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1996, 07-02 Permit App: 96005098 ResidencePROJECT NUMBER= 96005098 APPLICATION. DATE= 07/02/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 6122 E VALLEY VIEW DR PARCEL#= 35252.0904 ADDRESS= SPOKANE WA 99212 PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS PLAT#= 002719 PLAT NAME= VALLEY VIEW HILLS ADD BLOCK= 4 LOT= 4 ZONE= UR 3.5 DIST#= D AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 150 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= WILLIAM L. BERRY CONTRACTOR STREET= 3612 W THORPE RD ADDRESS= SPOKANE WA 99204 PHONE= 509 747 2420 CONTACT NAME= WILLIAM BERRY PHONE NUMBER= 509 747 2420 BUILDING SETBACKS: FRONT= 25 LEFT= 15 RIGHT= 19 REAR= 69 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED_ (J1,01Q0C &G ACH/FLOOD PLAIN/DRAINAGE HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: /Li) L ******************************* BUILDING PERMIT ******************************* CONTRACTOR= WILLIAM BERRY GENERAL CONTRACT PHONE= 509 747 2420 STREET= 3612 W THORPE RD ADDRESS= SPOKANE WA 99204 NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= OCCUP. LD= BLDG HGT= 18 STORIES= 1 BLDG W X D = 66 X 36 SO FT= 2751 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N i/Luttk., PROJECT NUMBER= 96005098 APPLICATION DATE= 07/02/96 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1225 13475.00 GARAGE U-1 VN 462 5544.00 RESIDENCE R-3 VN 1526 90034.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 809.75 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 178.15 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= WILLIAM BERRY GENERAL CONTRACT PHONE= 509 747 2420 STREET= 3612 W THORPE RD ADDRESS= SPOKANE WA 99204 ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100,000BTU 1 12.00 GAS LOG OR GAS INSERT 1 10.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 3 3.00 VENTILATING FANS 4 40.00 HOOD -TYPE II 1 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= WILLIAM BERRY GENERAL CONTRACT PHONE= 509 747 2420 STREET= 3612 W THORPE RD ADDRESS= SPOKANE WA 99204 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 2 12.00 TUBS 1 6.00 SHOWERS 1 6.00 SINKS 4 24.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 FLOOR DRAINS 1 6.00 WATER USING DEVICES 3 18.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 992.40 .00 992.40 MECHANICAL PRMT 95.00 .00 95.00 PLUMBING PERMIT 84.00 .00 84.00 1171.40 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 1171.40 ******************************** THANK YOU ************************************ a) N a CI APPLICATION INFORMATION What is the JOB SITi E address? E. lz2- ViicL.ty vic LK. ASSESSOR'S tax parcel number? ;,/ szSZ OcQL Legal description as it appears on the property deed r 1 4--o T 4 t: c_ -c V4 t -L E y fl i t w �� r G (S DO , CJrcl c7[ )4.5 PC PLAT 1it{- OF PLATS PA(7i= '72 OWNER or OCCUPANT W Lu t o o\ L. Phone d 7 24'20 Mailing address W . 