BUILDING PERMIT APPLICATION

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1 AGENCY USE ONLY BUILDING PERMIT APPLICATION PERMIT #: SDP #: ELECTRONIC SUBMITTAL: YES: NO: PLEASE COMPLETE ALL APPLICABLE FIELDS BELOW KOOTENAI COUNTY COMMUNITY DEVELOPMENT Government Way, Coeur d Alene, ID 88 (08) NAME: PHONE: DESIGNATED CONTACT PERSON CELL: PARCEL INFORMATION PARCEL #: SERIAL/AIN #: NAME: MAILING ADDRESS: CONTACT INFORMATION: PROPERTY OWNER PHONE: DESIGN TEAM INFORMATION ARCHITECT: PHONE: DESIGNER: PHONE: ENGINEER: PHONE: CONTRACTOR INFORMATION: MAILING ADDRESS: ID REGISTRATION #: PHONE: JOB ADDRESS: DIRECTIONS TO THE SITE FROM COEUR D ALENE: REQUIRED PROJECT INFORMATION RESIDENTIAL NEW: ALTERATION: POLE STRUCTURE: VALUATION: HABITABLE SQ FT: GARAGE/SHOP SQ FT: DECK SQ FT: COVERED PATIO/PORCH SQ FT: IF NEW DWELLING, NUMBER OF BEDROOMS ON PLAN: IF ALTERATION TO EXISTING DWELLING, # OF EXISTING BEDROOMS: TOTAL # OF BEDROOMS AFTER CONSTRUCTION: COMMERCIAL (IDAHO LICENSED ARCHITECT MAY BE REQUIRED) NEW: ALTERATION: POLE STRUCTURE: VALUATION: OCCUPANCY CLASSIFICATION ) CONSTRUCTION TYPE: AREA: OCCUPANCY CLASSIFICATION ) CONSTRUCTION TYPE: AREA: OCCUPANCY CLASSIFICATION ) CONSTRUCTION TYPE: AREA: SITE INFORMATION SNOW ZONE: A: B: C: D: ENERGY: NATURAL GAS: PROPANE: ELECTRIC: DOES THE SITE SLOPE EXCEED %? YES: NO: NUMBER OF EXISTING BUILDINGS ON SITE: ARE THERE ANY CODE VIOLATIONS ON THIS PARCEL? YES: NO: CV#: DEVELOPMENT INFORMATION IS PARCEL LOCATED IN THE SPECIAL FLOOD HAZARD AREA? YES: NO: IF YES, WILL FILL BE USED TO ELEVATE THE PROPOSED STRUCTURE? YES: NO: IF YES, HOW MUCH? CUBIC YARDS IS THE SITE WITHIN 00 FT OF SURFACE WATER? YES: NO: IF YES, DOES THE SLOPE EXCEED 0%? YES: NO: WILL THE PROPOSED SITE DISTURBANCE AFFECT MORE THAN / OF THE PARCEL? YES: NO: DESCRIBE THE PROPOSED SCOPE OF WORK: Page of

2 PLAN REQUIREMENT CHECKLIST SELECTION OF ALL RELEVANT PORTIONS IN THIS CHECKLIST ARE REQUIRED THE FOLLOWING CHECKLIST CONTAINS THE MOST COMMON MINIMUM REQUIREMENTS FOR CONSTRUCTION PLANS FOR A NEW BUILDING. DEPENDING ON MORE SPECIFIC INDIVIDUAL DESIGN OPTIONS, ADDITIONAL REQUIREMENTS MAY BE NECESSARY. RELEVANT PORTIONS OF THIS LIST ALSO APPLY TO SMALLER CONSTRUCTION PROJECTS SUCH AS DECKS, ADDITIONS, ETC.. ELEVATIONS: PROVIDE AN ELEVATION VIEW OF ALL SIDES OF THE STRUCTURE WHERE THERE IS PROPOSED WORK ACCURATELY INDICATE THE ADJACENT GRADE AND SLOPE WITHIN 0 IN ALL DIRECTIONS FROM THE STRUCTURE.. FOUNDATION PLAN AND DETAILS (INCLUDE COMPLETE DIMENSIONS): ALL FOOTING, STEM WALL, PIER SIZES AND RETAINING WALLS SIZE AND PLACEMENT OF ALL REINFORCEMENT DEPTH OF