2007, 10-30 Permit App: 07001898 ResidenceRroject Number: 07001898 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2007 Page 1 of 4
Project Information:
Permit Use: NEW SFR W/ATT GAR
Contact: RICK BYE
Address: PO BOX 1274
C - S - Z: VEREDALE, WA 99037
Setbacks: Front 37 Left: 5 Right: 5 Rear: 24 Phone: (509) 995-8232
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 35243.0984
Block: Lot:
SiteAddress: 1321 S BETTMAN AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District. 100 SPO CO WATER DIST#3A Hold: ❑
Owner: Name: BYE, JOHN F & TONYA MARIE
Address: PO BOX 1274
VERADALE, WA 99037
Area: 6,750 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0 - - -
Review Information:
Review
Flood Plain
Released By: •
Building Plan Review
Originally Released: 5/30/2007 By: MSUKUP
Released By: -
Other Reviews
Originally Released: 5/31/2007. By: TMELBOU
Released
Potable Water Review
Originally Released: 10/29/2007 By: jdavis
Released By:
Originally Released: 5/30/2007 By: jdavis
Operator: JD Printed By: jmm
Print Date: 10/30/2007
Project Number: 07001898 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2007 Page 2 of 4
Landuse/Zoning/HE Conditions
Released By: - - -
Originally Released:
Sewer Review
5/24/2007 By: cjjanssen
.Released By:
Originally Released:
6/18/2007 By: jdavis
Permits•
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Building Height 25
Description Grp Type, Notes
1&2 FAMILY R-3 VB 1663 SF -
$13591.00
2ND FLOOR R-3 VB 2ND
FLOOR
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
This Application:
Se Ft Valuation
0 $138,340.68
910 $67,958.80
212 $3,180.00
1,044 $19,836.00
Totals: 2,166 $229,315.48
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
Total Project:
Sq F( Valuation ':•
0 $138,340.68
910 $67,958.80
212 $3,180.00
1,044 $19,836.00
2,166 $229,315.48
Fee Amount
$1,721.75
$4.50
$688.70
$2,414.95
10/30/2007
Project Number: 07001898
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2007 Page 3 of 4
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: CAREY ROEMER PLUMBING
SPOKANE VALLEY, WA 99206
Item Description
TOILETSBIDETS
SINKS -' -
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
Mechanical Permit
Firm: OWNER
Phone
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
5 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Units
2
4'
2
1
1
1
3
1
Operator: JD Printed By: jmm
Permit Total Fees:
Plumbing Permit
(000) 000-0000
Fee Amount
$10.00
$20.00
$5.00
$30.00
$10.00
$10.00
$10.00
$10.00
. $105.00
• Firm:,.. CAREY ROEMER PLUMBING
' Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00 .
•
• $24.00 "
$12.00
$6.00
$6.00
$6.00
$18.00
$6.00
$90.00
10/30/2007
Project Number: 07001898 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2007
Notes-
PRIOR
otes PRIOR TO ISSUANCE OF THE C OF 0 AND OCCUPANCY OF THE STRUCTURE:
1) THE DRIVEWAY ACCESSES MUST BE CERTIFIED TO BE FREE OF THE DEVIATIONS
NOTED IN THE OCTOBER 18, 2007 CERTIFICATION BY STORHAUG ENGINEERING AND
BE ACCEPTED BY THE CITY OF SPOKANE VALLEY AND SPOKANE VALLEY FIRE
DISTRICT 1.
2) NOTE: THE ROAD AS CURRENTLY INSTALLED IS NOT IN COMPLIANCE WITH THE
CITY'S DRAINAGE REQUIREMENTS OR THE FIRE DEPARTMENT'S ACCESS STANDARDS
OR THE APPROVED PLANS FOR PROJECT #05002240 AND 05002241.
BETTMAN'S ADDITION - LOTS 7 THROUGH 18 OF BLOCK 8; AND LOTS 9, 10, 15 AND 16
OF BLOCK 5 HAVE BEEN PULLED OUT OF THE FLOOD PLAIN. SEE PLAT FILE.
Payment Summary.
Permit Type Fee Amount
Building Permit $2,414.95
Mechanical Permit $105.00
Plumbing Permit $90.00
Page 4 of 4
Invoice Amount
$2,414.95
$105.00
$90.00
Amount Paid
$0.00
• $0.00
$0.00 .
Amount Owing
$2,414.95
$105.00
$90.00.