3(4712- "-tt-(O(i= rE u City, state POAtit , C4)4. Zip 8920 Who should we contact regarding this project? Phone 747-.2yz0 What work is being done under this permit? / 13i/t ! e_E> A E('i) Si At L 6 F'/9 -r 1 4,1 /-to rYie height # of stories m... •ORI 4 •srse.sa�- Building Contractor %celL.,LA j1 /Vi L, (._6E./2k. y Gtt . CoNTRAcca� WA State Contractor license # L-- L_ 4._ t3 2 RL TOTAL SQUARE FOOTAGE y a 0 Main floor area /52 ' Sq Fr. Mailing address 3c(2, -_ e-tOuePr Rb, 2nd floor area Architect/Engineer 1>D2- 1 e.0 tc.1RE A PLRJti( /062 Garage area Unfinished basement area Finished basement area jt/`J NL Size of decks, etc. What is the heat source? nn /—JretEb SIR CNS r\ What is the cost of your projec OC, O — Manufactured ................... Sig Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler Paint tooth _ Fire Alarm Tent Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Uel Storage Tanks (Circle one) Above -ground Contents of tank(s) Underround Size / gallons Swimming Pool Size / gallons r_ SPOKANE RECE Contractor Contractor CODUPublidRi-private JUL 011996 Wa State Contractor license # Mailing address WA State Contractor license # aiVISr w.c' ULDINC LINO P1 AWING Mailing address B% COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. ?Rvpr`(Cr S6G7tL - -7Ailk- Site Plan VnLLEy viE� t)ktVE 3(0; to i of STRg'r INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines O All existing & proposed buildings ❑ Underground utilities ❑ North arrow O Septic tanks & wells VMP 5r PjwC 2 Nv�T�4 g7As LirrE wAierz. uN� WATER rncTEA vau4i PkoPEL LiAJE5 MECHANICAL PE T APPLICATION PROJECT ADDRESS: E:, 6 / 2 2 VA L. -LE y \J (E t J VE OWNER: GOILL-1 AVvkL. Q 61, &-y MAILING ADDRESS: LU, 3 6( 2o"QP C 2D. (street) CONTRACTOR: (/l, 11 -Cir) ✓vt L MAILING ADDRESS: Ln.) 3 C7 1 2— Tµ PHONE DAYTIME CONTACT 72/6 7 - 6PoKA, .1 , ' - 2 0 4- (city/state) (zip) LICENSE: til T L L-. T L 6 2. PHONE: 74"7 24 Zo SrAnIE u3,ct (street) 6-1 (city/state) (zip) DESCRIPTION OF WORK OF UNITS wntin LIED a COST /UNIT gQUA AMOUNT W62 FUEL BURNING APPLIANCE = or <100,000 $12 $ FUEL BURNING APPLIANCE >1153,000 $15 VIZ tiog :Bp UNLISTED APPLIANCE (ADDITIONAL CHARG UNLISTED APPLIANCE (ADDITIONAL CHARG = or <400,000 $50 $ >400,000 $100 $ USED APPLIANCE (Must meet WSEC's min. AFU USED APPLIANCE (Must meet WSEC's min. AFU BOILER/REFRIGERATION = or <400,000 $50 s >400,000 $100 $ 1-100M BTU $12 s BOILER/REFRIGERATION 101-500M BTU $20 s BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT, AND/OR GAS FIREPLA RANGE 501-1,000M BTU 1,001-1,750M BTU +1,750M BTU $25 $35 $60 $10 $10 $ $ s $ DRYER $10 016 FUEL BURNING WATER HEATER r $10 $ MISCELLANEOUS FUEL BURNING APPLIANCE $10 $ EfIg GAS PIPING (ea. outlet) DUCT SYSTEMS $1 VENTILATING FANS 6 4-71 $10 $ $10 s AIR HANDLER (DOES NOT include duct systems) AIR HANDLER (DOES NOT include duct