2001, 04-25 Permit app: 01002900 Residence A
Project Number: 01002900 Inv: 1 o Application Date: 4/25/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE-NATURAL GAS Contact: MORT CONSTRUCTION
Address: 565 GREEN FERRY RD
C-S-Z: POST FALLS,ID 83800
Setbacks:Front 25 Left: 15 Right: 5 Rear: 30+ Phone: (208)777-7000
Group Name:
Site Information: Project Name
Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D
Parcel Number 3.2502 Block: 25 Lot: 1
SiteAddress: , 15TH AVE Owner:Name: MORT CONSTRUCTION
SPOKANE,WA USA 00000 Address: 565 GREEN FERRY RD
Location::SPO POST FALLS,ID 83800
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,475 Sq Ft Width: 50 Depth: 135 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .._.� . 0n914 ; ..
4?1 ,'ar"a
Department Review
BUILDING Site Plan Review T Released : • IF f ay` .. -a I
Hold Reasons: 1.134ACG-11-0(
Peunit Conditions:
BUILDING Plan Review Release® : •
Hold Reasons: 1144%
Permit Conditions:
ENGINEER Approach/DrainageReleased By: # .�-" _
Hold Reasons:
Permit Conditions: 01 -
UTILITIES Sewer Review '
Released By: - —
Hold Reasons: 6 ' ?tI()I 144 ._
Penult Conditions: `t/
PLANNING Landuse/Zoning I Released By:
Hold Reasons: �ZL ' I
Permit Conditions: fr
Permits: -
Project Number: 01002900 Inv: 1 Applitatiox Date: 4/25/01 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: 16 Stories: 1
Bldg W x D: 30 x 56 Building Sq Ft: 1196 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 396 $4,752.00 396 $4,752.00
RESIDENCE R-3 VN 1,196 $74,152.00 1,196 $74,152.00
Totals: 1,592 $78,904.00 1,592 $78,904.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $761.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $167.48
Permit Total Fees: $933.23
Mechanical Permit
Contractor: RANGER PLUMBING&HEATING Firm: RANGER PLUMBING&HEATING
Address: 1820 S EVERGREEN RD Phone: (509)879-3665
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $107.00
Project Number: 01002900 Inv: 1 Application Date: 4/25/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: RANGER PLUMBING&HEATING Firm: RANGER PLUMBING&HEATING
Address: 1820 S EVERGREEN RD Phone: (509)879-3665
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $78.00
Payment Summary: AMA. A. - B ;w . :
•
I Oct PROJECT APPLICATION WORK SHEET
ik
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
HJ SPOKANE,WA 99260
SPOKARE COUNTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: i( r A.- / 5'-(
Assessor's Tax Parcel Number s):
Legal Description:
'J / � J G ff- 21 e7,0 Z44. Q '76---,/<.,e s�,e=6,
Project Description: <..)iyG-X c---x-7:,,, Z7 A,..• 3
' Building Permit ❑ Change in Use ❑ Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
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OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
0 Owner: Phone: Zor 7,7 7- 7DO`& 0 Applicant: Phone:
(----
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Mailing Address: ///� Mailing Address:
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City,State,Zip I City,State,Zip
�s f ,,9A/, /4. d'3f. '4
0 Contractor Phone ❑Architect/Engineer Phone
5:4--'7i) 4 Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license X Contact name:
PROJECT
INFORMATION
L < Sa , 11 �U� qt * a^ ri
i �� � wT
, ,
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/ - / // 7G re--
Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft.
3e S' /j �-�
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
3 gln
Cost of project Heat source(electric,gas,etc.)
,e s
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
,' peola , pectrn e� rr� '14 ' orOv r e�avmterm -,-.00 ',.“:.-..',...,,,-ace10:i
:l« '.*. ,•°' 41r-4/3/4''''',4-s`.". . .fi". '' �.,. � m 'p.. +,.,. '.
j . . � >-<». "��` te .,.:;.;2,-.„_„:,,,,,,?, ,,,*:.
