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2002, 08-01 Permit App: 02006543 ResidenceProject Number: 02006543 Inv: 1 Application Date: 8/1/02 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 - GAS Setbacks: Front 25 Left: 9.6 Right: 5+ Rear: 20+ Site Information: Plat Key: 005862 Name: SHELLEY LAKE Block: 7 Parcel Number: 45242.1707 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 Lot: 7 SiteAddress: 520 S MOORE LN Owner: Name: VIKING CONSTRUCTION INC VERADALE, WA USA 99037 Address: 2605 W HAYDEN AVE Location:: VER HAYDEN ID 83835 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 8,698 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 30 Review Site Plan Review Plan Review Releas. Approach / Drainage Released By: Sewer Review Permits: Operator: JAS Printed By: JAS y: Print Date: 8/1/02 Project Number: 02006543 Inv: 1 Application Date: 8/1/02 Page 2 of 3 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 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description Gru GARAGE U-1 RESIDENCE 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 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: FITTING MECHANICAL Address: 10223 HAPPY TRAIL RATHDRUM, ID 83858 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Type: Building Height: Stories: Sprinklers: Critical Materials: El This Application: Total Project: So Ft Valuation Su Ft Valuation 504 $6,048.00 504 $6,048.00 1,718 $113,388.00 1,718 $113,388.00 Totals: 2,222 $119,436.00 2,222 $119,436.00 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $995.00 $4.50 $0.00 $999.50 Firm: FITTING MECHANICAL Phone: (208) 687-6949 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: JAS Printed By: JAS Fee Amount $10.00 $10.00 $12.00 $3.00 $12.00 $30.00 $10.00 $10.00 $10.00 Permit Total Fees: $107.00 Print Date: 8/1/02 Project Number: 02006543 Inv: 1 Application Date: 8/1/02 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 Units Unit Desc 2 NUMBER OF 4 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $12.00 $24.00 $12.00 $12.00 $6.00 $6.00 $6.00 $18.00 $96.00 Notes: ...., NURMI, :, 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 $999.51 $107.00 $96.00 $1,202.51 Invoice Amount $999.51 $107.00 $96.00 $1,202.51 Amount Paid Amount Owing 6 LLA $0.00 $999.51 $0.00 $107.00 $0.00 $96.00 $0.00 $1,202.51 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: 8/1/02 03/08/2002 08:18 FAX 509 477 4703 SPOKANE CO BLDG. 1J003 Sraja Cow/ PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE F.NFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street A ddrcsE: 1-\(\osuu_ Assessor's Tax Parcel Numbcr(s): Legal Description: 1-1AnC,K Project Description: _ 116.! _ &) & 4 CSI/Building Permit O Change in Use CI Grading O Manufactured Home Permit 0 Relocation O Sign 0 Tenant (New/Changc) O Other ,:, 4*,,•iiiii,A-i4p6.;...,()-ni.- .,::',..:f:,?../2,";, OWNER/APPLICANT INFORMATIC&) 21 indiivic oho Vomit/ th: IONIstaid sirriinIli. Prnit! ar Vrker7 r Phone: , 9L.A2r1L0,4 - -.CI 10 k4 0,6-&c-- - Nif U \ Y ,...-. 40-6 '.-N) -1-k,50 -; ..,,- ,:.• • ,...,-,. --, •• ,....,:-. : - :. ..., .. . ' ' ' T". . , - '. .. ' : , . . • , ' ..,:"‘ ';:s•..;',,i's Z.,,,V4.P1','':',,.,%;,f.:,/•,,,i'4,•-,'•,•-• ,. . ' ,...,,; ' .,rir.,i;c:AFi;r:.4'1',!:.=,,',. In' ' ,-Free.F.Dic tsierfPutv7De. ' ' 2, ,..Selvec.D;gtiet./Puni;eyot.,. 4 • , , ,,.. ' ; - • . . , , Road vivid, . . . , . , F3% Mailing address. 6,,,ALI.,,N)......... Sethth''''; ,. . . :76.1.e,,,.L4'-,, *.f.' ' ; • ., • • •••• Srliclol ID is nice' : • , -- • rife Disok,r )."..e 'i. • .:": - "'-' ' ' ' 2 Liring.' ( ' ' .• " .1/- • OWNER/APPLICANT INFORMATIC&) 21 indiivic oho Vomit/ th: IONIstaid sirriinIli. Prnit! ar Vrker7 r Phone: , 9L.A2r1L0,4 - -.CI 10 k4 0,6-&c-- - Nif U \ Y ,...-. 40-6 '.-N) -1-k,50 0 Applicann Plum! fax: Mailing Adiiri.. 'b _ . L _i I ti. iklAihni.; Addres.: --A-fk_D._. ity. Sore. Zip kltakii-kAlk -, 16 - lb -61 *. Ciry. More. Zip . 0 Contracior Plinnu .Fax 0 Architectilingincer F3% Mailing address. 