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2002, 09-04 Permit App: 02007605 Residence Project Number: 02007605 Inv: 1 Application e• /02 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permitRRCE•�V IJ Project Information:• St j 2002 Permit Use: RESIDENCE W/GARAGE-GAS Contact: MORT CONSTRUC'$ t NE Co Address: 565 GREENFERRY RD UN11'ENG1N EER C-S-Z: POST FALLS ID 83854 Setbacks: Front 42 Left: 10 Right: 5 Rear: 40+ Phone: (208)777-7000 Group Name: Site Information: Project Name: Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D Parcel Number: 35233.1607 Block: 16 Lot: 6 SiteAddress: 4808 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: ❑ Area: 6,475 Sq Ft Width: 60 Depth: 129 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Releases: k -4 .. 6 ,- � . __- Plan ' •views a _ I Vl Res,�� leay ii ---), ♦ , L, _ / __— Special Reviews __ I �./�,. ,,,,_,„P -_T..�_` ? /) - Released By: n_, ---` _I i ill L 5' 4N.)11 5A04,41 1 ~ Sft_co-ft. 41 Arlo v a G6U413co. Approach/Drainage Released By: q� —v t ' l L j 4 + Landuse/Zoning eleased B ' --- Lir F- 7- !. re/ _ _._ _._ _-_-----. Operator: JAS Printed By: JAS Print Date: 9/4/02 Project Number: 02007605 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 Sewer Review/1t - I �/1:250 �! Released By: WY_Adiat Stormwater Control Released By: ` jz-c/jO-z_ 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: E Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation k,7 R-3 VN 981 $64,746.00 981 $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 LA, R-3 VN 512 $ 09- 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: $1,126.90 Operator: JAS Printed By: JAS Print Date: 9/4/02 09/24/2002 09: 55 5093241567 SRHD EHS PAGE 01 SEP 24 '02 09:11AM SPOKANE CO ,DEPT , , . , P.1 • Project Number: 02003277 Inv: I Application Date: 9/23/02 Page 1 of 2 • THIS IS NOT A PEI MIT Penalties will be assessed for commenel g work without a permit Finiece InJorathd; Permit Use; DOABLE WIDE 1'dANUF HOME FOR Cdttkeat: HELMS,FRED DEPENDANT RELATIVE(REPLACEMENT) Address: PO BOX 36 C-S,Z: OTIS ORCHARDS,WA 99027 Setbacks:Front 70 Left: 56. Right; 211 Rear: lune: (509)921-669'I Group Name: Pre Inform: Won Project 1�is+ ia: Plat Key: 999999 Name: RANGE I District; G Parcel Number 56343,9025 Slook: Lot: SitoAddreas: 22406 E ROWAN AVE Owner:Name: HELMS,FRED OTIS ORCHARDS,WA 99027 Address: PO BOX 36 e r/ Location::OTI OTIS ORCHARDS,WA 99027 Zoning: R-5 Rural 5 Water District: cold: [] Area: .00 Acres Width: 322 Depth: 3201 Right Of Way(ft): 60 Nbr of Bldgs:/ Nbr of Dwellings e Review,? for ifid: ua. w � '..;: ,. ;:: ,x,,. mela:•..v.4.�s _. Imo maw Review , , R .. _..�....,. �_ .. Site ki Review I Vie: » :' w t.":77-• . Plan Review " `' = ,;;1,;. '.,.. ' .,. �� yy, �r' ++l: ,�:r Jai. . .-. ....,.... -....... ........ �- �� ...,...,Y,......,... Septic System Review P �s l le set l+a :t: . i- _ ..... ..'i . .,.. .. ... for /es haliran I � C. � /��'�"1 � L9nduae/Zettln �, F if O` A ...WIti.,4•41,':orhin2 'v-'�3�=•�v�'.r:70/10?*t*A'...1:44 "..P..'.:C:N-772:02310"17/4,...eao'':701Lik'P...•:E4ttY•!.': �:_' "", {' Fl•Ile`�3Pfr.••';.�!'a-k.."7e$...=?s:pa3 1 Operator: ,JAS Printed By: JAS Print Date 9/23/02 Project Number: 02007605 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: 02007605 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 ��$16fs96 , - J 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 PROJECT APPLICATION WORK SHEET - SPOKA.NE COUNTY DIVISION OF BUILDENG&CODE Evi FORCEME`NT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 �� 509477-3675 Seomm Ccu rr SPECIFIC SITE INFORMATION Street Address: ) //ll Assessor's Tax Parcel Number(s): "� ;, - V Legal Description: 4G.ock- 144401—AA/0 �Ac . L.GT Project Description: .s/C� /� �-l1 �� Azrizi‘4.‹,g. `� Building Permit I 0 Change in Use I_ 0 GradingO ltanuiar_ured'r_ome Permit O Relocation � 0 Sign 0 Tenant (New/Change) ( O Other ` TM _ten. - :s`� � :Ve a_--rr: ent Lyse OM-- 1 = {atm �. , .,-4_-' _m.: .. ry- x0-.45:rarfi-.b.-,,f-r , �.,!` _ ter_ Seve DtsctstLD:u'reLr t- r t c �`'-'�y. ` °`'au. ^'r �1trJ�iSLr:C.E' tC'�o —,-'-f, -r-r,-'za ,.,�..y, .4r,tz,-, w t,k-'�.--. - "c .3 . II.�.,-. - �Ly __...� - .'� c.; �.r t .t'^J'M re�ew+•r-tr ,4:=1,`"-',--.X...,:: rCr.�s.++r.�a. r•rr,yiL„ .-.+�+w.,.:2`-az s„�.- n Zaninr t , r �xM.+tee... X : .-. FtR.DtscrG .^e-ze '.'-2 .s,s r= :` s.n`'".,i.R1 * �'!. X..001'LtSt.L -s .ate§., -+ -,„"�, _ ,sy OWNER/APPLICANT I.iFORMIATION Q truiiare-sins should:se chs'r.c d.r,•dsdi.-iz this r.Diet erne^. Phone: 1-4 s' 7 !'.�.7 a 0 Appiiant: Phone. -7c u:'/, - Ile/ F--x: �/ rtauins Aadress: Llutin;//Auaress: . Cry,State.Zip Cty,State. ID I R,v! F:/, iQ/'�-/i D S 3f Pi Phone i Phone ICI Architect/G �;oatraor Ftx tt FIX Mailing address.t31nng=dress - . Cer,Sam Zip • Cry,Sam Zip Conner name: V A State Cuatactor license! PROJECT INFORMATIONk. _ ;• -- � � =t --. ; . ... •r sir ... ._ - - - = - - rr�o�atlon. ° _ ,� y= It._ L ni:aisaed b�s=eat sq.ft. of tones floor sq. I Zutilusg se rat:o peril II IM.ein ' ,P.-47/ r door sq.ft- `F nisnea baser�t sq.:t. t L=tensions Focal`saoicaoie spec: �� I „��.38'�?--G 11/� 3}Cccac n -Duo jCanstrue on:7,-pe Gar_- e sq.s. DeciDecs sq.• 7 / . ; O I f n �y I�:e e:I source.err c.ps.tc.j�i / Cis-. �i?MM.:: rp O ^/ ✓Kti l A,S i 1 :' .• -,rPr.._ ?a . 7A-t=z .4i-'1«.,5 '1 ^'- ,., r 'S' `w' '�. w7"z,M.r.'-,'*• . l'Wick:atMakeWhat u the sq'.sare footage of the sign How high is the sign??fes' "ey- Make B of signs Area of existing signs 1 • lrs:}Ia.et�a''''i ....�Jr,;774.76-•- •72. 4 ...r-,., —y i;, .4t-11 "....."' ,''' �-.�' 3e"vs "" `°c'•.a.'.''' '--'' - ."6-U6.- - ."6- 6. '' ' ` z .; ,a r7 mow' `- Ori f t r e ". r..,�, ,,,��;�� 4.��, 4.... ..�, ._ ..tea _._., y _-,-:�;...-,o • Ere Sprinkler _ Tent Previous address Fi — Paint booth Fire Alarm Fireworks&splay — Proposed use Value ' 5"PeC al e i.OLl heti . .'.r F-�., 4 a>s esroterttla eFT,ache. om arEe`~ k- r.."z%.„. i..'•� +' Y..,,,, ar" +a..` 3.'a 's.i:,.........,...::,,,...,:..„.„..,:-....,.,,;,,,_. ,... ni '' .-. .�?.,..n_..s.-�.1....s ....- -ic...st=;:'.._.z..a.+++e.,+..a.._._ um Name Phone Plans Eansner Phone Inspector Address 1 Inspector Phone 7 Concrete O Welding C Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No ( What is the current property size? If”es.i enrif-y on sire PLzn (souare feet or aces) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? . :f-^es.idenrily on sire pun 0 Yes U No 's your property in a designated wildlife habitat area?, Will the site be serred by a septic system?0 Yes 51..-No C Don't know C Yes St7 No is any:art of the property.within a 1C0 yr flood plain? Are or will there be wells located on the property? ;lye,iCienr y J on site pLzn If yes,:den' on the sire pL:n C Yes ,ems, No C Maybe C Don't know C Yes bd No Are there any wetlands,streams or ponds within 2CC feet of the Is there evidence of Ell or excavation on the property? 1 p roperty? O Yes .`e . No If•:es.Ede-ariry on sue v[an C Yes h No Are there slopes greater than 3C%on the property?(30 ft rise in 1CC ft) Are critical or hazardous materials used or stored on site? (_G°1o1 0 Yes p3 No 0 Yes iii No DEPARTIVIENI'USE ONLY zIIe:6- rot.�e " zgi'.-.Scoru.r.r > ,.Q.-.' _tIn=tYierI - ^' tiriaesaw<-- tIeo3esu SrtO► max.: - - , + r, - -ez•ti ,5 . ::z:•r- b � '�xs `my ."" ' , -r �...r .��. ..r..*.ri 's .41�..EQA'CS" a- vtC• -,:4c�� -. z-� .�bs...- `s ..,_� :Fste.np "IDSG d eATA› 4`;)- " *a ' Q' .TpCTsiaaten"..-xaway. Els-rb ,.aer�..e.a...r. - -;e-•-'.3- 1 'rw-- ,Y . ,..;.-T .-.7: ^4. -- ),: r. a..Wi - 3r-+ •-0,-. .A .' a tr,.:=1. _t . -. - eS, a.1:4<r_trgrek _'£.' -Z .. :ma .. : .'.-� st$e-pm� *-cas ae' c SSi F : -Yes � - T 7ttEi ro e cr'"7oeaivttiun f�'AQ-ser ria rte, _ , a s s'�''41- sip * :-..-F .:. ,y+r -r" e -«ac`x��.....+'...aa'.' 'fel,-- ''7. -.rY-.+a "$' ^t'+ 'i-.i �..nom %;'!+r:: :- Aa.x s.�a ..-':'. ..4,---49. 0-.17.4--;1-,----m- nate a.,` ....a. 0 Date Received: Sod Representative: 11E:"r.OD OF PAY:VIEN T : . SUBTOTAL vet C- s 0 0 0 =.-..., FA=P�.MITS WILL ONLY BE.AC.E1'la...)WITH PAYMENT OF A MAJCR C.ZEDI T CARD - 0AT is / ki--" . 3- E:C'EL::: L - ."TOTAL FEE %: ' - 3?.NKC?.RZ NUMBER: / / ..rrmcctr-PE•arsr� S.�scs^.rasE i(.ic'.OR:L�D SiGNA:vRE: l/�_/- �.—. --_ �, ..cct.w t72'.:.II^'a'�rT-n.3 1 After recording,mail original to Owner: TITLE NOTICE Property Description: Legal description: Parcel number(s): Address of property: 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. Property Owner Name (print): Property Owner Signature: Co-Owner Name (print): Co-Owner Signature: Notary Public: State of Washington, County of Spokane I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that(he/she) signed this instrument 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: 1 111 11 110 Ill 5161782 Faye 1 of 2 12,'23/2004 10:39A .14F t L1NKr,' PIFTZ tcJ.:�� pokane Co, WA FILED BY: DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING 11707 E SPRAGUE AVE SPOKANE VALLEY, WA 99206 (509) 688-0197 ?f' TITLE NOTICE Parcel No: 35233.1715 (located in City of Spokane Valley as of March 31, 2003) Legal Property Owner: Lindsey Construction, PO Box 30792, Spokane Valley, WA 99212 The parcel of property legally described as: WOODLAND TERRACE ADD PTNS OF LTS 1 & 2 BLK 17 DAF: BEG AT NE COR LT 1 TH W25FT TH S3OFT TH SWLY SOFT TO A PT 59FT N & 55FT W OF SE COR SD LT 1 TH S59FT TH E55FT TH N129FT TO POB AND N1/2 VAC ALLEY S OF & ADJ TO TOGETHER WITH W25FT OF VAC WILLAMETTE ST E OF & ADJ TO SITUATE IN THE CITY OF SPOKANE VALLEY, COUNTY OF SPOKANE, STATE OF WASHINGTON. is the subject of a building permit by the City of Spokane Valley Building Division on December 22, 2004, approving the building of a single-family residential building and imposing the following condition: The property owners may not park any vehicles on or in any way block the 20 x 20 non-exclusive egress/ ingress and utilities easement in the northeast corner of the lot that is shared with the adjacent property to the east, also known as 4808 E. 14th Ave., parcel number 35233.1619, and WOODLAND TERRACE ADD W25FT OF LT 6 BLK 16 AND E35FT OF VAC WILLAMETTE ST AND N1/2 VAC ALLEY LYG S & ADJ TO Project No. 04009496 is available for inspection and copying in the City of Spokane Valley Department of Community Development 5161782 Page 2 of• c 12/23/2004 10,39A LJJIILIJII1JL1JLII,Of JJ $2J.JJ : oo};anF Co, NA Release of this Title Notice can only be accomplished through the authority of the City of Spokane Valley Department of Community Development or its successor by recording of a "Title Notice Extinguishment" based upon a finding that such release should occur. BY CITY OF SPOKANE VALLEY DEPARTMENT OF COMMUNITY DEVELOPMENT Name: Heather Kauer Title: Planning Technician Signature- P Date: la- A a • 4568873 After recording, mail original to Owner: Paae: ^ 1 of 1 11111 1111 1111 III Ill 0312312001 11:09A Monogram Homes PT(1NFR. TTT1 F alliPANy N IRJ'11 Senkmna Cn WA PO Box 602 Post Falls, ID 83877 • • Description of property: Legaidescription;All lots in Woodland Terrace according to the plat filed in Vol I of plats, page 16 in Spokane County, Washington Parcel number(s):35;33-..22/05- Address of property: A'/A 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 5.0.3 (a) and (b) of the Stormwater Control Ordinance. Tnis release of liability shall constitute a covenant running with the land, and shall bind my heirs, assigns, and successors ii1 i erest. Property Owner Name (i ■ g-i e 1--o--Owner Name (Pleas- P, t), (Please Print) Property Owner's Signature _ -Z Co-Owner's Signature V Date / Date Notary Public: 3/a2-/ I certify th 4 *tW p9 ave satisfactory evidence that C- 24 E-�"to<< is the person who appeared before me,and said person a c'cnq� c1 {�f s{ /signed this insaument and acknowledged it to be(his/her)free and voluntary act for the uses and purposes -, ..zttt 3r' •L s�+i Signature ..