2001, 06-04 Permit App: 01004220 Residence r
Project Number: 01004220 Inv: 1 Application Date: 6/4/01 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: CLIFF MORT/MONOGRAM HOMES
Address: PO BOX 602
C-S -Z: POST FALLS ID 83854
Setbacks: Front 25 Left: 10 Right: 7 Rear: 40 Phone: (208)667-6988
Group Name: (,e/l 37 U.- 7
Site Information: Project Name: ✓✓
Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D
Parcel Number: 35233.1101 Block: 11 Lot: 11
SiteAddress: 4625 E 14TH AVE Owner:Name: MORT CONSTRUCTION
SPOKANE,WA 99206 Address: 565 GREENFERRY RD
Location::SPO POST FALLS ID 83854
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 55 Depth: 129 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review II
BUILDING Site Plan Review Released B : '
I
Hold Reasons: NtrA5 'Fd _ S i _- 5 i
Permit Conditions: j
BUILDING Plan Review Released By: �_ / _ ( C ! ,
Hold Reasons: 'e Jyd.—r tai45 -6/5f
Peanut Conditions:
ENGINEER Approach/Drainage ' Released By: 6 J 70j O A
Hold Reasons:
Permit Conditions: % " _-_
UTILITIES Sewer Review , , 4 f� ,,,�.
.1 , ,
f Released By: ` 2 _� ?
Hold Reasons: LUGS .--'� e- ` ` 5 -U) ..( 7 ` �fi
Permit Conditions: W d(,1 c1. _ Fe th 1171 t
PLANNING Landuse/Zoning c -L" Released By: ,-Ij, 4 ,t/
Hold Reasons: G M-"00 , -
Permit Conditions:
Permits:
' -'11---6C4iNA,latti-).• iv/A r---?6 L.:'a_C_,U'qZ...r4
c E — I —C4
e
Project Number: 01004220 Inv: 1 Application Date: 6/4/01 Page 2 of 3
,
t J
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: MORT CONSTRUCTION Firm: MORT CONSTRUCTION
Address: PO BOX 602 Phone: (208)777-3000
POST FALLS,ID 83814
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 19 Stories: 1
Bldg W x D: 38 x 64 Building Sq Ft: 1561 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 441 $5,292.00 441 $5,292.00
RESIDENCE R-3 VN 1,561 $96,782.00 1,561 $96,782.00
Totals: 2,002 $102,074.00 2,002 $102,074.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $910.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $200.20
Permit Total Fees: $1,114.70
Mechanical Permit
Contractor: RANGER PLUMBING&HEATING Firm: RANGER PLUMBING&HEATING
Address: 1820 S EVERGREEN RD Phone: (509)879-3665
VERADALE,WA 99037
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
Permit Total Fees: $64.00
r
Project Number: 01004220 Inv: 1 Application Date: 6/4/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: RANGER PLUMBING&HEATING Firm: RANGER PLUMBING&HEATING
Address: 1820 S EVERGREEN RD Phone: (509)879-3665
VERADALE,WA 99037
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 2 NUMBER OF $12.00
Permit Total Fees: $72.00
Operator: JAS Printed By: JAS Print Date: 6/4/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,114.70 $1,114.70 $0.00 $1,114.70
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,250.70 $1,250.70 $0.00 $1,250.70
ROADS&DRAINAGE NOT APPROVED PER COUNTY ENGINEER
HOLD PERMITS-JEF 12/05/95 (ED PARRY)
1;11 PROJECT APPLICATION WORK SHEET
ik SPOKANE COUNTY DIVISION OF BUILDING 8c.CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
r SPOKANE,WA 99260
13 H 509-477-3675
SPOT-- COUN--17
SPECIFIC SITE INFORMATION /,
Street Address: 1 T7-f / ' I !�ci _``D
Assessor's Tax Parcel Number(s): 5 t / i o
Legal Description:
i....0-7.- // #5406-k // r.✓ocoLAnfP RAG' fs-
A ''''' "° A_, _ - —
Project Description: -.7-6- i
O l O Manufactured Home Pe:mit
/
53 Building Permit O Change in Use Grading I
i n
0 Tenant (Neu/Change) 0 Other
0 Relocation 0
Sign
. •
..- 1. , N ,,fes 5.,-` ---?:PF.:-...1.4 )1_,„
Department Ji Only �� i �. ---3, . �.�.. .-
sterDtsrrtc: ve r - $elve DtsCriei' utveyor �`,�-- _ej.if*d atfs�.., �#~--��� t
0
ac
-,F . rs«rut" � �a`F"""`-V +�"^ ;
Fere Dtstnc
xhlioi:Dtstrcr -
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OWNER/APPLICANT INFORMATION
Cl Indicate who should ce cortaced re7ardin2:his oroiec
Phone:
Winer: e i-
Phone:
p 9 7 7'i-7' J'" 1 0 Applicant:
�/// (-_-_--;4/..f./04644/ Fax: ::."1';
c'/4/,��' c�i 0Y_j Fax:
a�'S�q� I Mailing Andress::
Stuffing Address: //
// (�Q A�"/ c/--4.-i 7` •
Fid ( Ciry,State,Zi
Cit!,State.Zip
;hone
Phone I❑ Architect/Engineer
0 Contractor RECEIVL
Fax
lb
Nailing address
Mailing address SPOKANE COUNTY
City,Sute Zip
,:.'icy,State Zip JUN 0 1 2001
_ Contact name.
