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2001, 07-13 Permit App: 01005725 Residence Project Number: 01005725 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 Information: 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: 15 Right: 5 Rear: 52+ Phone: (208)667-6988 / Group Name: V Site Information: Project Name: Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D Parcel Number: 35233.2310 Block: 23 Lot: 7 SiteAddress: 4403 E 16TH AVE Owner:Name: MORT CONSTRUCTION SPOKANE,WA USA 99206 Address: 565 GREENFERRY RD /`7 Location::SPO POST FALLS ID 83854 1- } % J Zoning: UR-3.5 Urban Residential 3.5 Water District: 107 SPOKANE,CITY OF Hold: ❑ Area: 0 Sq Ft Width: 50 Depth: 129 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: "a.�x..> ��- ., t Department Review BUILDING Site Plan Review Release7 — i - 45 Pt/ Hold Reasons: Permit Conditions: BUILDING Plan Review �'"f" " j Released By: - "1 J � � `..-' _ -ter"-= Hold Reasons: Permit Conditions: i ENGINEER Approach/Drainager0_1 PP � Released By: �.." 7V Hold Reasons: Permit Conditions: nQ 4OX 4) _Ai O 1 1 i KI II UTILITIES Sewer Review / + [Released By _P7 qt r S: O/ L da ' l tC s�: Permits 'v ,a nr _ . ".:. I. "Aar.' , �' ,or , Air ;1.A.4.4 / --A..i 7 .7 4E -�3-O) • • r • Project Number: 01005725 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: 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 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: 01005725 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 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 Payment Summary: Operator: JAS Printed By: JAS Print Date: 7/13/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $933.23 $933.23 $0.00 $933.23 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $66.00 $66.00 $0.00 $66.00 $1,073.23 $1,073.23 $0.00 $1,073.23 ROADS&DRAINAGE NOT APPROVED PER COUNTY ENGINEER HOLD PERMITS-JEF 12/05/95 (ED PARRY) 1 ..1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE � �� SPOKANE, WA 99260 SPOKk-1I`I COUNTY 509-477 3675 SPECIFIC SITE INFORMATION Street Address: /6 71 <74 Assessor's Tax Parcel Number(s): ETD,D-3- c'� • Legal Description: `�'� L-G-7- 7 /3 Lo "2—"S Lt ocgL/-_,1470 L-&RR Project Description: ,r/ h. if , /L^‘•✓G g. - - Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant (New/Change) 1 0 Other I ., a — r s n fj s _ ,., a . Deparr, ent Lase OO fly .4 - .e. . _ -,_ a .. -� z. UoterDtst c A.,.ii or SewerDisutctZPtuveyor : Ro3-xtath -+ Sctbac r°"' ix>, xt .L 3' �}+' ;.--.71 MAY c loot•Duircc Fire Dtstrr Zontng - 3 1 7- g-t< _' 's -Y i, } Lct Rtgnt 1 .4 _.,> OWNER/APPLICANT INFOR"LATION El indicate who should he cortsced.relardinz_hes rroiecr :finer: Phone: i.-o' 7 77-70et 0 Applicant: Phone: ,1110,R71" Cf�4/3/ lac//CJ!/ Fax: ?-4r 7s7 5-,•-7 -CA 40/ Fat: `haling Ausress: Mailing Address: S' . C ,e '1,fr°-eA-Ar / '.t) • City,State,2-:o Cr,,State,Zip > sT cA/L IOM/i o 5'5-y 0 Contactor Phone 0 Architect/Engineer Phone 2�� Fax Fax ).tatiing redress Mailing address Cry,State Zip City,State Zip -VA State Contractor license I Contact name. PROJECT INFORMATION Builnine- Information u es_ rt 'Butiding aeigat to peak g of stories I iMatn floor sq.ft. Unfinished b meat sq.ft. // 9,6 . 'Dimensions Total S:bitaoie space ="°floor sq.it. Finished basement sq.It. i 7' Ccc:pane-;;:roup 'Construction:}'pe Gu:ge sq.ft. 'Deck sa.t. 39 1Cost )t project i-feat source ieieer:c.;as,etc.) ,;cC)0 -,0f .AS r fardI e.., ; ' r� rat ;—tManuctueom , � .-' xis nl:I-- '- '"= ', x= 4qtri , .++ex+,he, . ....:.z.: "l L:g,$;.-t`rJK .4zn 'uh ..2 ; F:::4 .,:.. ME+�e .'�1--; ; -, +' Width: Length: What is the square footage of the sign How high is the sign? face? iYeari M3lte: d of signs Area of existing signs I '�T ax e'er aT'.+t v*as-tea •- r- .:j •a ,:e-46,4,..