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1994, 07-11 Permit App: 94006303 ResidencePROJECT NUMBER= 94006303 APPLICATION i DATE= 07/11/94 PAGE= 01 ****** THIS IS NOT A PERMIT PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 5402 N MCDONALD RD PARCEL#= 46344.0307PTN ADDRESS= SPOKANE WA 99216 PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS PLAT#= 005183 PLAT NAME= SP -604-89 BLOCK= LOT= 1 ZONE= UR -3.5 DIST#= H AREA= 00000001 F/A= A WIDTH= DEPTH= R/W= 45 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = TRENTWOOD OWNER= MARTIN, ALDEN STREET= 5324 N MCDONALD RD ADDRESS= SPOKANE WA 99216 PHONE= 509 926 8171 CONTACT NAME= ALDEN MARTIN PHONE NUMBER= 509 926 8171 BUILDING SETBACKS: FRONT= 35 LEFT= 120 RIGHT= 10 REAR= 20 ****************************** REVIEW INFORMATION ***********************+++ DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED APPROVAL: G. KREINKE DATE: 07/11/94 BUILDING SETBACK REVIEW REQUIRED APPROVAL: J. SHATTO DATE: 07/07/94 ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE APPROVAL: 94FNA800/94JNA83 OK S. JENNEN DATE: 07/08/94 HEALTHDIST NEW OR ADDITIONAL WASTE WATER APPROVAL: OK PER T. CHAMBERS DATE: 07/08/94 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 979.19 .00 979.19 MECHANICAL PRMT 86.00 .00 86.00 MISC FEES DUE 330.00 .00 330.00 PLUMBING PERMIT 108.00 .00 108.00 1503.19 PROCESSED BY: BURRIS, ROBIN PRINTED BY: CHRISTY HARGRAVE .00 1503.19 a PROJECT NUMBER= 94006303 APPLICATION DATE= 07/11/94 PAGE= 02 ******************************** THANK YOU************************************ r 1 , APPLICATION AND PERMIT FOR ON-SITE SEWAGE SYSTEM 5T-) - 4 SPOR`1HE/2OUN1Y HEALTH DISIRICT 1ENVI'n^!:4ENIAL HEALTH DIVISION WEST 1101 COLLEGE AVENUE SPOKANE WASHINGTON 99201-2095 (5091324-1560 INSPECTION RECOnMRIG:324-1581 APPLICATION NO. CENSUS IRACI GATE OF APPLICATION / .- ,F52 SITE ADDRESS OR LEGAL DESCRIP1LON OF PROPERIY: PROPERIY WITHIN: [1 PSSA (OUT/INSIDE ASA) 11 . c` 7) ;! (t'f (DE ASA) 1 l'• IO`1 //707 P rl�, t'i�1.- ci(r'PILI ! L]yWWMA (0U1SIOEGSSA I PSSA,ASA,GSSA) LEGAL OWNER (1F PROPER GY:-•ADDRESS: LI/o6 PHONE:, ✓ / 4/'//�/, (] OUTSIDE ALL OF ABOVE / ,( �.-- „ / .f.,..!'l i l (.._1/21..,-;_/:_4, 4-4 71'24Z.��fJy [J INSIDE ASA ONLY /1 PROPOSED US 'OF'PROPER1Y: (•J SINGLE-FAMILY RESIDENCE - NUMBER OF BEDROOMS `? TYPE OF STRUCTURE: [] MOBILE HOME ,[j RANCHER [j(SPLII ENTRY I] MULII-LEVEL [] MULTI -FAMILY COMPLEX: NO. UNITS N0. BEDROOMS/UNIT J1 COMMERCIAL/INDUSTRIAL (DESCRIBE): 4EMPLOYEES/DAY: (SEATS/CHAINS FOR CLIEN1S/CUSIOMERS: IS THIS PROPERTY LOCATED WI1HIN A COMMUNITY PUBLIC SEWER SERVICE AREA? .