FOOTINGS BELOW GRADE FOR FROST BURIAL TYPE AND LOCATION OF ALL ANCHORAGE HARDWARE. INCLUDE THE SPECIFIC TYPE OF HOLD DOWNS METHOD AND AMOUNT OF CRAWL SPACE VENTILATION OR CONDITIONING CRAWL SPACE ACCESS LOCATION AND OPENING SIZE POST LAYOUT (DECKS, POLE STRUCTURES, ETC.) POST HOLE SIZE (INCLUDING PUNCH PAD IF APPLICABLE). FLOOR PLANS FOR EACH LEVEL WHICH INDICATE (INCLUDE COMPLETE DIMENSIONS): THE INTENDED USE OF EACH ROOM INCLUDING BONUS ROOMS ALL WINDOWS AND DOOR SIZES AND TYPE. INDICATE ALL REQUIRED EMERGENCY EGRESS OPENINGS THE LOCATIONS OF ALL FIRE PROTECTION ELEMENTS, SMOKE DETECTORS AND CARBON MONOXIDE DETECTORS REQUIRED SAFETY GLAZING AT ALL HAZARDOUS LOCATIONS IN ACCORDANCE WITH R08. LOCATION, TYPE AND FUEL SOURCE OF ALL FUEL BURNING APPLIANCES THE LOCATION AND TYPE OF VEHICLE IMPACT PROTECTION DEVICES (SUCH AS BOLLARDS) THE LOCATION AND CFM OF ALL REQUIRED MECHANICAL VENTILATION ALL REQUIRED FIRE SEPARATION DETAILED ON THE PLAN. BUILDING CROSS SECTIONS AS NECESSARY WHICH CLEARLY SHOW ALL LEVELS OF THE STRUCTURE (INCLUDE COMPLETE DIMENSIONS): IDENTIFY ALL CONSTRUCTION MATERIALS INCLUDING INSULATION WALL FRAMING COMPONENTS COMPLETE STAIR, HANDRAIL AND GUARD DETAILS CLEARANCE FROM GRADE OR SLAB TO FRAMING AND SIDING. FLOOR FRAMING PLAN FOR EACH FLOOR AND DECK (INCLUDE COMPLETE DIMENSIONS): FLOOR JOIST SIZE, SPACING, SPECIES, GRADE, OR MANUFACTURER AND SERIES IF ENGINEERED WOOD ALL BEAM SIZES ON THE PLAN (INCLUDE DESIGN CALCULATIONS IF MORE THAN 6 ) LAYOUT OF SUBMITTED FLOOR TRUSSES MUST MATCH PLAN LAYOUT DECK FRAMING, STAIR, GUARD, HANDRAIL DETAILS AND SPECIFIC HARDWARE REQUIREMENTS METHODS OF SUPPORT AND ALL CONNECTING HARDWARE DECK LEDGER ATTACHMENT AND FLASHING DETAIL DECK LATERAL RESTRAINT DETAIL SLAB REQUIREMENTS Page of

3 6. ROOF FRAMING PLAN (INCLUDE COMPLETE DIMENSIONS): RAFTER SIZE, SPACING, SPECIES, GRADE, OR MANUFACTURER AND SERIES IF ENGINEERED WOOD TRUSS LAYOUT DIAGRAM AND SPECIFICATION DETAILS FOR EACH TRUSS (MUST BE CONSISTENT WITH SNOW LOAD CATEGORY) ALL BEAM SIZES ON THE PLAN. PROVIDE DESIGN CALCULATIONS FOR ANY BEAM EXCEEDING 6 IN LENGTH ALL OPENING HEADER SIZES AND MATERIAL. PROVIDE DESIGN CALCULATIONS FOR ANY HEADER EXCEEDING 6 IN LENGTH LAYOUT OF SUBMITTED ROOF TRUSSES MUST MATCH PLAN LAYOUT COMPLETE DETAILS OF OVER-FRAMING SUPPORT AND CONNECTIONS METHODS OF SUPPORT AND ALL CONNECTING HARDWARE ALL METHODS OF UPLIFT RESTRAINT INDICATE SPECIFIC HARDWARE TO BE USED 7. BUILDING BRACING PLAN, PRESCRIPTIVE (INCLUDE COMPLETE DIMENSIONS): METHODS AND LOCATIONS OF ALL WALL BRACING, INCLUDING REQUIRED INTERIOR WALLS: CONTINUOUSLY SHEATHED METHOD, LOCATIONS, PERCENTAGES OF COUNTABLE PANELS, DETAIL INTERMITTENT BRACED WALL PANELS, LOCATION, LENGTHS, TYPE, DETAIL ALTERNATE PANEL, LOCATIONS, LENGTHS, DETAIL WORKSHEET FOR WIND ADJUSTMENT FACTORS ALL HOLD DOWN AND OTHER HARDWARE LOCATIONS. INDICATE THE SPECIFIC HARDWARE TO BE USED. TO FOUNDATION TO FLOOR BELOW TO HEADER BRACING OF TRUSSES TO WALL 8. ENERGY CODE COMPLIANCE (CHECK ONE): RESIDENTIAL: OR DEMONSTRATE COMPLETE PRESCRIPTIVE COMPLIANCE FROM IRC N0. CLIMATE ZONE VALUES ON THE PLAN, RESCHECK ENERGY COMPLIANCE CERTIFICATE (NOTE: RESCHECK MUST MATCH THE VALUES ON THE PLAN.) DUCT AND AIR HANDLER LOCATION NOTED (IF LOCATED IN UNCONDITIONED SPACE, DUCT LEAKAGE TESTING IS REQUIRED) COMMERCIAL: COMCHECK ENERGY COMPLIANCE CERTIFICATES (NOTE: COMCHECK MUST MATCH THE VALUES ON THE PLAN) 9. HVAC REQUIREMENTS-RESIDENTIAL (CHECK ONE): HVAC REVIEW FORM MANUAL J CALCULATIONS MANUAL D CALCULATIONS AND DUCT LAYOUT SCHEMATIC DRAWING MANUFACTURER S PERFORMANCE DATA SHEETS 0. ENVELOPE AIR SEAL METHOD (CHECK ONE): BLOWER DOOR TEST INSPECTION PER IRC TABLE 0.. DUCT LEAKAGE TEST (IF DUCTS ARE LOCATED IN UNCONDITIONED SPACE) (CHECK ONE): AT ROUGH IN AT FINAL INSPECTION. COMMERCIAL (IDAHO LICENSED ARCHITECT IS REQUIRED) CODE ANALYSIS (HEIGHT, AREA, TYPE OF CONSTRUCTION, OCCUPANCY CLASSIFICATION, TYPE OF SPRINKLERS IF PROVIDED, SEPARATED/NON-SEPARATED USE) EXITING PLAN FIRE RESISTIVE CONSTRUCTION DETAILS ACCESSIBILITY PLAN AND DETAILS MECHANICAL PLAN Page of

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5 Township Range W, Section Serial: 0 Zone: RURAL Property Size:.997 Acres Lot Coverage <% YES/NO Parcel Number: 0-J Flood Zone: X FIRM: 60C000E Snow Load: Category C Erodibility: SLIGHT TO MODERATE(Code 08) Aquifer/Recharge Area: RATHDRUM AQUIFER Property Address: 98 E RILEY LOOP City: ATHOL Zipcode: 880 IZ: Comments SINGLE FAMILY RESIDENCE EXEMPT FROM SDP REQUIREMENTS; OVER AQUIFER X $ Residential $0 Commercial/Industrial (0) X X Highway District Lakes Highway Fire District Timberlake Fire Removal of Existing Structure/Mobile X Health/Sewer District Panhandle Health/No Sewer Warranty Deed Inst # IDL/Army Corps/Airport/TD Not for Habitable Space MFG Home Dept Elevation Certificate Pre Post ICP: N BPA: N PWR: KEC Stormwater/Landscape Design ACI: None School District #7 - Lakeland Leafy Spurge: N Tribal: N Other: APPROVED DATE

