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2002, 10-02 Permit App: 02008587 Residence Project Number: 02008587 Inv: 1 Application Date: 10/2/02 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: 6 Right: 10 Rear: 48 Phone: (208)777-7000 Group Name: Site Information: Project Name: Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D Parcel Number: 35233.1708 Block: 17 Lot: 6 SiteAddress: 4704 E 14TH AVE Owner: Name: MORT CONSTRUCTION SPOKANE,WA USA 99203 Address: 565 GREENFERRY RD Location::SPO POST FALLS ID 83854 Zoning: UR-3.5 Urban Residential 3.5 Water District: 003 CARNHOPE Hold: ❑ Area: 6,475 Sq Ft Width: 51 Depth: 129 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review + Rele ed By: X...) • 11../L-Q., CV 4 / f" Plan Review ,- JReleased By: t _.'.-/7 f� 1 I Approach/Drainage I Released By: _,,,cit._____' 1G5' 1""' 1 6 V- r h A.(.51-( Landuse/Zoning . Released By: 1 �ri -)---1L-41 L‹ ._.k. 15647e- u-tepuit d 11 ...i j. i'. (t-1-fr? ;LAC di/toe luta Sewer Review ; Released By: ( r r-1 Ckiq'b Operator: JAS Printed By: JAS Print Date: 10/2/02 Project Number: 02008587 Inv: 1 Application Date: 10/2/02 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Stormwater Controly Released By: S/_ Le to/ z 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: ❑ This Application: Total Project: Description Grp Type Notes So Ft Valuation So Ft Valuation CARPORT U-1 VN COVENTRY 20 $90.00 20 $90.00 GARAGE U-1 VN 396 $4,752.00 396 $4,752.00 RESIDENCE R-3 VN 1,196 $78,936.00 1,196 $78,936.00 Totals: 1,612 $83,778.00 1,612 $83,778.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $792.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $174.35 Permit Total Fees: $971.35 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 3 NUMBER OF $30.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $64.00 Operator: JAS Printed By: JAS Print Date: 10/2/02 • Project Number: 02008587 Inv: 1 Application Date: 10/2/02 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 2 NUMBER OF $12.00 Permit Total Fees: $72.00 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 Peiiuit $971.35 $971.35 $0.00 $971.35 Mechanical Permit $64.00 $64.00 $0.00 $64.00 Plumbing Permit $72.00 $72.00 $0.00 $72.00 $1,107.35 $1,107.35 $0.00 $1,107.35 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: 10/2/02 , • . • 1I ii Oc PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT --I.— 1026 WEST BROADWAY AVENUE 6 SPOKANE, WA 99260 5 SpoxoT Cown 09-477-3675 SPECIFIC SITE INFORMATION Street Address: <I/ '2 0 V ...;.--- / f-- Assessor's Tax Parcel Number(s): , -,--7 .--3 1 20....._ y Legal Description: / Project Description: -51/1/6–la P--"illir Avrg,vc-fg. - Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit O Relocation 0 Sign 0 Tenant (New/Change) 0 Other .:'.4.?".Z:_ t,4t.t,t4VO'W.: '., 72.--3 ---'714h:.4#:" WiV. -11-7, , 11,17'."1- 7',N1.4 -',:c.7:4 .3;:eii_ZArrainilV,VM-W-tfiggaff1.-ko%leiwet6Iii 4f--:-NyAvyreimgAtiox-;:-e r-gerfaruwientivv_s6.-vinqi-{4al*A-itiul,04--Agar:,-A,s*FIN-Ar.., ....:4,.., -,...:..-,,....•,,,...:,;,,-.:,t.,,;:...., ,.. --- ---. .