1994, 04-15 Permit App: 94003188 ResidencePROJECT NUMBER= 940031 APPLIC.:.TIOn•
******
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
/6.1/ E FAIRVIEW AVE
SPOKANE WA 99212 •
RESIDENCE (WALLMOUNT
001866 PLAT NAME=
LOT=
00000000 F/A=
1 # DWELLINGS=
OWNER= GRISLEY, PAT
STREET= 7101 E FAIRVIEW AVE
ADDRESS= SPOKANE WA 99212
ELECTRIC
C� &z-Cf3t
PARCEL#= 35121.1604
OA -E o la A
ORCHARD AVENUE AD
ZONE= UR -3.5 DIST#=
F WIDTH= 62 DEPTH=
1 WATER DIST =
CONTACT NAME= JOE STURCKLER
BUILDING SETBACKS: FRONT= 5.54LLEFT= 18
****************************** REVIEW INFORMATION
E
130 R/W= 34
PHONE= 509 924 6288
PHONE NUMBER= 509 255 6202
RIGHT= 6 REAR= 45
DEPARTMENT
*****************************
REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR -C BRADBURN
COMMENTS:
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
-D. 4Lnm.l.L_2N21) p inn
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING INADEQUATE
SIDE YARD
COMMENTS: V/{I ( )07
SETBACK
/79/ODILAOLP�
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******************************* BUILDING PERMIT *******************************
CONTRACTOR= PONTIUS CONSTRUCTION
STREET= 24320 E 3RD AVE
ADDRESS= LIBERTY LAKE WA 99019
PHONE= 509 255 6202
NEW= X • REMODEL;, ADDITION. CHANGE OF USE=
PROJECT NUMBER= 94003188 APPLICATION' DATE= 04/15/94 PAGE= 02
DWELL UNITS= _ 1 OCCUP. LD= BLDG HGT= 16 STORIES= 1
BLDG W X D = 38 X 29 SQ FT= 1921 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 923 10153.00
DECK R-3 VN 48 240.00
RESIDENCE R-3 VN 998 54890.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 486.50
STATE SURCHARGE Y 4.50
RADON MONITOR 1 12.57
SALES TAX 1 1.01
RESIDENTIAL SURCHARGE Y 87.57
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
VENTILATING FANS
PHONE=
QUANTITY FEE AMOUNT
3 30.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= GOLD SEAL MECHANICAL INC
STREET= 5524 E BOONE AVE
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PHONE= 509 535 5944
QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
ELECTRIC HOT WATER TANK 1 6.00
FLOOR DRAINS 1 6.00
WATER USING DEVICES 2 12.00
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
592.15
30.00
78.00
700.15
PROCESSED BY: CAROL BRADBURN
PRINTED BY: CAROL BRADBURN
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APPLICATION FOR
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Address: A' 7 / t'8 D M.2 0 r,e t
City: S#%'ACIOWF State: .10-451- zips 9ft4rf
2. LEGAL DascrurTION of pmpeny for which this "Conlnonte of Exemption" le being applied:
Nom Ohs. prhpeay 4 bring d(v(ded or chanted . • • provide the NKR' 14441, PuCfrintot! belvn
s4eihn__ /Z _ Township O-af Range •14'„ ._within Spokane County, Washington.
a PORTION or TRACT 440 Cr ORCHARD AV•MUA ADDITION AR PAR PLAT
TIIPROOr RAOORDAD re w1AMa .14• or natl. PAOB A4. DESCRIBED AS
rOLLON•,
BBe11MINO AT TRE SOUTIMEOT COIWSR Or SKID TRARI TIINNCS NORTH 119.6
PRET; THRHCS &VTII 99 10' 4e• RAST 149.01 rail, TRIMO. sOUTII 114.34
rurr// niunm antro •• 411' 144 MAST. 147.04 fief TO TIS POINT OF
IMOINNINOI SACAPT. VIZ SMUT PO mat T11raoor.
