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2001, 07-13 Permit App: 01005726 Residence Project Number: 01005726 Inv: 1 Application Date: 7/13/01 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In formation: 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: 19 Right: 28 Rear: 67 Phone: (208)667-6988 Group Name: Site Information: Project Name: Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D Parcel Number: 35233.1606 Block: 16 Lot: 5 SiteAddress: 4812 E 14TH AVE Owner:Name: MORT CONSTRUCTION SPOKANE,WA USA 99206 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: 0 Depth: 0 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Department Review / BUILDING Site Plan Review I Release•' 4 V Hold Reasons: Permit Conditions: BUILDING Plan Review Released By: «ails l j 43t Hold Reasons: f /(•ij Permit Conditions: 411 • ENGINEER Approach/Drainage Released By ,-®;b, r1111260- Hold Reasons: Permit Conditions: i\ C` t 0C- t a:, / I 1 BUILDING Special Reviews I Released By: r > JJ _ / Hold Reasons: l �J Permit Conditions: UTILITIES Sewereview/C4 ,gyp Released By: •ld Re..ons: 0_.,.( Iy—_ - . Pe on.�.ons: -7 //:2-.)s( � I Project Number: 01005726 Inv: 1 Application Date: 7/13/01 Page 2 of 3 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: 24 Stories: 2 Bldg W x D: 40 x 32 Building Sq Ft: 3020 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 920 $57,040.00 920 $57,040.00 BASEMENT U R-3 VN 920 $10,635.20 920 $10,635.20 DECK R-3 VN 240 $1,766.40 240 $1,766.40 GARAGE U-1 VN 960 $11,520.00 960 $11,520.00 RESIDENCE R-3 VN 1,180 $73,160.00 1,180 $73,160.00 Totals: 4,220 $154,121.60 4,220 $154,121.60 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,170.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $257.40 Permit Total Fees: $1,431.90 Mechanical Permit Contractor: MORT CONSTRUCTION Firm: MORT CONSTRUCTION Address: PO BOX 602 Phone: (208)777-3000 POST FALLS,ID 83814 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 Project Number: 01005726 Inv: 1 Application Date: 7/13/01 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: MORT CONSTRUCTION Firm: MORT CONSTRUCTION Address: PO BOX 602 Phone: (208)777-3000 POST FALLS,ID 83814 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 4 NUMBER OF $24.00 SINKS 5 NUMBER OF $30.00 TUBS 3 NUMBER OF $18.00 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: $96.00 Payment Summary: °mk, . 5.a•PP - AMrc5 OPAP m r=...._ POM. POMP , .:.a Operator: JAS Printed By: JAS Print Date: 7/13/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,431.90 $1,431.90 $0.00 $1,431.90 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $1,601.90 $1,601.90 $0.00 $1,601.90 Notes :: ano w ��._ -AO ROADS&DRAINAGE NOT APPROVED PER COUNTY ENGINEER HOLD PERMITS-JEF 12/05/95 (ED PARRY) • • ;it PROJECT APPLICATION WORK SHEET ii SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 509-477-3675926v0 09#77 3675 ,/,1A SPOK.3NE, W A 99260 111 SPOlczKE Cowry SPECIFIC Si i h.INFORMATION Street Address: / .-- /4q- ' .,4!� Assessor's Tax Parcel Number(s): v3S a- , C /O Legal Description: /�" . // L.O �' �Jz &. /Ga /4/t2f1D�.A�r/n ve Ac_ - Project Description: g. n/� / ' � '�� atz`m.la nt4Use 0 Change ^s-ge in UseBuilding Permit ❑Rav Grading'.+.1 r wf ac4-rtus eTre.-."d H tefi.,ft_l omFt-.rye Per.? m it 0 Sign❑ Relocation 0 Tenant (Nex/Changetr)"" 0 eu- u -� -�w r ,,1t- ,,T - .- x y n . .L . _ ,. ,,,s .Oradx 55ac ; r Drt .- esashczPurryar ^ ." _ it-i _ . t yF .r ,;',: •aterDsnor- -: � ,crrc,_ K1 � e rf�? t �. ny„; �*as':•-•-•''� _ _ . Zoning s r Yy4 .-.. Fl1 s.c.SchooiDutrcc ,, c FDtnc Ys . . -_ .. _.___� -n.. . ._ -11 .