2005, 06-29 Permit: 05002211 ROW, Plumbing Fixtures, Reversal1
Siokane.. Valley
BUILDING DIVISION
Site Information
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Project Information
Site Address: 621 N BURNS RD
Parcel Number: 45144.0720
Subdivision:
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: HOLTHAUS LIVING TRUST
Address: 14801 E BROADWAY AVE
SPOKANE, WA 99216-2037
Building Inspector: BARRY HUSFLOEN
Water Dist:
Project Number: 05002211 Inv: 1 Issue Date: 06/29/2005
Permit Use: ROAD OBSTRUCTION, TOL SINK, SHWR & PL REV
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
Phone: (509) 928-0580
Phone: (509) 928-0580
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name: ROW
Permits
Plumbing Permit Contractor: BELKNAP PLUMBING
TOILETS/BIDETS 1
SHOWERS
PROCESSING FEE
FOR PLUMBING INSPECTIONS CALL (509) 688-0054.
Right of Way
License #: BELKNP*071D6
$6.00 SINKS 1 $6.00
$6.00 WATER PIPING - DWV 1 $6.00
$35.00
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
1
Payment Summary
Total Fees AmountPaid AmountOwing
$129.00 $129.00 $0.00
Tran Date
06/29/2005
Processed By: KATHY CUMMINGS
Printed By: MIKE TURBAK Page 1 of 1
Receipt # Payment Amt
1831 $129.00
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 iricludes review of the structur&s setback from property ines, Minimum setbacks are estabished 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, arld 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 mfinal approval mabuilding n,issuance o,aCertificate o,0�opanc»
MANUFACTURED HOMES — Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy;
completed inspection record card rnust be avaiIabe 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 dayI24 hour notice. Different parts of yourproject may require permits and irispections from more than one agency.
Building, plumbing interior reversais for sewer) and
mechanical, City of Spokane Valley Building Division 688-0054
Road cuts for utilities or driveways, City of SpokaValley
Public Works 688-0195 or State Depof Transportation
324-6000
Permits and inspections for electncat winng, State Deparirnent of Labor pernkts and Inspections for Sewer Connection, Spokane County Utilities mvtsion
mnd*ousme 324-2640 4/7-360
p~rni,"and inspections for on-site septic systems. Spokane Regional pre spnnkler and alarm systems and private access road inspections, Spokane Valley
Health DsInc( 324-1560 Fire Department 892-4122
State law RCW 19.122 requires that prior to arty 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 perrnits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permitor b)work is
abandoned for 180 days or more aftebeginning work, or c) after two years from the date of permit issuance, regardless of whethethe work is
finished. If a permit isexpired for time, a new permit may be obtained for half the permit fee based on the value of the rernainder of the work to
finish the original perrnit.
All refund requests must be made in writing by the original perrnittee 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 perrnit fee rray 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 / AgenDate
Staff Approval Date
Jun 24 05 12:49p NORMS EXCAVATING
Siiikane00".ft,
400Milley
5098920432
Call 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
p,6
2-2-1
Anticipated start date July 6, 2005 Permit* Account* 000122
ROW CONSTRUCTION PERMIT
Location of property 621 N. Barns Rd
Applicant Name Hotthaus
Address
(AddresslParcel a>e, if available)
Same Fax 892-0482
Contractor's Name Norm's ExcavatingJnc.
Address PO Box 574 Veradale. WA 99037 Phone 5091928-0580
Contractor's Reg* NORMSEI972BM Expires 01/14/07
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
n Driveway
O Gas Installation/Repair
n Sidewalk Repair/Construction
x ( Sewer Connection
Ti Curb & Gutter
n Cable/Conduit/Pole
n Other
Pavement Cut
Dimensions
Bond/insurance certification must be on file with the City, Bond
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 Gbbons _ Signature
Fees Paid$ 16.00
$25.00
Date
!nit
(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.
Work completed satisfactorily (Signed)
Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
JUN 24 2005 13:01
5098920432 PAGE.06