3. RRITIIng In parcel nvmbw(s Cf l •
4. Total existing acres o r J� 5. a . w proptny alt: (NISI. or aeras)
6. Zoning: Bi 7. Comprehensive Plan Cnicaoryt
8. Existing or Intended use of propenyl /2_
L-49, —ei
t_-*yOCy
'nd M„1:r
9. RxiSling road frontage name:Fact of Frontage `1
NO. Mfotmu.n Road Frostiest Mux Wend nth or be 4 44,Q re AS preprrly ar rhqubol psr 20.1/47AO. /f arca, 1r
by Prlvnls R•Md, s nary elr,.ce,d.4 Private Read danmenr.nurl be prhvtded whh IA/s application end Ihr Ammo.,
Reaaaelero NNuara sawed as MBa41Gj road f onzsge names• above.
J0. 1, VI/XC /118A/7 -EC -O r (Pant n4004 swear under penally of perJuiy that
IIIc abbove responses me made truthfully and to the bast of my knowledge. I also agree to
.fumish nny further documentation that may bo required by the Planning Department. 1 niso
understand Hint, should there be any willful misrepresentation or willful lack of full_/
disclosure on my pan, Spokane County'rnay withdraw any approval that It night Issue In ,,L
reliance on this application. 1 also havo provided written porrnlssion from both property 1 l^ 6 J
owners, if 11)15 appltca�jon is for a'fllnor lot line adjjustulent."
SIGNED:
Atolloan Data
STAFF ONLY
TILE PLANNING DEPARTMI6NT ISSUES THIS "CERTIFICATE OP IIXII60'rION" AS INDICATED
BELOW FOR TJIE PROPERTY DESCRIBED ABOVE, PURSUANT T SPOKANE. COUNTY
SUBDIVISIONORDINANCE. SECTION '3 3>
... .� �.. .rest....,..,..,..
CtSNDitTiiNB'-ANDIOlt""PiN ttW di
1, The applicant shall comply with all requirements and regulations of dm ZONEVO CODR of Spokane County.
2. Ilia appl4-ant ;hall Comply whit sill requirement! of ire Spolun• County Health DIsulc1 And/or UIIIhlca
• Division and/or County Engineering Division regarding wastewater disposal, on•she water or public water
rynom• end nares and roads, respectively.
Ir above legal 1s new, the applicant shell Ole SEORBCA71ON APPIJCA'tION .vIih 0.. County APaonn, e1
soon as possible alar Ulb sppllcaUon L approved. Not requbed when dented.
4. if private road Is utut, no building permit can be Issued until mho standards Chapter 3.05.050 of the County
Cods hevo been complied with for tho location end construction of the private send.
5. Tha applicant shall comply with the following additional conditions:
rm,Mud on eat
6. THIS CERTIFICATE OF EJftiMPTION IS POR AND SHALL RUN WITH THE LAND, AND SlIALI.
TO 771E APPLICANT, WNER, HEIRS, �n1CC 99��,RN.S-- �O^1R ASSIGNS, q�
�APPROYCD / Hua AY OF HEIRS,
L 19 .L.7
RIICEIP�T NU
BER S. .neCy PlannIn, Detmnmenl
TJIIS CERTIFICATE OF EXEMPTIO 1 : D BY . POKANB VUNTY, WASHINGTON
SPOKANE COUNTY PLANNING DEPT•, 121 N. JEFFERSON, SPOKANE, WA 99260 (509)456.2205
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PEttMET APPI.1CATIOTT
11.0141NYbmb44,....I CO NT AU 0404 Nr LCt
TOTAL P.02
ADDRESS: 1 C71 E Fit y v �—
ZONE: `•te
LLQ 3 S
ROAD 1.7371-1: 34-1,ric..)
Fc OOT: L FL-ANKING: ___
COMMENTS:
REVIEWED BY:�
rA t.RJ A4E✓
( \n -
P>‘(:) I- I; (2.0,1e)d
-0?