7.7A State Contractor license if
UUILtJitVU ANH moF opoacgo,EN.T
- • PROJECT INFORMATION
BLiilding Tnforinatlon - 7,.i
/ `li niinisnea basement sq.it.
t of stories J IMattt floor sa �� Y f�
'uutling•aeigat o peau / ,6
Iy I IFinisned bss rent sp.ft.
Total habiublyce "°floor sq.:t.. f``�.
'Dimensions / IT / � ��CJI Lf7� Dec' k sq.��
le. ccapant.i;;roup iConstruason type IGara ge sq. / [// �®
fff I
� �1 IHeat source,e:ecs
::e. ,-'•c•% / S
jV7 Cost� t prbie t 91) V /!/ (97f
c .";;,i-. ",.',:. : ,_�._ . ......._ . _. _ kVlaifaturedl ome - ------•-- Si _
Width: Length: , What is the?quare footage of the sign How high is the sign?
- face?
,Year: Make: it of signs Area of existing signs
I •
' .- a' „_ '''Ir' .nppff'. z . 44ae' �7. ,._ .„.;e "s+:t-"'•,f., i.. �-S._.a_fa''s=`- ..-e4.S`,3-' av_ � •
�_
t. +
EeioeaOn - 3t 3t5F e"sy t 43;1'; e ' �4. w.7,« '.::-:„..,-:-.4....---.4,,. ..-5 ;s� 7i' zr# a. 17.-q.4ws,'-= �;:atrsC','.. ...117-c .y.ia^ 7.s-4 �"„"- " :, . -. .. Tie.-;. ' .„,.-ss,.-4%-
Previous address Fire Sprinkler
Tent
Paint booth_ Fire Alarm _ Fireworks display
Proposed use Value
I, ”: „:..- : s ,..,,,,,F1: ;•,,..!:,,,,,/- w..ria
Special Inspections Required.? ,Non RessdentiaY Eneroyoe,Compnante
Firm\;arae Phone Plans Examiner Phone
IInspectors Address
I Inspector Phone
I
1
1 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address
•
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes Z No What is the current property size?
Tf identu,on site plan (square feet or acres) ' 70%,6,)Z
is any part of the property within 25C feet of a shoreline? I What is the current use of this property?
:I^ :dent,^1 on sire^lan 0 Yes 7 No
is your property in a designated wildlife habitat area?, I Will the site be serred by a septic system? 0 Yes j7t-No
0 Don't know 0 Yes St7 No
is an::part of the property within a ICO yr flood plain? Are or will there be wells located on the property?
[f yes,ident y on site plan If yes,:den:i ,on she site plan 0 Yes ,. No
0 Maybe 0 Don't know 0 Yes 0 No
' : Are there any wetlands,streams or ponds within 2CC feet of the Is there evidence of fill or excavation on the property?
?ropers:? 0 Yes A. No
f--es, :demi,on site clan 0 Yes h.No
Are there slopes greater than 3C%on the property?(30 ft rise in :CO ft) Are critical or hazardous material's used or stored on site?
I ( /%l' 0 Yes ID No 0 Yes No
DEPARTMENT USE ONLY
Is the vo :F. ina deszvvhated St rmwaie rAr& 4 I puoltcsewe,ave afire to the=sites - * Yes`"4Q _ LF.
'r eV �''ma . £ ss.. - r *z
.. 4z.- :. .-AIss.,-ead-.�+ .c..-s •-,- ,-..ems.,- ^n 3 w ., "t
Lsthe_ogeyisdethe ASAI 1 "" r:
Yes No :* """4 Is public wares available to theite? v 47r4- 1"a -.
