2005, 11-17 Permit App: 05004356 ResidenceSi�kane
Valle ' �u.J
oL oo°
n n� 'BUILDING PERMIT APPLICATION WORKSHEET
s C \ City of Sp4ne Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
hone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s): 4C/S/ . / / I»
Legal Descriptionf \ten
v s. oR
PERMIT DESCRIPTION:
PT OF PJe.-t t, , 3 a .VI PT a,4. DGsc_ PRtP RF C, hf.t G L N t,/ 2FT
N6 Ctn `r'N s 13o, 4 FT T H w 'To J Lk,/ q) 117 sop N (DR T N
N 13o , SFr '74 E Topog
,(t( Building Permit 0 Change in Use ❑ Grading- ❑ Manufactured Home
9 Relocation 9 Tenant Improvement 9 Fire Safety 9 Other
OWNER/APPLICANT INFORMATION
hone: Fax:'
Address: scroce L tom
cal-, rale_ .-,
city /
Contractor: 4et,._ s<
Phone: yeti- t45 I Fax:
Address: py o rev '7Z
Ta
State
Zip Code
I'% :nes
San ,,-1 ✓IVI'+7 eta
City I State
0T tip 1
Zip Code
VJAS
❑ Applicant:
Phone:
Address:
r
jcvvl 14-.
°12 2 - Lz ') :100
Cu,-_ '7 Zt 03--) Pj J 1.4 LJ .
Fax:
City
State Zip Code
9 Architect:
Phone: Fax:
Address:
City
State Zip Code
WA State Contractor License #: r'Jhe_ —HHR 9 7 lM 3 Contact: /pp fl -e, to L D
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
koI
DIMENSIONS:
Cel >I a
.
# OF STORIES:•
2_,
MAIN FLOOR TO SQ. FTG:
IsDo
SQ.
2",LI FLOOR SQ. FTG:
210A111‹Rm ��s .
UNFIN BASEMENT SQ. F
FINISHED BASEMENT SQ.
—A
GARAGE SQ. FTG:
7hn
DECK/COV.((ATIQ)SQ. FTG:
uiy //Z
OCCUPANCY GROUP:
CONSTRUCTION TYPE:HEAT
&2,-.n- , 424,417n4.1 ,
SOURCE:
)9
# OF BEDROOMS:
3
TOTAL HABITABLE SPACE:
/ go
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
/ DI o o a
30% SLOPES ON PROPERTY:
2 -WE 45 -2-
SEWER OR ON-SITE SEPTIC
SYSTEM? Sz t,, �,e
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner Phone: Fax:
Address:
Zip
City State
Inspector: Phone: Fax:
Address:
City.
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT
Firm Name: Phone:
Inspector(s):
Fax:
❑ WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name /
9-ick,o>> Sig ure
Method of Payment:(Faxed permit applications will only be accepted with major bankcard)
❑ Cash Check ❑ Mastercard ❑ VISA
Bankcard #:
Authorized Signature:
Expires:
VI N#:
❑ Other
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509)'688-0037
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Address: Permit Use: rF
Owner. 1-1, 5- so,.�n E-l..1,--e_<n.—
Mailing Address: s9 o g- E /DTI,
Contractor i herr 4
Phone (Daytime Contact): SSS ; -Acre, r
Mailing Address -Po Ru 72_
City State Zip Code
License#:Aker' tit K 911/11 Phone#: cr? -/4af
c74 1/la/fs-7
City
WA
n50/ In
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
Z
X
$6.00
=
r 2
2
URINALS
X
$6.00
=
3
TUBS
1
X
$6.00
=
L.
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2_
X
$6.00
=
/ 7
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
—S
X
$6.0D
=
/ 9
6
DISHWASHER
/
X
$6.00
=
(Q
7
CLOTHES WASHER
I
X
$6.00
=
(p
8
GARBAGE DISPOSAL
1
X
$6.00
=
IO
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE COIL TRENCH, CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6 00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALIATION, ALTERATION, REPAIR,
REVERSALS
I
X
$6.00
=
(o
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
-
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER/
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
r
17
CROSS CONNECTION DEVICE
/ VACUUM BREAKER, CHECK VALVE,
' AND R.P.B.P.D. FOR VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
i GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ,fl CHECK
DATE -
0 VISA 0 MASTERCARD
SUBTOTAL
PROCESSING FEE
0
EXPIRES:
TOTAL PERMIT FEE DUE:
$3
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
j%lley
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 689-0037.