33
a3.
•
•
-
3 9
I 0
s-
owercz-‘t
A D DR ESS:_aa_IL___t_tVe-
ZONE:
ROAD:;7; 311-
LCs -f --t LANKING:
REVIEWED
29
.1E
31
0\rk3e--
; 30
,g5 so) I Loaci'r,1 •
/71 L(.
.
l
FS al) 4,
\-
/••
au 4
3)
00 SLOE 0 0 1_ o -r
SPECIFICATIONS
TYPE. OF SEWAGE SYSTEM: OtZ.. 1 r-�-/J
LINEAE OR SQUARE FOO?Arr-: /IV $-C
TRC?'r;ii ''10TH: 31, 4
DE PM_
FRC r!:.1;\ !AL GROUND SURFACE TO f3OTTOM
U' S!,:. ;: .SVCrEi: b2 [Pi 4. 7{. �� 1, (i 4
SIGNATORE. 1= zi}-1�74,,,
DATE; 69% /Z -'i j
TO1F YOU CA" 1OT)NSi,
r_a;;
`-ter3r,..E o;:: ,
-717)7 ;I Ir ---,,J
H/S
YSTF+.1
DIP", .i
• Poll'''
APPLICATIONfAO$ERIGNO' 01 SIT SEWAGE SYSTEM
,
:'/'S 0 ANE COUNTY HEALTH DISTRICT (• ; APPLICATION N0. 2' - ��� �'
�"�7
ENVIRONMENTAL HEALTH DIVISION I ., i, CENSUS TRACT //S•(%✓ ,'c' V•.,ly,.t��
WEST 1101 COLLEGE AVENUE DATE OF APPLICATION - 0 - / 3'4'-,.
•'SPOKANE WASHINGTON 99201-2095 (5091324-1560 INSPECTION RECORDING: 324-1501
,SIIE'AOORESS 014'LEG/AI, DESCRIPIION OF PROPERI Y: PROPERLY WITHIN: N(PSSA (TJU-T/INSI0[.. ASA)
_
/2 ( n J GSSA (0U1/INSI0f. ASA)
/" ."[] WWMA (OUTSIDE PSSA,ASA,GSSA)
G L UWHM OF pR F_/ERTY: ADDRESS: / ',PHONE: [] OUTSIDE ALL OF ABOVE ,.
(!`/ !.( X7,4%4: �r."`:Jfct 1/) // !/j/_ 41:(77 - ,. [] INSIDE ASA ONLY •i
.P OPUSF.0 USE OF' PROPERLY: SINGLE-FAMILY RESIDENCE ' NUMBER OF BEDROOMS !
� ' t V TYPE OF SIRUCIURE: [1 MOBILE HOME [] RANCHER jISPLII ENTRY
I• / [1 MUL1I-FAMILY COMPLEX: NO. UNITS NO. BEDRO MS/UNIT
J1 COMMERCIAL/INDUSTRIAL (DESCRIBE): 4EMPLOYEES/DAY: 4SEATS/CHAIRS FOR CLIENTS/CUSTOMERS:
-15;1HIS PROPERLY LOCATED WITHIN A COMMUNITY PUBLIC SEWER SERVICE AREA? [] YES ' [] NO
.IF YES, NAME OF DISTRICT/SYSTEM: I5 OLIO AGREEMENT REQUIRED? fl YES fl NO
'L -I SEWAGE SYSTEM COMPONENTS: ✓
]ROPOSED SYSTEM BY APPLICANT:,REPLACEMENI/FAILURE: []YES PIO ALTERATION: [1YE5 .1NO
,1'[] SEPTICjTANK(S) N0. SIZE /On (] REASON: [] RELOCATE - CONFLICT
[] OTIIER,PRETREATMENT; FACILIIY [] SATURATION/SOG [] CHANGE OF USE
1 ' ' (SPECIFY) [] OTHER [] ADD-ON
:: DRAINFIELD [] LEACHBED .