$2,609.95 $2,609.95 $0.00 ' ' $2,609.95
Disclaimer: •
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
-contained within'to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
eomplied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of; ariy: violation of any of
the provisions of the code or of any other state or local laws or ordinances.;- . .
Signature:
Operator: JD Printed By: jmm
Print Date: 10/30/2007
Project Number: 07001898 Inv.
Application
IIIIDate: 5/22/2007 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 37 Left: 5 . Right: 5 Rear: 24
Site Information:
Plat Key:
Contact: RICK BYE
Address: PO BOX 1274
C - S - Z: VEREDALE, WA 99037
Phone: (509) 995-8232
Group Name:
Project Name:
Name: Range
District: Sout
Parcel Number: 35243.0984 Block:
SiteAddress: 0 U S UNKNOWN AVE
Location:: CSV
Lot:
Owner: Name: WATKINS NORTHWEST, LLC
Address: 2219 S DUSK LN
SPOKANE VALLEY, WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District 100 SPO CO WATER DIST#3A Hold: ❑
Area: 6,750 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Flood Plain
4—Pin
2 ^AI'(
Building Plan Review
Released By: -
-Released By:
Other Reviews
Released By: - - - -
Driveway/Approach
Released By:
Potable Water Review
Released By:
Operator: JD Printed By: JD
Print Date: 5/22/2007
Project Number: 07001898 Inv
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
®Date: 5/22/2007 Page 2 of 3
Released
Sewer Review
Permits •
Contractor: OWNER
Building Height 25
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
DescriptionGrp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,667 $152,297.12 1,667 5152,297:12
2ND FLOOR R-3 VB 700 $52,276.00 700 $52,276.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE 11
Totals: 2,367 $204,573.12 2,367 $204,573.12
Units Unit Desc Fee Amount
1 SELECT $1,581.75
1 SELECT $4.50
1 SELECT $632.70
Permit Total Fees: $2,218.95
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
5 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: JD
Fee Amount
$10.00
$20.00
$5.00
$30.00
$10.00
$10.00
$10.00
$10.00
Permit Total Fees: $105.00
Print Date: 5/22/2007
Project Number: 07001898 Inv.
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
•Date: 5/22/2007
Project Information:
Page 1 of 3
Permit Use: SFR W/ATT GAR
Setbacks: Front 37 Left: 5 Right: 5 Rear: 24
Site Information:
Plat Key:
Contact: RICK BYE
Address: PO BOX 1274
C - S - Z: VEREDALE, WA 99037
Phone: (509) 995-8232
Group Name:
Project Name:
Name: Range
District: Sout
Parcel Number: 35243.0984
Block: Lot:
SiteAddress: 0 U S UNKNOWN AVE
Location:: CSV
Owner: Name: WATKINS NORTHWEST, LLC
Address: 2219 S DUSK LN
SPOKANE VALLEY, WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: 6,750 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information
Review
Flood Plain
Released By: Ttj 1
cBuilding Plan Ry_.eviy
Released By:
Other Reviews
Released By:
Driveway/Approach
Released By:
Potable Water Review
Released By:
Operator: JD Printed By: JD
Print Date: 5/22/2007
Project Number: 07001898 Inv.
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2007
Landuse/Zoning/HE Conditions
Page 2 of 3
Released By::, =
Sewer Review
Permits:
Contractor: OWNER
uilding Height 25
-ISIL� Description Grp
I&2 FAMILY R-3
—
2ND FLOOR R-3
GA= to
Cat/ tyc-e(C ti -3
Item Description
RESIDENTIAL PERMIT, FEE
WSBC SURCHARGE
SF PLNS RVW <7999 SQ FT
Building Permit
Firm: OWNER
Phone
Building Characteristics
(000)000-0000
This Application:
Total Project:
Iva Notes Sq Ft Valuation So Ft Valuation
VB /S43 1.66' $152,297.12 1,667 $152,297.12'
VB 9!C 1011 $52,276.00 700 $52,276.00
Jd(3 o u`7,,�
•�5 Totalsa/ $204,573.12 2,367 $204,573.12
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Units
1
2
5
3
1
1
1
1
Operator: JD • Printed By: JD
Fee Amount
$1,581.75
$4.50
$632.70
$2,218.95
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$20.00
$5.00
$30.00
$10.00
$10.00
$10.00
$10.00
$105.00
5/22/2007
Spokane
coolcval
Community Development Y
Residential/Crons c?ib'iLip IX New Construction Accessory Bldg
Permit Application
�" II ❑ Addition/Remodel ❑Deck
LJ I(/ in fl Other:
Permit Center
11703 E e S uAve, Suite B-3
Spokane VW, WA 99206
/(509)688-01036 FAX: (509)688-0037
ww«. spokanera l Ey. org
n
4 PERMIT NUMBER: I 9 O
PERMIT FEE:
SITE ADDRESS:
l3a I s. 3E1ytftiAl
ASSESSORS PARCEL NO: 35)-43 . O cf, LEGAL DESCRIPTION:
•BuildiiOwner
Coritractdrr' «' 14
Name:
Name:
Address: no -6f))0! /3,J,/.
