2001, 08-09 Permit App: 01006666 Residence Project Number: 01006666 Inv: 1 - Application D e: 8/9/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
......................................................................................................... ...
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: MORT CONSTRUCTION
Address: PO BOX 602
C-S-Z: POST FALLS ID 83854
Setbacks:Front 25 Left: 5 Right: 15 Rear: 48 Phone: (208)777-7000
Group Name:
Site Information: Project Name:
:::::::::.:.:......................................................................................................................................
Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D
Parcel Number: 35233.2607 Block: 26 Lot: 6
SiteAddress: 4702 E 15TH AVE Owner:Name: FIGY,NANCY
SPOKANE,WA USA 99202 Address: 4702 E 15TH
Location::SPO SPOKANE,WA 99202
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,475 Sq Ft Width: 50 Depth: 129 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Re
view In ormation: ::. ...._................................
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Department Review
BUILDING Site Plan ReviewReleased F. / ,r 4 � I
Hold Reasons:
Permit Conditions: �� q��e�
BUILDING Plan Review Released By: 'v�/L t�z,, 1
Hold Reasons: � V/
1
Permit Conditions:
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BUILDING pecia Yb(t L2( R lease l By: � s I/U
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Hold Reasons: {
Permit Conditions: ND ba-COYU L4 ,2 2 pDS O •
ENGINEER Approach/Drainage Released By: IN Q
Hold Reasons: nn
Permit Conditions: 1^+ o f ooc �\& n/ 01 A &i
CtA UTILITIES Sewer Review 0;� Released By
Hold Reasons: � � ��"
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Permit Conditions:
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Project Number: 01006666 Inv: 1 Application f Date: 8/9/2001 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: Occupant Load: Building Height: 16 Stories: 1
Bldg W x D: 30 x 56 Building Sq Ft: 1196 Sprinklers: 0
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: 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 3 #OF UNITS $3.00
VENTILATING FANS 3 NUMBER OF $30.00
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: $85.00
yr T. 1
Project Number: 01006666 Inv: 1 w Application. Date: 8/9/2001 Page 3 of 3
i
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
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
Operator: DMD Printed By: DMD Print Date: 8/9/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $933.23 $933.23 $0.00 $933.23
Mechanical Permit $85.00 $85.00 $0.00 $85.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,096.23 $1,096.23 $0.00 $1,096.23
ROADS&DRAINAGE NOT APPROVED PER COUNTY ENGINEER
HOLD PERMITS-JEF 12/05/95 (ED PARRY)
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iOci PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
iiiiiiik
SPOKANE,WA 99260
SPOKE COUNTY 509-477-3675 01 _ (0,
Lea
W SPECIFIC SITE INFORMATION
Street Address: LP U / "'
p
Assessor's Tax Parcel Number(s): 50 2 Cv C 2
Legal Description: /
Lor 6 eLo g 2 , iiii 012D e..4,1b 1 Act
Project Description: N£W aes1I CP'Ct
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor Sewer District/Purveyor Road width Setbacks
Front Rear:
School District Fire District: Zoning
Left Right:
OWNER/APPLICANT INFORMATION
El lnditvle who should be,onladed ts;,ardin1this prrjed
® Owner: l '/� Phone: CI Applicant: ` Phone 2.oSe-1'1 7-3,3,30
(3 Pcni L' {-`[1 6 y I:ax: f`O ftX CW 11 S Tie--k1 CI f o t'1 Fa.:
Mailing Address: Mailing Address:
Ni, 5 2-5 612-c-es -e-
City,State,Zip City,State,Zip
PoSr —1-11L-Ls I6A-u S385q
❑ Contractor
r
J ` Phone
F- ❑ Architect/I::ngineer Phone
J ILT ♦ J/--.)/ CT I:ax Fax
Mailing address Mailing address
City,State Zip Cin,State tip
WA State Contractor license# Contact name
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
I (' I l )qb —$-
Dimensions ,, Total habitable space 2' floor sq.ft. finished basement sq.ft.
3DX 5 e 1►1(, sce' -15' -----6-
Occupancy group Construction type Garage sq.ft. Deck,sq.ft.
(,->,";o0 FILA rer 3 6 e
Cost of project I leat source(electric,gas,etc.)
64-5
Z2
l / l'
35 e
I ti 4
Manufactured Home Sign
Width: Length: What is the square footage of the sign }low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector I'hone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes R) No What is the current property size?
I fye.,identi,b,on site plan (square feet or acres) S� ?e 12`i
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identq,on site p/an O Yes .® No V A c-rfr-1 t
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes ® No
O Don't know 0 Yes ® No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
If yes,identify on site plan Ifyes,identtb,on the site plan 0 Yes ® No
0 Maybe 0 Don't know 0 Yes 0 No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identify on site plan O Yes ® No 0 Yes ® No
Arc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
0 Yes 171 No 0 Yes M No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
DYes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
D Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
DYes ONo
Date Received: Staff Representative:
METHOD OF PAYMENT
Nimin 1101E1 sUBIDTyl.