For Inspections, Call (509) 688-0054
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206'
Project Address: Permit Use: ,Ts<,, _..
Owner: L.//& 4 -7:30.r „� ra )4 V_Yle 1J25oe.Z Phone (Daytime Contact): S3 S - .z gg,e
Mail ngAddress: SZol _ to 'Th Sp4yn,-,C ..,w 99 t4
Qty State Zip Code
Con ractor: Pjnam "to -cc more , License #: Aloell WHIZ' S v l m 3 Phone #: S Ly - , 41 /
Mail'ng Address: -
Q
Stat
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
/L
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC 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
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25 00
=
10
BOILER/REFRIGERATION
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
$10.00,
=
/b
13
RANGE
X
$10.00
=
14
DRYER
X
$10 OD
=
15
FUEL BURNING WATER HEATER
/
X
$10 DO=
/ 0
16
MISC. FUEL BURNING APPLIANCE
X
$10 00
=
17
GAS PIPING (each outlet)
3
X
$1.00
=
-3
18
DUCT SYSTEMS
1
X
$10.00
=
/ 6
19
VENTILATING FANS
?
X
$10.00
=
) a
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10 00
=
23
TYPE 1 HOOD
-
X
$50.00
=
24
TYPE II HOOD
/
X
$10.00
=
/a
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
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
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
41
X
$12.00
=
9 Si
36
INCINERATOR -RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
0 CASH CHECK 0 VISA 0 MC
CARD it:
DATE:
SUBTOTAL
PROCESSING FEE
$ 0
TOTAL TOTAL PERMIT FEE DUE:
PS
AUTHORIZED SIGNATURE:
•
•
Project Number: 05004356 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/2005
Project In formation:
Page 1 of 4
Permit Use: NEW SFR W/ATTACHED 2 -CAR GARAGE
Contact: NORTHWEST HOMES
Address: PO BOX 72
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front 51 Left: 16 Right: 222 Rear: 27 Phone: (509) 924-1491
Group Name:
Site Informations Project Name:
Plat Key Name: VERA
District: West
Parcel Number: 45151.1105 Block: Lot:
SiteAddress: 1108 N BLAKE RD Owner: Name: KLEIN,J D & L M/OWENS, G A
Address: 721 N PINES RD
SPOKANE VALLEY, WA 99206-495
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Hold: ❑
Review Information:
a
Review
Site Plan Review
Released By:
Plan Review
Released 13y:
Special Reviews
Released By:
Sewer Review
Permits -
Released By:
Operator: MT Printed By: MT Print Date: 11/17/2005
Project Number: 05004356 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/2005 Page 2 of 4
Contractor: NORTHWEST HOMES &
Address: PO BOX 72
GREENACRES, WA 99016
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Approach
Firm: NORTHWEST HOMES & REMOD
Phone: . (509)924-1491
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Building Permit
Contractor: NORTHWEST HOMES & Firm: NORTHWEST HOMES & REMOD
Address: PO BOX 72 Phone: (509) 924-1491
GREENACRES, WA 99016
Building Characteristics
Group: R-3 Type: VB
Total Area 1500
Building Height 16
Stories 1
Dwelling Units 1
This Application: • Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB ATTACHED 700 $13,300.00 700 $13,300.00
GARAGE
RESIDENCE R-3 VB 1ST FLOOR 1,500 $112,020.00 1,500 $112,020.00
RESIDENCE R-3 VB 2ND FLOOR 308 $23,001.44 308 $23,001.44
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 2,508 $148,321.44 2,508 $148,321.44
Units Unit Desc Fee Amount
1 SELECT $1,268.15
1 SELECT $4.50
1 SELECT $507.26
Operator: MT Printed By: MT
Permit Total Fees: $1,779.91
Print Date: 11/17/2005
Project Number: 05004356 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/2005 Page 3 of 4
Mechanical Permit
Contractor: NORTHWEST HOMES & Firm: NORTHWEST HOMES & REMOD
Address: PO BOX 72
GREENACRES, WA 99016
Phone: (509) 924-1491
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
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 2 NUMBER OF $20.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
VENTILATION MECH EXHAUST 4 NUMBER OF $48.00
Contractor: NORTHWEST HOMES &
Address: PO BOX 72
GREENACRES, WA 99016
Permit Total Fees: $123.00
Plumbing Permit
Firm: NORTHWEST HOMES & REMOD
Phone: (509) 924-1491
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 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
WATER PIPING - DWV 1 NUMBER OF $6.00
WATER USING DEVICES 1 NUMBER OF $6.00
Operator: MT Printed By: MT
Permit Total Fees: $78.00
Print Date: 11/17/2005 _
Project Number: 05004356
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/2005
Page 4 of 4
Notes: .
