2005, 09-30 Permit: 05003595 ROW1
Spokane
BUILDING DIVISION
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Site Information
Project Information
Site Address: 11705 E BOONE AVE
Parcel Number: 45161.0633
Subdivision:
Block: Lot:
Zoning: AGS
Owner: KLEIN, JERRY D & LINDA M
Address: PO BOX 30642
SPOKANE, WA 99223-3010
Building Inspector:
Water Dist:
Project Number: 05003595 Inv: 1 Issue Date: 09/30/2005
Permit Use: ROAD OBSTRUCTION FOR GAS
1NSTALLATION/PVMT CUT
Applicant: AVISTA UTILITIES
1411 E MISSION
SPOKANE WA 99220 Phone: (509) 495-2244
Contact: AVISTA UTILITIES
1411 E MISSION
SPOKANE WA 99220 Phone: (509) 495-2244
Setbacks - Front: Left: Right: Rear:
Jurisdiction:: AVISTA UTILITIES
Group Name:
Project Name:
Permits
Riffht of Way Contractor: UNKNOWN
License #: UNKNOWN
OBSTRUCTION / INSPECTION 1 $70.00
FOR RIGHT OF WAY INSPECTIONS CALL
(509) 869-5373 ENGINEERING
Total Permit Fee: $70.00
Payment Summary
Total Fees AmountPaid AmountOwing
$70.00 $0.00 $70.00
Tran Date
09/30/2005
Receipt # Payment Amt
2955 $0.00
Notes / Conditions of Approval
HALF ROADWAY OR FULL ROADWAY REPLACEMENT FOR LONGITUDINAL CUTS IN NEW ROADWAYS.
Processed By: JANSSEN, CHRISTINA
Printed By: KURTZ, KARI Page 1 of 1
PERMIT
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 ('208swales), road improvements, parking and landscaping are common requirements of a perrnit/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
Perrnits and inspections for electrical winng, State Department of Labor Permits and inspections for Sewer Connection, Spokane County Utilities Division
And Industries 324-2640 477-3604
Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections, Spokane Valley
Health District 324-1560 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
Call 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date 10/04/05 Permit #
ROW CONSTRUCTION PERMIT
LOCATION OF PROPERTY- E 11705 Boone
Applicant Name
Account #
(Address/Parcel #, if available)
Avista Utilities Fax 534-2463
Address 1411 E. Mission Ave. Spokane, Wa. 99202 — Ann msc46 Phone 509-495-2244
Customer's Name Jerry Klein
Address
Phone
Contractor's Reg.# Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection Driveway
Curb & Gutter
Cable/Conduit/Pole
Water Installation/Repair
Pavement Cut
I x l Gas Installation/Repair
nSidewalk Repair/Construction
Other
Dimensions 3x4
Bond/insurance certification must be on file with the City. Bond
SPECIAL INSTRUCTIONS): Install 75 ft of gas service off main located north of Boone
Job # 834172891 Loc# 5331710
Permittee SignatureAKC Approved
Date
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$ 25.00
(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 permittee 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.
Date
!nit
Work completed satisfactorily (Signed) Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE