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2002, 09-04 Permit App: 02007604 Residence Project Number: 02007604 Inv: 1 D te. /4/02 e 1 of 4 Application ECEiVED THIS IS NOT A PERMIT SEP 1 � 2 2 Penalties will be assessed for commencing work without aa ppermit bF6KANE COUNTY ENGINEER Project Information: Permit Use: RESIDENCE W/GARAGE-GAS Contact: MORT CONSTRUCTION Address: 565 GREENFERRY RD C-S-Z: POST FALLS ID 83854 Setbacks:Fron Left: 10 Right: 7 Rear: 82 Phone: (208)777-7000 5 Group Name: Site Information: Project Name: Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D Parcel Number: 35233.1705 Block: 17 Lot: 2 SiteAddress: 4720 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: Li Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review ReleasescHTS7 J ( i' ------. `-' 6k > — ;` - - Plan Reviee , Rele sed By: Special Reviews mss'" 2 J_ L.L. :.(-' (1 �—" ' Released By: • ,.,---, •(___,L _ i 1_1-) 1 - C r - . )\'‘ ('-'' (C ' / " 1 c -r. OK__ Co 'Ac&e.vr -,p.,.... 6,- a 74 , _, 0_ , - I ,_ Lf„ , --,---f-- va -,__ , ) r Approach/Drainage ' .. Released By: -- Q r JARI 1 Landuse/Zoning �, Released By: .Z /17 / r/.+4► Operator: JAS Printed By: JAS Print Date: 9/4/02 Project Number: 02007604 Inv: 1 Application Date: 9/4/02 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit j Sewer Review () , ,/ ,42-6 /, 7 � Released By: p, , �! % 1 Stormwater Control I Released By: !a_415lvi Special Inspection on basement required and Record Drawings to be submitted to stormwater utility Permits: prior to final approval. 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: LI This Application: Total Project: Description Grp Type Notes Sq Ft Valuation ,n l(!: Sq Ft Valuation R-3 VN 981 $64,746.00 DECK R-3 VN 40 $313.20 40 $313.20 GARAGE U-1 VN 450 $5,400.00 450 $5,400.00 �j Li ENCE- R-3 VN 512----$5-3-37792-:ffy 512 $33,792.00 Totals: 1,983 $104,251.20 1,983 $104,251.20 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $920.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $202.40 Permit Total Fees: $1,126.90 Operator: JAS Printed By: JAS Print Date: 9/4/02 Project Number: 02007604 Inv: 1 Application Date: 9/4/02 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $74.00 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 Operator: JAS Printed By: JAS Print Date: 9/4/02 Project Number: 02007604 Inv: 1 Application Date: 9/4/02 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 $1,126.90 $1,126.90 $0.00 $1,126.90 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $66.00 $66.00 $0.00 $66.00 $1,266.90 $1,266.90 $0.00 0 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 Idc1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 RECEIVED • AIII-111 509-477-3675 SPOKAKE CalKrr AUG 2 7 2002 SPECIFIC SITE INFORMATION Street Address: /`f ill Assessor's Tax Parcel Number(s): Legal Description: 4�c_k- tA9DLA.✓,0 I AC- L.r G f Project Description: n/� /� ��� C�.✓G "S- Building Permit I 0 Change in Use 0 Grading �7 iactured Home Permit 0g. Sin 0 Tenant (Neter/Change' ) O �fOtanuher 0 Relocation 1Sign _ sem^^' b 3. ,. 1-11, .__ y. - a_r "-- w _ [ Get} Ce Ong �. �.��-..�.. .+} e t.a tment JS2 '+" ..y....,sr��+�1.'.mz..=0.„�a-y ? g ' '4.,w- ..✓3L3o 3'�1,•n4 . x'a. 11" ._ ._ •-*- -. Sa;:xiEt tsccsctlPur•,eYor mc Rto . ter-.'.••a- 4.,J- rr .,.:. aser`7ucnC.lP�cvelora r.. . ,.,' 7"Eronc`s _'^»s.x .f, ..o:.. w.:=7,17-., r-aces:rLr,.. �-:-'° S 4y ..vat •v- zx .ml. F -' 4 .��...„ p 3 1' F '.-"^'—�,z.F rax�•%` F :a.h�r..