2008, 11-12 Permit App: 08004219 ResidenceProject Number: 08004219 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2008 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: BAINS, MAKHAN S & GURCHAIT S
Address: 1301 S HAVANA ST
C - S - Z: SPOKANE, WA 99202-5460
Phone: (509) 209-0943
Group Name:
Project Name:
District: Sout
Parcel Number: 35233.0822
SiteAddress: 1303 S HAVANA ST
Location:: CSV
Block:
Lot:
Owner: Name: BAINS, MAKHAN S & GURCHAIT
Address: 1301 S HAVANA ST
SPOKANE, WA 99202-5460
Zoning: R-3 SF Res District
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: .88 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released":
Originally Released: 11/5/2008 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
All residential driveways and off-street parking areas shall be paved with asphalt, Portland cement,
grasscrete, paver blocks, or other equivalent hard surface material.
Originally Released: 10/24/2008 By: mbasinger
Sewer Review
Released By:
Permits:
Originally Released: 11/12/2008 By: JLMain
Operator: JD Printed By: jmm Print Date: 11/12/2008
Project Number: 08004219
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2008 Page 2 of 3
Contractor: OWNER
Building Height 34
Description
1&2 FAMILY
2ND FLOOR
BASEMENT F
DECK OPEN
GARAGE
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Grp
km Notes
R-3 VB
R-3 VB
R-3 VB
R-3 VB
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
DUCT SYSTEMS
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
AIR HANDLER <=10,000 CFM
This Application:
Su Ft Valuation
2,246 $213,347.54
2,630 $196,408.40
2,246 $44,920.00
690 $10,350.00
981 $18,639.00
Total Project:
Su Ft Valuation
2,246 $213,347.54
2,630 $196,408.40
2,246 $44,920.00
690 $10,350.00
981 $18,639.00
Totals: 8,793 $483,664.94
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
8,793
Fee Amount
$3,144.15
$4.50
$1,257.66
$483,664.94
$4,406.31
Firm: OWNER
Phone: (000)
Units Unit Desc
1 NUMBER OF
2 # OF UNITS
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Print Date:
000-0000
Fee Amount
$10.00
$2.00
$20.00
$10.00
$20.00
$10.00
$10.00
$12.00
$94.00
11/12/2008
Project Number: 08004219
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2008
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER SOFTENER
Notes:
Plumbing Permit
Units
9
15
3
4
2
2
2
1
1
Page 3 of 3
Firm: OWNER
Phone: (000)
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
000-0000
Fee Amount
$54.00
$90.00
$18.00
$24.00
$12.00
$12.00
$12.00
$6.00
$6.00
$234.00
All residential driveways and off-street parking areas shall be paved with asphalt, Portland cement,
grasscrete, paver blocks, or other equivalent hard surface material.
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
**DO NOT ISSUE BUILDING PERMITS FOR LTS 11 & 12 BLK 16, LTS 9-16 BLK 15, LTS 1 & 2
BLK 27 & LTS 1-8 BLK 28 UNTIL CC&R'S ARE ACCEPTED, SURETY IN PLACE FOR ALL
IMPROVEMENTS OR FINAL CONST ACCEPT CERT& ANY DEDICATIONS OR EASEMENTS
ARE RECORDED PER S RASKELL
Payment Summary: asrA
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$4,406.31
$94.00
$234.00
Invoice Amount
$4,406.31
$94.00
$234.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$4,406.31
$94.00
$234.00
$4,734.31 $4,734.31 $0.00 $4,734.31
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm
Print Date: 11/12/2008
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: t-keZ1C\
PERMIT FEE:
Community Development
Residential Construction New Construction ElAccessory Bldg
Permit Application n Addition/Remodel ❑ Deck
n Other:
SITE ADDRESS:
ASSESSORS PARCEL NO: -.255Z-.273-Nr. ZZ.- LEGAL DESCRIPTION: �‘-k
Building Owner:�
L�1�Cl-i�ii 1:StYvi�Al/-I���l��
Name:t u cl iAt _ :cI hili it. ;- on I ( S
Address: i 1) -2 .. 5 . )_i , 1/ vA ),), A
City: (2u) CA h/La Vmug tate: w Zip: 9 ti) a,2
Phone:5- (7 , 5- 3 y _5-, 6 ,Tax:
Contact Person
Name: r l r f
Phone: C• 9- 02 e c7 6 9 L-/ 3
Describe the scope of work in detail:
Contractor: 0 toil ,v i '
DIMENSIONS:
S''%' )Leg'
# OF STORIES:
o2
Name: C4 u C- 1-i A h t
MAIN FLOOR TO SQ.