-a. 5... OWNER/APPLICANT INFORMATION ❑ Indicate cho should be contacted re?ardinq:his Oroiect Phone: -v-if 777-709© [ 0 Applicant: Phone: 0 inner: I{I �1 �,�/ of t . ' Fax: �� $ i 1t's+ Fax: �� `���`��� ����� �taiiing Address: Matting Auuress: s c �.e;����f �7 ,d City.State,Zip Cin-.State.Zip pos../ �p(�i /VAX O �'3 ' Phone ❑ Phone 0 Architect/EngineerCuntcctor ;5;4,, Fax Fax Mailing address `.tailing icdress City,State Zip City,Suce Zip Contact name: TA State Contractor license# PROJECT INFORMATION Build Information Y - Unn t sq. - nuned basemen it it of stories floor sq.lt. n Building height to peak Imam // q () 9 O W....elL / "°floor sq. t. (Finished basement:q•ti. D:measions Total habitable space ` ` o }z-3�_ 3-49��v-- 'Garage sq. t. DecY sq. t. lCccioanc;�rouo CJnsttt[t :on type I �j�� ��� I Heat source;eiectr:c,gs.etc-) G Cost Ji?ro ect / Q 67Q� 4 f -A.5 i V T ca w 's^ >': 4 1 .,R,Y s�';t ^`.a-- ; :t C �z4,4;'' ,r'�3- '`_ "�s .� ?rt*.,:.e.'�,r" H'3-.m... a W. ' ` 's.:T' Zfbc_;r.. l+,s *.w r.V I, q.';7, s3-I °',• .x ,9c f �x .�� t.., cx"• 'T w. Width: Length: What is the square footage o the sign How high is the sign? h face? tY : a' e #of signs Area of existing signs 1 .a s t. .-.'-".`34.. rx? *-''it-x."._.s&+^'P:12S. , .-,,c.,,"77---,!‘ "g a ":W-- .^`7: ' e " ' yz- .®v 'Hy �#z,ma4v ': ilk,aSts ' . R- +. v �y - ' a..' _ rsc,v �.J�. ns- � '�'✓ 3 , . ,- ' is -0,g,-,.?� " . f ....._... . ".FPtS'e . zh. aro'.,., ".40.�` ;. Previous address Fire Sprinkler _ Tent NN Paint booth_ Fire lana _ Fireworks display iProposed use Value 't, aI <.; x .,,, %a.`h' �er,,.-•- , t 1..,.,ai :.fs., r x S ' ,.a�.-,zcr- .,».". -c, - Speclal Tnspectron5 Re u red_ -v c- : i - � ,Nan Resrdentral Pner�G©de:tom zWr ee_, r. .r ,.}'- ..s, .a.'.-"" S. -^S' +.,s*.74 fi;v ,i3a ._._,- `�".b t4.-V. '.`r- Z -,.i`.-L -t„:f. ". _t x+«'YC+u.a. i r + �+ ... a �. -. .��-__ass ...ret vr.'.ax.�r ?aa7-... .., �uk�xerran'.'yuwm`+a- .rf::- .a,.» �.F*,��....-te . „-1.,F;.,�:t.�'�`.Sa:.s��....se :.•+-nx..y .� -.�o...wec: :dal.oer':*lz.+,_.. Finn ivame '�,\ Phone Plans Ennuner Phone Inspectors Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION j Are there structures on the property? 0 Yes 0 No What is the current property size? !Ives.identiAt on site olan (square feet or acres) //3/O Is any part of the property within 250 feet of a shoreline? What is the current use of this property? I ffves.:dentifv on site plan 0 Yes tq'No Is your property in a designated wildlife habitat area?, Will the site be served by a septic system?0 Yes 351.,No 0 Don't know 0 Yes p No is any part of the property within a ICO yr flood plain? Are or will there be wells located on the property? if yes,:dent/y on site plan If yes,identity on she site plan 0 Yes ,. No 0 Maybe 0 Don't know 0 Yes fd 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 Iffes,identify on site plan 0 Yes ,No Are there slopes greater than 3C%on the property?(30 ft rise in 1C0 ft) Are critical or hazardous materials used or stored on site? ( /%) 0 Yes .71 No 0 Yes "1 No DEPARTMENT USE ONLY xthe inr _.x..tedSi-�•.sz iterCotror.. ? I6'ECewr:..a,v�iat'-F -as. , _ Ye ,axrat � -• --- ,- -��`t , _,„ T�n - ,...„ _ T -ipsvmwa - , . - , w.. fl r � ' :; Zir.a% s3n .tt _ s .YiCZesi� t} • G+�r �*‘:::#1 .,-,.,; ;:-.... F ^ x -'PS, • ishepope iiSd liMSAS e . -5`14: es- L a upBlicwatez_aV1 le'"' haniii?r ':1 a , . ' , L',"-,:t ab' i:.* 'y,*z - ; +E,:t.. 'artr' eZ'Q..�v 'r:g Mi ,S.. Ti.:LLSfiiYY if L.+. 4. .aTm4lrGnM;9.ax. , sth ioprlisde utEa,•F-�SSAF .>rx. , "Y,.,es ,?MNN� ;4a._.-_ TIIipr6aFF Toaatwhwr3fCOO f�...""qsa' aaur . rrwe i ' -ati ?,,,g, y,t'.us ! ." � aea S 'e a io .-i- . xms�"`3.•r>?% , r �ait� 4 ^ -0-+ +sgG.�b;-,R , 1. .'':; _rw.3. a-:..'` .___ ,.-, e.-,ti.. �„.f"" S''.. . - +a.xr= .