2003, 06-12 Permit: 03004161 SewerSPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026'WEsT BROADWAY AVENUE • SPOKANE, WA 99260-0050
Sro areCtw rr r _J
Site Information Project Information
Site Address: 11022 E GRACE RD
SPOKANE, WA 00000
Parcel Number: 45092 2302
Subdivision: SP-1242-00
Block: Lot:
Zoning: UR-3 Urban Residential 3.5
Owner: INLAND EMPIRE RESIDENTIAL RESO
Address: 116 W INDIANA AVE
SPOKANE, WA 99205
Building Inspector: JOPIN LARSON
Water Dist: UNKNOWN
Project Number: 03004161 Inv: I Issue Date: . 6/12/2003
Permit Use: SEWER CONNECTION
Applicant: INLAND EMPIRE RESIDENTIAL RESO
116 W INDIANA AVE
SPOKANE, WA 99205 Phone: (.09) 789-2245
Contact: INLAND EMPIRE RESIDENTIAL RESO
116 W INDIANA AVE
SPOKANE, WA 99205 Phone: (5)9) 789-2245
Setbacks-Front: Left: Right: Rear:
Group Name:
Project Name:
Permits .
Swyer Connection Permit Contractor: OWNER ! License#: OWNER
SEWER CONNECTION .
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES
Call for inspection prior to cover. ONE WORKING DAY NOTICE
Contractor or applicant is to field locate and confirm the elevation
Sewer stubs are to be checked prior to connection to ensure that the
Sewer lines should be constructed to allow for gravity flow Goni'the
This permit must be presented to the job site inspector for verification
CALL BEFORE YOU DIG. (509)456-8000..44-,-44.:-.4
i
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY;EXCAVATION
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING
Spokane County Code requires the installer complywithall requirements
those related to trench safety.
1 $85.00 PROCESSING FEE $15 00
L Total Permit Fee: $100.00
8:30-5:00 PM MONDAY TFEU FRIDAY
r 1
REQUIRED.
and positiomof sewer stub prior to any other excavation.
have rieceptahle grade and are clear and unobstructed to the main sewer.
IoWest'level1of the structure.
To locale buried cables. Ras piping, water lines, etc.
THE "CALL BEFORE YOU DIG" CENTER BE
I$AYS IN ADVANCE. (509)456-8000
of the Washington State Dept of Labor and Industries, inch ding
, Payment Summary ,,_, '
Total Fees Anton n[Paid Amoun[Owing Tran Date Receipt# Payment Amt
$10000 $10000 $0.00 6/12/2003
3672 $100.00
FII E
Processed By: BURRIS, ROBIN
Printed By: CUMMINGS, KATHY
Page 1 of 1
PERMIT
CERTIFICATE OF SEWER AVAILABILITY
This form is only to be submitted as an attachment to a fully completed application.
Name of Sewer Utility:
CERTIFICATION
Project Name: 2rE/z //D2 & LEAS; as t f.
Parcel Numbers: .4/509%. J_3o.$-
General Project Description: 6.C72
The above named Public Sewer System is capable of and will supply sewer service to the reference
project or subdivision.
1. Is sewer currently available, with service connections provided as required, to serve the propose
development (If yes, go to signature block; If no, go to 2a) 0 Yes 0 No
2a. Is the site within the Spokane County Sewer six-year Sewer Capital Improvement Program
• (If no, go to 3) ❑ Yes ❑ No
2b Will the developer design, fund, construct and provide financial surety for the necessary system
to provide Dryline Sewer and/or Double Plumbing Dry Side Sewers as required?
(If no, goto3) ❑Yes 0 N
3 Will the developer design, fund, construct and provide financial surety for the necessary system
to extend sewer service to the site and provide service connections as required? 0 Yes ❑ No
This Certificate of Sewer Availability Is non -transferable to other projects and shall be valid as
long as the referenced project remains active and Is not modified.
Certified by:
Print Name Title
Signature Date
CONCURRENCY DETERMINATION
If yes to question 1, or question 2b, or question 3 above, concurrency is satisfied for sewer. Otherwis
refer applicant to the Division of Utilities.
❑ This development is exempt from concurrency for sewer service.
❑ This development (does/does not) meet the concurrency requirements for sewer service.
circle one
Spokane County Representative Date
CITY OF
SPOKANE VALLEY
Cert of Sewer Availebiilty.doc 01/09
Sf
City of SPOKANE VALLEY
CERTIFICATE OF WATER AVAILABILITY
APPLICANT'S NAME rcta/IWO $4,rnt A74:0008/(779 Mit ill C£s
LOCATION (ADDRESS) //02L eoe;t5)" d,toce
PROPOSED USE OP,C
PRONE NUMBER ;SDI, ?99 22 '/C
Water requested: Number of residential taps / or commercial 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 fire 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 1 hour to 2 how
1000 gpm or niore 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 flow is NOT satisfactory
Fire District Signatory name
Date of Signature
92
PURVEYOR NAMEC.t- 4
Purveyor's Address // jam 7772Crt r /,d(%, 5,00.e.."416- dibit [,
Telephone Number Ali/ -932J
WATER PURVEYOR INFORMATION
1. a._ Water will be provided by service connection only to the existing
m
_inch
water main feet from the site.
OR b._ Water service will require an improvement to the water system by the contractor of:
(1) 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. '
2. a._ The proposed project is consistent with the water purveyor's DOH approved water syst
plan.
b._ 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
G