---L , r ' ''�.l_O aft. i : N_ttiride N -1 . .L_` �i�:._l L( . Deal er Staraiii 0 e ma • My appointment expires le. ! 'F.,.) • PUBLIC ` S' . ��tastiington,•loot pokane I ceicif &��__4-o, Alcv'�Satisactory evidence that is the person who appeared before me,and said person acknow YYiWhe)signed this insaument and acknowiedged 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 Pace t of 1 • . SPECIAL AGREEMENT FOR BASEMENT INSPECTION Tf/ _ Project Address fol C , J9.. S T R Project Owner ,,4/104171/ Building Permit Number Pursuant to Resolutions 0-0610 and 0-0558, as amended, the owner's Engineer or Architect has submitted design measures that prevent the entry of surface and/or subsurface waters (into a below grade basement, useable or habitable space), The above-referenced project requires special inspection of those design measures, as described below: {Insert a brief description of the design and/or measures that will be utilized to prevent the entry of water,i.e. construction technique,specified materials, etc.,or attach a copy of the geotechnical investigation and design measures. Describe when these measures are to be implemented in the building process.) The purpose of this special inspection is to insure that the drainage measures are constructed in substantial conformance with the Accepted plans, and that the measures will function as intended. Spokane County Stormwater Utility Page 1 of 6 (509) 477-3604 1026 W. Broadway Avenue, 4th Floor Spokane, WA. 99260-0430 Revision Date: 3/4/01 Basement Inspection Agreement ' I PART 1. OWNER REQUIREMENTS 1: Prior to construction of basement(s), the Owner agrees to employ an Architect Or t Civil Engineer, currently licensed in the State of Washington, for the purpose of being a Special Inspector of the construction activities for the design measures accepted for construction. 2. For coordination purposes, the Owner shall provide the Contractor with the name and phone number of the Special Inspector; and the Owner shall provide the Special Inspector with the name and phone number of the Contractor. 3. The Owner shall aid the Special Inspector in being present on the site when required. The Owner shall also aid the Special Inspector in submitting final reports, testing data, and Record Drawings to the Spokane County Division of Building and Code Enforcement. 4. The Owner shall help to facilitate the correction of any deficient aspects of the design measures.' 5. The Owner shall read and understand the Contractor's and Special Inspector's portions of this Agreement. 6. The Owner acknowledges that he/she will not receive a Certificate of Occupancy until deficient aspects of the construction are corrected, and the Record Drawings are accepted by the Spokane County Division of Building and Code Enforcement, OWNER: /rye 74- ADDRESS: ADDRESS: (ae // �/ PHONE NUMBER: -2-0' 7")I 62DATE: / BY: .�L, ¢f ok,o L I �,E BY: /`` / (Print Name) (Aut ed Signature) Please retain a copy for your records. Original signatures are required to be on file with Spokane County Stormwater Utility. Page2of6 i. Basement Inspection Agreement PART 2. CONTRACTOR (BUILDER) REQUIREMENTS 1. The Contractor shall provide the Special Inspector two working days notice prior to performing any construction activity that will require inspection by the Special Inspector. 2. Activities that will require inspection include, but will not be limited to; a) Placement of the foundation; location, depth, materials used. b) Placement of fill for drainage areas. c) Finish grading; installation of sodding, seeding, landscaping, and irrigation systems; final cleanup. d) Other items, as listed in"Exhibit A." 3. The Contractor is responsible for reviewing the approved plans for additional activities that require inspection by the Special Inspector. 4. The Contractor shall correct any deficiencies in the work, as noted by the Special Inspector, in a timely fashion. 5. The Contractor shall notify the Owner, the Special Inspector, The Spokane County Division of Building and Code Enforcement and the Design Engineer immediately of any unexpected site conditions. Unexpected site conditions are those that would prevent the construction of the improvements as designed, or which would adversely affect the performance of the designed measures. Spokane County Building Department can be reached at 477-3675. 6. The Contractor shall read and understand the Owner's and Special Inspector's portions of this Agreement. CONTRACTOR: .id/2- Cc '` ADDRESS: -,e t Lk�� AS71-- Fp//) 13(.0' PHONE NUMBER: zc7 7'77 ', 00 DATE: BY: G.-4-/c'ce,e-4 gets' - '4"17/>41 (Print Name) ( orized Signature Please retain a copy for your records. Original signatures are required to be on file with Spokane County Stormwater Utility. Page3of6 } Basement Inspection Agreement PART 3. SPECIAL INSPECTOR REQUIREMENTS 1 1. The Special Inspector shall perform job site inspection, materials testing and quality control services to verify that construction meets the design criteria specified to prevent the entry of surface and/or subsurface waters (into a below grade basement, useable or habitable space). The Special Inspector shall also verify that the construction is: a) in accordance with the applicable Spokane County Codes and regulations, b) as intended in the design, and c) as shown on the Accepted Plans. 2. The Special Inspector must be an Architect or Civil Engineer, currently licensed in the State of Washington, or the Architect or Engineer's authorized agents. 