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7 Ac Map Revisions Kootenai County, Idaho MapTile Location within Township THIS DRAWING IS TO BE USED FOR REFERENCE PURPOSES ONLY, THE COUNTY IS NOT RESPONSIBLE FOR ANY INACCURRACIES CONTAINED HEREIN //08 - VMW N0W--70 combined w/ 700; 7700 combined w/ 7600 (09) //09 - ET Ptn of N0W--700 combined w/ 7600 (0) 08//0 - VMW PTN N0W combined back into 700 () 0// - ET Ptn of N0W--790 is combined w/ 780 () 0// - GP Pt 0-J combined w/ pt 00-0 & described as Tax #66; rem 00-0 combined w/ rem 00-0 (both now -A) & described as Tax #66 () 0/0/6 - bc N0W--790 combined w/ 7900 (7) Notes: W N S E A E N00-'"W A.69 Ac 9-7'"E N00-'"W.07 0 S00-7'6"W ' A 0.0 Ac.6 N00-7'"E.09' pt A N00-7'6"E.8' N00-7'"E 8.9' N00-7'6"E 70.6' 0. N00-7'"E.9' N00-7'"E 0.67' N89-'"W 0.66 N00-7'6"E 7.6' PT Athol Ranch st Add (0-09) S89-'"E S89-6'6"E N00-7'6"E.8' N00-7'"E 6.8' S00-7'"W N00-7'6"E.00' 76.6' 0.8 HIGHWAY.0 N00-7'"E 09.' A.68 Ac N00-'0"E S00-'0"W '.66' N00-'9"E.'.60' # Ac S89-9'0"E 80.00' Ac S89-9'0"E (60.7') Ac N9-0'0"E (706.') Ac N8-0'6"E (877.07') N00-'9"E ' Ac Ac S89-0'08"E (.76') N-0'"E (9.89') Ac A.67 Ac N6-0'"E (67.9') N00-'9"E Ac Ac (609.00) S00-'9"W (7.7) N89-9'0"W Ac Ac N89-9'0"W S6-'8"W (68.0') A.96 Ac Ac.79 Ac Ac Ac Ac Ac (68.7').70 Ac (.90') 60.6' 60.90' (.6') N00-'"E (.8') S-8'8"E Ac Ac Ac Ac 7.8'.'.78' 9.' 7.6' 07.90' N00-'9"E N00-'9"E 0.0' 0.0' N00-9'07"E (6.0') 0.0' 0.0' N00-'"E (.00') (68.6') S89-9'0"E (68.6') (68.6') N89-9'0"W (68.6') 7. S89-9'0"E (68.6') S89-9'0"E N-0'0"W (6.') N8-6'7"W (9.9') Ac Ac #66 #66 (609.00) Mountain View At Farragut Park (0-J07) S00-'9"W 6 7 RILEY LOOP Ac Ac N89-9'0"W N9-0'8"W (70.0') 6 N89-9'0"W (0.06') N89-9'0"W (0.97') N89-9'0"W (0.87') (6.6').87 Ac Ac Ac Ac Ac Ac.0000 Ac Ac Ac Ac Ac SNOWY LN (Private) Ac Ac Ac Ac Ac Ac Ac Ac A. 8 Parcel areas have been calculated by traverse closure when sufficient information has been available. Area shown is Net Assessable Area; Right-of-Way, where applicable, has been subtracted. Distances and curve lengths less than 0' may not be shown due to scale limitations. Dimensions in parenthesis denote record and/or platted lot dimensions. LOCATION OF ROADS SHOWN ARE BASED ON ADDRESSABLE ROAD INFORMATION AND MAY OR MAY NOT BE PUBLIC LINZY LN (Private) Ac Ac Ac Ac MORNING GLORY AVE (Private) Ac Ac Ac Ac R ED FIR RD (Private) Ac Parcel Identification Number (PIN) are comprised as follows: Platted: Sub-code and Parcel ID# ex. C-0 and C Resulting PIN = C C or C00999C Unplatted: TwpRngSec and Parcel ID# ex. 0N0W-6 and 790 Resulting PIN = 0N0W or 0N0W6790 (C-7) Sub-code TaxParcels Legend Private Roads # # # City Limits Ac Ac Ac Ac Ac Ac Ac Ac Ac A Parcel ID# (PIN) Maptile: N0W LegalAreas Road RW Plat Boundaries Railroad A GCDB_Corners GCDB_Lines 690.7' 0' # Ac Feet Sec. Twp N. R. W. B. M.