VISA
❑ CASlI ❑ CHECK ❑ ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
'APIRI?S: TOTAL FEE
B.ANKC.1RI)NUMBI(R: MINIMUM PERMIT FEE IS$35.00PLI ASE
3r1KE CHECKS PAYABLE To SPOKANE
ALM IORIZFD SIGNATURE: COUNTY PERMIT CFNMIt
tr w r a
PLUMBING PERMIT APPLICATION
•
PROJECT PERMIT
ADDRESS: USE:
OWNER: PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE:
MAILING ADDRESS: PHONE:
(Street) (City/State) (Zip)
PLUMBING FIXTURES
#OF MULTI- COST/ AMOUNT
DESCRIPTION DETAIL UNITS pBri UNIT EQUALS
7 TOILETS WATER CLOSETS,BIDETS 2 x $6 —
B03 URINALS x $6 —
B04 TUBS - 4.2x $6 —
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 —
B06 SINKS LAYS/BASINS,BAR,FLOOR, x $6 —
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD 3
(PREP/CULINARY/MEAT
B07 DISHWASHER - ( x $6 —
B08 CLOTHES WASHER - I x $6 —
B09 GARBAGE DISPOSAL/GRINDER - I x $6 —
B10' WATER SOFTENER - x $6 —
B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 -
mechanical)
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x $6 —
CONDENSATE
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 —
(ea.)
B14 FOUNTAINS,DRINKING - x $6 —
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 —
VENT/PLUMBING REVERSALS REPAIR,REVERSALS
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 —
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, 2 x $6 —
HOSE BIB,STEAMER,PROOFER, 3
CARBONATOR,SWAMP COOLERS
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 —
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 —
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 —
B21 MISCELLANEOUS FIXTURES $6 —
METHOD OF PAYMENT SUBTOTAL
....................... ..
PLUS PROCESSING FEE $ 25.00
-
❑ CASH 0 CHECK 0 0 t' 0 .
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
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MECHANICAL PERMIT APPLICATION
PROJECT PERMIT
ADDRESS: USE:
OWNER: 1 PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: �` LICENSE:
FkOft ' l..n>avSTJ)c.TLDJ ,-JC.
MAILING ADDRESS: PHONE:
N v S ZS �,�cz-TJFcfte k4 - 7 �-J b
044. 'cel-Lc,. 111 "-SS.5-11
(Street) (City/State) (Zip)
#OF MULTI- COST/ AMOUNT
PLIED
DESCRIPTION OF WORK UNITS BY UNIT EQUALS
B02 FUEL BURNING APPLIANCE -OR <100,.000 1 X $12 - $
B03 FUEL BURNING APPLIANCE >100,000 X $15 - $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE -OR <400,.000 X $50 - $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 $
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) -OR<400,.000 X $50 - $
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 — $
B08 BOILER/REFRIGERATION 1-100M BTU X $12 - $
B09 BOILER/REFRIGERATION 101-500M BTU X $20 - $
B10 BOILER/REFRIGERATION 501-1,000M BTU X $25 - $
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 - $
B12 BOILER/REFRIGERATION +1,750M BTU X $60 - $
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACEJ X $10 - $
B14 RANGEX $10 - $
B15 DRYERX $10 - $
B16 FUEL BURNING WATER HEATERj X $10 - $
B17 MISCELLANEOUS FUEL BURNING APPLIANCEX $10 - $
B18 GAS PIPING(ea.Outlet) X $1 = $
B19 DUCT SYSTEMS - _ X $10 - $
B20 VENTILATING FANS - 4 X $10 - $
B21 AIR HANDLER(DOES NOT include duct systems) -OR <10,000 CFM X $12 - $
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 - $
B23 EVAPORATIVE COOLERS - X $10 - $
B24 TYPE I HOOD - X $50 - $
B25 TYPE II HOOD - X $10 - $
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 - $
B27 AIR CONDITIONER 3-15 TONS X $20 - $
B28 AIR CONDITIONER 15-30 TONS X $25 - $
B29 AIR CONDITIONER 30-50 TONS X $35 - $
B30 AIR CONDITIONER +50 TONS X $60 - $
B31 LPG STORAGE TANK - X $10 - $
B32 WOOD OR PELLET STOVE/INSERT - X $25 - $
METHOD OF PAYMENT SUBTOTAL
VISA ,Ic - PLUS PROCESSING FEE $ 25.00
0 CASH 1:1 CHECK ❑ 0 ' ❑ -
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
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obtaining a building permit and is a true and correct
representation of the proposal.All known property
fines/dimensions curb lines.structures and easements
have be idents.tied. tlands,
N. bodie of w- steep . -4._,--1,!..-. -1 areas.
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Date:
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