1 Firm Name Phone Plans Examiner Phone
I Inspectors: Address
1 Inspector Phone
0 Concrete 0 Welding O Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes ip No What is the current property size?
:f identi6,on site plan (square feet or acres) ,; 2(/ 21
is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identify on site plan O Yes 'No
is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes fa- No
is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
:hes,identi on site plan If yes,identify on the site plan O Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes 3 No
If yes,identify on site plan O Yes 132r No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) 0 Yes Ei No O Yes gi No
DEPARTMENT USE ONLY
�'7''- as t :i El"eS7 naLid- arra*ateh Con�. - <.e �. - ;•. �-F #s '€� iy..-'4 ., "'^
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Date Received: Staff Representative:
.14ETHOD OF PAYMENT
3 -- DIrcSVESUBTOTAL
❑ CASH E CHECK 0 EWEN ❑ 0 .,
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: V ---Viom/ EXPIRES: T`,
TOAkh;
O y
BANKCARD NUMBER:
AtJN7Mt ilPERhr/77f.i 7SS3SOaPLEASE
AUTHORIZED SIGNATURE: _) MAKE CIIECKSPAYAB E OSPOKANE
C- --X---./-.:-.--
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Y �j!'}/ COUNTY PERMIT'CENTER
•
SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING
ADMINISTRATIVE EXCEPTION
(Does not include Section 14.506.020 (6.c.)
A. GENERAL INFORMATION File no.: AE % - /l -
Street address of subject parcel: g,
Tax parcel no.(s): 3Z .2-50 2 Section: Township: Range:
Legal description: t*J'00 La/L/7 Te= Ate
Applicant: ) &N /4 th:704 . J//kg.T e57- 4e. Agent? Yes El No-el)
Street address: - ()<
City: � State: Zip: e-55
0--6735
Phone: -7 -7-7-7020P (home) �6 j `� �c� (work)
Current zoning: � s Comprehensive plan:
Current use of parcel: tLe.�� � � �l Z
B. SPECIFIC INFORMATION
Administrative exception requested (describe in terms of the standard from which you are seeking relief):
So Ge) Zv, '1/2 e:e)- ,-D1V 42 / 1
2 r6- -60 ( 5-1-4 la ii/2.-f-Zg/41EZ
Applicable chapter/section of code:
Explain reason for request: Aiee-.41 E' ,
142
I am the owner of record or authorized agent fur the proposed site.All of the above responses and those on the
supporting documents,ar_e made truthfully and to the best of my knowledge
4 ','
Signed: Date:-i��/ �
THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
NOTE: The applicant or an interested party may file an appeal within 20 calendar days of the above date of signing.
The appeal must be accompanied by the proper fee. Appeals may be filed as the Spokane County Division of Building
and Planning, 1026 West Broadway,Spokane, WA 99260(Section 14.412.041 of the Spokane County Zoning Code.)
ATTACH SITE PLAN WITH PROPER DIMENSIONS AND OTHER SUPPORTIVE
INFORMATION
SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING
1026 WEST BROADWAY AVENUE *SPOKANE, WA 99260
(509) 456-2205 Phone (509)456-2243 Fax
FOR STAFF USE ONLY: File no.:AE - // -
The County Building and Planning Divisio approv /denies this "administrative exception" for the
property described above, pursuant to the Zoning Code of Spokane County, Sections 14.506.000 and
14.506.020,g�
This administrative exception is subject to the following conditions and/or stipulations:
1) The applicant shall comply with all requirements and regulations of the Zoning Code.
2) The applicant shall comply with all requirements of the Spokane County Health District, County
Utilities Division and/or Engineering and Roads Division regarding wastewater disposal, on-site
water or public water systems and access.
3) The applicant shall comply with the following additional conditions:
This administrative exception shall run with the land.
�f71
Dated this,-2e/day of ge,A.4-t7 ,4449
01.--.4.---/ta-isc..----
Pk/Administrative Exception form(jef).doc/6-25-96
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This she plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal.All known property
tines/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands.
bodies of water,s . s••; o . " al - eas.
Signed: /
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