=r � .SEe"'"i �& ., - n- � S . __ZrT� -'<` . Date Received: Stall Representative•. METHOD OF PAYMENT -"* WOVE SUBTOTAL 0 0, t CHECK via ❑ CASH0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: `7//0/ E:{?IRES TOTAL:FEE 3AB IiCARD NUMBER: i" 4Thi irli PE rrrt lss;scorxEAS>_ MAKE CHECCS I'kY ABLE TO SPOKANE .AU HORIZED SIGNATURE: .. cot,- rr(P55'afl .CENTER° # - After recording, mail original to Owner: 4568873 1 of 1 0312312001 11:09A Monogram Homes PTONFFR. Mir f.1MPANY N IAA Snnkana (:n WA PO Box 602 Post Falls, ID 83877 TITLE NOTICE Description of property: Legal description:All lots in Woodland Terrace according to the plat filed in Vol I of plats, page 16 in Spokane County, Washington Parcel number(s):35c?3.3—.,210 Address of property: N/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.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 ip i e est. ]� Property Owner Name G r ° F ' '���o-Owner Name (Plea - j t (Please Print) Property Owner's Signaturer�:;:�,�fi%. - Co-Owner's Signature I ' Date Date Notary Public: 3f ZZ/ o I certify t 11►�W pg vve satisfactory evidence that eb R)ra E �E(-÷ is the person who appeared before me,and said person gM ackn �� y std igned this instrument and acknowledged it to be(his/her)free and voluntary act for the uses and purposes meSk341 % 40;:# vitt •. Signature (__- fLL t -L) : . ' The N&-1-0,1„,_ (�l i k C. 36eal er Stanipi•on • l • My appointment expires K) 030 • i SPECIAL AGREEMENT FOR BASEMENT INSPECTION Project Address _ r Ai/ S T R Project Owner MORT CONSTRUCTION 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 briefdesaipdon of the design and/or measures that will be utilized to prevent the entry of water,le, 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 verify 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: 10/26/2000 Basement Inspection Agreement I PART 1. OWNER REQUIREMENTS 1. Prior to construction of basement(s),the Owner agrees to employ an Architect or CMI 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: MORT CONSTRUCTION ADDRESS: 565 GREENFER- Y unnn POST 'F"ALLLS, IDAHO 83854 PHONE NUMBER: 208 777-3000 DATE: //`7". n i -i Azi BY: CLIFFORD E. MORT PRES. BY: .. • ,. (Print Name) (Aut•oFized Sighaf6re) Please retain a copy for your records Page 2 of 6 Basement Inspection Agreement I 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 deficiendes 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: MORT CONSTRUCTION ADDRESS: 565 GREENFERRY ROAD, POST FALLS, IDAHO 83854 PHONE NUMBER: 208 777-3000 DAT BY: CLIFFORD E. MORT PRES. i s /04;22, (Print Name) (Au. •rized Si. ature) Please retain a copy for your records Page 3 of 6 Basement Inspection Agreement PART 3. SPECIAL INSPECTOR REQUIREMENTS 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. 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: CUMMINGS GEOTECHNOLOGY ADDRESS: 2716 E. HILLCREST, COLBERT, WASH. 99005 PHONE NUMBER: 509 466-4350 DATE: 7// /e>/ SPECIAL INSPECTOR: V'G.rr.Z R. / (Print Names SPECIAL INSPECTOR: - 'V - (Authorized Signature) STATE OF WA. PROFESSIONAL ENGINEERS OR ARCHITECTS LICENSE NO. ,5 / 2 Please retain a copy for your records Page 5 of 6 Basement Inspection Agreement PART 2. ADDITIONAL REQUIREMENTS Exhibit 'A' Additional items, which require inspection for this project, are listed below: Page 6 of 6 PART 2. SPECIFIC REQUIREMENTS (Cont.) 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. This certification shall be made prior to the Spokane County Stormwater Utility's release of the final inspection for this project. Special Inspection Agreement page: 7 Spokane County Project No. j)etatC ir3 / 9 Base men t tod l/ Of- less . /zI�i / ale_ -1(. Gjit ' 4,g -ra�e cu ' 01 R jaw A 4 b'A G� P l y �-r / - 0027912 A., e As ala lk e.mi-4;c1A, Y . o 'Pcrs ti° 4 ' S10NAL ��j 7-6 �T�iN G�� F6440E- [EXPIRES ez -6 0 n i.--:. 1--rEg- 1:2 „,,- srHr^' '° :9 waif ���2ocK tI ox cis -' ,11-2” ,/ cii-eaw oncketle 9 ] .-ii 54aratw .. 1J .1 f.; T V V SITE TO BE DRAINED TO DEVELOPER'S DRAINAGE PLAN AT REAR OF LOT. 67Q �-- 4r/ s—, / AI/ Lvr "440414 / L 1..10 04 -VD -rine c: a FOUNDATION DRAIN PER GEOTECH REPORT. t ,r>s Ziff/ .�. /2qL-0w14J