FTG:
2ND FLOOR SQ. FTG:
-2,j,-73 0 %
Address: / 3 0 i '
g ,
)_))91/(4
904
DEC OV. PA O SQ. FTG:
��-5 c?
City: 000
•
State:
HEAT SO IP -
aifef
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $
-o U S L2 (,00-14 (; l g o e b2 5 o
Proposed Use: S) W 6 1> E /FJ m IL y
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
3 y '
DIMENSIONS:
S''%' )Leg'
# OF STORIES:
o2
TOT1_L HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2ND FLOOR SQ. FTG:
-2,j,-73 0 %
UNFIN BASEMENT SQ. FTG:
`—
IMPERVIOUS SURFACE
AREA:
FINISHED BASEME T
SQ. FTG: 1244.
GARAGE SQ. FTG'
1--r" Y/
DEC OV. PA O SQ. FTG:
��-5 c?
30% SLOPES ON
PROPERTY:
# OF�ED ODMS:
CONSTRUCTION TYPE:
HEAT SO IP -
aifef
SEWER R SEPTIC?
d
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of fart...L.-A-4- --
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitte
this application can be processed.
SIGNATURE: ^� 'y)iL DATE: /
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
0 Mastercard
Expires:
VISA
IN#:
Spokane
Valley°
For City Use Only
PLUS Project Number
Project Address
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter®spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
t t'
7 r !
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
> Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
> Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07
rano,. Os/ `a
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial KResidential
SITE ADDRESS:
Building Owner
Name:hi
Phone:< < <
Fax:
Address: O /
$ ` I--1 A V A,h City. K. r3' UKilly ,
State: Lupc
Zip: / !,2GA
Contractor c L)
c tJ ,rA iT. S c l i, 13,' Ai'
Name:
/ t
Phone:5,9-�p`,_v�/pi3
Fax:
2
Address: ) :J �,
p �/p�
S ' )1 Y V ' / r' P City: S pi' 1 <a�IV 6-
State:
e)
Zip:
^�
1 q, R U
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
13
14
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
X
X
X
$10.00
$10.00
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
22
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Greater than 10,000 CFM
X
$15.00
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
.die`.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokaneval ley.ore
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
r
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
5
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON-SITE BUILT
X
$6.00
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
6
7
8
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
X
X
X
$6.00
$6.00
$6.00
9
WATER SOFTENER
X
$6.00
l
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSALJSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
['CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
PERMIT CENTER
11703 E. Sprague Ave., Suite B-3
Spokane Valley, WA 99206
509-688-0036; Fax 509-688-0037
www.spokanevalley.org
Affidavit in Lieu of General Contractor Registration
State of Washington )
County of Spokane )
I, 6) POiI V1X, state as follows:
(Print name as signed)
1. I have made application for a building permit from the City of Spokane Valley, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of
which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Spokane Valley must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. 6 , and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
APPLICANT'S SIGNATURE
Signed and sworn to before me this
7...3 Day of (Y.;1' , 20c*.