'' ,,, Ws .."'' a"-=- ire.• 77. .. +"' 3 Vi, -Y :.- tf v i a'_
.,z :.. -:z;zO > 'F �" eS ii:,aa-NCl_a ,caa..•t..W ° ,rim r,„-S -.z 3..,`i.4, S--
s the prope�ty inside the PSSA.7 'z 'Yes`;SET»No ; Ts the proved Iocated wulun iCG4 fe 't.of a"Natui Reda e 4rea.
=Q Yes:=
4• :.::-•a="+-._-, ^•.Tri 1--�: ...__:... _ >._-.. -. - ..... - ._ �: — r. .. ,
Due Receiv _' , i Scarf Rep ,..7r.-�
1_, - --( A,
METHOD OF PAYMENT
1:ICfOStE
SUBTOTAL
❑ CASH 0 CHECK Q 0 - . 0 •--`--*,
FA:CID PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
t •
DATE: ////42/ E:TLR ,S: TOTAL rhe
3 NIC.0 A w\UMBER: ( . a4r' mumPLt.frr FLe rs 5 "PLEASE -
A�. 7-ICRIZED SIGNATURE: ( l i _ COU.':F.,4,.ff"'C.,`TR
1 LL:.V1b1-NCJ 1-'I(v111 Ai 1'L1LA1ION
1 PROJECT 7W , . PERMIT
ADDRESS: 14f r'' USE:
I
OWNER: I, PHONE (Daytime Contact):
MORT CONSTRUCTION ' I 208 777-7000
MAILING ADDRESS:
565 GREENFERRY ROAD POST FALLS, IDAHO 83854
(Street) (C;Y.'1:cate) (Zip)
I CONTRACTOR: LICENSE:
NGFR PLUMRTNG RANGEPH012PM
MAILING ADDRESS: PHONE:
3. 1310 AVALON CT. 869-3837
g-�C WA 99216
(Street) (City/Scace ) (Zip)
PLUMBING FIXTL r..:= I
OF MULTI.
L . COST/ AMOUNT
PLIEDESCRIPTION DETAIL UNITS 3 UNIT EouAu
:2 TOILETS WATER CLOSETS,BIDETS '7– x 56 - _
..3 URINALS x 56 -
1 4 TUBS - I '2-- x S6 I –
305 SHOWERS(per:ran) BATH,STALL.ON-SITE BUILD I x 56 I -
3C6 SINKS L4VS/BASINS,BAR,FLOOR, x S6 –
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD 3
(PREP/CULINARY/MEAT
307 DISHWASHER - / x 56 -
103 CLOTHES WASHER - / x 56 –
3C9 GARBAGE DISPOSAL/GRINDER - 1 / f x S6 –
) 3;3 WATER SOFTENER - I I x S6 –
j 311 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x 56 –
mechanical)
3.2 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x S6 –
CONDENSATE
3 ROOF ORAL-NS/OVERFLOW DRAINS ( - ( x S6 –
(ea.)
. 4 FOUNTAINS.DRINKING I • I I x I 56 I – I
115 WATER PII'LNGIDRAL -IN WASTE-E- INSTALLATION,ALTERATION,ERAiION, x 56 – I
VENT/PLUMBING REVERSALS REP. .REVERSALS
3.i SEWAGE EJECTORS GRINDER.SUMP PUMP I x S6 -
' 3 i7 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x 56 –
HOSE BIB,STEAMER,PROOFER,
CARBONATOR.SWAMP COOLERS
3 i3 CROSS CONNECTION DEVICES VACUUM BREAKER,C: EC i 56 –
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS
3 INTERCEPTORS PTCRS GRE'.ASE TRAP,SAND TAP, x 56 –
CHEMICAL HOLDING TANK
MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN I x S6 –
_ MISCELLANEOUS FDCTLTRES I 56 I –
,tETHOD OF PAYMENT SUBTOTAL
11111111111111111 DIMMER
VISAPLUS PROCESSING FEE 5 25.00
a_CASH 0 CI-ECK 0 ::-n';"---n. 0 ... 0 ._
FA.'cD PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
ATE: ///:( / EXPIRES: ,:;liivarUMPERMITF=IS$35.'O ..
