2011, 06-14 Permit: 11002721 SewerSPOKARE CouffY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 5006 N LUCILLE RD
Parcel Number: 46354.3307
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: UNK
Owner: QUINTAMA, MANUEL
Address: 5006 N LUCILLE RD
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 11002721 Inv: I Issue Date: 6/14/2011
Permit Use: SEWER CONNECTION
Applicant: J K ELITE CONTRACTING
4902 N LUCILLE RD
SPOKANE VALLEY \VA 99216 Phone: (509) 995-1075
Contact: J K ELITE CONTRACTING
4902 N LUCILLE RD
SPOKANE VALLEY WA 99216 Phone: 1509) 995-1075
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: 1 K ELITE CONTRACTING License #: 1KELITE90916
SEWER CONNECTION I $125 00 PROCESSING FEE 1 S25.00
Total Permit Fee: $150 00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 3'30-5'00 MONDAY -FRIDAY PRIOR TO
COVER ONE WORKING DAY NOTICE REQUIRED PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-500-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR S INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO 13E CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LO\VEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST.BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME
BOTH STATE LAW RCN 19 122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
515000 5150.00 $0.00
'Tran Date
6/14/2011
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page 1 of 1
Receipt # Payment Amt
2375 $150.00
PERMIT