•,[] BUILDING SEWER [] OTHER DISPOSAL; SPECIFY: WILL 1H1S RESULT IN AN INCREASED SEWAGE 4FLOW? []YES MHO
ipl,NA - NEWNESYS1EM
/,
WHAT IS THE.SOURCE OF WATER FOR 1HIS PRUPERIY: PUBLIC/SHARED WATER SYSTEM; NAME: //, 'r/////-/ /:,,A ,
PRIVATE: [1 WELL 11 SPRING 11 LAKE [1 2929 APPLIES [1 2929 00ES NOT APPLY
PROPOSED PLUI-PLANTS 10 ACCOMPANY THIS APPLICAIION, ALONG WIIH ANY O1HER PLki1NEN1 INFORMAIION, SUCH AS LEGAL DESCRIPTION OF
PROPERTY.:"'";
IBIS APPLICATION'AND PERMI1 APPROVAL IS CONIINGEN1 UPON MEE1ING REQUIREMENTS SET FORTH IN THE SPOKANE COUNTY HEALTH DISTRICT
RULES AND REGULATIONS'FOR ON-SITE SEWAGE SYSTEMS. APPROVAL IS BASED ON ,THE ACCURACY OF IHE INFORMAl10N SUPPLIED BY THE
APPLICANI. IF YOU ARE'DISSATISFIEO WITH 1HE DECISION OF THE HEALTH DI�RICT, YOU MAY APPEAL TO THE HEALTH OFFICER WITHIN 1EN
(10) DAYS OF DENIAL OF THIS APPLICATION (SEE APPEAL PROCEDURE OUTLINE IN THF REGULATIONS).
/7241' ' PER/N0_:4/!?/(' PHN"S):
%%a S.-:l//A .li%SIGNAT RE OF OWNER 0R A TUEIRL A_RPPRESENIA1I T —•
(9
2/ _ / S 7
/
M L'ERMII AND COP ESPONOENQE 10: %..1-7-,,4dy ,/,-,-„..
(';fI
INSPECTION CALL-IN DATES FEE PAYMENTS: AMT, PAID DATE REG.# PAID BY;'
APPLICATION /YO ,' '1Y-7:: 7, •:',L;./--" /L7
PERMIT
11 MULTI-LEVEL
TEST I10LE INSP.
(Y-„,-
'
--
.-" , .. - . .. '• MINIMUM'SYSTEM SPECIFICATIONS
FLOW RATE v /(J ' GAL/DAY. DOSAGE. VOL.. GAL/CYCLE;,
BY DISTRICT; .„
DISPdSAL FACILITY: / '� -- � \TREATMENT
[] ORAINFIELD SIZE: FLOW RATE : [SOIL LOADING RATE' O 9
PARTIAL INSP.
/
,
[1 LEACHBED: FLOW.RAIE : SOIL LOADING RATE('
'GALS. N0. •
[] SAND . FILTERR SIZED:
1[JSAND.FILTER
FINAL INSP.
1.2 GALS Z.-
[']ALTERNATIVE: []MOUND ' [1PRESS.DIST.SSAS'
[]010ER.(SPECIFY): -'
" c. - GALS. N0. " -' .
[BUILDING SEWER 'f.I OTHER: -,
SEE ALTERNATIVE SYSTEM SPECS. ATTACHED •'
REINSPECIION
APPLIG TIO APPROV L'SIGNA URE AND GATE:
BLE PLUMBING REQUESTED
E UIREO f 1 RECOMMENDED
-
BUII,D[NGJC410& RELE 5 • DATE: INNIHTA^i•. ,
/ %/ . % ";��' '' [%' A'
PERMI1 ISSUED -DAIS:,`/ EXP•1.RES: c1r--4' INIMALS:
/0, 4- / l -' ,.2.7` .:l'f' /.C-`7 : /.?"--
fl N/A [ .E PLOT ' AN
EXPOSURE .
