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2005, 07-22 Permit: 05002516 Plumbing Fixtures, Reversal, ROWSikikane Valley BUILDING DIVISION 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Site information Project Information Site Address: 613 N BURNS RD Parcel Number: 45144.0721 Subdivision: Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: HATFIELD, JAMES M Address: 613 N BURNS RD SPOKANE VALLEY, WA 99216 Building Inspector: BARRY HUSFLOEN Water Dist: Project Number: 05002516 Inv: 1 Issue Date: 07/22/2005 Permit Use: ROAD OBSTRUCTION FOR SEWER CONNECTION - T01, SHOW, SINK. REVERSAL Applicant: NORM'S Excavating P.O. BOX 574 VERADALE, WA 99037 Phone: (509) 928-0580 Contact: NORM'S Excavating P.O. BOX 574 VERADALE, WA 99037 Phone: (509) 928-0580 Setbacks - Front: Group Name: Project Name: ROW Left: Right: Rear: Permits Plumbing Permit Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM TOILETS/BIDETS 1 $6.00 SINKS 1 $6.00 SHOWERS 1 $6.00 WATER PIPING - DWV 1 $6.00 PROCESSING FEE $35.00 FOR PLUMBING INSPECTIONS CALL (509) 688-0054. Right of Wav Total Permit Fee: Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM OBSTRUCTION / INSPECTION 1 $70.00 FOR RIGHT OF WAY INSPECTIONS CALL (509) 869-5373 ENGINEERING $59.00 Total Permit Fee: $70.00 Payment Summary Total Fees AmountPaid AmountOwing $129.00 $129.00 $0.00 Tran Date Receipt # Payment Amt 07/22/2005 2080 $129.00 Processed By: KATHY CUMMINGS 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 VaIIey 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 vonfioahono,location cxyour property lines. Please verify their location prior mlocating 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 ptacement of concrete, PLUMBING — after rough -in, before coveririg, 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. Ati perrnits 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' awa|os), road improvements, parking and landscaping are common requirements of a permit/site plan which must be completed prior to final approval ma building or issuance of a Certificate of Occupancy. MANUFACTURED HOMES — Final inspection required when cnmp|evo, staim, xanUnai|o, skirting, etc. inom||eg, 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 aupve, any plumbing or mechanical systems or material which would be concealed by framing, gr*waU, cunc,ete, etc. must be inspected prior to cover. Check with the Building departrnent for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS Please give one working day/24 hour riotice. Different parts of your project may require pemlits 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 ValIey Public Works 688-0195 or State DeptofTransportation 324-6000 Permits and inspections for electrical winng, State Department of Labor Permits and inspecttonswSewer Connection. Spokane County Utilities mmsion And Industries 324-2640 477-3604 Permits and inspections for on•site septic systems.���� Fire alarm ���=��=����v� v�mm=�zw'`ea Fire Department 89e122 State law ncwm,22requires that prior ." any excavation the -CALL BEFORE YOU DIG" center must b"notified. Call before you dig atleast zworking days ." advance, *o6-mv PERMIT EXPIRATION AND REFUNDS Alt 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. Alt refund requests must be made in writing by the original permittee to the Building Official no later than 180 days aftethe date of fee payment. 1 00% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be authorized wheri 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 FROM : NORM'S EXCAVATING FAX NO. : 509 892 0432 Jul. 22 2005 10:30M P4 Call 24ours'u*fore inspection required 4,00%44 Phone 509.688-0195 Fax 509.688-0037 Sa"poliane 9 -((--1L--1. ...snaky DEPARTMENT OF PUBLIC WORKS cu (c: i4 6 0 Anticipated start date Aug 4.2005 Permit # Account # 000122 ROW CONSTRUCTION PERMIT Location of property 613 N. Burns Rd (Address/Parcel X. if available) Applicant Name Hatfield Address Same Fax 892-0482 Contractor's Name Norm's Excavatin4. Inc. Address PO Box 574 Veradale. WA 99037 Phone 5091928-0580 Contractor's Reg# NORMSEI972BM Expires 01114107 PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) ❑x S• ewer Connection ❑ Driveway ❑ C• urb & Gutter ❑ Gas Installation/Repair ri Cable/Conduit/Pole n Other n P• avement Cut ❑ Sidewalk Repair/Construction Dimensions Bond/iinsurance certification must be on file with the City. Bond # 103957298 Permittee Signature Approved Date I hereby authorize the City of Spokane Valley to change the fee for this permit to my credit card. Card # Expiration Date 0$F30/05 Name of Holler Sheila Gibbot!s Signature Fees Paid; 70.00 (Application) (Inspection) In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on each petmit wdl be billed to the permittee at a rate of $50.00 per hour with a $25.00 (12 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Date Init Work completed satisfactorily (Signed) Date Permit not valid nnti7 One -Call Notification Ticket # entered here PERM!' MUST BE KEPT ON SITE