L
Notary's Name (Print)
ature
NOT PUBLIC in and for the State of
Washington, residing at
My Commission expires:
October 15, 2007
Page 1 of 2
P:\Community Development\Forms\Building Forms
Revised Code of Washington
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within the scope
of their office;
3) Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their
own business;
4) Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner
or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise that are not actually
fabricated into and do not become a permanent fixed
part of a structure;
6) Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer
or manufacturer licensed under chapter 46.70 RCW who
shall warranty service and repairs under chapter 46.70
RCW;
7) Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8) Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9) Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection does
not apply in any instance wherein the work or
construction is only a part of a larger or major operation,
whether undertaken by the same or a different
contractor, or in which a division of the operation is
made into contracts of amounts less than five hundred
dollars for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he or she is a contractor, or that he or she
is qualified to engage in the business of contractor;
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is
performed by a registered contractor;
11) An owner who contracts for a project with a registered
contractor, except that this exemption shall not deprive
the owner of the protections of this chapter against
registered and unregistered contractors. The exemption
prescribed in this subsection does not apply to a person
who performs the activities of a contractor for the
purpose of leasing or selling improved property he or
she has owned for less than twelve months;
12) Any person working on his or her own property, whether
occupied by him or her or not, and any person working
on his or her personal residence, whether owned by him
or her or not but this exemption shall not apply to any
person otherwise covered by this chapter who constructs
an improvement on his or her own property with the
intention and for the purpose of selling the improved
property;
13) Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14) A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of the
state of Washington or licensed by a political
subdivision of the state of Washington while operating
within the boundaries of such political subdivision. The
exemption provided in this subsection is applicable only
when the licensee is operating within the scope of his or
her license;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16) Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17) A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work
to actively registered contractors. This exemption only
applies to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18) An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a
certified journeyman electrician, a certified residential
specialty electrician, ?Lan,clectrical trainee meeting the
requirements of:k4 pte52B;
PLANNING DEPT. APPROVED
BY: 44/,,i
DATE: /O6-1(08
22
N89'36'36°W
23 W1/4 SEC. 23
FND. ALUMINUM CAP
FND RP'S
PER R-4
60'
0
0
cn
CJI C4
'0-'3 •
FND #5 RB&C
"LS 13775° (R-3)
636.3[0.15' N]
60'
N
N
N =�
I
xicri
co
C)
299.35'(PR)
300'(P)
tD
vv� N89'32'41 °W
v
FND "X° ON
TRANSFORMER
[0.21' EAST OF /
UNE] PER R-3
60.00'
£/J vllnl r.[J
r11111113 4 1-4/ Vila] YL' (. (7 Ul V 1 .1 � /711 A_Y 11 V CT / (/1 V
2634.19' 2633.90'(R-1) 2633.96'(R-3) 2633.97'(R-4, R-5) 2633.95'(R-8)
13th AVE.
(VACATED)
EXISTING 30'
ACCESS AND
IIUTILITY EASEMENT
11
N89'3`41°W
NO'05'45°W 1
15.00'
6
7
t
N
00
FND #5 RB&C
"LS 13775"
[0.15' N]
[0.13' E]
FND MAG NAIL W/
TAG "LS 12904"
(HELD PER R-4)
N68'16'05"W
33.08'
N89'34'30°W 144.37'
O M
6 N
0
149.68'
N89'34'30"
'� 49x68
FND "X" ON
5
8
LOT 1
TRANSFORMER
[0.15' E] Z 22,515 S.F.t
[0.29' N] rn
(R-3) 0~
FND-#5 RB&C-1.
-LS 13775"
(R-3) [0.15'
EAST OF UNE]
FND PK NAIL 0.17' NORTH OF CALC.
• CENTERLINE OF 14TH & 29.48' EAST
OF THE SECTION LINE
PER R-6
T,--.
i3o1
57 58)
30' INGRESS,
EGRESS, SANITARY
SEWER, WATER,
UTILITY, AND
DRAINAGE EASEMENT
f°"f
1,1 11
10
N89'32'44°W 299.39'(PR) 300'(P)
14th AVE.
0
12
J
60'
FND #4 RB&C
"A&C LS 12904"
5.77 9 {y
•19
N�p23'
81. , •291y
r49.89'(PR)-'
50'(P)
30. ;3.
LOT 2
15,977 S.F.±
102.00'
259.58'
H
Ct
1-4 UH
0
60'
49.90'(PR)
50'(P)
v Y
7
0
0
rn
N
0
0
1
FND MAG NAIL W/
TAG "LS 12904"
(HELD PER R-4)
5
8
3
1G
w
0
IE
S1,
FNE
FN[
Sewer BL
Number: P0806106SEBL
Job Title:
SEWER CONNECTION TO BUILDING
SPOKANE
p'
} 1) 1
Engineering Services
808 W Spokane Falls Blvd
Spokane, WA 99201
Phone: (509) 625-6700
Fax: (509) 625-6124
http://www.SpokaneEngineering.org
Site Information:
Address: 1303 S HAVANA ST
Parcel #: 35233.0822
Applicant
BAINS, MAKHAN S & GURCHAIT S
1301 S HAVANA ST
SPOKANE WA 99202-5460
ENGINEERING SEWER
Sewer Name
Project/Profile
Location of WyelTap
Location At Property Line
Depth At Property Line
Pipe Size At Property Line
Pipe Type At Property Line
Commercial/Residential
Other Water District
Master meter
Was Annexation Covenant signed
Empowerment Zone
In/Out UGA?