ULID 10 APPL. DATE: 0-'"'=
ULID RCV'D GATE: 'y-}4:" Q(
INSTALLER: (PHONE NUMBER) (INSTALLER SIGNATURE)
;
REINSPECTION
PLAN REVIEW
RENEWAL
2929 REVIEW
CRITICAL MATERIAL USER: LJYES 11140 . --// .
SEWAGE MAINTENANCE AGREEMENT REQUIRED? []YES cis
ASA/SCHO DENSITY REQUIREMENTS:f3YES [IND
- • • " / - - '
SEG.' GATE: 1,,q3 100 -FOOT SETBACK REQUIRED?' fJYES f1N04]I'
- - EASEMENT REQUIRED? - ' RYES [INO I.
1151 HyOL'E APPROVAL SIGNATURE AND DATE: �.�
OTHER AGENCY (1.e:, Utilitles,Planning,0011) APPROVAL/DALE .
.-" , .. - . .. '• MINIMUM'SYSTEM SPECIFICATIONS
FLOW RATE v /(J ' GAL/DAY. DOSAGE. VOL.. GAL/CYCLE;,
BY DISTRICT; .„
DISPdSAL FACILITY: / '� -- � \TREATMENT
[] ORAINFIELD SIZE: FLOW RATE : [SOIL LOADING RATE' O 9
FACILIIYi ' /
[.y SEPTIC 1ANK-SIZE:. ` 1.1, LI . .' .GALS'.' N0:-. I ,/ '
GALS./F12 x .1 (r "'TRENCH WIO1H] _ /5-D LINEAL FT.
[] GREASE 1RAP-SIZE: -- - . GALS. . N0.
[1 LEACHBED: FLOW.RAIE : SOIL LOADING RATE('
'GALS. N0. •
[] SAND . FILTERR SIZED:
1[JSAND.FILTER
F
[J SAND FILLER BED:'FLOW RALE
L] (HOLDING TANK: - '
1.2 GALS Z.-
[']ALTERNATIVE: []MOUND ' [1PRESS.DIST.SSAS'
[]010ER.(SPECIFY): -'
" c. - GALS. N0. " -' .
[BUILDING SEWER 'f.I OTHER: -,
SEE ALTERNATIVE SYSTEM SPECS. ATTACHED •'
OTHER E.H. -PROGRAM APPROVAL" ANU (DAT E:, - N:11
APPLIG TIO APPROV L'SIGNA URE AND GATE:
BLE PLUMBING REQUESTED
E UIREO f 1 RECOMMENDED
- DATE: "SIG 1
5�_
BUII,D[NGJC410& RELE 5 • DATE: INNIHTA^i•. ,
/ %/ . % ";��' '' [%' A'
PERMI1 ISSUED -DAIS:,`/ EXP•1.RES: c1r--4' INIMALS:
/0, 4- / l -' ,.2.7` .:l'f' /.C-`7 : /.?"--
fl N/A [ .E PLOT ' AN
[]208 REQUIREMEN1S RCV'D
I IN/A [1 SEE PLOT PLAN
ULID 10 APPL. DATE: 0-'"'=
ULID RCV'D GATE: 'y-}4:" Q(
INSTALLER: (PHONE NUMBER) (INSTALLER SIGNATURE)
FINAL INSPECTION SIGNATURE ANP'OATE:
REMARKS ND APPROVAL CONDIILONS• (see reverse side also) , / : �; .
9(, fIY:.•( ;YW (!cir.c4' A;:Y//V:a /2l<v', //� 1/'It..( �Ilel y, ,�`,;<.... o.r _w, y ,.y/..', /,.„`i '.
it✓"•j Y:� li.r' 1)4.11.x/�/1/<a.,ei i!, Clrtic +,, ;IA l ,7,, 1:114,2�9 2 .�,-[t.•/c( u,, /'19,'x./:i /%C.-.
