2006, 04-11 Permit App: 06001175 ResidenceProject Number: 06001175 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/2006 Page 1 of 3
Project Information:
Permit Use: SINGLE FAM DWELLING, GAS HEAT, ON Contact: SULLIVAN HOMES
SEWER Address: 16114 E INDIANA AVE SUITE 200
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 624-4598
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Sout
Parcel Number: 45224.2715 Block:
SiteAddress: 917 S MAYHEW LN
Location:: CSV
Zoning: UR -7*
Water District:
Urban Residential -7*
Lot:
Owner: Name: DOERFLER, M & K/FLAGSTONE
Address: 3004 N SULLIVAN RD
SPOKANE, WA 99216
Hold: ❑
Area: .00 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 By:
Originally Released:
Driveway/Approach
4/7/2006 By: TMELBOU
Originally Released: 4/10/2006 By: amblake
Landuse/Zoning/HE Conditions
Rel
ed B.
Sewer Review
Permits:
Originally Released: 4/10/2006 By: KKENDAL
Released By:
Operator: AMB
Printed By: AMB
Print Date:
4/11/2006
Project Number: 06001175 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/2006 Page 2 of 3
Approach
Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598
SPOKANE VALLEY, WA 99216
Item Description
APPROACH -CONST IN ROW
Units Unit Desc Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598
SPOKANE VALLEY, WA 99216
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,547 $133,614.39 1,547 $133,614.39
DECK OPEN R-3 VB 103 $1,545.00 103 $1,545.00
GARAGE U-1 VB 712 $13,528.00 712 $13,528.00
Totals: 2,362 $148,687.39 2,362 $148,687.39
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,268.15
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $507.26
Permit Total Fees:
Mechanical Permit
$1,779.91
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509) 325-4505
SPOKANE, WA 99202
Item Description Units Unit Desc
DUCT SYSTEMS 1 NUMBER OF
GAS WATER HEATER 1 NUMBER OF
GAS APPLIANCE<=100,000BTU 1 NUMBER OF
GAS PIPING 3 # OF UNITS
VENTILATING FANS 3 NUMBER OF
GAS LOG OR GAS INSERT 1 NUMBER OF
HOOD -TYPE II 1 NUMBER OF
Operator: AMB Printed By: AMB
Fee Amount
$10.00
$10.00
$12.00
$3.00
$30.00
$10.00
$10.00
Permit Total Fees: $85.00
Print Date: 4/11/2006
Project Number: 06001175 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/2006 Page 3 of 3
Contractor: STURM HEATING
Address: 1112 N NELSON
SPOKANE, WA 99202
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
CROSS CONNECTION DEVICES
WATER PIPING - DWV
Plumbing Permit
Units
2
4
2
1
1
1
1
3
Firm: STURM HEATING
Phone: (509) 325-4505
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:.
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$90.00
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,779.91
$85.00
$90.00
Invoice Amount
$50.00
$1,779.91
$85.00
$90.00
$2,004.91 $2,004.91
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,779.91
$85.00
$90.00
$0.00 $2,004.91
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: AMB Printed By: AMB
Print Date: 4/11/2006
Project Number: 06001175 Inv: 1
Application
Date: 4/5/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SINGLE FAM DWELLING, GAS HEAT, ON
SEWER
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: Name:
Contact: SULLIVAN HOMES
Address: 16114 E INDIANA AVE SUITE 200
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
V1,11) Lic:7 v71
Parcel Number: 45224.2715 Bihck: Lot:
SiteAddress: 917 S MAYHEW LN
Location:: CSV
Owner: Name: DOERFLER, M & K/FLAGSTONE
Address: 3004 N SULLIVAN RD
SPOKANE, WA 99216
Zoning: UR -7* Urban Residential -7*
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway/Approach
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Operator: AMB Printed By: AMB Print Date: 4/5/2006
Project Number: 06001175 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/5/2006 Page 2 of 2
Approach
Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598
SPOKANE VALLEY, WA 99216
Building Permit
Contractor: SULLIVAN HOMES LLC Firm: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE STE 200 Phone: (509) 624-4598
SPOKANE VALLEY, WA 99216
Mechanical Permit
Contractor: STURM HEATING Firm: STURM HEATING