�r• ,:".;57:40 -.Gar .:r• �g=r xrO{TLSC CC a_._ F e DISLS . nXk• �n1II� r , Z: ti. 7 1 ?^ . � -, i' _ � ._ y'.i. � , w `-‘5'..-7 "-`1"-7,7:-:, --t544.-- ". y t v,g'.-5:::"":"':21...,',9-,t% .' _. . _ :-- - F. . rara • OWNER/APPLICANT INFORMATION 0 Indicate yno should:se co,r.c.d re7ardin7:his^roieC_ �.o5' 7Q04 1 0 Appiicant: Phone: ��ne.^. Phone: �_ � rod VS7 .5 >P'' Fax: /,11'0,47.7t."' �fl/tiJ/.4�14�//41/ Fax: u:Y' I M[aiiing Andras: )dxuin;/Aalress: gl < .‘-.a iz�.,/)0.e. r 7.e) . airy,State,Zip Ci NState.Zip I 1 e; F /. ._f CAA 0 ''3`' P Phone IG l:Jn[fCor ng Phone ❑ ArcaitectJEneer ® may} F 1..% Fax Mailing address Matting acdress Cie'',State Zip City,SLIM Zip Contact name: NA State Contractor license d . PROJECT INFORMATION u �. _.. ' . BLJC„ng ozmation _ z.s.- r,_ . . _ Maul door sq.ft. / Lntinuhed basement sq.ft. Building aeigat to peak IM of stories 6 2 9/ ... ITotrl habitable doors z `Finished basea:eat sq.ft. C trcasi8-7`� 71 2 "° q 9 77 I .45,— (Garage sq.4.� O (Dec sq.ft. - /e I CCC'SL:anCr�'OLLL1 �CJnstruC.:On t'."DC S! eV 0 �n M Feat source(e: r::e.;s f .e/�/ ‘A.5'�t�rcie: `W 17 .._- - F-yg .. «rz ..�,,.. y a'744:t rat t :2 ;„4775 =.0 3?". 9B' q'e ..' = y.. •� ..k`yt'�•.. �;i. ' s,��'..�-'. ''�M'T+' +3.h..+aa,. 7T$ � _t:-ln,'�.' � "q* ,.y',yr � '. .sS" iVla:nufactil et2 Some .,4. ��; lgn.:� . r'..i.S--- r- . .x : 4. er,. .. Width- Length: What is the square footage of the sign How high is the sign? face? ' IY Make: #of signs Area of existing signs I ar { I '.... r...f."•eV .-„0? ' �� , Ire. e '_ ` - ,....1.,..,;.-, " . ,,x=,r =^ , ,�,., ... h ..nx,. _,.c rte°.., x - : Previous address Fire Sprinkler _ Tent Paint booth_ Fire Alarm _ Fireworks display iProposed use Value - i {-. ,,, .: {z++..-.:::::„:„.-..,--,Fv ".x:na `s . .w ?t- �,..'a"r �gy-+�-•,'fk.my.�'ns. :xi...w.r..u,-.�c -._. i_.,.a.. ... Y,...«.._7.we,+"C:esti:._ :.,- '_car e�- � ' Plans Enminer Phone Firm:`tame Phone inspectors: Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Adores: ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes Z No What is the current property size? If-vs. de stray on site'Ian (sauare feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? TR'es,Ecienri ,on site'Ian 0 Yes c{'No :s your property in a designated wildlife habitat area Will the site be served by a septic system?0 Yes fit.No 0 Don't know O Yes .Z1 No is any cart of the property within a ICC yr flood plain? Are or will there be wells located on the property? .f yes,:dent ll on site plan If yes,identify on the sire plan 0 Yes , No O Maybe 0 Don't know O Yes Ito 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 No 1 If',Ts.identify on site 7Lxn 0 Yes No Are there slopes greater than 30%on the property?(30 ft rise in 1C0 ft) Are critical or hazardous materials used or stored on site? l ( —%) 0 Yes 3E1 No 0 Yes zr No DEPARTMENT USE ONLY s thegrou sy'E F esgnntea.SiormwatireViitti3F ire . ''V puff rI�caiar ava�a.bfe to ilies_iii.. rat M-Y' ) M ' } ; w,.1 '.1- ,.,.�,,..a"-?r-tr .fit` t+ ,2–,, ' ` saT 'y ' ., 4�'.`17. eft' • .- ✓.r '..s' .as.�nLi AIM.. , � m-iy' „ '"y+'- .1.C't��'r es T }�in- M'. . �$ - r17i.'TJ1L:t " Ser �Froi {r a is -Yes - FNry 't,ig J uiIrcwatesava$a'Tetot&esrte?a-- e'1' "Fs:the ro ins �•' -. ' '`" .• N fr Looe oeate::twttluII 100 feCCO a �" �` .!. r IfIe LO ln5rde:Sn. I'SS1 ' -,`� 'i - ».::: -,a �F sr •_:,—.7-v-_ e-F:- `tr t" ;,7,= : ,E tr rs as:` "+.14., ' -°R"' •.1 ::77:ir "F..s, = rs wi-r.i Ws ,r .a,''e-..,4*z : .. ... ? _;11747 `.