Description of Work:
Contractor(s)
Permit Status:
Status Date:
Parent Permit:
Issued
11/12/2008
P0806105WMTR
Owner
BAINS, MAKHAN S & GURCHAIT S
1301 S HAVANA ST
SPOKANE WA 99202-5460
HAVANA STREET SEWER
HAVAN S(1)3 23-25-43
391' S OF MH IN 10TH AVE
119' E LN IN HAVANA
8.3'
4"
PVC
Residential
No
No
NA
No
Out
SEWER CONNECTION TO BUILDING -SHARING SEWER LINE WITH 1301 S
HAVANA -MAINTENANCE AGREEMENT REC'D 11/12/08
Inspector:
... •
Aplicant hereby consents and agrees:
1. To adhere to all rules and regulations in accordance with Title 13.03 Spokane Municipal Code, City of Spokane
,a/c. /Lc/7 e,s 777— 7377
Water Tap Permit
Number: P0806103WTAP
Job Title:
WATER TAP
Engineering Services
808 W Spokane Falls Blvd
Spokane, WA 99201
Phone: (509) 625-6700
Fax: (509) 625-6124
)
) , i 11) 1 http://www.SpokaneEngineering.org
Site Information:
Address: 1303 S HAVANA ST
Parcel #: 35233.0822
Applicant
BAINS, MAKHAN S & GURCHAIT S
1301 S HAVANA ST
SPOKANE WA 99202-5460
Permit Status: Issued
Status Date: 11/12/2008
Parent Permit:
Owner
BAINS, MAKHAN S & GURCHAIT S
1301 S HAVANA ST
SPOKANE WA 99202-5460
ENGINEERING WATER TAP
Tap On HAVANA STREET
Between 10TH AVE & 12TH AVE
Main Size 6
Main Type DI
Tap Size 02 Inch Tap
Purpose Dom
Right of Way Width 60
Account Type Residential
Water System Intermediate
Sewer System Available
Number of Units 1
Empowerment Zone Out
In/Out UGA? Out
In/Out City? Outside
Was Annexation Covenant Signed Unknown
Description of Work: WATER TAP FOR NEW RESIDENCE
Contractor(s)
Inspector:
(Call between 7:30 am and 8:30 am for Inspection).
In applying for City water service, I agree:
1. I am bound by City requirements, including those of Spokane Municipal Code Chapter 13.04
conditions of the Water Rates Resolution, as last adopted by the Spokane City Council
2. To arrange for City inspection of the water connection prior to covering.
3. To pay all charges, including the DEPOSIT. PRICE WILL BE SUBJECT TO CHANGE, if not
installed within one year form the date this permit was issued
and
Iffy%
*Receipt #
CERTIFICATE OF SEWER AVAILABILITY
This form is only to be submitted as an attachment to a fully completed application.
Sewer Utility: Spokane County f-1 City of Spokane fl Liberty Lake Sewer District f
Location: Spokane County rl City of Spokane Valley I—j Other fl
r TO BE COMPLETED BY APPLICANT
6
Project Name: U A L!-1 f} 1'
(c 1
Parcel Numbers: 3 5 : —o
General Project Description: S) W C �Z i` M /)1 I L y f o U S Ly
*Note: Planning Action Review Fee of $100.00 may need to be paid prior to the execution of this certification
by Spokane County.
CERTIFICATION BY SEWER UTILITY
The above-named Public Sewer System is capable of and will supply sewer service to the referenced project
or subdivision.
1. Is sewer currently available, with service connections provided as required, to serve the oposed
development? (If yes, go to signature block; if no, go to 2a.) 0 Yes u No
su: 67 tacji
2a. Is the site within the Spokane Sewer six-year Sewer Capital Improvement Program?
(If yes, go to 2b; if no, go to 3.) 0 Yes No
2b. Will the developer design, fund, construct and provide fmancial surety for the necessary systems to
provide Dryline Sewer and/or Double Plumbing Dry Side Sewers as required?