�11 YES (] NO IF YES NAME OF DISTRICT/SYSTEM: IS ULID AGREEMENT- REQUIRED? J?aj/YES [1 NO .,,,' r'/ / PROPdSED SYSIEM BY APPLICANT: [r SEPTIC TANK(S) N0. _ '[f 0111CR PRETREATMENT FACIL IY (SPECIFY) SEWAGE SYSIEM COMPONENTS: REPLACEMENI/FAILURE: []YES b1N0 REASON: '/ [1 SATURATION/SDG [J OTHER SIZE 040 56..1 (,'�;l Irf .'- t I^CI_A)\81( [(n] GRAINFIELD 11/•lel p-,.� ifBUILDING SEWER - 11 LEACHBED [1 O111ER DISPOSAL; SPECIFY: ALTERATION: [JYFS ()NU [] RELOCATE - CONFLICT [] CHANGE OF USE [J ADO -ON WILL 1HIS RESULT IN AN INCREASED SEWAGE 11.9111? []YES []NO (*NA - NEW SYS1EM WHAT 1S 111E SOURCE OF WATER FOR THIS PROPERIY: PUBLIC/SHARED WATER SYSTEM; NAME: _7//i24a 4,7)11/ne-O PRIVATE: [1 WELL [1 SPRING ULAKE �f]1 2929 APPLIES I.1 2929 DOES NOT APPLY PROPOSED PEW PLAN 15 10 ACCOMPANY IRIS APPLICAIION, ALONG WIIH ANY WHIR PIHIINTNT INTOkR TION, SUCH AS LEGAL ULSCRIPIION OF PROPERTY. 1HIS APPLICATION AND PERMIT APPROVAL IS CONI INGENI UPON MEEI ING REQUIREMENTS SET FORTH IN THE SPOKANE COUNTY HEALTH 0IS1RICI RULES AND REGULATIONS FOR ON-Sl1E'SEWAGE SYSTEMS. APPROVAL IS BASED ON 1HE ACCURACY OF THE INFORMAI[ON, SUPPLI O_BY 1HE APPLICANT. IF YOU ARE DISSATISFIED WITH 1HE DECISION OF 1HE HEALTH DISTRIC1, YOU MAY APPEAL 10 INE}IIfjA IIIIOFFEC�.R WITHIN TEN' (10) DAYS OF DENIAL OF THIS APPLICAIION (SEE APPEAL PROCEDURE OUTLINED IN THE REGULATIONS). �,i 99 CONTACT PERSO : , PHONE(S): S,IGNAT URE Of OWNER OR AUIH0l11 ZE9, R PJIE SENIAT VE: r, ,///,.77. A9 �i1///.•,"tr., .1 `9.2(, /%/ �.fii := 1a Ri 7T-QN 6C') i7 MAIL PERMIL AND CORRESPONDENCE 10: INSPECTION CALL-IN DATES . ' FEE PAYMENTS: ANI. PAID DATE REG.# • -`I7'77 •1779' PAID BY 7 ,(( 4- A TEST HOLE INSP. TREATMENT FACILITY: - _ [] DRAINFIELD SIZE: FLOW RATE : [SOIL LOApDING,RE U _,___-- [� SEPTIC TANK SIZE: /Q/)(1 GALS.. NO. , .GALS./F12 x ' TRENCH WIQTiJ LC- EINEAC Ff. APPLICATION . /,4//7_ :,45 - /- 7K.c1=2 (-,;;Ti PARTIAL INSP. F1 [] SAND FILTER BED: FLOW RATE : 1.2 GALS - 1 ' []ALTERNATIVE: ]HOUND []PRESS.OIST.SSAS [)SAND FILTER [J HOLDING TANK: " GALS. N0. UGH:ER'(SPECIFY): PERMIT FINAL INSP. ,J f^ OTHER E.H. PROGRAM APPROVAL ANO DAIL: /V42 >'7` APPLIClyL(1- f—//, -GN�,U7.AND QAi rf ) •,.. r/-3 // (( Off✓/ 7S '_ 1 ' / DOUBLE. PLUMBING REQUESTED - DATE: e":". i-,-13 V%/ 7�' ff// BUILD 149 CODE RELEASE DAIL: 7 �/ — - INITIALS: •, REINSPECTION RCINSPECIION [ 08 REQUIREMENTS RCV'D ULID 10 APPL. 0A1 1 /, PERMII ISSUED DATE: EXPIRES:. INITIALS: 1 Jry/A (1 5EE PLOT PLAN PLAN REVIEW Pr 2/,..,.q:4, (2!,- iJ� ; .77 `.' INNNNNN$s$$$TALLER: (PHONE NUMBER) (INSTALLER SIGNATURE) FINAL" INSVECTION SIGNATURE -AND DATE:• EXPOSURE RENEWAL 2929 REVIEW _ CRITICAL MATERIAL USER:, []YES .