systems) EVAPORATIVE COOLERS = or <10,000 CFM $12 $ >10,000 CFM $15 s $10 $ ti24 TYPE I HOOD $50 625 B26 TYPE II HOOD $10 $ HEAT PUMP/AIR CONDITIONER 0-5 TONS $12 AIR CONDITIONER 6-15 TONS $20 528 AIR CONDITIONER 16-30 TONS $25 AIR CONDITIONER 31-50 TONS $35 AIR CONDITIONER +50 TONS $60 LPG STORAGE TANK $10 $ WOOD OR PELLET STOVE/INSERT $25 NOTE: MINIM PERMIT FEE IS $35.00 � SIGNATURE: �l71/6* Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ of BuildingS T AN » t U i '71 (" %KMI1 # 1t✓K : Spokane County Department & s 9260..................................................................... 2 W.Broadway Spokane, e WA 9 10 6 P Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-166 ......... Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its program or act 7/W95 wrrlad4.,a. PLUMBING PERMIT APPLICATION PROJECT ADDRESS: E / C V i c u1 DrQ v&- OWNER: c OWNER: U.)/ C ( -1H rvt L MAILING ADDRESS: W . 3(p I Z T( -f O f2d-'E i41. (street) CONTRACTOR: MAILING ADDRESS: PIIONE: DAYTIME CONTACT 7 /'7 Z4r4ZU SPOsc 4A E w,4. °11 ZO (city/state) (zip) LICENSE: W -i LL 1T L 0 y l z R. C PHONE: (street) PLUMBING FIXTURES DESCRIPTION DETAIL (city/state) (zip) UNITS MULTI- LULU ULh LULD 1 COST /UNIT EQUALS' AMOUNT TOILETS WATER CLOSETS, BIDETS x $6 $ URINALS x $6 $ TUBS BATH, JACUZZI, SPA, GARDEN x $6 SHOWERS (per trap) BASE. STALL, ON-SITE BUILD x $6 $ SINKS IAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY. JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT) x $6 $ DISHWASHER x $6 $ CLOTHES WASHER x $6 _{ GARBAGE DISPOSAL/GRINDER x $6 $ WATER SOFTENER x $6 $ ELECTRIC HOT WATER TANKS (NOTE: if Su water tank, wee mechanical) x $6 FLOOR DRAINS AREA, CASE, COIL, TRENCH. CONDENSATE x $6 ROOF DRAINS/OVERFLOW DRAIN x $6 FOUNTAINS, DRINKING x $6 $ WATER PIPING/DRAIN-WASTE-VE PLUMBING REVERSALS INSTALLATION, ALTERATION. REPAIR, REVERSALS x $6 $ SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 $ WATER USING DEVICES ICE AND/OR COFFEE MAKER. HOSE BIB, STEAMER, PROOFER, CARBONATOR. SWAMP COOLERS 3 x $6 $ CROSS -CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR VATS, SUMPS, TANKS. BOILERS. & SPRINKLER SYSTEMS x $6 $ INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 $ MEDICAL GAS (per outlet/bottle stati NITROUS, OXYGEN x $6 $ iB MISCELLANEOUS FIXTURES x $6 $ NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Subtotal PLUS: PROCESSING FE $25.00 TOTAL PERMIT FEE DU $ Spokane County Department of Building & Planning F,1NFiLt3fPERI`TE, 102626 W Broadway Avenue • Spokane, WA 99260 ........................................ Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 • TDD No. (509) 324-3166 .......................................................................................:.... Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. ,,dss ..+..mttrp...