/- --t. S- c 4.%c .6i /4 p;iso /;, , s Com? rra, ... ) (-1,7/<-;/474,-,
SCHO-EMD-0532P(REVISED 5/92)
FUTURE SEWER SERVICE AREA FORM: FOLLOWUP DAIS:
;1
MODIFIED PRESCRIPTIVE PATH IA, IIA, IIIA
TABLE 6-3 • PRESCRIPTIVE REQUIREMENTS1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 2 • HEATING BY ELECTRIC RESISTANCE
OPTION GLAZING GLAZING DOORS
% FLOOR U -VALUE IJ -VALUE
AREA
CEILING2 VAULTED
CEILING3
WALL
ABOVE
GRADE
WALL INT4
BELOW
GRADE
WALI;F,XT4
BELOW
GRADE
FLOORS
SLAB6
ON
GRADE
1.A
10% 0 48 0 20
R-49 STD
38 ADV
R-30 R-21
R-19 R-12
R-30
R-10
[117A 12.0 0-40 0.20 R-38 R730 R-19 ADV R-19 R-12 R-30 R-10 y
21 -INT
49SID
38 ADV
III 'A 15% 040 020
18".0
V.7
VI
VII
21°0
25%
30%
0 38 0.20
0.35 0.20
0 33 0.20
0.31 0.20
R-30
R-38 R-30
R-38 ADV R-38
R -R9 ADV R-38
R-60 ADV R-38
R-21 ADV
R -19+R-58
R -19+R-58
R -19+R-58
R21+R759
R-19 TB' R-12
R-21 R-12
R-21 R-12
R-21 R-12
R-21 R-12
R-30
R-30
R-30
R-30
R-30
R-10
R-10
R-10
R-10
R-10
2
6
Reference Case • (highbghted in redline)
Mummumcquiremann for each option l¢ted For example, ifa proposed
design lase glanng tabo In the conditioned floor area of 199:, a shill
amply with all of 0e requirements of the 215: glazing opnonfor bight')
Proposed designs which cannot mect the specific regnnements of n bated
option above, may calculate compliance by Chapters 4 0' 5 of this Code.
Requirement robes to all camps except single rafter or )out vaulted
cedmgs 'ADP denotes Advanced Framed Ceding
Requirement applicable oNy to single rafter or )out vaulted ceilings
Below grade walls shall be insulated either on the exmnor to a mudmnm
level of R-10, or on the viten, to the same level ss walls above glade
Extern): uuulabon installed on below grade walls shall be a water
resistant matena4 manufactured its intended use, and untaped
according to the manufacturers specifications See section 602 2
• 19 STAR TO FOUNDATION I' R-5 POLYSTYRENE (EXTRUDED)
5
6
7
8
Floors over crawl spaces or exposed to ambient air condmons
Required slab pe'nneter Insulation shall be a water resistant material,
manufactured for its intended use, and untaped according to
anufacturers specifications See section 6014
These opbons shall be applicable to buildings las than three stones
Tits wall insulation requirement denotes 8.19 wall cowry msulnfion plus
14-5 foam sheathing.
o dhu well insulation requirement denotes R-21 wall cavity insulation plus
R-7 5 foam sheathing
OWNER: elide ADDRESS: ac) BUILDING JURISDICTION: "VI/
PHONE:
UTILIT&A/1PPROJECT. O�/cp/rOJE:
2,555- 0007 -
HEATING TYPE' ELECTRIC%2 /A- /�7
CONDITIONED SPACE. f4/7 ,,e, pr- GLAZING AREA: ei2 % /Q- 72 GLAZING TYPE: 1//Ny/Z____
DATE:
(THIS HOUSE QUALIFIES OPTION .P% A-
, TABLE 6-3 WSEC
TAS: WAYNE
%-rte✓/ l
ED
TECI INICAL ASSISTANCE SERVICE
Garden Court Building, Rm., 107
222 W. Mission Avenue
SPOKANE, WA 99201 • (509)325-4476