---- - -- :..' - -- ' ''• :;., -:... - -....,,j.. ..igg717; - W, }tSiaiiidt)01Ar itOrerit';',..‘elBairc.FOrek:Reells—..74.0'-i- witaparietnii00,6iii.:4 -4-i, .wteiii,DWF!1.1 ,91,-....4.1*Vii:agetkilteg l'5 '' *fli.' PV,-t'flffe3;RMtr,'7AfcVi: f -:3',.,---,,,1,:',,.,I,;.f,";,. - .'.M ,,.,4 . :.-...t4-,,i-av14,''4..n,,.L.:15'=.a... .t.r.ttt0AakrtlrT,ri'A,,fA!7,1-,4l.i,,,.•.:-_:..41.4::P,r.1:.,,.,7;.4:-_*.:.',4MV: ,.,i.r.,...14.,4,F-5.-0f5,r,:--s,77-i-ir%,,*s,‘*:-i-:'4'•i,44,1„',4,.,+,1.:-:4024.`4-,„4-- 4 iq; zr ,, ;;:psice0zJA00 .,,,,V-t.-p,5•.:,,4-1,.,'-7,-"f.,',-'," ':•. r',,i.,,,f_1.1:,•,i;.:i.,,;,0477. 7117.4:4;!..17'1,-ii.7.:':'''.:,"‘",e,7'_:',-.!'j-.4.1::;31,-71t-':-7:%-:,...71.1%',,4;%.r1eg•. :t. :t:i'17:W.:VI.V.1:4t•AV:,:,:`74.:4;:.;::a;;-:.tsfic4ta,,,i,i,'`,.4-ifti:tt, -' '7.• • '''..-":''''';‘;'-'''.5.'';'-"'-:'---': '- ---':' '7'''-=' 1..ti':': -.....qii. S'''T4;',M,,:-.';',.'...%, ';4-1:,iIel:;"'”...),:.iP! !1;7,-,-,,,i:::: :,,,7,3',:x.,.. . F..,,.......n,,,, ...... .1n.--., +. . , .. OWNER/APPLICANT INFORMATION 6----.. 0 Indicate who should be contacted regarding this Protect 0 0-yrier: Phone: .0.,,f 7 77-7000 0 Applicant: Phone: /11100R71— L---04471214C,41 1,1 Fax: P4r i/3"7 4.1‘2-/—.3 -5-'Al/PI Fax: Mailing Address: Maiiins,Audress: S.. C .‘:e•‘e.i/f.ededv./ l 'IJ • City.State.Zipz I City,State,Zip 04:;; Sr ce4/k - / IAA 0 V3r5V Phone 0 Architect/Engineer Phone 0 Contractor Fax Fax Mailing address Mailing mdress City,State Zip City,State Zip EEvE111 VA State Contractor license I Contact name: SEP C2 -; 2002 / 47 7v-,7--7 .,..,. . _ PROJECT INFORMATION,.....,, ,...04,„_. .:.;-. ''',',5 :'•;Ssl"tt.'lej ' .-.Y.,..,j3;iiiid i ii, 1 61-43-thiatbii.: ;:i.:-),-. . _ i.,.., -. , .._,,z..,:: ; .. ,,, •-c, 0• ,..,,,:, ..,.,•:,:..,:,,:,7 - ,,,,....,,,',.,--::-.,:.:.,F.:,, ,,..,..::.„,=: ---,..J,•.,„, -- -- Budding,n eig- ;,-;:1:,:a.k- .-....;0,..f,--,:t.i...,,,,,,:„„.„./.7-' ..:;,.-r.- in h ..._ ht Mafloor sq. . // Unfinished basement sq.ft. Dimensions Total habitable space , 2floor sq.ft. Finished baseme:F.ft. Occupancy group Construction type Garage sq.ft. Deck sq.ft. .4„....L. / ....-•"6"'"' Heat source(elec-trie,gas,etc.) Cost of project ---1--"A7—/- I�Y :Vi= .N "". ixo-d � wsc.,• r, r av a.o s3aF„ n 4 a .r�'� is + r.� w 1.,:n drs xr as.r�1,, 05 1Arr-, "•z ; anaeue , ome . at< t , , • Width: Length: What is the square footage of the sign How high is the sign? face? IYear: Make: #of signs Area of existing signs I �r +.Y y t bt ter yr (•; -.r '• 5• y gtt r J k'.+ t 1 v. •y fix,: 0 a 3 e _' i-",, C as : '**. - a x , �� i�3 �.'�s��' A��'> v ... x ,, . 'yr'. + ,'�`'`,2st G4 `.a °`. .k '.`,:r.:4,:147,,, , ,: r. 7, y"a '�"i w r 3''at' .a. *i.r.,w.� i .ft. ...._,-,,,.�*•�5a,y. 2" "�' � , °� � xME �.;41,:74:t,,,: -.i•• a�",.-. .�..:'.�4'.C<.+R�. � �t¢21€,n ��` >� ,. �3`sw`k^ -', . Previous address Fire Sprinkler _ Tent Paint booth_ Fire Alarm _ Fireworks display _ Proposed use Value x v .4-4 $;x 6'yr# �1'P P s .=:"$trA - `•.4' s' d r •*•Lr.starti .'C' if0agAr. x5 Spee><a��`n�eettans Rye u>Ere� . � � �on R�srdent><a1 Energy G©ie horn ,cam Y v.M.1+0�'rF Y�� .tttekP 2%ggSti ! A` .;r4. „+aiit #.g B.,.,sax ',4, �aVi taa�'•i Isle :,Y+avt+.i tri - .:.