2002, 09-04 Permit App: 02007606 Residence Project Number: 02007606 Inv: 1 ' Application e: 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 Contact: MORT CONSTRUCTION
Address: 565 GREENFERRY RD
C-S-Z: POST FALLS ID 83854
Setbacks: Front 25 Left: 10 Right: 8 Rear: 46 Phone: (208)777-7000
Group Name:
Site Information: Project Name:
Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D
Parcel Number: 35233.1805 Block: 18 Lot: 4
SiteAddress: 4614 E 14TH AVE Owner: Name: MORT CONSTRUCTION
SPOKANE,WA USA 00000 Address: 565 GREENFERRY RD
Location::SPO POST FALLS ID 83854
Zoning: UR-3.5 Urban Residential 3.5
Water District: 107 SPOKANE,CITY OF Hold: H
Area: 6,775 Sq Ft Width: 50 Depth: 129 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review ReleasEd-By: '���( _ 9 SIO
Plan Review Released By:
L-1
Approach/Drainage Released By: q _
Sewer Review 4,yReleased By: p_ � 6
Stormwater Control Released By: , c-' �✓� � 9//6/0
/ D fdc-furq / io c. c tz- -tEs 44P/rCun f-
5 ne _ ero_itY Opace. oil 1:y Aja
Operator: JAS Printed By: JAS Print Date: 9/4/02
•
Project Number: 02007606 Inv: I Application Date: 9/4/02 Page 2 of 3 '
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
Building Permit
Contractor: MORT CONSTRUCTION Firm: MORT CONSTRUCTION
Address: 1910 SCHNEIDMILLER AVE Phone: (208)777-3000
POST FALLS,ID 83814
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 396 $4,752.00 396 $4,752.00
RESIDENCE R-3 VN 1,171 $77,286.00 1,171 $77,286.00
Totals: 1,567 $82,038.00 1,567 $82,038.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $786.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $172.98
Permit Total Fees: $963.73
Mechanical Permit
Contractor: COMFORT MECHANICAL Finn: COMFORT MECHANICAL CONT
Address: PO BOX 758 Phone: (509) 928-0207
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: JAS Printed By: JAS Print Date: 9/4/02
Project Number: 02007606 Inv: 1 ' Application Date: 9/4/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: 0 K PLUMBING Firm: 0 K PLUMBING
Address: 3818 E JOSEPH AVE Phone: (509)484-2011
SPOKANE,WA 99207
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 1 NUMBER OF $6.00
Permit Total Fees: $66.00
Notes:
ROADS&DRAINAGE NOT APPROVED PER COUNTY ENGINEER HOLD PERMITS-JEF
12/05/95 (ED PARRY)
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $963.73 $963.73 $0.00 $963.73
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $66.00 $66.00 $0.00 $66.00
$1,103.73 $1,103.73 $0.00 $1,103.73
Disclaimer:
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: 9/4/02
1 r
' .5
PROJECT APPLICATION WORK-SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
j 1026 WEST BROADWAY AVENUE
HE SPOKANE,WA 99260
509-477-3675
S • t Cot
SPECIFIC��11SITE INFORMATION
Street Address: / f /T i
Assessor's Tax Parcel Number(s): •'.-5 'D-.-- -- (
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I Legal Description: ` 'i ;. ; .4D &.1e,R•Acf:
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Project Description: • 6-- . '`
44,
-n- Building Permit
0 Change in Use 0 Grading 0 Manufactured Home Permit
~
0 Si•n --O Tenant(New/Change) 0 Other ,
Relocationyjy
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OWNER/APPLICANT INFORMATION
Q Indicate who should be contacted r •ardin•this Drorect Owner: Phone: .Of 7 77-7000 0 Applicant:
� � id Fu:
Co,/i: Fu:
11 iin6 Redress:
0
City,State.Zip
I' " 5* IIII
-_-__ -_ --- Phone
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-- Ci Archnat/Enyneer
Fix
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47. PRO ECT INFORMATION
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Building height to peak N of stories Main floor sq.ft. Untiashedouement sq.ft.
f / I/
2'floor sq.ft. Finuheti basement sq.4.
Dimensions Total habitable space
•. . Ii? Deck sq.K
� ��
t,Jn5trtlCttOri[1'Qt Garage sq.h
Occupancy;rout?
Heat source(electric.vs.etc.)
Cost )f proiect ,.--'2./.....„-
!..„a.* 'Zr ae A"M"Y •--es- 'ayt 0t "ay, ''',-'''-'-'7.7-.. 3,7xe4 1eh ryr -. f.• ..:-.?..,=.1*,, JM rt,,
. -used Home .': 3, . i-- x �- ., ,,S><• - ,. . x �..- s '4 : .�.Y - w" K `-
Tooth: Length: What is the square footage of the sign How high is the sign?
face?
Year : — Make: #of signs Area of existing signs
1
'X b Jt• i r IU t e'f' . . !q A .y "' S - = y fY� -rind',', 'e" nw.� #�� $y ,
3 F 4r—. * fiL�� • h` trf J F d„,,..,4.,;.4.
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Previous address Fire Sprinkler — Tent __•__
• Paint booth— Fire Alarm _ Fireworks display
Proposed use ',,,'''\.
,'''\. Value
Yc., y .f,stu� .1'. , '7;12 .N0r .:s ez",i :fiii. .wn'"V''.''71/2:
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Phone
Firm Name Phone Plans Exannner
inspectors: Address
\
,\ Inspector Phone
`
0 Concrete 0 Welding 0 Bolting O Reinforcement \ Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 1X No What is the current property size?
Ifves,identify on site plan (sauare feet or acres)
Is any part of the property within 25C feet of a shoreline? What is the current use of this property?
i Yves,identify on rite plan 0 Yes 7 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system? Cl Yes ]$No
_ 0 Don't know Cl Yes No
Is any part of the property within a ICO yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan 0 Yes ,4 [ No
O Maybe 0 Don't know Cl Yes .t� No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? 0 Yes • . No
Yves,identify on site elan CI Yes la.No _
Are there slopes greater than 30%on the property?(30 ft rise in 100 tt) Are critical or hazardous materials used orOstored on site?si
( r %) 0 Yes ,Ig No J�
No
DEPAR'T'MENT USE ONLY
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Date Received Staff Representative
METHOD OF PAYMENT SUBTOTAL
As ;:i1C3IVE
VISA
0 CASH g CHECK 0 - ❑ - 0
FAD PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
V .�G?---- E:CPIRES: `"TOTA FFE a
INDIU PFRMITFFAISSW5,00i'LEASE
3A T+C.ARD NUMBER. _ — r' ' bth.[�G� PAYABLE
ENTEAIc.AtvE
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REVIEWED B'
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)6 \ .^ This site plan is being submitted for thepurpose of
obtell in_ ti,i idir,g permit and is a true and correct
representation of the proposal.All known property
lines/dimensions,curb lines.structures and easements
have been identified. A'ro'rdicated are wetlands,
bodies of water,s slopes or oth tical reqs.
Signed: � �— � '2--m—.
Date: 7 c°�'�—.
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