Payment Summarj•
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,779.91
$123.00
$78.00
Invoice Amount
$50.00
$1,779.91
$123.00
$78.00
$2,030.91 $2,030.91
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,779.91
$123.00
$78.00
$0.00 $2,030.91
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
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: MT Printed By: MT Print Date: 11/17/2005
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11/16/2005
SpokanG� e�
_Valley
BUILDING DIVISION
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
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LPrintable•Fact Sheet winTaxes-- 1t-,- Printable Fact Sheet --Taxes OnI' ii - - Printable Fact Sheet withTaxesj
All Data As Of: 11/16/2005
Property Number: 45151.1105
Properly Type 'Address , Ciy - =Land Size Description- Description`' - .: --: - }Tax Year Tax Code Area Status
Real 0 VACANT LAND SPOKANE r 1 191 Residential land -Undivided I 2005 0144 "Active
f
UOM:-, ,Field Book No - _ , - _ Inspection Cycle - - _,_ ; - r;_ = ;- s Millage Rate - 7:',-. ' - .
2 1 15 461187933208
Properly Class ---_ - ; -.: a-,_jAppraiser;"Appraisal Date Neighborhood Code'- Neighborhood Name . Neighborhood Desc .
91 Residential land - Undivided 164 1 1424530 IOPORX PLAT- OPPORTUNITY
Legal Description;-- ,.--,K1:-, : - - - _- .- _ _ _ -
VERA PT OF 6103 W322.B4FT OF FOL DESC PROPC BEG ON E LN
-
I66.2FTS OF NE COR TH S1309FTTH W TOWLN 197FTS OF NW
COR TH N130 8FT TH E TO POB';
- :4---,..- __ - __
Active Exemptions - ' _ _ � . - -_ - T ;- _--. - -.,. _ - _
There are no active exemptions -
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Thursday, Nov 17, 2005 08:11 AM
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 owners expense. At a minimum, the following inspections AAE
REQUIRED by City Code: •4
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 structures 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
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 electncal winng, State Department of Labor Permits and inspections for Sewer Connector. Spokane County Uui sties Division
And Industnes 324-2640 477-3604
Permits and inspections for on-site septic systems. Spokane Regional Fire spnnkler and alar systems and pnvate access road inspections. Spokane Valley
Health Dstnct 3244560 Fire Department 892-4122
Slate taw RCW 19122 requires that poor to any excavatfon the -CALL BEFORE YOU 010 -center oust be notified. Call before you dig al least 2 working days in advance, 456-6000
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 -
Spokane e�
Valley
BUILDING DIVISION
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
or Parcel Values=Microsoft Internet fiplorer.'=- _: :IN
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L Sumrnarv,` IL IrRit s_✓ EValuesJ[Taxes,,;[[ Sales lnfo.J[_Sen/Merue__._IL Event /Notices -' ILLandJ {11r:
I',- Dwelling/S fcture ' - If- Parcel Pholo_j1 -Documents: - .4k.: 2 L.WehPhls. '"1t-!h.-Prisrn'' •. I hN•
LPrintable Fact Sheet w/o Taxes] I ` - Printable -Fact Sheet -Taxes Only I I;;_Printahle Fact Sheet with -Taxes : -)
All Data As Of : 11/16/2005 '1{$
Property Number: 45151.1105 1
:: - .-- Country Role %:
Owneame .. _- : -_--- Address 1_ - -7:-.. 'Address 2 City Stale hip _'
1iiii 5
InNKLEIN,J D & L M/OWENS, 0 A 1721 N PINES RD (SPOKANE ,WA '99206-4955 USA 1100
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:KLEIN, JERRY D & LINDA M 1721 N PINES RD 1 SPOKANE ,WA 199206-4932 (USA 1100
Help New Search Modify Search
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Thursday, Nov 17, 2005 08:12 AM
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 AAE
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 asthe 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