PLEASE MAKE CHECKS PAYABLE TO
.>AtNKCARD NUMBERCENTER------7
EN
.SPOKANE COUNTY PERMIT CTER
AL i CR2ED SIGNATURE _ :- ;
Spokane County Division of Building-&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3673*Fax No. 477-7193*TDD No. (509)477-7133
MECHANICAL PERMIT APPLICATION ,
PROJECT !/ 7h PERMIT
ADDRESS: iT , USE:
OWNER: PHONE (Daytime Contact):
MORT CCNSTRUCTICN 208_ 777-7000
MA rT ING ADDRESS:
565 GREENFEE;RRY ROAD 0ST 'MLL , I7,Au( 5A-4P 4
(Street) • (City/State) (Zit))
CONTRACTOR: LICENSE:
?.ANGER HEATING RANGEPH012PM
MAILING ADDRESS: PHONE:
S. 1310 AVALON CT. SPO. WA. 99216
(Street) (City/State) (Zip)
#OF MULTI,PCOST/ AMOUNT
DESCRIPTION OF WORK UNITS p 3yD UNIT EOUALS
302 FUEL BURNING APPLIANCE - OR <1CO3.CCO / X S12 - I S
303 FUEL BURNING APPLIANCE 1 >100,000 X 313 ( J S
3c4
UNLISTED APPLIANCE(ADDITIONAL CHARGE) - OR <-1C0..000 X S50 I - I S
324. UNLISTED APPLIANCE(ADDITIONAL CHARGE) >+CO,CCO 1 X S1CO I - S
r7.7.71 USED APPLIANCE!Must meet WSEC's min.AFUE mine) - OR <4CO,.CCO I X I S50 i - I S
207 ! USED APPLIANCE(Must meet WSEC's min.AFUE=tine) I >+CO,CCO I I X I SILO I - I S
303 30ILEB/REFRIGERATION 1-ICOM 3TU 1 1 X I_ S12 - i 5
309 30ILE'LREFRIGERATION 101-5CCM 3TU I X I 320 - S
310 BOILER/REFRIGERATION 501-1,000M BTU X I S25 - S
311 BOILER/ RIGERATION 1.001- 1.751:M 37 X I S35 - I S _
31: 3CILER/REFRIGERATION +1.750M BTU I X I S60 - S
313 GAS LOG.GAS tNSE.RT.AND/OR GAS FIREPLACE I - I I X S10 1 - 3
31= RANGE I - X S10 - I S
315 DRYER I - I I X S10 I - I S
( 31 I FUEL BURNNG WATER ER HEATER I - I / I X SIO I - 13
317 I APPLIANCE FUEL I - I I X S10 I - I S
3:3 I GAS PIPING(ea.Cutlet) I -
I i X Si1 13
31? I DUCT SYSTEMS - 1 I X 310 1 - 1 3
3:2 I V-N .ATING FANS I I I X S10 - 3
3:: .-12.HANDLER(DOES NOT include duct systems) I -CR <:0 000 C-7kif I I X S12 I - S
32: AIR HANDLER R(DOES NOT:ncnae duct systems) I >10,000 CFM I X S15 I - I S
323 EVAPORATIVE COOLERS I - I 1 X 510 I - ( S
, I i
I TYPE I HOOD i - X 150 I - S
PE II HOOD I I I X I SIO i - ) S
3_3 I HEAT PUMP/AIR CONDITIONER I 0-3 TON'S
I X i r.2 - s
3:7 I ALR CONDITIONER i 3-15 TONS I X I S20 I — I S I
' I AIR CONDITIONER I 15-30 TONS I X I S25 I - I s
AR CONDITIONER 30-:0 TONS I I X I S35 I - I $ I
• AIR CONDITIONER I +50 TONS I X 1 S60 - 1 s
L'G STORAGE TANK I - I X I 310 - I S
33: WOOD OR PELLET STOVE/INSERT I - X I 325 - S
METHOD OF PAYMENT SUBTOTAL
VISA PLUS PROCESSING FEE S 25.00
.-CASH ❑ CHECK. ❑ ❑ u.': ❑ .:_•--t
FAMED PERMITS WILL ONLY 3E ACCEPTED WITH PAYMENT
OF A MAJCR CREDIT CARD TOTAL PERMIT FEE DUE
DAT::: C-t,i 0/ EICS: I 1fNLYICMPERMIT FE`:SS35.00
/// PLEASE SLA -C'IECKS PAYABLE TO
BANKC. NUMBER: SPOKANE COUNTY PERMIT CENTER
AU7-10==D ORTZE.D SSIGNA:UR --Z..--- iy�-�
Spokane County Division of Building Se Code Enforcement
1C:5" sst Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(309)477-3675'Fax No. -177-7M'TDD No. (509)477-7133
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