(i a•r !"..J .+' tet+.4:�wy,2.a .M�.. Yr aS3~,5..t5 i. Firm Name Phone Plans Examiner Phone Inspectors. Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION I Are there structures on the property? 0 Yes ,CFC No What is the current property size? If yes,identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? I lives,identify on site Plan 0 Yes V No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes ja.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,identify on site plan If yes,identify on the site plan 0 Yes , No j 0 Maybe 0 Don't know 0 Yes l',$a No Are there any wetlands,streams or ponds within 2C0 feet of the Is there evidence of fill or excavation on the property? property? 0 Yes Izt No I(yes,identify on site plan 0 Yes h No Are there slopes greater than 30%on the property?(30 ft rise in ICO ft) Are critical or hazardous materials used or stored on site? ( /%) 0 Yes No 0 Yes .igT No DEPARTMENT USE ONLY r.= r.c^.as.„ r .r s >a+, .+... •� r r w,ae r-'+. s+A�r z • ...-;- ztw�. Is the r""�"tere s lest Hated 5tormwater ontror",A x: a,, tTs gisic avi.av tlalile tnhaTat j z O es r, r;,';-_. i :•. ,.:-1,'- ':,;;.' C �' # •""' y� [ .y :_- * .`�` F .1g Fes. �1"k'' .�.' �" y�'+' �r TJ rJCe$ � rV a' x ,r�r.•+mrarai�n+ �n ^w�.v vv* a*.n::;r ,+r w :a a .t e. Ti llie. ro r tdeehe SA * �a 'Yex <; _uBItcwatta vaia'f le aI essif0 '° ' i ,,ii°"g�`�* ' j ,, �+" ...t?",, b, x e i *r• ''' ...?4,,,-'...•,k. A1,i4W-k3:i�ttakF- x 4- s •., ray ;r-' 'i -ilr a:e.ua.+eA w s ,ar y .�- a.� 3 x.�.ru.s u w}r r z rE t w ++R 7 4 . ts,tfie grope imide tfie�P$MN` %iA "Yes'g l"o K ^ sT"the grope located within 1000 fees" 'f ngir t _ r Y � .� s It� a ae i d - tf1 r .,.:,:;4-1..-44,4.n' r :,: '^ '0�+.F �V i t o 4, �'of•= �' �ai�''1• .a N, Y0,n '�w. i.livi t wA r 77.. +.. + ©�•*,,t- A-I—..X,—,x,: Y'!..a:; >..4,--,$ •, afrzi.:as ,-a_., ., ,r>- . .,.s. .., . ... «tt5r.� .__ r:1 ..= .;fit^. Date Received: Staff Representative•. METHOD OF PAYMENT !' ': OiIC®V SUBTOTAL W.FA0 CASH )n CHECK ❑ nostia ❑ . ❑ mr.. - FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: J/�V, 0 ~ E:8I3tES: TOTAL FE•E BANKCARD NUMBER: ! trrrnit 1PER,i+rrFeErsars.001�ASE: i -`'-',f-;.----:::----;,-----...---' MARE CHEW PAYABLE TPSPOKANE . AUTHORIZED SIGNATURE: ,,G '---n/..;-2,-- � L/'. �'`i 1 �-' COUNTY PERMIT(EMER . .., , . • • • . * . . • . . - . . I I . ... . ... . • .- I\ _. -• -.• •..---..• , . H . \) I ' . . . . .(') . ;7 . • . C..., . • 7— j/ 4)5 /i / c /c ..-vir) tit 0'74/41/1 7-1,:.;.• • I T i i\,\, '4'v ,i4:71,6, s l7 of tk`-i,,06,-,;,/77/fi,c,_ - ,\-:‘ \\ K Doci; kiee/7 or's '/e/), I"( 0,7,-, o'is the , \ ., .., -.?,,,;, •-9//4. ''-'6,,z7 A-0,se -.''' Of ,‘,,,--*-•.- 'cil/i-, ';`"?p. '-'01),6,,,, --... crit• -'<••?/?0, -',et)/ c7re v r 1.k c'-' i• 1411111i \-1-570 ''P 0 C 0 '1 1<.\ L_:. ) J, , 0 .,-b<" kp 'P 0 -p. 0 ks .=: •• f'-'1-4/si // / "-- 1) 5/ / ( 1-f 14,47-fe 4," ,......., \13 C7 1, r---- •71.- \\,.. )..\• cerw a,0 4-0.44/,42 7-E•ile- -14 '4* ,,.. . V AL...2...1/.34)