[7 0_ SEWAGE MAINTENANCE' AGREEMENT REQUIRED? (]YES []N0 (14:(4, -- SEG. OAIE: 100 -FOOT SETBACK REQUIRED? [LYES f9NO ASA/SCHD DENSITY REQUIREMENTS:[JYES''[1N0 (1( Ao -r EASEMENT REQUIRED? _.[-LYES ,[�NO OTHER AGENCY (i.e., Utllities,Plannin9,00H) APPROVAL/OATS CJ< v TEST HOLE APPROVAL SIGNATURE A DATE: Cf, .,.6) '71-,,57/ MINIMUM SYSTEM SPECIFICATIONS FLOW RATE_ (0/.\ GAL/DAY DOSAGE VOL. /7 Q GAL/CYCLE BY DISTRIC DISPOSAL -FACILITY:( -Kr TREATMENT FACILITY: - _ [] DRAINFIELD SIZE: FLOW RATE : [SOIL LOApDING,RE U _,___-- [� SEPTIC TANK SIZE: /Q/)(1 GALS.. NO. , .GALS./F12 x ' TRENCH WIQTiJ LC- EINEAC Ff. [j -GREASE TRAP SIZE: GALS. ,,. N0. [] LEACHBED: FLOW RATE :IeI1 L0AD1NG-RAIE 1) PUMP CHAMBER S12E: GALS. NO. GALS./FT2 =i' /-1n�/_SQ--F< F1 [] SAND FILTER BED: FLOW RATE : 1.2 GALS - 1 ' []ALTERNATIVE: ]HOUND []PRESS.OIST.SSAS [)SAND FILTER [J HOLDING TANK: " GALS. N0. UGH:ER'(SPECIFY): [1 BUILDING SEWER []OTHER: SEE -ALTERNATIVE SYSTEM SPECS. ATTACHED ,J f^ OTHER E.H. PROGRAM APPROVAL ANO DAIL: /V42 >'7` APPLIClyL(1- f—//, -GN�,U7.AND QAi rf ) •,.. r/-3 // (( Off✓/ 7S '_ 1 ' / DOUBLE. PLUMBING REQUESTED - DATE: e":". i-,-13 V%/ 7�' ff// BUILD 149 CODE RELEASE DAIL: 7 �/ — - INITIALS: •, L1REQUIRED JI RECOMMENDED [1 N/A 1F SEE PLOT PLAN ' '! / c.'1 '!1%, `'1 -''. 12--/I tl `� 0 [ 08 REQUIREMENTS RCV'D ULID 10 APPL. 0A1 1 /, PERMII ISSUED DATE: EXPIRES:. INITIALS: 1 Jry/A (1 5EE PLOT PLAN OLIO RCV'O DATE: \/ / ' ,,I-"" Pr 2/,..,.q:4, (2!,- iJ� ; .77 `.' INNNNNN$s$$$TALLER: (PHONE NUMBER) (INSTALLER SIGNATURE) FINAL" INSVECTION SIGNATURE -AND DATE:• REMARKS AND APPROVAL CONDITIONS: (see reverse side also) , SCe ¶P 7,"9-(,oq Sri r /n . 7 ic T .� �.._. >} ,� F Tr! (e_f zl° 76 7'/ frj l9il3 ( .nr SCHD-ENO-0532P(REVISED 5/92) FUTURE SEWER SERVICE AREA FORM: FOI.LOWUP DAZE: 1— 0 N 4.0' 2011.95',-•4' ABOVE 50 YEAR FLOOD LE +2012.3' INLET-200274' 13 I 5 I I 183.57 1500 GAL. SEPTIC TANK W/ EFFUENT CHAMBER AND PUMP a AUTOMATIC CONTROLS Peorer4-y leve. i I" PVC 30" BURY \5 0 0 186.91 s 79054 52 I NOTE : COMMON DRAINFIELD WITH EASEMENT FROM LOT "B'' TO LOT. -- "A". MAINTENANCE _ BY PRIVATE TREATY. 5' - RESIDENCE OF ED SLOIJKI i 0 m 0 95.00' LINE PARALLEL W/ SOUTH, LINE 2- LINE PARALLEL W/ WEST LINE OF McDONALD ROAD ADDRESS: ZONE: ROAD WIDTH: FRONT COMMENTS: REVIEWED BYY 61- 9d