2003, 05-23 Permit App: BD-03-495 MHzty of
POKANE VALLEY
62W- 003 C,
ira)( G9 - Uo37
PERMIT #
DING PERMIT APPLICATION `
)x-1 OWNER (4/2.4 L. 67 DJ JOB LOCATION /l (Q (o 2 /
OWNER'S ADDRESS Sett CITY PHONE
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DESCRIBE JOB A44 A/ %.4 C Tc) /2 E/24,44E, 5f 7-6
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THIS PROPERTY IS OWNED
PARTNERSHIP C
Y: SINGLE/MARRIED
RP.
2.0031
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)X 2 CONTRACTOR'S NAME
LL
CONTRACTOR'S ADDRESS
CONTRACTOR'S REG.# �l L
Qr4 mi eKci4v4-
PHONE 24M -6,49c)
Soo ' � . CITY £ —LL- / LtiAt"
EXPIRATION DATE 200 fe !
(CARD MUST BE PRESENTED AND COPIED OR VEFEFIED)
�•c_ PHONE Z �' Z —t 4.3
X 3 CONTACT PERSON OF PROJ CT d/
ADDRESS 1 Soo 5 . B sti/c. CITY
X 4 SEWER AVAILABILITY Y
ZIP gGIO'Qr
WATER AVAILABILITY
X 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $
K 6 PROPERTY TAX ACCOUNT N MBER • �! 3 G f Z3 7 3
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUB IT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
• I.
CENSUS NUMBER L• NUMBER
7 BUILDING SQUARE FOOTAGE
3RD FLOOR /
BASEMENT UNFINISHED
CARPORT / TO
Existing / proposed)
OTHER /
DECK
(?() SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UN TS
( ) COMMERCIAL / INDUSTRI L
( ) TENANT IMPROVEMENT
1ST FLOOR / 2ND FLOOR
BASEMENT FINISHED
/ GARAGE /
/ HEIGHT TO PEAK OF BUILDING • FT.
((C) NEW CONSTRUCTION M 40 pA e_
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE SQ. FT. •
9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED P UMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR U ITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, B
10 Water Service meter size (
I 1 Septic Tank — Not general)
Your sewer purveyor and t
12 Street use may require a "
Works Department.
IFY UNDER THE PENALTY OF PE
;ECT TO THE BEST OF MY KNOW
E PREMISES TO PERFORM THE
=R/AGENT
CK FLOW PREVENTERS, ET AL:
jl
f known) Also see BOX 4
allowed in the City of Spokane Valley. For special circumstances contact
e Health District (See BOX 4)
.treet Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
JURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND •
EDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ORK FOR WHICH THE APPLICATION IS MADE.
fATC
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard
Expiration Date
Print the name of the Holder
Signature
;.
-------------------
OFFICE USE ONLY - PLEASE DO NOT WRITE THIS LINE
--_'---'--_------
-----
— --------------
REAR =_—�--
ZONE SETBACKS:' FRONT SIDE — ---
HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS
SEPA: EXEMPT NOT EXEMPT
,;
FIRE DEPARTMENT IILPPROVAL
I
'
REMARKS .
DISAPPROVAL
DATE
-------------------------------
DISAPPROVAL
DATE
PUBLIC WORKS DEPkRTMENT APPROVAL
DISAPPROVAL DATE
TYPE OF JOB: NEW kESIDENCE RES. ADD/ALT NEW INDUSTRIAL
IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD
NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALTTENANT IMP. ROOF
OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
BUILDING SQ. FT. @ —
BUILDING SQ. FT. @ —
BUILDING SQ. FT. p� —
BUILDING SQ. FT. @ —
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE RECD
PERMIT FEE •PLAN CHECK FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
STORIES
RECEIPT NUMBER
PLUMBING FEE MECH. FEE
OTHER CHARGES
BUILDING DEPARTMffNT APPROVAL
. BY
AMOUNT DUE
DATE
ASSIGNED ADDRESS
1
Site Information
Site Address: 16621 E MAIN AVE
VERADALE, WA 99037
Parcel Number: 45134.2323
Subdivision:
Block: 2 Lot: 23
Zoning: UNK Unknown
Owner: EDWARDS, CAROL
Address: 16621E MAIN
VERADALE WA 99037
Building Inspector: BOBBY STONE
Water Dist:
Project Information
Project Number: 03003578 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - ARMSTRONG EST
Applicant: ALL TERRAIN EXCAVATING
15001 S BEN APPLE RD
EDWALL WA 99008
Contact: ALL TERRAIN EXCAVATING
15001 S BEN APPLE RD
EDWALL WA 99008
Setbacks - Front: Left: Right:
Group Name:
Project Name:
5/22/2003
Phone: (509) 299-6630
Phone: (509) 299-6630
Rear:
Permits
Sewer Connection Permit
Contractor: ALL TERRAIN EXCAVATING License #: ALLTE**003DN
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position Of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer.
Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TOANY CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with ail requirements of the Washington State Dept of Labor and Industries, including
those related to trench safety.
$15.00
$100.00
Payment Summary 3'
Total Fees AmountP aid AmountOwing
$100.00 $100.00 $0.00
Tran Date
5/22/2003
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
3215
Payment Amt
$100.00
PERMIT
APPROVED B
Mil
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VAI\ ST
REF T
.5-
'44-134. 2323
5-
'44-134.2'323
Spo'l 'lane
d jvalley
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date 5/ 3 0/03
Permit # PW h3 —.2.3 7
APPROACH PERMIT
APPLICATION
Location of property /to & Z / c_ XII Al A
Address/Parcel #, if available)
Applicant Name AV/ Cv N►J i G 4, k&
Address . 1500( A.) l L 2s) Phone 2,9-(1G3 6
Contractor's Name ILL 762 !Zig-
Address S. 5-0o I 8F l `tpi 42. 2 7 Phone 2 99-6‘.3 0
Contractor's Reg# I l l."T'� -3'-4-0Q3.D K\ Expires OZ/
PROJECT DESCRIPTION (Provide site sketch)
x
Residential Driveway
Existing Curb & Gutter
n Culvert Installation
Other conditions
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Signature
Fees Paid$ 025'490 Date .5"--•.93
Init -"(2
Excerpts from Spokane Valley Standards (3.24, and details A8 and A -8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10% within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
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