2003, 06-12 Permit: 03004162 Sewerr JPOKANE COUNTY DIVISION OF BUILDING '
AND CODE ENFORCEMENT
JIM 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SroKn*CouRry
ISite Information Project Information
Site Address: 11024 E GRACE RD
SPOKANE. WA 00000
Parcel Number: 45092.2303
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: JOIH'I LARSON
Water Dist: UNKNOWN
Project Number: 03004162 Inv: 1 Issue Date: 6/12/2003
Permit Use: SEWER CONNECTION -
Applicant: INLAND EMPIRE RESIDENTIAL RESO
116 W INDIANA AVE
SPOKANE, WA 99205 Phone: (509) 789-2245
Contact: INLAND EMPIRE RESIDENTIAL RESO
116 W INDIANA AVE
SPOKANE, WA 99205 Phone: (509) 789-2245
Setbacks - Front: Left: Right: Rem:
Group Name:
Project Name:
Permits ,
Scorer Connection Permit Contractor: OWNER- License #: OWNER
S15.00
SEWER CONNECTION
i
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'and
Sewer stubs are to be checked prior to connection to enswe that they
Sewer lines should be constructed to allow for gravity flow from' the
This permit must be presented to the job site inspector for verification
CALL BEFORE YOU DIG, (509)456-8000
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY;
NOTIFIED CALL BEFORE YOU DIG AT LEAST 2 WORKING
Spokane County Code requires the installer comply with all icquircineriis
those related to trench safety.
I I $85 00 PROCESSING FEE
Total Permit Fee: $100 00
1 } 1
8:305:00 PM MONDAY THRU FRIDAY
REQUIRED.
position 8i -sewer stub prior to any other excavation.
have'acceptable grade and are clear and unobstructed to the mm sewer.
lowcsfleveliofthe structure
�
To locate buried cables, gas piping, water lines, etc.
Y
?'+"
EXCAVATION THE "CALL BEFORE YOU DIG" CENTER It
DAYS.INADVANCE, (509)456-8000.
of fhb Washington State Dept of Labor and Industries. mel ding
. Payment Summary_ t�- "..). ..
Total Fees AnmuntPaid ' AmountOn'iug
$100.00 $100.00 $0.00
Ilan Date
6/12/2003
Processed By: BURRIS, ROBIN
Printed By: CUMMINGS, KATI-IY Page I of 1
Receipt # Payment Amt
3672 $100 00
PERMIT
FII
E
CERTIFICATE OF SEWER AVAILABILITY
This form is only to be submitted as an attachment to a fully completed application.
Name of Sewer Utility:
i ax,CIA j it/3111C Cams G Viet
CERTIFICATION
Project Name: WO2-/ L 4.7 IPC
Parcel Numbers: 1,6=92- • 2.3°3
General Project Description: f'f/L
The above named Public Sewer System is capable of and will supply sewer service to the referenced
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 El No
2b Will the developer design, fund, construct and provide financial surety for the necessary systems
to provide Dryline Sewer and/or Double Plumbing Dry Side Sewers as required?
(If no, go to 3) ❑ Yes ❑ No
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.
Ode one
Spokane CountyRepresentative Date
CITY OF
SPOKANE VALLEY
Cert of Sewer Avallablllty.doc 01/09/ 2
City of SPOKANE VALLEY
CERTIFICATE OF WATER AVAILABILITY
APPLICANT'S NAME .i.c/L.grl/Q ,ediA22S .2.rd5aPativ/%1L agog/ex ES'
LOCATION (ADDRESS) //p 2 L! .; a got L
PROPOSED USE a</2
PHONE NUMBER f?: ,22-€16—
Water requested: Number of residential taps ..j 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
O 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 hour
_
1000 gpm or more 2 hours or more
T
_ 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
/'DateofSignature t
PURVEYOR NAME �Y�w�/ IN v _D_ -' (p
Purveyor's Address //'a- 42, 772.0 --.....Ayr phis '3�,. 4dA'/e. /-0. Com'"u
Telephone Number 0729 —'jS26
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
6