manufactured Home Permit 0 Relocation O Sign 0 Tenant (New/Change) O Other :'De rrintse=,On1 . .. +:-;, r.:, ;.,..,,:. „� ,: ,�� • Wm r Dix'trici/Pu 4i: ; . Sever D:Ftrict/Puv of.. ? ' . Road w &1 Sierbackt �• ;' "• :; ; �';9' r 0 Commons, PLonr FAX Gamer: x j. Et. - ❑ - Architect/Engineer Phunu Fax Mailing atldrox Pi tent . 7Lecc, YSi4?'' . ' � '•. �' School Dichice• C. SrZip3�� Sem Fite Dirgicc )' _ (. ; F : •2u uu, - • '"` .,''�;..';1 �'•�%;:.% ��,%, .•,� ^l OWNER/APPLICANT INFORMATION I ndriui mho "Auld Ifc , onrailed nTwrt?rn! /J,r•' err et �LP67%.:DrE (�� ( i /PPhnne: 7t"f,:J,- lea- ei i Y ,'c A SJI \ U1 CA'''t:ax aCt)-1(CA- 45� 57 0 Applicant: Phone' ray: Alii'a�if;{:n^�r Adctr�ac. i Mailing nd_f:_sc: llimr.•ns; • aq l t tt ,( (13 Cn'. Stec. Zip ` {�/����' !!! \ 4 ` i T l�') ^!,.."):163S floor 2oor Fq. fr. tact•. Stoic Zip ccupancv �rou / 0 Commons, PLonr FAX Gamer: x j. Et. - ❑ - Architect/Engineer Phunu Fax Mailing atldrox Mailing adds++ C. SrZip3�� Sem 1 Carr, Stare /p IC't\ State Contractor liven= t 1411\1 T }yam-���r.'� ,` - V 1 �1� l i V Ts- CnntaM ltatntl PROTECT INFORMATION Building Information ' 'Bunning height to peak Lo" t 9) # of stur;eF Mnin Muer sy©. G Llnfui hcd ba4L,hcnr sig. IL 1189 llimr.•ns; • aq l t tt ,( (13 Total habrrobh, ::pnc2" floor 2oor Fq. fr. Fini+hcd bnsc•mcnr eq. fc. ccupancv �rou / C�rx,aruct+on Rpt on a Q Gamer: x j. Et. - llcck sq. k r. tof Dicer CSU 1 Ira F,,urce c eetne. gas. Etc.) 03/08/2002 08:18 FAX 509 477 4703 SPOKANE CO BLDG. 10 004 Manufactured Howie; ; , , ;;` .. �; . .. i; $ice'..: � .,., , .,..,,, `�: .. ... . Width: Length: What is the square footage of the inn lime? flow high i the sign? Year. 'Make: # of signs Arca of existing signs arc critical or hazardous materials used or stored on sire? D Yes No Proposed We Vaiue Inspector Relocation. • Fue Safe , me gde`Cori fiance? Pic.'i.,U, ndWrr<s Phone Fire Sprinkler Tent _ Paint booth Fire Alarm _ Fireworke display _ _ _ arc critical or hazardous materials used or stored on sire? D Yes No Proposed We Vaiue Inspector Phone ,Special I•nspecaois te,giure l? Non-Res'dent a7 me gde`Cori fiance? Firm Name Phone Plans Examiner Phone In.pcctorc Is there evidence of fill or excavation nn the property? 0 Yes M' No Addtea arc critical or hazardous materials used or stored on sire? D Yes No Inspector Phone D Concrete 0 Welding 0 Bolting 0 Reinforcement Addn:ss DITIONAL SITE INFORMATION .Are there structures on the property? 0 Yes 13'No If yes, ;dtutifp on it' eplan - What is the current property size? u (square feet or acres) 1 1b -c'k Is soy part of rhe ptoperry within 250 feet of a short,N'r,e? If vet, Meath, no site plan 0 Yes I No What is tl c Cartenfr use of this progtrty , _ re,c 1 C L 0 D'k 1 711, Will the site be served by a septic system? 0 Yes 13 Na Is your pmperty in a designated wildlife habitat area? / 0 Don't know 0 Yes 6i'No is any part of the property within 3 100 yr flood plain? If y,!r, idetui'h on .47.1r plan /� 0 Maybe 0 Don't know 0 Yes 3/No Are or will there be wells located on rhe property? �' Ilya, itIont h' on ibo Jitt plow 0 Yes I' No Arc there any wetlands, streams or ponds within 200,feet of the property? Jws, :Awry.)on site, plan 0 Yes No Is there evidence of fill or excavation nn the property? 0 Yes M' No Arc there slopes greater than 30% on the property? (30 ftp -se in 100 fr) / °1st) 0 Yes No arc critical or hazardous materials used or stored on sire? D Yes No DEPARTMENT USE ONLY Is the property in,a designated Sromwvatee ControiMeal?. •:; • ' , - 'S Irpubllc sewOeit'Allable t0 the site?'' ' 0 Y •D No • ' h the property inside the ASA? , . . , 0 Yes: '•D,:No . O Yes`"',1:r.1145-,.:.....,..„. ',Is•public• watss`aviilable io,dle,site? , O, Yes D No ..r .. ' .-'- .. ' . •- .. .. .. .... . Is the property inside the PSSA?- :': - • 0• Yes' -'D No 1 'Ii -the property locatedwithin 1000 feet of a Natural R.esourccArea? ,^E3 --Yrs , 0. Na Durr Itecnrrd: Staff Represeneun e: METHOD OF PAYMENT ir❑ CAsII ❑ cII1.:CK ❑ ❑ L._... 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 17:Y1'I;: F:XPIR17j: 1i. NKC.IRI) NI t>11R1=.R: \UI'11014.141 U) SiGN.F1'URI':: SUBTOT.AT. r ' ' ' -' TOTAL. FEE MJN MUMPkRAf TFEEJs LILCO rtFJf.FT. M -AL CHECKS rAy Ant.►.•TO SPOKANE • COUNTY minor CF.NTI:R . . SITE PLAN SCALE: 1" = 20 - 0" 103.00 101.00 48'0" CONCRETE PATIO MAIN LEVEL ELEVATION 102.50 RANCHER CONCRETE PORCH & SIDEWALK 101.00 65.00' ti o. GARAGE FLOOR ELEVATION 101.00 100.75 CONCRETE DRIVE 100.50 10'0" 7 11/ 01.00 UNDERGROUND \ POWER 100.25 WATER SEWER MOORE LANE 99.50 100.50