3. The Special Inspector has the responsibility of being present on the site when notified by the Contractor that work will be performed that requires inspection, 4. The Special Inspector shall initial and date the Inspection Record Card each time that inspection work is performed at the site. 5. The Special Inspector shall use the Accepted Plans, as defined previously, for overseeing the construction of the drainage facilities. 6. Examples of inspection duties include, but are not limited to: a) Inspection during excavation and construction of the foundation. b) Inspection of the placement of any waterproofing application. c) Observation of the placement of sod, seed, landscaping, and irrigation systems to verify that these items meet specifications, and that they do not interfere with or harm the design measures or intended protection of the below grade basement from water impacts. d) Inspection during installation of roof drains to verify there is positive drainage away from the area of concern. e) Inspection of any sub-surface drainage system (e.g, French Drain). f) Inspection of final grade to verify positive drainage away from the area of concern. g) Other items of concern as listed in Exhibit'A', which is attached. 7. The Special Inspector shall notify the Contractor, Owner, Design Engineer, Spokane County Division of Building and Code Enforcement, and Spokane County Stormwater Utility immediately, if unexpected conditions are encountered that would prevent the proper construction of the improvements, or that would negatively affect the operation of the drainage facilities. Page 4 of 6 . Basement Inspection Agreement 8. Any field modifications to the Accepted Plans must be submitted to'the Design Engineer for approval prior to construction of the modifications. 9. Copies of all reports shall be submitted by the Special Inspector to the Division of Building and Code Enforcement and to the Spokane County Stormwater Utility as inspections are performed. 10. Prior to the issuance of a Certificate of Occupancy or Final Inspection, the Special Inspector shall submit inspection reports, lab reports, and Record Drawings to the Spokane County Division of Building and Code Enforcement. The Record Drawings shall be stamped and signed by the Special Inspector, with the following statement placed adjacent or near the Professionals stamp: I of inspected the basement, useable or habitable space, during its construction and find that the construction conforms to the submitted design measures to prevent the entry of surface and/or subsurface waters. I further find that groundwater drains, if used, do not discharge to public road or right- of-way, to sanitary sewer, or to surrounding properties. I swear under penalty of perjury that the above statement is true. Signature 11. The Special Inspector shall read and understand the Contractor's and Owner's portions of this Agreement. SPECIAL INSPECTION FIRM: GGt/n4'Ii /rS f ./a/1.,,-G ADDRESS: 27/4. . /4/,, (6 f"."—/ 4' 7,oas PHONE NUMBER: CO J 4/66 -4w DATE: SPECIAL INSPECTOR: A.4 i/l;i/h' / • g �C! (Pri t N..-.,)l' / SPECIAL INSPECTOR: Amostrill (Autti rized Signature) {�J STATE OF WA. PROFESSIONAL ENGINEERS OR ARCHITECTS LICENSE NO. 2 7// Please retain a copy for your records. Original signatures are required to be on file with Spokane County Stormwater Utility. LT 66"C‹ /6 Page 5 of 6 . PART 2. ADDITIONAL REQUIREMENTS Exhibit 'A' Additional items, which require inspection for this project, are listed below: The special inspector shall certify that this lot has been graded to route flows from the foundation drain system to the appropriate drainage paths in a manner that will not impact adjacent lots or county rights-of-way. This certification shall be made prior to the Spokane County Stormwater Utility's release for the final inspection of this project. M SPECIAL AGREEMENT FOR BASEMENT INSPECTION Project Address S T R Property Owner Building Permit Project Number The purpose of the special inspection process is to ensure that drainage measures are constructed in substantial conformance with accepted plans, and that the measures will function as intended. Pursuant to Resolutions 0-0610 and 0-0558, as amended, the owners'engineer or architect has submitted design measures that prevent the entry of surface and/or subsurface waters (into a below grade basement, useable or habitable space). The above-referenced project requires special inspection of those design measures, as described below: {Insert a brief description of the design and/or measures that will be utilized to prevent the entry of water, i.e. construction technique, specified materials, etc., or attach a copy of the geotechnical investigation and design measures. Describe when these measures are to be implemented in the building process.) PART 1 - PROPERTY OWNER REQUIREMENTS 1. Prior to construction of basement(s), the owner agrees to employ an architect or civil engineer, currently licensed in the State of Washington, for the purpose of being a special inspector of the construction activities for the design measures accepted for construction. 2. For coordination purposes, the owner shall provide the contractor and special inspector with names and phone numbers for all parties involved in the basement inspection process. 3. The owner shall aid the special inspector by being present on the site when required. The owner shall also aid the special inspector in submitting final reports, testing data, and record drawings to the Spokane County Stormwater Utility. 4. The owner shall help to facilitate the correction of any deficient aspects of the design measures. 5. The owner shall read and understand the contractor and special inspector's portions of this agreement. 6. The owner acknowledges that he/she will not receive a final inspection (residential) or a certificate of occupancy (commercial) until deficient aspects of the construction are corrected and the Stormwater Utility accepts the as-built record drawings. 7. Prior to the issuance of a certificate of occupancy (commercial) or final inspection (residential), the owner/applicant shall ensure that the special inspectors' inspection reports, lab reports, and as-built record drawings have been submitted to the Stormwater Utility. OWNER: ADDRESS: PHONE NUMBER: DATE: BY: BY: (Print Name) (Authorized Signature) Please retain a copy for your records. Original signatures are required to be on file with Spokane County Stormwater Utility. 2 • I PART 2 - CONTRACTOR (BUILDER) REQUIREMENTS 1. The contractor shall provide the special inspector reasonable notice prior to performing any construction activity that will require inspection by the special inspector. 2. Activities that will require inspection include, but will not be limited to: a) Inspection during excavation and construction of the foundation; b) Placement of any waterproofing application; c) Sub-surface drainage system (e.g. French Drains); d) Placement of fill for drainage areas; e) Finish grading, installation of sodding, seeding, landscaping, and irrigation systems; f) Other items, as listed under Part 3. special inspector requirements or in "Exhibit A." 3. The contractor is responsible for reviewing the approved plans for additional activities that require inspection by the special inspector. 4. The contractor shall correct any deficiencies in the work, as noted by the special inspector, in a timely fashion. 5. The contractor shall immediately notify the owner, the special inspector and the Stormwater Utility about any unexpected site conditions. Unexpected site conditions are those that would prevent construction of the improvements as designed, or which would adversely affect performance of the design measures. (Spokane County Stormwater Utility can be reached at 477-3604.) 6. The contractor shall read and understand all requirements of the Special Agreement for Basement Inspection. CONTRACTOR: ADDRESS: PHONE NUMBER: DATE: BY: BY: (Print Name) (Authorized Signature) Please retain a copy for your records. Original signatures are required to be on file with Spokane County Stormwater Utility. 3 PART 3 - SPECIAL INSPECTOR REQUIREMENTS 1. The special inspector shall perform on site inspections and quality control services to verify that construction meets the design criteria specified to prevent the entry of surface and/or subsurface waters (into a below grade basement, useable or habitable space). The special inspector shall also verify that the construction is: a) In accordance with applicable Spokane County Codes and regulations; b) As intended in the design; and c) As shown on the accepted plans. 2. The special inspector must be an architect or civil engineer, currently licensed in the State of Washington, or the architect or engineers'authorized agents. 3. The special inspector is responsible for being present on the site when notified by the contractor that work will be performed requiring inspection. 4. The special inspector shall initial and date the Inspection Record Card each time that inspection work is performed at the site. 5. The special inspector shall use the accepted plans, as defined previously, for overseeing the construction of the drainage facilities. 6. Examples of inspection duties include, but are not limited to: a) Inspection during excavation and construction of the foundation; b) Inspection of the placement of any waterproofing application; c) Inspection of any sub-surface drainage system (e.g. French Drain); d) Inspection of placement of fill for drainage areas; e) Inspection during installation of roof drains to verify positive drainage away from the area of concern; f) Inspection of final grade to verify positive drainage away from the area of concern; g) Observation of the placement of sod, seed, landscaping, and irrigation systems to verify that these items meet specifications, and that they do not interfere with or harm the design measures or intended protection of the below-grade basement from water impacts; h) Other items of concern as listed in Exhibit'A', which is attached. 7. The special inspector shall immediately notify the owner, contractor, and Spokane County Stormwater Utility if unexpected conditions are encountered that would prevent the proper construction of the improvements, or that would negatively affect the operation of the drainage facilities. 8. Any field modifications to the accepted plans must be submitted to the design engineer for approval prior to construction of the modifications. 4 9. The special inspector shall submit copies of all inspection reports to the Spokane County Stormwater Utility after inspections are performed. Copies shall be stamped and signed by the special inspector and may be mailed or delivered to: Spokane County Public Works Utilities Division/Stormwater Section 1116 W Broadway (4th Floor) Spokane, WA 99260-0430 10. Prior to the issuance of a certificate of occupancy (commercial) or final inspection (residential), the owner/applicant shall ensure that the special inspectors' inspection reports, lab reports, and as-built record drawings (site plan and cross section) have been submitted to the Stormwater Utility. The record drawings shall be stamped and signed by the special inspector, with the following statement placed adjacent or near the professionals stamp: I of inspected the basement, useable or habitable space, during its construction and find that the construction conforms to the submitted design measures to prevent the entry of surface and/or subsurface waters. I further find that groundwater drains, if used, do not discharge to public road or right- of-way, to sanitary sewer, or to surrounding properties. I swear under penalty of perjury that the above statement is true. Signature 11. The special inspector shall read and understand all requirements of the Special Agreement for Basement Inspection. SPECIAL INSPECTION FIRM: ADDRESS: PHONE NUMBER: DATE: SPECIAL INSPECTOR: (Print Name) SPECIAL INSPECTOR: (Authorized Signature) STATE OF WA. PROFESSIONAL ENGINEERS OR ARCHITECTS LICENSE NO. Please retain a copy for your records. Original signatures are required to be on file with Spokane County Stormwater Utility. 