2005, 08-15 Permit: 05002939 Rd Obstruction for SewerSC'T'okane BUILDING DIVISION
p
..;oOValley 11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Site Information Project Information
Site Address: 13211 E ALKI AVE
Parcel Number: 45154.4704
Subdivision:
Block: Lot:
Zoning: UR -2 Urban Residential -22
Owner: HANSEN TRUST
Address: 1814 S MOLTER RD
LIBERTY LAKE, WA 99019 -9770
Building Inspector: BARRY HUSFLOEN
Water Dist:
RiPht of Way
Project Number: 05002939 Inv: 1 Issue Date: 08/15/2005
Permit Use: ROAD OBSTRUCTION FOR SEWER CONNECTION
Applicant: NORM'S Excavating
P.O. BOX 574
VERADALE, WA 99037
Contact: NORM'S Excavating
P.O. BOX 574
VERADALE, WA 99037
Setbacks - Front: Left:
Group Name:
Project Name: ROW
Permits
Phone: (509) 928 -0580
Phone: (509) 928 -0580
Right: Rear:
Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM
OBSTRUCTION / INSPECTION 1 $70.00
Total Permit Fee: $70.00
FOR RIGHT OF WAY INSPECTIONS CALL
(509) 869 -5373 ENGINEERING
Payment Summary
Total Fees AmountPaid AmountOwine Tran Date Receipt # Payment Amt
$70.00 $70.00 $0.00 08/15/2005 2378 $70.00
Processed By: JANSSEN, CHRISTINA PERMIT
Printed By: KURTZ, KARI Page I of I
NOTICE
The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes and that required
inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the
construction at the applicant's / permittee's or property owner's expense. At a minimum, the following inspections ARE
REQUIRED by City Code:
FOOTING — when forms and reinforcement are in place and prior to placement of concrete -all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane
Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable
setback provisions lies solely with the permittee- neither the City of Spokane Valley nor its authorized representatives assume any
responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to
properly locate the structure may require its relocation at the owner's /permittee's expense.
FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING — after rough -in, before covering, and final.
MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to
concealing.
FINAL — when complete and prior to occupancy and /or use. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site
plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access,
on -site drainage ('208' swales), road improvements, parking and landscaping are common requirements of a permit/site plan which must be
completed prior to final approval of a building or issuance of a Certificate of Occupancy.
MANUFACTURED HOMES — Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover.
RIGHT -OF- WAY /APPROACH — prior to placement of concrete /asphalt or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc. must
be inspected prior to cover. Check with the Building department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day /24 hour notice. Different parts of your project may require permits and inspections from more than one agency.
Building, plumbing (includes interior reversals for sewer) and
mechanical, City of Spokane Valley Building Division 688 -0054
Permits and inspections for electrical wining, State Department of Labor
And Industries 324 -2640
Permits and inspections for on -site septic systems, Spokane Regional
Health District 324 -1560
Road cuts for utilities or driveways, City of Spokane Valley
Public Works 688 -0195 or State Dept of Transportation
324 -6000
Permits and inspections for Sewer Connection, Spokane County Utilities Division
477 -3604
Fire sprinkler and alarm systems and private access road inspections, Spokane Valley
Fire Department 892 -4122
Stale law RCW 19.122 requires that prior to any excavation the "CALL BEFORE YOU DIG" center must be notified. Call before you dig at least 2 working days in advance, 456 -8000.
PERMIT EXPIRATION AND REFUNDS
All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is
abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is
finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
finish the original permit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be
authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner / Agent
Date
Staff Approval Date
Aug 15 05 09:59a
NORMS EXCAVATING
2Q1 JC1 p.3
Call 24 hours before inspection required -�o /N-)-)
�` Phone 509.688 -0195 Fax 509.688 -0037
C'VITI (11171 3MW
jValley DEPARTMENT OF PUBLIC WORKS
Anticipated start date 8/24105 Permit #
ROW CONSTRUCTION PERMIT
Account # 000122
Location of property 13211 E. Alki
(Address /Parcel #, if available)
Applicant Name Hansen
Address Same Fax 892 -0482
Contractor's Name Norm's Excavating, Inc.
Address PO Box 574 Veradale, WA 99037 Phone 5091928 -0580
Contractor's Reg# NORMSE1972BM Expires 01114/07
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
x Sewer Connection El Driveway
El Curti & Gutter M Gas InstallationlRepair
0 CablelConduit/Pole r-1 Sidewalk Repair /Construction
0 Other
Pavement Cut Dimensions
Bondlinsurance certification must be on rile with the City. tfona s
SPECIAL CONDITIONS:
Permittee Signature Approved Date
I hereby authorize the City of Spokane Valley to charge the fee For this permit to my credit card.
Card # Expiration Date 09/30/05
Name of Holder Sheila Gibbons Signature
Fees Paid$
70.00
Date Init
(Application) (Inspection)
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the pennittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed)
Date
Permit not valid until One -CaU Notification Ticket # entered here
PERN,UT MUST BE KEPT ON SITE
RUG 15 2005 10:13 PRGE.03