2002, 11-12 Permit App: 02010061 Residence Project Number: 02010061 Inv: 1 Application a at-• 1/12/2002 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 -NATURAL GAS Contact: LIGHTHOUSE
Address: 565 GREENFERRY RD
C - S -Z: POST FALLS,ID 83854
Setbacks: Front 25 Left: 10 Right: 10 Rear: 48 Phone: (208)777-7000
Group Name:
Project Name:
Site Information:
Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D
Parcel Number: 35233.1804 Block: Y Lot: A
SiteAddress: 4618 E 14TH AVE ' Owner: Name: LIGHTHOUSE
SPOKANE,WA USA 00000 Address: 565 GREENFERRY RD
Location:: SPO POST FALLS,ID 83854
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
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 •
Plan Review • Released By.
t k
rCtUwk1E .
_wrilira1-OrreaReview Released By: + fircx.
11 sU 2-
• /h5 yy
/t i _ JE - __ _7f/ 3lI ��J/.Mites r _ . r r. , r _ / sr }--
Approach/Drainage Released By:
N/cIt �S
ba*
Sewer Review
Released By: /// '- !' _LI _ .
Operator: CKF Printed By: CKF Print Date: 11/12/2002
Project Number: 02010061 Inv: 1 Application Date: 11/12/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
Building Permit
Contractor: LIGHTHOUSE GROUP INC Firm: LIGHTHOUSE GROUP INC
Address: 565 N GREENFERRY RD Phone: (208) 777-7000
POST FALLS ID 83854
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
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 $77,286.0{)
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 Firm: 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 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $84.00
Operator: CKF Printed By: CKF Print Date: 11/12/2002
Project Number: 02010061 Inv: 1 Application Date: 11/12/2002 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
TOILETSBIDETS 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 2 NUMBER OF $12.00
Permit Total Fees: $72.00
Notes
Lots on the north side of 14th in the 4800 and 4900 block have up to 20 feet of fill. Soils compaction/
foundation engineering required. Jforry
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $963.73 $963.73 $0.00 $963.73
Mechanical Permit $84.00 $84.00 $0.00 $84.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,119.73 $1,119.73 $0.00 $1,119.73
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: CKF Printed By: CKF Print Date: 11/12/2002
• _
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PROJECT APPLICATION WORK SHEET
AIli( SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509477-3675
SPOIcANE COUKY
SPECIFIC SITE INFORMATION
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Street Address: 4/ /(C' /C,
Assessor's Tax Parcel Number(s): - 3 ,q d
Legal Description: 4—41- :3 -s_SZ-e'_.(_;-/ / / /ci'L-`1=1 .0 19e-7 /</ -:-6-
Project
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Project Description: it/&-/a. ,L.--;1244 L ,- /C‘A/d,g
0 Grading0 Manufactured Home Permit
59- Building Permit t7 Change in Use
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
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OWNER/APPLICANT INFORMATION •
CI Indicate who should be contacted egardin7 this oroiect
Phone ;oaf 7 7-7000 O Applicant Phone:
P Cerner. / �r y� �yJ
_ 2.4r� 7.i u.'';<� 5A'P l Fat:
��� /_� �j�E Fax Mailing Andress
Madin;.address: /
‘6 5 � .ey a •
City,State,Zip
CTCV,State.ZiD
:hone
Phone VO Architect/Engineer
0 Contractor
Fax Fax
Mailing address
.Luling=dress
City,State Zip
City,State Zip
Contact name:
NA State Contractor license I
PROJECT INFORNLA.TION
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+ '''1-*- -.."rJ.P'�*'xy + ix,..4 i' -5)'. ,,, "rtL}- ' ..,a ;.w �: ,,. -rµ •-4_ -:.' _-4,4_7Ta ht-:,...-, s s - ,.._ . ,._
t I of stories IMatn floor sq.ft. LUnfinished basement sq.ft.
Budding height to pez/k / /l 7/
'Dimensions / Total habitabie space 2a0 floor sq.Et. Finished basement sq.ft.
IDunenstons ;--�`
---7� 5V.,.. //`7
Garage sq.ft. Deck sq.ft.
Occupancy group Construction type g /�"_
Cost of project o- ✓ IHeat source(electric.gas,etc.)
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'Previous address Fire Sprinkler _ Tent
1 Paint booth_ Fire Alarm _ Fireworks display
IProposed use Value
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FM{A: rate Y,;'.r•AM -y' '4'.ed.74 4.£.4 P y'�, _ 9w '3* �P ..'i.;.'�'e�. .,Fi_ -a 4.-.-,`'' :: ✓' ..i..
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Firm Name Phone Plans Examiner Phone
Inspectors Address
Inspector Phone
O Concrete 0 Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 1Z No What is the current property size?
If yes,identify on site elan (sauare feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
! Fives,identify on site plan 0 Yes 7 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes jia,No
0 Don't know 0 Yes No
Is any part of the property within a ICO yr flood plain? Are or will there be wells located on the property?
fyes,idezt fy on site plan If yes,identity on the site plan O Yes ,.!(' No
0 Maybe 0 Don't know 0 Yes d 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
Ifyes, denrifv on site plan 0 Yes No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? '
( /%) 0 Yes .33 No O Yes "Z No
I
DEPARTMENT USE ONLY
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Date Received: Snif Representative:
METHOD OF PAYMENT
--..,_•77.-.-..=__ --
111=1111 ; 2irc2vET SUBTOTAL
WS4❑ CASH jP1.CHECK 0 EXIONSI ❑ .___ _'57. 0 '-- J'
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
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ZONE CL
ROAD WIDTIi _
FRONT 25 F[_:\NKING
�`' z g /l?/ - COMMENTS__� l
N. 3 REVIEWED B I� , t47_A p
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I ,0 ( /0' ), .
This a.to pian is being submitted for the purpose of
obtaining a building permit and is a true and correct
I9 representation of the proposal.All known property •
lines/dimensions,curb lines.structures and easements
have been identified.Also indicated aro wetlands,
i bodies of water,steep,'slopes or other critical areas.
Signed: -.4 7!,�.1-. :,�..�.
Date. / /l/ - /C '_
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