!
Address:
City:
liF,Co4a41 r ,. State: (AL Zip: wo37
City: State: Zip:
Phone: co9 cyq{_ c) 3 i Fax: ix,' 3 is— r�
/
Phone: Fax:
DECK/COV. PATIO SQ. FTG:
Contractor Lic No: Exp Date:
;ContacfPerson .�' 'r`.>� � �°�' .'.i _
COTTRUCTION TY/E:
5'i'e.k -E-�.t,L,-r
City Business Lic. No:
As
Name: "%tin ( Yi) s7 re
Phone:
Describe the scope of work in detail:
�7 ,11 \\ 3 Cost of Project: $ /06(000
-L ILb A)6c3 Roc? t� e.c - �EZ a&Ph y.7I A -74 67.4L46
Proposed Use: 5 )7_i ' f grvt.tr ES/ DT -2c �y
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: /
as
DIMENSIONS:
qa x 70
# OF STORIES:
/ iv
TOTAL HABITABLE SPACE:
:23 G
MAIN FLOOR TO SQ.
FTG: Il/ �7
2Nu FLOOR SQ. FTG:
�
Lo i--.--t101�
UNFIN BASEMENT SQ. FTG:
�J
IMPERVIOUSgSURFACE
AREA: / 1(0 i
FINISHED BASEMENT
SQ. FTG: Nil—
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: /1%0
# OF BEDROOMS:
3
COTTRUCTION TY/E:
5'i'e.k -E-�.t,L,-r
HEATC
64 s/flvOU l .r
SEWER OR SEPTIC?
Set -JCL -
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
ethod of Payment:
❑ Cash
Bankcard #:
Authorized Signatun
REVISED 2/15/07
❑ Check
❑ Mastercard
Expires:
VISA
IN#:
•
QIYRSpo�V ney�+a
,\Talley
•
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 1 Fax: 509.688.0037 ♦ cityhatl@spokanevalley.org
Residential Plan Submittal Minimums
O Completed Building & Mechanical application with: Accurate address, Parcel
Number and/or Legal Description, description of work, owner and contractor
information, signature, and date.
O Two sets of plans including Site Plan, elevations, floor plans, foundation plans
With details, roof plan, framing plans & details.
❑ Show the height of any proposed buildings or accessory structures.
O Floor plan for each floor: Dimension to scale (minimum 1/8") and label each
Room (including sq. footage of house and garage on plans) Show each
level of existing house and square footage of any additions.
❑ All braced wall panel types: show locations and details of installation, including
engineered design.
❑ Egress windows: Provide at least one window or exterior door approved for.
Emergency escape or rescue from a basement and in every room for sleeping.
❑ Smoke detector locations
❑ 22" X 30" attic access location
❑ 18" X 24" crawl space access:
❑ One-hour separation detail: between house and garage
❑ Floor framing details: Joist type, size, spacing and installation details
❑ Roof framing plan and details
❑ Furnace and hot water heater location.
❑ All header locations: type, size, and connections
❑ Foundation plan
O Insulation information
SptikaUalley
Permit Center •
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.snokanevallev.oru
Mechanical Permit Application [1 Commercial [g Residential
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: / / Ai
Building Owners
-
- -
Name: 'J1 n /
dZ
r
Phone:
Fax.
Address.p‘o 130
���
Ci
City: IrA.� r}1_c
State:
1 A
Zip:9-
9,o39
Contractor r
- -
_
_
- -
Name. 7I/1
Phone.
