2012, 06-21 Permit App: BLD-2012-0952 Residence4000%
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@a sookanevallev.orq
RESIDENTIAL CONSTRUCTION PER
NEW CONSTRUCTION ADDITION/REMODEL
DECK OTHER
SITE ADDRESS: 71121.7i4 . 114
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
CSV PERMIT CENTER
IT APPLICATION
0RY_B.U.ILD;
LEGAL DESCRIPTION: tor 4 15LI4.2 eoni brrL
NAME: WI., +0!•0164
0!•0rf 4� 1��21L.L `���/
ADDRESS: Z1( [1 . KVJDF� 1 !"fes 4i)ll�i 7✓V
CITY: DU$ l STATE: /4Q •
PHONE: 2 1#1 (?O9 FAX: 1ZZ 471_ { 7
CONTACT NAME: Kix/ dDDFAT
ZIP: /112cv
CELL: ZI1-ld7alo
PHONE: Z1°2" (BOO FAX: i 7.2 .c71,015
CONTRACTOR NAME: �J�t hr%iag hmvtr,6 LIL
CELL: ?j' /2'i C400°
MAILING ADDRESS: fir%-- rt4.. 11wrN f -D • ''L) 10„
CITY: jFt9 F..�I1's/��V L �Y STATE:A .
PHONE: Z 17' 64FAX: 2'Z ". 011 ✓ CELL:
ZIP:ZO<v
z-0-(0100
CONTRACTOR LICENSE No.:'(titeal 164,43 EXPIRES: +12 • t2 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
CABLE
Height to Peak:�(
Dim ron : j
No. of Stories: `
y
Total Habitablelt&12
Space:
MaintFipS:
Mart
Upper Floor SQ FT:
Unfinish Bas mitt SQ
FT: W
Finished Basement SQ
FT:
Garage SQ :
v [ WW
Deck/Covgred Patio SQ
FT: /„r��]
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: S
Construction Type: k2° D
Heat Source:k4, dietro
, r Septic:
TOTAL COST OF PROJECT: $ 25, 000
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) AU construction is to be done in full compliance with the City of
Spokane Valley Develo ent code. R -nced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley pe is not a perm or : pproval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may • req red to be - b ed and subsequently approved before this application can be processed.
EffectWe 0 • ber 28, 200
Page 1 of 2
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App 10.28.07.doc
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CSV pAMIT CENTER
S U B E V
8320 S.r. ti.g! 14, ML,\(41.1/41111_
SPOKAA COUNTY BUILDING AND PLANAR Jo 6 (2-0
PERMIT
Application Number: SW -12001543
Permit Issued Date:
06/13/2012
Expiration Date:
Project Description: SEWER CONNECTION Primary Contact: FOLSOM EXCAVATING
Project Name: ROTH ADDITION Applicant: FOLSOM EXCAVATING
Permit Type: SEWER Address: 16701 E VALLEYWAY
VERADALE, WA 99037
Phone: (509)979-6002
Email:
SITE INFORMATION:
Site Address: 5118 N MAYHEW RD
Parcel Number: 46344.1703
Subdivision: PLAT NO 4 OF WEST
FARMS IRRIGATED
TRACTS
Assessor's Description: ROTH ADDITION, PHASE 1: LOT 3 BLK 2 (AFN
6055341 - PTN SE1/4 OF 34-26-44)
Inspection Area:
Zoning:
Owner: LOTS N LAND
Address: 210 N UNIVERSITY RD STE 300
SPOKANE VALLEY, WA 99206
Phone:
Email:
Water District: Trentwood Fire District: Spokane Valley Fire
Irrigation District #3
Land Area: 0.191 acres / 8320 sqft
CONTRACTOR INFORMATION:
General Contractor
FOLSOE1994DO
FOLSOM EXCAVATING INC
16701 E VALLEYWAY AVE
VERADALE, WA 99037
509-891-1232
Project r=
DETAILS:
Class
Type
RECEIVED
LJN 2 2012
CSV PERMIT CE'`; -TER
,I SUB ::- I�
Quantity Unit Charge" —1/a/110 ---
SEWER SEWER CONNECTION
FEE DETAIL:
Processing - Utilities
Utilities Permit
1 $125.00 $125.00
Total Fee:
$125.00
$25.94
$125.00
$150.94
CONDITIONS:
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER.
ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES
APPLY AFTER 30 MINUTES.
Date Printed: 06/13/2012 08:10:19
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SPOK• COUNTY BUILDING AND PLANN
PERMIT
Permit Issued Date:
Application Number: SW -12001543 06/13/2012
Expiration Date:
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 BE 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 LOWEST LEVEL OF THE STRUCTURE.
THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE
LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF
UNDERGROUND FACILITIES.
Date Printed: 06/13/2012 08:10:19 Printed by: IIS APPPOOL\ASP.NET v4.0