6,,,ALI.,,N)......... Mailing addri.-4s Cir 5, Rime Zip • Dry, Slave Zip . WA Stan. Cuntnictur timnsi:* _ Crsmawitas,c: PROTECT INFORMATION , • . , Building Information ..... • „ .. „ • , , . . . - • • - • . .•, ,.,, .., .... .. Huiltring height to pil ,D2 -e # of storks . 1 Main Ili inr 4t..1 ft. ills?) Unfinished basement ski. cr... Dimols;ons Toml Jobiroble Time 2"4 t)oor IN. fr. FinisheJ bnserncnr A - fr. Occupancy !nu 1 j ' 1 au . d; k' ;. .../ Cons coon ta,•pe p, Ciars!tc4. ft. _ Deck sq. ft. of r .,,,v. II.rf-cl' 1 km ,,,,,,.. (ch.,* . ga,. ,..) ,.....1. 03/08/2002 08:18 FAX 509 477 4703 SPOKANE CO BLDG. 10UU4 Manufactured' Howie . :' ,; • 1 ; Width: Length: Whac is the square footage of the pion lime? Tlow high is the t16n? Year. Make: # of suns Arca of existing signs Fireworks display _ _ Proposed use Value Relocation;, ,, :' : ' '' ,.., _ _..,.., .. .. Vis•• �, ,. - F1ie Safe .(, ;, •'.... Finn Name Prcviou;. nelJrrt' Phone Paint booth Fire Sprinkler Tent _ Fire Alarm Fireworks display _ _ Proposed use Value 0 Concrete 0 Welding 0 TBolting 0 Reinforcement AddrosF ,Special IYispectiotts Required?- • ,.: N n=R' si ' . .•....., ' o eentaY;'n'ergy� Code `Compliance? Finn Name Phnne Plans Examiner Phone Inepeetorr Is there evidence of 511 or excavation on the property? 0 Yes liyfvo Addresn Are critical Or hazardous material used or srorcd on sire—?? D Yes �'No ',Ts; the property located within 1000 feet of a'Natural Resource Area? Inspector Phone 0 Concrete 0 Welding 0 TBolting 0 Reinforcement AddrosF ADDITIONAL SITE INFORMATION Are there: structures on the property? 0 YcF 129'�o If yes. nient4iy en _rile flan - What is the current propertyc? (square feet or acres) (Ades( Cj , _ What is ncc cltrrenr use of this r try? I <) -t\a � -�L ft � Will Mc site be served by a septic system? O Yes IQo Is any part of the property within 250 feet of it shoreline:? If lel, Mena* on fire ph -in 0 Yes WS -,lo Jo your pmperty in a designated wildlife habitat area? / 0 Don't — know 0 Ycs i>� No ]s any 1?art of the property within a 100 yr flood plain? 1f yrr, 01116 ell .471r plan / D Maybe 0 Don't know 0 Yes o Are or will there be wells located on the property? _ If rr{, hind: on the fire fi/on 0 Yes le No Are there any wetland:, streams or ponds within 200—tfee r of the property? Jwf, dem* on .ilk prim 0 Yes IWNo Is there evidence of 511 or excavation on the property? 0 Yes liyfvo ,\rc Thcrc slopes grater than 30% on the property? (30 ft ruse in 100 fr) ( i� %) 0 Yes t�No Are critical Or hazardous material used or srorcd on sire—?? D Yes �'No DEPARTMENT USE ONLY Is the property in,* designated Sromtti!ater CoitnoiArea?.:, ::: ` , : _ `; ;;'ilstpublic sCWCFTrAtlablc to the site?"' ' 0 Yor;, .0 .No Is the property inside the ASA? , . 0Yes` :'0 :No ' • 0 Y_s ,0:216'•;. '- - . `..Is_public.witeCavaifable ro,the site? , O• Yes 0 No , •. `. ' •.•':- . : , - • .•..:: .. . Is the property inside the PSSA? " 0, Yes'' 20 No ',Ts; the property located within 1000 feet of a'Natural Resource Area? Dmr Itecnccd: Staff Krpresenctuve METHOD OF PAYMENT s r.F ❑ CASJ I ❑ CI IIiCK 0 MIN= 0 L. _. ?'"P: 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT. OF A MAJOR CREDIT CARD EXPI RES: li.\NKC.1R1) Nl.tMI3I .lis ,\U'Il IU1tIXla _` TOTAL FEE mrsu NUM PBrn rrr F££ fs s lz x o r t . F-. . , Te111:Y. CHECKS' FAYMIL.•TO .$POIZANE• COUNTY',lom rt CENTRR SITE PLAN SCALE: 1 "= 20'- 0" LOT 7 BLOCK 7 SHELLEY LAKE VERADALE, WA. ADDRESS –'' ' ZONE LL. - 57'0" 102.41' CONCRETE PATIO RANCHER ROAD WIDTH FRONT FLANKING lox' CONCRETE PAD CONCRETE PORCH & SIDEWALK COMMENTS REVIEWED BY.— CONCRETE DRIVE UNDERGROUND POWER WATER This s`te plan is being submitted for thepurpose of obta:nlng a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lnes. structures and easements have been identified, Vit' „:ted are wetlands, bodies of water, steep. s apes or other crtca♦ at as. l'VC f Signed.') l i\n�i-� Date: (E))"— \ .7 SEWER MOORE LANE e o 9.97'