Fax:
Address: '
City:
.1 0�. A.}6
State
J 4
Zip: 0
License No'
e5
City Busrn s Lic:
Contact'
Name'
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
GAS APPLIANCE
Equal to or less than 100,000
X
$12 00
2
GAS APPLIANCE
More than 100,000
X
$15 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
$50 00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100 00
5
USED APPLIANCE (NSEC min AFUE rating)
Equal to or less than 400,000
X
$50 00
6
USED APPLIANCE (WSEC min AFUE rating)
More than 400,000
X
$100 00
7
BOILER/REFRIGERATION
1- 100M BTU
X
$1200
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25 00
10
BOILE FUREFRI GERATI ON
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
/
X
510 00
/0'=
13
RANGE
/
X
51000
14
DRYER
/
X
$10.00
!9�
/0
15
GAS WATER HEATER
X
$10 00
16
MISC GAS APPLIANCE
X
$1000
17
GAS PIPING (each outlet)
S
X
51.00
18
DUCT SYSTEMS
X
510 00
Sr_
/090
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
3
X
$10 00
X
$1200
3 av
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15 00
22
EVAPORATIVE COOLERS
X
510 00
23
TYPE I HOOD
X
$50 00
24
TYPE II HOOD
x
$10 00
/DC
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$1200
26
AIR CONDITIONER
3-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
$25 00
28
AIR CONDITIONER
30-50 TON
X
535 00
29
AIR CONDITIONER
More than 50 TON
X
$60 00
30
LPG STORAGE TANK
X
510 00
31
WOOD OR PELLET STOVE/INSERT
X
510 00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR 8 ADDITIONS
x
$15.00
34
VENTILATION SYSTEMS
x
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR — RESIDENCE
X
519.00
37
INCINERATOR — COMMERCIAL
x
522.00
METHOD OF PAYMENT:
DCASH D CHECK D VISA DMC
CARD /4.
AUTHORIZED SIGNATURE:
REVISED 8C6/05
EXPIRES.
VIN:
SUBTOTAL
PROCESSING FEE
?gr
$35.00
TOTAL PERMIT FEE DUE:
35L9
kPermit Center
Sprague Sprague Ave, Suite B-3
Spokane Valley, WA 99206
Spoane
/s 7
(509)688-k0036 FAX:ll(509)688-0037
Valley wwwsoncv.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ki Residential
SITE ADDRESS: /(
r
Building Owner1 ` �f
i
Name:
Name:
G)
Phone: / S-_ y ?'� Fax:
Address
1 n f IS,+K1 0:74-
City: (AC -7( .••�-b4-L6 State: WA
Zip: '7o3 I7
Contractor
Name:
,'-vAr r- y �.' „ c -z„ -I ;-�
Phone:
tic/ - 3 /3 7
Fax
Address:
/y5't ,-0,QoY&' )
City. S� z /
rc q,�c bku
State
W7
Zip:•79' (v
License No:
Re t; M Lc ce 01.47,..--7
�(`
City B siness Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
56 00
2
URINALS
X
56 00
3
TUBS
2-
x
56 00
4
SHOWERS (PER TRAP) •
BATH, STALL, ON-SITE BUILT
X
•
,5
SINKS .
LAVS/BASINS. BAR, FLOOR, KITCHEN.
LAUNDRY, UTILITY, JANITOR, PHOTO; :
X-RAY, FOOD. PREP/CULINARY MEAT
.X
$600 -.
04-
6
DISHWASHER "
X
' 56.00 •
4,
7
CLOTHES WASHER
X
$6 00
8
GARBAGE DISPOSAL •- '
X
$6 00
9
WATER SOFTENER
x
• 56.00
10
ELECTRIC HOT WATER TANK •
NOTE IF GAS, SEE MECHANICAL"
X
'$600'
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
56 00
13
FOUNTAINS. DRINKING
X
56,00
14
WATER PIPING/DRAIN-IN WASTE.
VENT, PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR,
• REVERSALS
X
$6 00
6'"
15
SEWAGE EJECTOR
GRINDER. SUMP PUMP
X
56 00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB.
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
3
X
56 00
1,j
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P B.P.D. FOR: VATS, TANKS.
BOILERS
X
56 00
18
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
X
$6 00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56 00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56 00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
['CASH ❑ CHECK 'I VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES.