5 PART 4 - ADDITIONAL REQUIREMENTS Exhibit 'A' Additional items, which require inspection for this project, are listed below: 6 Stormwater Utility / Div of Building 3 At $s F " l & Code A € SPOIL Cou zryE Sk 1 Enforcement tt . . r This instruction sheet is designed to help After construction of the basement, the design Stormwater Utility and Building& Code Architect/Engineer must submit all inspection Enforcement staff consistently implement reports required during the Special Inspection requirements of Stormwater Control Ordinances process (see Special Inspection Agreement) to the regarding'basements. Stormwater Utility in order to initiate Final Basement Restrictions Fact Sheet Inspection of the structure (residential) or Certificate of Occupancy(commercial). A fact sheet(Form SW-1) explains why the County is restricting the construction of basements in some Checklist: areas. Copies of the fact sheet can be obtained from Before a Building Permit is issued, SWU needs: either the Stormwater Utility or the Division of Building & Code Enforcement. ❑ Geotech Report Basement Approval Process ❑ Design w/plan&profile drawing ❑ Signed Inspection Agreements(original 3efore obtaining.a building permit the applicant signatures required) must obtain a Basement Approval Packet and submit the following information to the ❑ Recorded Title Notice Stormwater Utility: Then SWU staff can sign off on a building permit 1. Geotechnical investigation report prepared application w/requirement for Special Inspection. by a civil engineer, licensed in the State of Before Final Inspection/ Certificate of Washington, with experience in Occupancy, SWU needs: geotechnical engineering. ❑ Inspection Records 2. Basement design measures that will prevent ❑ Original signed/stamped As-Built drawing(s) the entry of surface/ subsurface waters, w/required statement prepared by a civil engineer, or architect licensed in the State of Washington. Design should include narrative and plan & cross- After all of the above are confirmed, SWU staff can section drawing. initiate Final Inspection/Certificate of Occupancy from Building& Code Enforcement 3. Copy of the Title Notice, filed with the County Auditor. 0 Retain original file in SWU archives. ❑ Notify Buildings & Code Enforcement. 4. Original signed Basement Inspection Agreement. For more information contact: Spokane County Stormwater Utility After the Stormwater Utility has accepted the above 1026 W.Broadway Avenue 'our(4) items, Stormwater staff can sign off on a Spokane,WA 99260-0430 ,wilding permit application for the identified (509)477-3604 construction. Updated 3/15/02 Basement Approval Instruction/Checksheet { BASEMENT APPROVAL PACKET AND INSTRUCTIONS FOR BASEMENT CONSTRUCTION IN HIGH-RISK DRAINAGE PROBLEM AREAS The Stormwater Control Ordinances in effect for the Glenrose/Central Park and North Spokane Stormwater Planning Areas were designed to address basement flooding problems in high-risk drainage problem areas. Among other requirements, the ordinances contain restrictions on the construction of basements. This packet provides the following information: ✓ The process to follow to obtain a permit for building a basement; ✓ The Ordinance Requirements regarding basements; and ✓ The forms needed to meet the requirements of the basement approval process. Approval Process: Prior to receiving a building permit: The building permit application process begins at the Permit Center on the 1st floor of the Spokane County Public Works Building. The owner/applicant applies for the building permit at the permit center. After initiating the application process, the owner/applicant submits the building permit application, along with the following information, to the Stormwater Utility, 4th floor of the Spokane County Public Works Building. 1) A site-specific GEOTECHNICAL INVESTIGATION REPORT, prepared by a civil engineer with experience in geotechnical engineering and currently licensed in the State of Washington. The geotechnical report should include, at a minimum: the date of site investigations(s), depth(s) to groundwater and date(s) of observation, description of soil column, description and location of surface drainage features, source(s) of referenced geotechnical and hydrogeologic information about the site and the surrounding area, as well as conclusions and recommendations regarding the construction of a basement on the site. The report should also include any special design recommendations for the basement based on the geotechnical investigation. 2) A BASEMENT DESIGN, prepared by an architect or civil engineer currently licensed in the State of Washington. The design submittal should clearly state what design and construction measures are required to prevent the entry of surface water and groundwater. The design should identify the discharge point of groundwater drains, if used. Discharge may not enter public road or right-of-way, sanitary sewer system, or surrounding properties. The design must meet the requirements of the ordinance and must include any measures recommended by the geotechnical investigation discussed in Item 1 above. Stormwater staff is responsible for review and acceptance of the basement design. 