2012, 05-24 Permit App: BLD-2012-0744 Residenceosow.
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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@spoka nevallev.orq
. fr-P, 2617,, 07 IN
REIGE3144ED
PERMIT NUMBER:
BER'
2 if2Un 2012
PERMIT FEE:
[VicT CENTER
_...... `E�.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION._.
NEW CONSTRUCTION IS ADDITION/REMODEL
in DECK te ``�� OTHER
SITE ADDRESS: �' ' lel,,N t'1' 4
ASSESSORS PARCEL NO.: 4.03,4 • 1(,003 LEGAL DESCRIPTION: -J- 5
BUILDING OWNER NAME:
19 ACCESSORY BUILDING
NAME: V N L4,9 rr4F�
ADDRESS: "Z• 10 4 L HdwI-z-,LL tV 1 o. .41-110 /1 6J
CITY: C°KN1Y���N -f STATE:
PHONE: 1'1"6 10
in
'
FAX: ' z Z - 0115
CONTACT NAME: 4‘,/i 4 I ` I1s,ocx.A
/ Karp 4np`AJ
ZIP: crgz17io
CELL: "t`1 .` COIOC,
PHONE: l I e) " talag FAX: 14q /2"2 O lq is
Isdr DD4 a h'l k4
CONTRACTOR NAME:
MAILING ADDRESS: j I
Cm:
CELL:
U 14C4-1 OD: 1 *'0
oKr'r�� b w4--(
PHONE: "Ii/C/100
STATE: t='�f %� ZIP: lq .2.D6
FAX:y` 011.5- CELL: [�101O9
CONTRACTOR LICENSE No.:U\AII M 1EXPIRES:1,i2 j1. CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE PROPOSED USE:
eAd r-6 .1131 l lA l v1�1 /moi tt(A" Lc, J
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: 6
Diimenslfpns:�1� i it
6%iD i i'a.)4 -CoS
No. of Stories: i
Total Habitable I � .1 It
ace: 4vWI
Main Floor ISQFT .
(p
Upper Floor
Unfinished BaBasseert nt SQ
Finished Basem7 SQ
FT: �j6/D
Garage SQ FT: 1�
1,/,./74 Y
Deck/Cover d patio SQ
FT:
Impervious Surface
Area: /4
`43/e..-.
30% Slopes on
Property: 4/1,
No. of Bedrooms: ..
Construction Type: 00019Heat
Source:
we or Septi
TOTAL COST OF PROJECT: $
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) 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) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
SPOKE COUNTY BUILDING AND PLA•NG
PERMIT
Application Number: SW -12001422
Permit Issued Date:
05/24/2012
Expiration Date:
Project Description: SEWER CONNECTION
Project Name: ROTH ADDITION
Permit Type: SEWER
Primary Contact: FOLSOM EXCAVATING
Applicant: FOLSOM EXCAVATING
Address: 16701 E VALLEYWAY
VERADALE, WA 99037
Phone: (509)979-6002
Email:
SITE INFORMATION:
Site Address:
Parcel Number:
Subdivision:
Assessor's Description:
Inspection Area:
Zoning:
5230 N MAYHEW RD
46344.1603
PLAT NO 4 OF WEST
FARMS IRRIGATED
TRACTS
ROTH ADDITION, PHASE 1: LOT 3 BLK 1 (AFN
6055341 - PTN SE1/4 34-26-44)
Owner: LOTS N LAND
Address: 210 N UNIVERSITY RD STE 300
SPOKANE VALLEY, WA 99206
Phone:
Email:
Water District: Trentwood Fire District: Fire District 1
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
DETAILS:
Class
Type
Quantity Unit Charge Value
SEWER SEWER CONNECTION 1 $125.00 $125.00
FEE DETAIL:
Processing - Utilities
Utilities Permit
Total Fee:
$125.00
$25.94
$125.00
$150.94
CONDITIONS:
Inside Public Transit Benefit Area
CALL 1-800-424-5555 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 & INDUSTRIES, INCLUDING THOSE
RELATED TO TRENCH SAFETY.
Date Printed: 05/24/2012 14:10:31
Printed by: IIS APPPOOLWSP.NET v4.0
SPE COUNTY BUILDING AND PLASNG
PERMIT
Permit Issued Date:
Application Number: SW -12001422 05/24/2012
Expiration Date:
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.
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: 05/24/2012 14:10:31 Printed by: IIS APPPOOL\ASP.NET v4.0
•
Target Date sheet
For City Use Only
PLUS Project a7'/''/
Project Address 5 2 3 C :4- 4/1-‘1))
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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.
Your application review TARGET DATE isThe 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.
CD -003 V-7/ 06-21-11 Page 1 of 1
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