—?;;;; «^ " _,� ,� . Re1©eat.On . Z � ,fit .arsit oalety a _r-. , "�z ..-,�_ >p:x;.�e � ar.�r 4s..A"DA .« 4 :w.,Ck@{"!a�+''� �.,.�,..._:T.it,ez+s ,:<0....-___. .-4--,*,, t. :. t m :C TAT .+v+k 1Previous address Fire Sprinkler Tent Paint booth Fire Alarm _ \ Fireworks display \ IProposed use Value 1.-:-::-‘.a "'".i..t ^i.L. +, + r.-r i y ..Z:3,1,,,,,t r r ' s. }; 3 . `s talc .T.,Ttb.. .♦ pecial Inspections Requi d. , -... 4. , ^ `:Noxa Resrdential Energy Bode om Firm Name Phone Plans Examiner Phone Inspectors Address Inspector Phone O Concrete 0 Welding 0 Bolting\O Reinforcement Address ADDITIONAL SITE INFORMATION i Are there structures on the property? 0 Yes Z No What is the current property size? s If'VS.identir:on site'Lan (sauare feet or acres) C9 z-Ae Is any part of the property within 250 feet of a shoreline? What is the current use of this property? 1 If-les,identify on site clan 0 Yes cr No Is your property in a designated wildlife habitat area?, Will the site be served by a septic system?0 Yes No 0 Don't know 0 Yes St7 No is an•. part of the property within a ICO yr flood plain? Are or will there be wells located on the property? if yes,identify on site plan If yes,identify on the site plan 0 Yes ,11. No 0 Maybe 0 Don't know 0 Yes tl No I Are there any wetlands,streams or ponds within 2C0 feet of the Is there evidence of fill or excavation on the property? property? 0 Yes . No If-les,fdentifv on site plan 0 Yes h No Are there slopes greater than 30%on the property?(30 ft rise in 1C0 hj Are critical or hazardous materials used or stored on site? ( %I 0 Yes A No 0 Yes No DEPARTMENT USE ONLY Ix t e.-frO ercg sn designated ScQrmwacei OFb iacik 4'rea- . • Is u6ltceweer a alafile:totfie sit _,;.....:t044___ rQnYes© o .?..� ,. _S py ,..:%,xi ,rc;.317s 4 i.. w."c.74:1'. 4 �}�-_ -' 3: tz "f v-Ci�,'f ,'rs '.t'- ms'µ t�.> .."-i i ,....s;."? ,t4 *zr:. ��, r,-r-ala:-.r.[+ia ,.�.-:.,r ,ev<.m. -+v...u.� ..CJ:.xr 1`� �".d,, v-...,-",..c-x.+.',s'., -. ._... .IMCs=:.+'cvu, ` -ars a. "�tlie__j or pew zristdeihe,ASAI `� "'tT{v sees MTM,No F " Itilialsc�iiirvatla1le_'zadiaiie.> ;,h" aha. 2.:.�^ .„4 �. w . ,;u. ,:,^.1!•,:%.7.'..,.--, - T " s `"' " "s 41' s..s .w a-.,, �;�„, .. s- S•= Qo. r ' :- �._ ..moi. -..'7 .....%.. -.ra.:..•.�!'ey:�'_ •� ...A.r .�`+n.l;-.:�'mA�::.,.__zL�,:u.+:r?i w>`.ieXti."2'..�de�_:..a.?..,_.m.e...�_ ��t-3+: 4:3. � •�',-�'^r Li the proper:tr.tnsrdEihe PSSA2' 3z S" Yes `f •'lila .-R p p 4 '` '? ; .x ta'i,t " -i 'S .4.-«+e: ;g .ire ,. -.IS LI1C LO e� IOC,..—-tr1thln--�0 ;'. �eSOUr ea •- • ...._.i'=. -�.....f:. - ..=�_ .'," w,.:. �. ._° .. .- �� '^ww.'-`h".";.„*+�' •__''`• ''” `m':':.xw.sr..-.��2 �'� 1� . ... .�Wti_ nM�.eS��C.i,.1,`10•-'�.:.�" ee Date Received: Stall Representative: METHOD OF PAYMENT SUBTOTAL ❑ CASH 42 CHECK ❑ rEZZa El ._-- _-z ❑ •= FA:CD PERMITS WILL NLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: y 1,1- E9/ E:{?LRES: TOTAL FEE 3Ai`ZiCaRD NUMBER: ) •i /yI. rPa rrt IS �fAUG ECS? 'TOSPOKANE A :rORIZED SIGNATURE: �c / _. . ER4ITER.. G' ,. -----s--.. 0 ..-)0 __ ._____ , . ___ kokii__,,,,., - , Y _ _ __. , ,..., • _ .. . _ „. ... . . . _.. . _ _ _ _ .___ ._ _ ._. : _ . __ __._. „ _ __ . . . . ... .____ __. . „ .. _... . . - _ -- i.,.„ _ _ , , _ ___ ..._ _ ,_ __ ...... , . ___ , ,,, . _ \ „s, . , \ . . _ _ .,. , __ . . ,6 _ \ ....._____ , 4,,,..,o a ga �s , ,,,„ A '...;,�°fi, peep bn„` ,;`",S. S0'4 , '$�, A,�ry ,•;: ^,... rte., - ale. jee,' e`',^� oC/ y' r:`C`-of \11. T o_ fea Seg `�.,v/fr®cf .3V- .....„....;___ 3V- e RI 11 t l ---._ ` \,. 4:77c) ADDRESS 46-3 22 ZONE �- !; ROAD WIDTH .- -11-4- _. -.._._. FRONTS FLANKI G 11 COMMENTS Y REVIEWED :k ift► ,-E ,3_O/ - 1.-Q4"-1 ./ ' 5.0 ' /°4_,,+A/ //. -,E' L-4irAr C1d ,-4--- // f —.--%-3 �a s /12c n L e.GA Z- z--0--r-7 di-©c/< ;-3 tvOei#04_44ii,4 -L--RQAGE , •21° 54.01.---. / 41,44 . . ` , _ Vq ' h/!LG°6-1"