3) A TITLE NOTICE must be recorded with the Spokane County Auditor's office (2nd floor of the County Courthouse). After recording, the title notice will have a bar code to indicate that the notice has been officially recorded. A copy of the recorded title notice is to be submitted to the Stormwater Utility. (Form attached.) 4) A SPECIAL AGREEMENT FOR BASEMENT INSPECTION FORM, with original signatures of the owner, contractor (builder), and design architect or engineer is required. (Form attached.) The design architect or engineer acts as a special inspector for the project and follows the construction project through to completion. Original signatures are required to be on file with Spokane County Stormwater Utility. During construction of the basement, the design architect/engineer (special inspector) must field verify that construction complies with the design recommendations for basement construction as well as the requirements of the geotechnical report. After construction of the basement, prior to receiving final inspection (residential) or certificate of occupancy (commercial) the owner/applicant must submit the following to the Stormwater Utility: 1) Copies of all required inspection reports, drawings, and special inspector's verification of construction; and 2) Original signed/stamped as-built record drawing(s) of the basement design with the required certification statement (see Special Agreement for Basement Inspection form for required language). Ordinance Requirements Stormwater Control Ordinance (0-0610 for Glenrose/ Central Park or 0-0558 for North Spokane, as amended), SECTION 5: REQUIREMENTS, PART D, PARAGRAPH 3: The lowest finished or unfinished floor level of any structure, or addition thereto, shall be elevated a minimum of 12-inches above the highest elevation of finished grade. For the purposes of this Section, finished Grade shall be defined as the elevation of an imaginary line located a distance of 5-feet(60-in)(1.524-m) from the perimeter of the foundation of the structure. The structure shall meet all Uniform Building Code (UBC) requirements for drainage and slope setback. Slab-on-finished grade construction is exempt from this paragraph. Basements, other floor levels, useable or habitable space, or space with appliances or equipment, hereinafter referred to as basement, shall not be permitted below this floor level, unless the following steps are taken: a) Site-specific geotechnical analysis will be required by a civil engineer, currently licensed in the State of Washington, with experience in geotechnical engineering. The geotechnical engineer shall consider readily available subsurface information on file at the City of Spokane and Spokane County for surrounding properties in the evaluation of the feasibility of the construction of basements or useable or habitable space below the first story of the proposed structure. b) The basement shall be designed by an architect or a civil engineer, currently licensed in the State of Washington, to prevent the intrusion of surface water and groundwater. The design shall include current standards of practice and technology (e.g. french-drains, sealant, and positive drainage away from the structure), and the recommendations of the geotechnical engineer, item (3 a). The design architect or engineer shall conduct a special inspection of the basement construction to verify it is constructed as designed. c) The property owner shall prepare and file with the County Auditor, a notice to be placed on the title of the property. The notice shall include the legal description, tax parcel number, and address of the property. • 2 • The notice shall take the form of a signed affidavit by the property owner and shall include the following information: i. that the property is in a potential high groundwater area, and ii. that measures have been taken to prevent water from entering this basement, and that copies of said measures have been provided for Spokane County Public Works Department file number The document shall also include 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)herein above. The Spokane County Division of Utilities shall prepare and make available forms to be used by a property owner in conjunction with his/her meeting the responsibilities of this provision. These requirements do not preclude or remove the requirements from any other applicable laws and regulations. Definitions Accepted Plans: Basement design drawings, prepared by an engineer or architect, currently licensed in the State of Washington, which have been reviewed, accepted and are on file with the Stormwater Utility. Basement Design: Design drawings prepared, stamped, and signed by an engineer or architect, currently licensed in the State of Washington. The design measures are intended to prevent the entry of surface and/or subsurface waters into a below grade basement, useable or habitable space. Certification Language: The record drawings must be signed and stamped by the design architect/engineer and contain the required certification statement that the special inspector inspected the basement, useable or habitable space, during its construction and finds that the construction conforms to the submitted design measures to prevent the entry of surface and/or subsurface waters and that groundwater drains, if used, do not discharge to public road or right-of-way, to sanitary sewer, or to surrounding properties. Contractor: The person or company hired by the owner to construct the design measures that will prevent the entry of surface and/or subsurface waters into a below grade basement, useable or habitable space. Design Engineer or Architect: The engineer or architect of record (currently licensed in the State of Washington) who calculates and designs measures to prevent the entry of surface and/or subsurface waters. Geotechnical Engineer: A civil engineer, currently licensed in the State of Washington, with experience in geotechnical engineering. 