-�- ' �, —"" .,.Sk..,. fir'x�y., . r .'a"'n+ .,ate � Date Received: Soil Representative: METHOD OF PAYMENT . _ MOVES SUBTOTAL YEA --ter ❑ CASH ❑ CHECK 0 0 : ., ❑ — , FA=PERMITS WILL ONLY BE.SCE PTSD WITH PAYMENT OF A MAJOR CR_F_DIT CARD DA : =MaLOTALFEE - =_ 3".•;'C ARD NUMBER: tsr.&ic'sra=aatrr .srscoii..P.asE 344 1172 C-ECCS;AMBLE TD S?CSAN SIGNATURE: U:r:ORIZED � cccrTt�eg..0 c..-rrE3 �' A ; II 111 111 111 Ill I II 1111 I II After recording, mail original to Owner: 485688730312312001 °111:09A Monogram Homes PTONFFA. T1T1F CAPON M 4A.(10 Snnkanv Cn WA PO Box 602 Post Falls, ID 83877 Description of property: Legal description:Al 1 lots in Woodland Terrace according to the plat filed in Vol I of plats, page 16 in Spokane County, Washington Parcel number(s):35s 2-.72 leo Address of property: ik'/1A I hereby certify that I am the OWNER of the above-described property. As owner, I hereby request that the following notice be placed on the Title of the above-described property, and that said notice shall run with the land: (1) This property is located in a potential high-groundwater area, and (2) Measures have been taken to prevent water from entering this basement. Copies of said measures have been provided for Spokane County Public Works Department file number (Permit Center file number) I hereby execute a release of liability running to Spokane County in conjunction with its issuance of a building permit on the property, to include a basement, as designed under Section 5.D.3 (a) and (b) of the Stormwater Control Ordinance. This release of liability shall constitute a covenant running with the land, and shall bind my heirs, assigns, and successors is i erest. Property Owner Name C! ■ ig-1 e " ,-7.-o-Owner Name (Pleas- , t 0_ (Please Print) Property Owner's Signature � _ - . Co-Owner's Signature Date l Date Notary Pubilc: 3/ZZ! ''� / . I certify lit t4N tpg ave satisfactory evidence that Ca fd E.Me r7- is the person who appeared before me,and said person vogifici.acial.k �s ,signed this instrument and acknowledged it to be(his/her) free and voluntary act for the uses and purposes ,t3r r••;r ' Signature ---Ln _ Li'l -1A S Q -+) ¢: Title N —A...f Pi,:._LJ i C . peal er Stanj 0 Go t My appointment expires ie I 3 5 i �tasoington,•i,.U Spokane I tend', "' cc y,��.44atis`actory evidence that is the person who appeared before me, and said person acknowl he)signed this insaument and acknowledged it to be(his/her) free and voluntary act for the uses and purposes mentioned in the instrument Dated: Signature Title (Seal or Stamp) My appointment expires Page 1 of 1 _._.__ __ THIS IS NOTA SURVEY, ____ __ HOUSE PLACEMENT IS L/ APPROXIMATE. r Ll`—• libSITE TO BE DRAINED TO DEVELOPER'S DRAINAGE PLAN AT REAR OF LOT. \ .1 por,rr ( FOUNDATION DRAIN PER ---- -_._. __ �` GEOTECH REPORT. goit. .L This site plan is being submitted for thonurpose et obtaining a bail„rg ,err a 1 Is atrue and correct , _ /� All knownproperty / representation of the prc., - ;� �iyn:aG• �;DO_S• lines/dimensions,curb':ra.structures rd easements <6 /�•0–S • 7 have been identified. 2 ,n:i cated .re we"ands, bodies of watersteep sloes -6th-r cr • al areas. Signed: _ . .__. _ cV1 0-2-- , z_A,v Iso 0 -,s, 70 e_- ELF(/'A7/ OIJ Al <— 617 0 / Th' -r ____--'2 _ k -1c)- ). - ) . . ADDRESS 0 -- C LOT �. 4Z-Oc/< / 1 ROADWIDTH 104, FLANK\ G �� Lv'0 O4 .40 7 W—A264 C� BEN/FR �,, COMMENTS - fie 1.07) Wit? �A/�'''1r. �f1e.J.v� �! Lg `��+'' J REVIEWED �—-.� ge. � / =�0 .