2000, 09-18 Permit App: 00008322 Residence Project Number: 00008322 Inv: 1 Application ate: 09/18/2000 + 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: MORT CONSTRUCTION
Address: 565 GREENFERRY
C-S-Z: POST FALLS ID 83800
Setbacks: Front 25 Left: 5 Right: 8 Rear: 54 Phone: (208)777-7000
Group Name:
Project Name:
Site Information:
Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D
Parcel Number: 35233.2508 Block: Lot: '1
SiteAddress: 4603 E 16TH AVE Owner: Name: MORT CONSTRUCTION
SPOKANE,WA USA 99206 Address: 565 GREENFERRY
Location::SPO POST FALLS ID 83800
Zoning: UNKN Unknown
Water District: 107 SPOKANE,CITY OF Hold: ❑
Area: 10,540 Sq Ft Width: 50 Depth: 125 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan ReviewReleased (tpb, 1, /p
Hold Reasons:
Permit Conditions:
BUILDING Plan Review Released By /
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage Released By:
Hold Reasons:
Permit Conditions: C Fll/AjoI2.•
BUILDING Special Reviews L2_ 1 Released By: .../ � .f/ /_/.t
1
Hold Reasons:
Permit Conditions: /f 4IPl 7�-{,L �(fi {i f 5 /Z/Co-
UTILITIES Sewer ReviewReleased B ,yLam,Yt`—.' Pebeo
Hold Reasons: LI
Permit Conditions:
Permits:
F 1
Project Number: 00008322 Inv: 1 Application Date: 09/18/2000 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: Stories: 1
Bldg W x D: 34 x 48 Building Sq Ft: 1792 Sprinklers: O
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description. Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 884 $10,219.04 884 $10,219.04
DECK R-3 VN 48 $353.28 48 $353.28
GARAGE U-1 VN 440 $5,280.00 440 $5,280.00
RESIDENCE R-3 VN 908 $56,296.00 908 $56,296.00
Totals: 2,280 $72,148.32 2,280 $72,148.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $723.75
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $159.23
Permit Total Fees: $887.48
Mechanical Permit
Contractor: COMFORT MECHANICAL Firm: COMFORT MECHANICAL CONT
Address: 310 N FLORA RD Phone: (509)928-0207
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
HOOD-TYPE II 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 4 #OF UNITS $4.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 2 NUMBER OF $20.00
Permit Total Fees: $96.00
Project,Number: 00008322 Inv: 1Application Date: 09/18/2000 Page 3 of 3
•THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: DAVIS BROTHERS PLUMBING Firm: DAVIS BROTHERS PLUMBING IN
Address: P 0 BOX 931 Phone: (509)927-4186
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $60.00
Payment Summary: �ti, . ��,, .
Operator: DMD Printed By: DMD Print Date: 09/18/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $887.48 $887.48 $0.00 $887.48
Mechanical Permit $96.00 $96.00 $0.00 $96.00
Plumbing Permit $60.00 $60.00 $0.00 $60.00
$1,043.48 $1,043.48 $0.00 $1,043.48
ROADS&DRAINAGE NOT APPROVED PER COUNTY ENGINEER
HOLD PERMITS-JEF 12/05/95 (ED PARRY)
•
! 1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
f SPOKANE,WA 99260
SPOI 11�Cour. rY 'CQQ)6 509-477-3675
Project Description: ( f
u/i)
TYPE OF APPLICATION
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Per mit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
4Legal Description:j r
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OWNER/APPLICANT INFORMATION
Indicate who should be contacted regarding this project
❑ ner: / / �, )P/hone: .I 't 1/ % %j�'� ❑Applicant: Phone:
iil
fl.frauidr : i Mailin Address:
M Address: g
'fes
City, �[e,Zip ! City,State,Zip
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❑ Con[rtor hone ❑Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
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113�'(�111
3 3
In OfI1RifJ
Building height to peak #of stories Main floor sq.ft. Unfinished}i e ent q.ft.__
Dimensions Total habitab s ace 2"d floors .ft. Finished basements .ft.
� P 9 q
[ > /"lt.rr�� •..
Occupancy groGp Construction type Garage q.ft, Deck sq. ( � __/
Cost of project Heat source(electric,gas,etc.)
e per,.:.'. s s c 9r al,' ` I ♦vc r _N .. 14 A. 'i ° ` 66401,1
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
r ' d za . l7 � ' 1 •• ' ;*". fx ;' n _ �i
R< .,. 4'''' .104•10S-4,1*.,, ,,,,*Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
El Concrete El Welding 0 Bolting El Reinforcement Address
ADJMTIONAL SITE INFORMATION
Are there structures on the property? El Yes l(No What is the current property size?
If yes,identifyon site plan (square feet or acres) V /. J
Is any part of the property within 250 feet of a shor_el pe? What is the current use of this property?
If yes,identify on site plan 0 Yes !a No
Is your property in a designated wildlife habitat area?/ Will the site be served by a septic system?El Yes f3'No
O Don't know El Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? 7
If yes,identify on site plan yes,identify on the site plan El Yes C3"No
El Maybe El Don't know El Yes 2(
No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? /
property? El Yes L3'No
If yes,identify on site plan El Yes No
Are there slopes greater than 30%on the property?(3Cyft rise in 100 ft) Are critical or hazardous materials used or stored on site
( — %) CI Yes Q No El Yes No
DEPARTMENT USE ONLY
Is the p,a�tty r a designated Stvrmwater Corttr1Areae 7 Is publi fewer 'atlaDte tiathe site Q 8.'4044,
1: Q Yes .Ey,N--6'•:::,'s, -:. , :c.-•.:•,4..'''!"..:!,:!:,..:•'3,7,4.P.,,,,--,,,,A'N;: .Z.1 if % A:11-,;r2=<
Is the ptopegSr inside the ASAI Ci Yes El No Is public water avatlable tq`the sit f• t a 4 &'
Cl;gYes:. Nc, *,:.4. w
Is the properly tustde the PSS`A?'� ' D Yes Ci No Is the property locat`eddwxthiu 1t�£eeoft a Natu d. l
3
Date Received: Staff Representative:
METHOD OF PAYMENT
+fC VE.< SUBTOTAL
VISA :
El CASH ❑ CHECK El ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
3
DATE: EXPIRES: ,
BANKCARD NUMBER: MI,NIMUr1 .4 lfrf'fE 1$14SDo �s �3
M44104±CIfPA,40.410:0:6 o t.,
AUTHORIZED SIGNATURE: COtiN'IYPPRIi3TFcE :l Z t
1.1W1 W ARM 12:48 2084578043 CRESCENT MONOGRAM HM PAGE 01
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