3 Owner: The person or company who owns the property on which the project will be constructed. Record Drawings: Final as-built drawings (site plan and cross section) of the basement design to be submitted to Stormwater Utility prior to final inspection (residential) or certificate of occupancy (commercial). Special Inspector: A professional engineer or architect, licensed in the State of Washington, and his authorized agents, hired by the owner to provide quality control testing and inspection services. General Conditions The owner, contractor, and special inspector are to perform their respective duties in a cooperative manner, to insure that the drainage facilities are constructed in accordance with the accepted plans. Each shall read and understand all requirements of the special Agreement for Basement Inspection. The Special Agreement For Basement Inspection form, contained in this packet, shall be signed by the owner, contractor (builder) and special inspector and retained (with original signatures) on file with the Stormwater Utility prior to issuance of a building permit. 4 Groundwater Disposal via Sump Minimum Design Considerations GENERAL CONSIDERATIONS: Foundation drain must exit where it will not freeze. The facility must be easily maintained. As-built drawings for the drainage facility must adequately locate the facility for homeowner maintenance, and identify a maintenance plan. The drainage design shall consider impacts to adjoining and down gradient properties. SPECIFIC DESIGN CONSIDERATIONS: (Numbers refer to the drawing on the backside of this sheet.) 1. Drainpipe diameter. 2. Diameter of pipe sump; consider area to be drained, and permeability of soil in groundwater collection area; size pipe sump considering permeability of soil. Apply factor of safety. 3. Depth from finished grade to inlet in pipe sump, to allow gravity drain and to avoid freezing. 4. Depth from bottom of pipe sump to highest evident groundwater level, to function for infiltration. 5. Depth from bottom of inlet in pipe sump to bottom of pipe sump, to allow adequate volume for infiltration. Note: Design must meet all other applicable codes, rules, and regulations. GROUND WATER DISPOSAL WA SUMP MINIMUM DESIGN CONSIDERATION TWEOR FLO . • • . • • • ••m•• .6%;: • •• ••• • "'• ••.;• .• • •. ••• ' , ••... •• ••• . • . • • 4::• ;• • • Z -•• • • 0 • • "4••. . t . fl v .:• • •• •'• • •• •, .•" &ICE FLOW ROEMER PLAN VIEW NTs NATIVE EXISTING GROUND MATERIAL TEXTILE NA'4,.;?.??:z.",<•/•• '''- /••••/•:,/,/is •vv AVY' 2' \• .".•'!*.•'...Al• PRE/Van SUMP 0 _WASHEDMOMENT _____ 6RAPEL 7—FLOOR ,• HIGHEST EVIDENT GROUND INTER PROFILE yr Groundwater Disposal via Drainfield Minimum Design Considerations GENERAL CONSIDERATIONS: Foundation drain must exit where freezing will not be a problem. The facility must be easily maintainable. A maintenance plan must be provided for homeowner maintenance. As-built drawings for the drainage facility must adequately locate the facility for homeowner maintenance The drainage design shall consider impacts to adjoining and down gradient properties. SPECIFIC DESIGN CONSIDERATIONS: (Numbers refer to the drawing on the backside of this sheet) 1. Depth from finished grade to top of discharge pipe, to avoid freezing. 2. Depth from bottom of discharge pipe trench to highest evident groundwater level, to function for infiltration. 3. Collection and discharge pipe diameter. 4. Dimensions of bedding zone, to protect pipe and allow for proper discharge. 5. Spacing between discharge pipes, to function for infiltration. 6. Length of discharge pipe: consider area to be drained, and permeability of soil in groundwater collection area; consider disposal area and permeability of soil. Apply factor of safety. 7. Depth from bottom of discharge pipe to basement floor level, to determine horizontal separation between structure and drainfield to avoid impact to below- grade structure. Note: Design must meet all other applicable codes, rules, and regulations. • EASEMENT FLOOR 0 ••• :• •• , ,,,,•: .• ... •••.:::', :...,',,:.,"'::-.•...::::... <e) •..•..;:•''A.::tn,,•,',.....:.•".::`•.'..-: :'..t....• ::..,..•• . .. . .. '.•..- •• '' Z 0 ,----ii . NATIVE MATERIAL KC ;..t# 0 iH.r. /4.'1 '';..4; •;.••ro:. :.......:*,,...' AN':I-.W WASNED L',10..1 GRAVEL Tv! 0 PLAN VIEW NIONE17 EVIDENT NTS GROUND WATER 0 EXISTING GROUND 1PR"lIEVEFINTEROW X•FT.,MM. — ///W,z..." I ) " • / , ,,,, P DETAIL SUMP PUMP - NTS ® ...N........\„.........0) , 0 FIMSEMENT ® FLOOR IINNIEST EVIDENT GROUND WATER PROFILE VIEW NTS ��n/IJ „ 3 5 i THIS IS NOT A SURVEY, HOUSE PLACEMENT ISIM SaRf�L �ii4/ APPROXIMATE. E. A 1x-, 01 crilfli‘64 r� II SITE TO BE DRAINED TO DEVELOPER'S DRAINAGE sL g PLAN AT REAR OF LOT. t------ la FOUNDATION DRAIN PER I GEOTECH REPORT. 1 . i ' \ 1 " , , )„....,_ ,„ , , 1..NO ( 4 1-1 I '06l' )'. • E ADDRESS -3 h ZONE ----:- 0, ROAC�'�\D t '` Ft 1NNG 1CCOMfva.EP l t S_i / I * REVIEWED ----- VT O F /2/ -c21- sr __,--2 _ Et/AT/01Q 'A' LAG 2.- This site plan is being strh,rlt` d for thanur2ose of or 6 gLJG,k, /6 obtaining a building, ;-.'(:;',r r.1 15i true and correct 6---1049!iLx 442 r%�cf�a� • representation of the dart mai All known property lIneS/dlrT"� � IS C.0 ..."a structures end a. s9i�lentS 5, z'-s�= .....„7, :,,,,,,,-/-1 have h u of ; 1 tate I a7e w bodes of a cc,yeep s toes or +ler C ,t CCC areas. Signed: -L-- Date: f' d <.,--,---' L� -TY r —'i :, ._ :, 4:1 -,Pe : '` n 1 r i i • . . . -,:-.77:-.:OW-''''''i.r.,, • • • _,s