� LEG6L,OWL R OF PROPERTY: Af Al le PROPOSED E 0 P'*P '1Y: 'SI LE -FAMILY RESIDENCE - NUMBER OF BEDROOMS TYPE OF STRUCTURE: [1 MOBILE HOME RANCHER [] SPLIT ENTRY [] MULTI -FAMILY COMPLEX: NO. UNITS NO. BEDROOMS/UNIT [] COMMERCIAL/INDUSTRIAL:(DESCRIBE): #EMPLOYEES/DAY: #SEATS/CHAIRS FOR CLIENTS/CUSTOMERS: IS THIS PROPERTY LOCATED WITHIN A COMMUNITY PUBLIC SEWER SERVICE AREA? [] YES [] NO IF YES, NAME OF DISTRICT/SYSTEM: IS OLID AGREEMENT COMPONENTS: REPLACEMENT/FAILURE: []YES REASON: [] SATURATION/SOG [] OTHER ' SPOKANE COUNTY HEALTH DISTRICT ENVIRONMENTAL HEALTH DIVISION WEST 1101 COLLEGE AVENUE SPOKANE, WASHINGTON 99201-2095 (509)324-1560 SITE ADDRESS OR LEGAL DESCRIPTION OF PROPERTY: ,64.7//.40 6 l// APPLICATION AND PERMIT FOR ON-SITE SEWAGE SYSTEM INSPECTION RECORDING: 324-1581 vq ADDRESS: APPLICATION N0. CENSUS TRACT DATE OF APPLICATION _ PROPERTY WIIH1N:Y1 PSSA (OUT/INSIDE ASA) [1 GSSA (OUT/INSIDE ASA) [] WWMA (OUTSIDE PSSA,ASA,GSSA) HONE: [] OUTSIDE ALL OF ABOVE []INSIDE ASA ONLY [] MULTI-LEVEL PROPOSED SYSTEM BY APPLICANT: EPTIC TANK(S) NO. SIZE [] OTHER PRETREATMENT FACILITY (SPECIFY) SEWAGE SYSTEM 4,0 k-URAINFIELD [] BUILDING SEWER [] LEACHBED [] OTHER DISPOSAL;.SPECIFY: REQUIRED? / YES NO NO ALTERATION: []YES GOA_ [] RELOCATE - CONFLICT [] CHANGE OF USE [] ADD-ON WILL THIS RESULT IN AN INCREASED SEWAGE FLOW? []YES []NO r(d NA - NE SYSTEM 4 WHAT IS THE SOURCE OF WATER FOR THIS PROPERTY: PUBLIC/SHA RED WATER SYSTEM; NAME[:] % []�` i' 1 '- ' 9, DES NT PROPOSED PLOI PLAN IS 10 ACCOMPANY 1HIS APPLICAP1ON, ALONG WIIIHLANY[OIHERING PERILRENIAINFORRAIION, SU]CH2929IES AS LEGAL29 DESCRIPIIONAOFLY PROPERTY. 1HIS APPLICATION AND PERMI1 APPROVAL I5 CON1INGEN1 UPON MEEIING REQUIREMEN1S SET FORTH IN THE SPOKANE COUNTY HEALTH DISIRICT RULES AND REGULATIONS FOR ON -SIZE SEWAGE SYSTEMS. APPROVAL IS BASED ON THE ACCURACY OF 1HE INFORMATION SUPPLIED BY 1HE APPLICANT. IF YOU ARE DISSATISFIED WITH THE DECISION OF 1HE HEALTH DISTRICT, YOU MAY APPEAL 10 THE HEALTH OFFICER WITHIN TEN (10) DAYS OF DENIAL OF THIS APPLICATION (SEE APPEAL PROCEDURE OUTLINED IN THE REGULATIONS). COAL' P•ISON: / „v -i , c 5-34/ — /5,1 OWN AUTHORIZED REPRPSEL, ATIyE `•f`,e.50 MAIL PERMI1 ANO CORRESPONDENCE T : (t/3- , 1774- . Y)----- —7? -7/.2 INSPECT ON CALL -I DATES TEST/HOLE INSP. 'j' ! �" PARTIAL INSP. INSP. FINAL INSP. REINSPECTION EXPOSURE FRITICAL MATERIAL USER: ()YES 3NO SCHEDULE SEWAGE MAINTENANCE AGREEMENT REQUIRED? []YES ,[4N0 tTHER AGENCY (i.e„ Utilit1es,Planning,D0H) APPROVAL/DATE 11 SA/SCHD DENSITY REQUIREMENTS:f, %ES [1N0 FEE PAYMENTS: APPLICATION PERMIT REINSPECTION PLAN REVIEW AMT. PAID DATE PAID BY RENEWAL 2929 REVIEW, — c /,?