(If no, go to 3.) ° Yes 0 No
3 Will the developer design, fund, construct and provide financial surety for the nec ssary systems to
extend sewer service to the site and provide service connections as required? AiYes ❑ No
02 Afife4hg.'t
This Certificate of Sewer Availability is non -transferable to other projects and shall be valid as long as
the referenced project remains active and is not modified.
Certified by: ENO!)L3rotVl7 Priry, i; bz-v -1 ooe.r•
S�l'Y,CSS
Print Name Title
/f //2%a$
Dade
s')/ari(f7
Signatu e
CONCURRENCY DETERMINATION BY PLANNING AGENCY
If yes to question 1, or question 2b, or question 3 above, concurrency is satisfied for sewer. Otherwise, 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
Planning Agency Representative
(i.e Spokane County or City of Spokane Valley)
Agency Date
Effective October 28, 2007
P:\Community Development\Forms\Current Planning Application forms\CERTIFICATE OF SEWER AVAILABILITY.doc
CERTIFICATE OF SEWER AVAILABILITY
1 & 3. The project area is located within the City of Spokane Valley but within the
City of Spokane's Sanitary Sewer Service Area. An existing 8-inch City of
Spokane sanitary sewer located in Havana Street is the nearest available line
which could provide service to Parcel Number 35233.0822 (Gurchait Singh
Bains Property). Design plans detailing sewer service to the site must be
stamped by a professional engineer, licensed in the State of Washington, and
submitted to Engineering Service — Developer Services Staff for review and
acceptance, prior to construction. The applicant will be responsible for all costs
(design, plan review, construction, inspection, franchise, GFC, permit, etc.)
associated with constructing public / private sewer lines and/or service
connections necessary to serve said property. All improvements must be in
accordance with City of Spokane standards.
CERTIFICATE OF WATER CONCURRENCY
APPLICANT NAME: CI Z D A C H A i! . & i� L� i -� - 13,1-; I nq
LOCATION (ADDRESS): % :- o 7) - s- )1-}); U ( W
PROPOSED USE: Si ri L Lz )2.i )'�') ► f
PHONE NUMBER: X0`1 — MESSAGE PHONE: .5e.,9 37091 — a 9
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 Tess than 20 psi
measured at the nearest fire hydrant which is feet from the building/property above (or as marked
on the map attached).
Rate of flow Duration
❑ Less than 500 gpm (approx. gpm) Less than one hour
❑ 500 to 999 gpm One hour to two hours
❑ 1000 gpm or more Two hours or more
❑ Calculation of gpm (Commercial building permits require a flow test or calculation)
E 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
WATER PURVEYOR INFORMATION
PURVEYOR NAME: Cl t/ 0 -F S o
PURVEYOR'S ADDRESS: (//) `-1� M foo#h t ll5 br ' v'6-/ ..§o0 KaJ)er, t)/7. 59207
PURVEYOR'S TELEPHONE NUMBER(S): 62 5-78OO
1. a. Water will be provided by service conn�e�ctiti�on onl to the existing 6 — inch water main,
OR b. ❑ Water service will require an improvement to the water system by the contractor of:
❑ (1) feet or 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. Yr The proposed project is consistent with the water purveyor's DOH approved water system
plan.
b. U 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.
-V, cS CkctV-
Agency (l istn - t) nam
Title
Sriatory name
e
I, 17_1
Signatory date
Effective October 28, 2007
P:\Community Development\Forms\Current Planning Application forms\CERTIFICATE OF WATER CONCURRENCY.doc
CERTIFICATE OF WATER AVAILABILITY
1. The project area is located within the City of Spokane Valley but within the
City of Spokane's Water Service Area. An existing 6-inch City of Spokane
water main located in Havana Street is the nearest available line which could
provide service to Parcel Number 35233.0822 (Gurchait Singh Bains Property).
Design plans detailing water service to the site must be stamped by a
professional engineer, licensed in the State of Washington, and submitted to
Engineering Services — Developer Services Staff for review and acceptance,
prior to construction. The developer will be responsible for all costs (design,
plan review, construction, inspection, franchise, GFC, tap, meter, permit, etc.)
associated with constructing public /private water mains and/or service
connections necessary to serve said development. All improvements must be in
accordance with City of Spokane standards.