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 electncal wiring, State Department of Labor Permits and inspections for Sewer Connection, Spokane County Ubldies Division
And Industries 324-2640 477-3604
Permits and inspections for on -sue septic systems. Spokane Regional Fire sprinkler and alarm systems and pnvale access road inspections. Spokane Valley
Health D,stncl 324-1550 Fire Department 892-4122
State law RCW 19122 regwres that pnor to any excavation the'CALLBEFORE YOU DIG' center nest be notified. Call before you dig al 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
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
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General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License
NORTHHR971M3
Licensee Name
NORTHWEST HOMES & REMODELING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600207539 Verify Workers Comp Premium
status
Ind. Ins. Account
Id
Business Type
INDIVIDUAL
Address 1
PO BOX 72
Address 2
City
GREENACRES
County
SPOKANE
State
WA
Zip
99016
Phone
5099241491
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
7/23/2003
Expiration Date
7/23/2007
Suspend Date
Separation Date
Parent Company
Previous License
NORTHH*213DZ
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=NORTHHR971M3 11/17/2005
Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2
Business Owner Information
Name
Role
Effective Date
Expiration Date
ARNOLD, TED
OWNER
07/23/2003
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
CBIC
FC0671
06/23/2005
Until
Cancelled
$12,000.00
07/12/2005
#1
TRAVELERS
CAS &
SURETY CO
104143058
07/23/2003
Until
Cancelled
12/28/2004
$12,000.00
07/23/2003
Savings Information
No Matching Information
Insurance Information
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
#3
CBIC
G11FC0671
06/23/2005
06/23/2006
$1,000,000.00
07/12/2005
#2
PENN -
STAR INS
CO
PAC6402661
07/23/2004
07/23/2005
$1,000,000.00
07/14/2004
#1
PENN -
STAR INS
CO
PAC6313131
07/23/2003
07/23/2004
$1,000,000.00
07/23/2003
Summons / Complaints Information
No Matching Information
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Staff only Link
Visit access.wa.gov
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=NORTHHR971 M3 11/17/2005
Permit
Ompflataro
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` Assessor Information
j Site/nfo'
Status !Active
. -
Parcel Number 145151.1105 I
-
Site Address LOtVACANTlIANDMFtI1r1_SPON
-
City I1SPOKANE (( -
Size I
Owner
Name
KLEIN) D& L M/OWENS, G A
Address
721 N PINES RD
City -State -Zip
SPOKANE 'WA 199206-4955
Country
USA I ± - - -
Legal Description- - r
VERA PT OF 0103 W322.84FT OF FOI. DESC PROP< BEG O
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Inbox-Mcrosoft. vL..
Thursday, Nov 17, 2005 08:31 AM
WATER \ POWER
November 21, 2005
Re: 1 108 North Blake Road, Parcel Y 45151.1 05
Attn: Mike Turbak
601 N. fnvcr_'rccu Rtmtl
PO 13n 630
Vcridnlc, WA 00017-063(1
(509) 914-3R0('
This project lies within the boundaries of Vera Water and Power and we are able and
willing to supply water and power to this project for domestic purposes.
Utility easements may be required for Vera Water and Power to provide utility services
to this project.
If you have any further questions please call.
Sincerely,
VERA WATER & POWER
4
Steve Skipwonh
Director of Operations
NOU 21 2205 1E:2P
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SPOKANE COUNTY ASSESSOR GE OGRAP HI C I NF ORMAT I ON SYS
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11;11
l✓SubdivisionBoundary ' ' The variou sources,
o Showa d au this map is Used cow a
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LL ✓ I Subdivision Lots / Blocks
Map Productioi