� r,5,(,,J Jtt,+. •�tY)tc la 0 OF APPROVALS SEG. DATE: 100 -FOOT SETBACK REQUIRED? []YES L H0 EASEMENT REQUIRED? TEST HOLE APPROVAL. SIGNATURE &ND DATE: PECIFICATIONS .61 ICT: DISPGSAL FACILITY: £' RAINFIELD 5, LOW RATE : [SOIL LOADING RATE t." P'�- GALS./F12 x ;rF " TRENCH WIDTH] --,2v7 LINEAL FT. [] LEACHBED: FL RATE : SOIL LOADING RATE GALS./FT2 SQ. FT. []ALTERNATIVE: []MOUND []PRESS.DIST.SSAS []SAND FILTER []OILER (SPECIFY): SEE ALTERNATJVE SYSTEM SPECS. AT. CHED APPLICAT- W.APPRO) _ AT,AA E: r e / BUILDYNG CODE RELEASE DATE. INITIALS: . ] GREASE TRAP SIZE: GALS. NO. E: >;171 GALS. NO. i 1.41' ] SANG FILTER BED: FLOW RATE: 1.2 GALS = FT2 ] HOLOING TANK: GALS. N0. ] BUILDING SEWER C [TQTHER: THER E.N. PROGRAM THER O!(- VI- ,1 /- i( MINIMUM SYSTEM S LOW RATE 1 6!../)6!../)GAL/DAY DOSAGE VOL. PUMP CHAMBER SIZ// GAL/CYCLE REATMENT FACILITY: !`SEPTIC 1ANK SIZE: /�1. -.d GALS. NO ANU DAI :/ — IDAUBLE PLUMBING REQUESTED - DATE: -7- 1 , C![ ,[REQUIRED fl RECOMMENDED [] N/A [] SEE PLOT PLAN [D208 REQUIREMENTS RCV'D ULID TO APPL. DA1E: N/A [1 SEE PLOT PLAN ULID RCV'D DATE: //J STALLER: (PHONE NUMBER) (INSTALLER SIGNAT UR PERMIT ISSUED DATE: EXPIRES: FINAL INSPECTION SIGNA1URE AND DATE: INITIALS: Jit RE ARKS AND APPROVAL CONDIIIONS: (see reverse side also) _;.i- rf A/,Z , (2,r J n / 414, «1' i , . / e•- y c. --r -Y2?/-'s," PERMIT SCHO-EHD-0532EjR 1S1Iy / � JOB FUTURE SEWER SERVICE ARE!, FO M. POS NI FOLLOWUP DALE: JUL-11-1996 07:18 PROJECT NUMBER= 96O0509B APPLICATION DATE= 07/U1./`JO THIS IS NOT A PERMIT PENALTIES WILL BE ASSESSED FOR tlCOMi4ENCING WORK WITKOUT A PERMIT SITE STREET= ADDRE55= PER$IT USE= 6122 E VALLEY VIEW DR SPOKANE WA 99212 RESIDENCE/ATTACHED GARAGE PLATO= 002719 PLAT NAME= BLOCK= 4 LoT- AREA= 00000000 F/A= 0 OF BLDGS= 1 0 DWELLINGS= FARCZI-A'= 35252.0904 - F'ORC'ED AYR GAS vALLEY VIEW HILLS ADD 4 ZONE= UR 3.5 DIST#- p WIDTH= 100 DEPTH= I WATER DIST - FHONE= 505 747 2420 OWNER= WILLIAM L. BERRY CONTRACTOR 6TREET• 3612 w THORPE RD ADDRESS= SPOKANE WA 99204 CONTACT NAME= WILLIAM BERRY BUILDING SETBACKS: FRONT= 25 LEFT- 15 r .. y'K+rr�.w+a...rr.tr*=r'* KEVIEW It1Forr4ATI.?N P.01 D 150 R/W= 60 PHONE NUMBER- 5O9 747 2420 RIGHT= 19 WEAR. 69 DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN R£VIEw REQUIRED COMMENTS: !WILDING BSTBACX REVIEW REWIRED.. /Z S ig/ci HEALTHDIST COMMENTS: RCH/FLOOD PLAIN/D'RAIN'AGE NEW OR ADDITIONAL WAS CONTRACTOR= STKEET= RD0 ESS= NRw� /WELL U ITS'w _Stoat- w x 0 = REQ PARKING= .... *rrr BUILDING PERMIT'r.i.r.s..rrtrs:tr►=+�,x.wt'=? 4h � 1y WtLLIAri BERRY GENERAL CONTRACT•P.1'IONEs, 509.747.24 Q�'.fj`.: 'A 3612 w TORPS a'ZD SPOKANE WA 99204 X REMODEL= OCCuP .: • LD= 66 . X. 36 s¢'.PT. WIROIcApm ADDITION CylApIG$-OFUB sTgR=est • TOTAL P.01 0-1L "7A�Jk ........-.......m...m.. ..------.....mmman ...........:117m.........mum ............ imm.........ms summum....111 Illirs MMIIIMMWMOMMIIIMMIMM MINI MIMIMMIIIMMIMMMIIIMMM, MEI REVERMEIMPIMPAR mumm 11 11 1 11111111111111 � — — — — ��_����_..............11111111111 ��.i .moi. imitimiliii I III" IIIIiL111 1 111111 1101111111111111111111111 ommilinammansmiammammammom VtlLLEy V£ vrCl /E tE:Nr_a_0F sz1r INCLUDE THE FOLLOWING: ❑ AH roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines O All existing & proposed buildings D Underground utilities ❑ North arrow ❑ Septic tanks & wells No N.1} 1AZEi, N. On-site Sewage Disposal System Informational Review NOTICE The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health District for the installation of an on-site sewage disposal system is not to be construed as a vesting of a right by the owner / representative to obtain a building permit for this property. At the time that a building permit is applied for the subject property must comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a permit for the on-site sewage disposal system by the Spokane County Health District, pursuant to this form. Accordingly, although as of the date of this document the subject property may meet certain state or local laws, ordinances or regulations, in the event such items change between the date of this document and application for a building permit, the owner / representative will be responsible for meeting such regulations in effect on the date of the application for the building permit. Street Address: /2Z 6. If4U.&V/E'!,/ bel V6 CO 7 Parcel Number: 3 52 52 , O q© 4 pts P€tiZ Ft-Aj` rkeco0.AE4 1,J Legal Description: 10r 5t, .3 tock / ,//ALA -Ey thew 14LC/ S .ADDtrtoA)l t✓Ol_.u.nlE 4 OF PLATS/ PACE 72— Property Owner: (N!L[.-iflill .C- ..BE7eQ.c./ Phone:50f 747 - Z4CC Mailing Address: 36712- W • Tt-t0RPE// ►e47. SPPOK/kiJt WA. let Z0` - Signature: 7i G/ 7)A ZzDate: Z / q% t,I/47)A....2 - O PLANNING DEPARTMENT/ /LDedicatory language within plat beSubject property is legally divided Certificate of exemption required Use authorized under the Zoning Code !f k Setbacks meet Zoning Codes requirements Shorelines pennit required ll% Variance required for the following reason: Otther: ' Reviewed by: ;go/ � '��-. Date: f 27 1�(j DIVISION OF ENGINEERING /Y Site drainage review required Maintained county road Approach permit required 0 Flood zone Variance requirements Other: ♦ / Reviewed b , Date: 4 / o'er DIVISION OF BUILDINGS TRANSACTION #: T°1.0- ) V (( The Division of Buildings has advised the property owner / rcprescn y.,• that an in depth review may be necessary when a formal building permit • ppltcat�s Reviewed b dmtilte '4 ` '� ,�,i��/ �1�`!.r_�(%\ � Date: �'��`-I /� 7 RECJIPT .SUMMARY TRANSACTION NUMBER: T9601061 DATE: 06/25/96 APPLICANT: WILIAM BERRY ADDRESS: 3612 W THORPE RD SPOKANE WA 99204 PHONE= 509 747 2420 CONTACT NAME: WILLIAM BERRY PHONE= 509 747 2420 TRANSACTION: ON SITE SEPTIC REVIEW DOCUMENT ID: 1) 2) 4) 5) FEE & PAYMENT SUMMARY ITEM DESCRIPTION SEPTIC REVIEW FORM 3) 6) QUANTITY FEE AMOUNT 1 45.00 TOTAL DUE = TOTAL PAID= 45.00 45.00 BALANCE OWING= .00 PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT 06/24/96 00005751 2483 45.00 PROCESSED BY: BURRIS, ROBIN PRINTED BY: KATHY CUMMINGS ******************************** THANK YOU ************************************ On-site Sewage Disposal