VIN.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
11111111111/1111/111111111/f;; ��lli�ll� 11TLE 1N, 0 ; }f1.118sal
WHIN RECORDED RETURN TO
HERMAN, HERMAN, & JO: LEY, PS
P 0 BOX 14347
SPOKANE, WA 99214
File No. R7-23912
STATUTORY WARRANTY DEED g)30(46S1—
THE. GRANTOR, WATKINS NORTHWEST, LLC, a Washington limited Liability
Company, for and in consideration of ten dollars and other valuable consideration ($10.00), in hand
paid, convey and ;warrant to JOHN B. BYE and TONYA MARIE BYE, husband and wife, the
following described real estate, situated it the County of Spokane, State of Washington:
Lot 10 in Block 8 of BE1'I •TANS ADDITION, as pet plat thereof recorded in Volume "C"
of Plats, page 13;
TOGETHER wrr access, utility, water, sewer and drainage easement as sec forth in
document recorded under Auditor's File No. 5209026;
Situate in the City of Spokane Valley, County of Spokane, State. of Washington.
to
Parcel No. 35243.0984
ti
! i Subject to: Taxes and assessments not yet due, easements, ageernents, resunctions,
qreservations; covenants, declarations, rights-of-way, surveys, relinquishments, and
notice., of record or contained Lin the pian, cf any.
1.4 Dated May KO , 2,001.
T 882.04002
.WARRAN.I'Y DEED
WATKINS NORTHWEST, LLC,
A Washington Limited Liability Company
By: 4/1
M. WATKIS, MEMBER
STATE OF WASHINGTON )
SS.
COUNTY OF SPOKANE
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I certify that 1 know or have satisfactory evidence that M. WATKINS is the person who
appeared before me, and said person acknowledged that be signed this instrument, on oath stated that
he was authorized to execute the mstrutnent and acknowledged It as the sole member of WATKINS
NORTHWEST, LLC, to be the free and voluntary act of such party* for the uses and purposes
mentioned in the instrument.
Dated; May _1(47 , 2007
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z ..WARRANTY DEED
Notary Public nd for the State of
Washington, residing at Spokane Valley.
My appointment expires! Li-! - , oi1
CERTIFICATE OF WATER AVAILABILITY L-Dp0h3n/ C.,(2)i
APPLICANT'S NAME
LO CATION
(ADDRESS) / .3
PROPOSEDUSE
K• / -13 CE
PHONE NUMBER 97 — 23) --
Water requested: Number of residential taps'_ or eommercial'flow of GPM.
(Attach map or legal description , if necessary)
Building Permit Short Subdivision Rezone or other _ Preliminary Plat or PUD
FIRE DEPARTMENT REVIEW .
Water is / or will be available at the rate of flow and duration indicated below at no less than 20 psi measured at the
nearest Eire hydrant which is feet from -the building / property above (Or as marked 0 on the map attached).
Rate of flow Duration
___ Less than 500 gpm (approx. gpm) Less than one hour
__ 500 to 999 gpm l hour to 2 hour
— _ 1000 gpm or more 2 hours or more
Calculation of gpm (Commercial building permits require a flow test or calculation)
Flow test of gpm
Water system is NOT capable of providing fire flow.
Fire flow is satisfactory
Fire District
Fire flow is NOT satisfactory
Signatory name
Date of Signature
PURVEYOR
NAME •
Purveyor's Address
Telephone Number
I. a.
OR b.
2. a.
b.
—WATER PURVEYOR INFORMATION
Water will be provided by service connection only to the existing inch
water main•
feet from the site.
Water service will require an improvement to the water system by the contractor
of:
(i) feet of water main to reach the site; and/or
(2) the construction of a distribution system on the site: and/or
(3) other(describe) elimination of temporary water services through District
participation, which will require a public hearing.
The proposed project is consistent with the water purveyor's DOH approved .water
system. plan.
The water system has a current Washington Department of Health Operating
permit, allowing the number of new taps or water requested_
COMMENTS / CONDITIONS
I hereby certify that the above water purveyor information is true. This certification shall be valid for one
year from the date of signature.
Agency (District) name Signatory name
Title Signatory date
To:
SPOKANE COUNTY WATER DISTRICT No. 3
P.O. Box 11187. Spokane, Washington 99211-1187 • (509) 536-0121 • FAX (509) 534-3760
MEMORANDUM
City of Spokane Valley Building Division
11707 E Sprague Avenue, Suite 106
Spokane Valley, WA 99206
From: Ty Wick, General Manager, Spokane County Water District No. 3
Date: May 30, 2007
Subject: Water Purveyor Acceptance Form - Bettman's Addition
The public water system for the above referenced plat has been installed, tested and
accepted as operational pursuant to the water plan approved by County and State
Health Authorities, including the Fire District and the City of Spokane Valley Building
Division.
Building permits may be issued to lots within this plat.
WATER PURVEYOR: Spokane County Water District No. 3
STATE ID NUMBER: 933505
Signed this 30th day of May, 2007
General Manager
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