System Informational Review NOTICE The review by the various departments as provided for herein is solely for the pur lose of advising the Spokane County Health District of the subject property's compliance with various codes and regulations: "Ihe issurrlce of a permit sy the Spokane County Health District for the installation of an on-site sewage disposal system is not to be construed as a vesting of a right by the owner / Cepresentative to obtain a building permit for this property. At the tune that a building permit is applied for the subject property must comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a permit for the on-site sewage disposal system by the Spokane County Ilealth District, pursuant to this form. Accordingly, although as of the date of this document the subject property may meet certain state or local laws, ordin:urces or regulations, in the event such items change between the date of this document and application for a building permit, the owner / representative will be responsible for meeting such regulations in effect on the date of the applicationlfor the building permit. % p Sect Addfess: £ Cp r 2 �. � L `r '[J l70l,v ` 2�) V �lli C/ i C W � Y Parcel Number: Legal Description: Property Owner: Mailing Address: Signature: 2 A/011 Serf)/7) e 2 2 , o90 Z� D -'f3 �i1w Its 4i''/ Phone: -7Z Date: PLANNING DEPARTMENT Reviewed by: _Dedicatory language within plat VSubject property is legally divided f ff{Certificate of exemption required Use authorized under the Zoning Code Setbacks meet Zoning Codes requirements ,, Oa Shorelines permit required Variance required for the following reason: Other: -e-e2t D -r -L -Lb -2„ Date: 6//f 3(T61. DIVISION OF ENGINEERING Rcvicwed by: ✓' Site drainage review required Maintained county road -Gd Approach pcnnit required O Flood zone Variance requirements Other: DIVISION OF BUILDINGS Date: 4(/3 G`t TRANSACTION /I: 1-6/(7-- 420:?( The Division of Buildings has advised the property owner / representative that an in depth review may be necessary when a formal building pennit applicati•n is submitted. Reviewed by: Date: LEGAL DESCRIPTION 'JURISDICTION= 11 ROLL= RE PARCEL= 35252.0905 YEAR= 94 PAGE= 1 LINE DESCRIPTION 01- 1 10 VALLEY VIEW HILLS L5 B4 02- 03- 04- 05- 06- 07- 08- 09- 10- 11- 12- 02 -*L009 HEADER CHANGE RECEIPT SUMMARY TRANSACTION NUMBER: T9401628 DATE: 09/13/94 APPLICANT: SENN, ALVIN ADDRESS: 1512 S BETTMAN SPOKANE WA 99212 CONTACT NAME: ALVIN SENN TRANSACTION: SEPTIC REVIEW FORM DOCUMENT ID: 1) 2) 4) 5) FEE & PAYMENT SUMMARY ITEM DESCRIPTION SEPTIC REVIEW FORM PHONE= PHONE= 3) 6) QUANTITY FEE AMOUNT 2 90.00 TOTAL DUE = 90.00 TOTAL PAID= 90.00 BALANCE OWING= .00 PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT 09/13/94 00010690 CASH 90.00 PROCESSED BY: DAWN DOMPIER PRINTED BY: KATHY CUMMINGS ******************************** THANK YOU *******'*****************************