Address: 1112 N NELSON Phone: (509) 325-4505
SPOKANE, WA 99202
Contractor: STURM HEATING
Address: 1112 N NELSON
SPOKANE, WA 99202
Notes:
Payment Summary:
Plumbing Permit
Firm: STURM HEATING
Phone: (509) 325-4505
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: AMB Printed By: AMB
Print Date: 4/5/2006
C1T1'JL`►Kil
�poxane
tis
BUILDING PERMIT APPLICATION WORKSHEET
- ,tytipf k e� ley Community Development Department
L �t �_, 1 Building Division
i 11707 C Sprague Avenue Suite 106
APP
Spokane Valley, WA 99206
l L P, -one: (509) 688-0036; Fax: (509) 688-0037
Street Address: 917 S.Mayhew Lane
Assessor's Tax Parcel Number(s): 5-.-
Legal Description: Lot 15 Block 1 @ EVERGREEN GLEN OF PARK PLACE P.U.D
PERMIT DESCRIPTION: New Residential Construction
® Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
® Owner: Sullivan Homes
Phone: 509-624-4598 Fax: 509624-4630
Address: 16114 E. Indiana Ave
City: Spokane Valley State: WA Zip: 99216
❑ Contractor: Same
Phone: Fax:
Address:
City: State:
Zip:
WA State Contractor License #: sullihi042jt
❑ Applicant: Same
Phone:
Fax:
Address:
City: State: Zip:
❑ Architect:
Phone: Fax:
Address:
City: State: Zip:
Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 18'-7"
DIMENSIONS: 40'-0" x 74'-0"
# OF STORIES: 1
MAIN FLOOR TO SQ. FTG: 1547
0{<
2ND FLOOR SQ. FTG: N/A
UNFIN BASEMENT SQ. FTG: N/A
FINISHED BASEMENT SQ. FTG: N/A
GARAGE SQ. FTG: 712 SF p i<
DECK/COV. PATIO SQ. FTG: 103
OCCUPANCY GROUP: Single Family
CONSTRUCTION TYPE: Residential
HEAT SOURCE: Gas
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE: 1547 sf
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: $180,000
30% SLOPES ON PROPERTY: No
SEWER OR ON-SITE SEPTIC
SYSTEM? Sewer
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year:
Pit Set:
Previous Address:
Proposed Use:
Fire Sprinkler:
Tent:
Valuation:
Plans Examiner:
Address:
Inspector:
Address:
# of Heads Fire Alarm:
Fireworks Display: Blasting:
Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Phone:
City, State, Zip:
Phone:
City, State, Zip:
Fax:
Fax:
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
Fax:
❑ WELDING
DISCLAIMER
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 federal, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
Project Address: 917 S Mayhew Lane
Owner: Sullivan Homes
Mailing Address: 16114 E Indiana Ave
WA 99216
Contractor: Sturm Heating and Plumbing
4505
Mailing Address: 1112 N Nelson
99202
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: Residential
Phone (Daytime Contact): 509-624-4598
Spokane Valley
City
License #: STURMI*210QF
Spokane
State
State
Zip Code
Phone #: 325 -
WA
Zi Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less 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
GAS LOG, GAS INSERT, GAS FIREPLACE
1
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
1
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
3
X
$1.00
=
18
DUCT SYSTEMS
1
X
$10.00
=
19
VENTILATING FANS
3
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
1
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
26
AIR CONDITIONER
3-15 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:
SUBTOTAL
soklA
]e Phone: (509) 688-0036; FAX: (509) 688-0037
Valley For Inspections, CaII (509) 688-0054
PLUMBING PERMIT APPLICATION
Project Address: 917 S Mayhew Lane
Owner: Sullivan Homes
Mailing Address: 16114 E Indiana Ave
99216
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact): 509-624-4598
Spokane Valley WA
City State Zip Code
Contractor: Sturm Heating And Plumbing License #: STURMI*210QF Phone
#: 509-325-4505 1112 N. Nelson, Spokane WA 99202
Mailing Address:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
4
X
$6.00
=
6
DISHWASHER
1
X
$6.00
=
7
CLOTHES WASHER
1
X
$6.00
=
8
GARBAGE DISPOSAL
1
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
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
3
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
1
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 DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Aug 29 02 08:49a Dan Canis
509-755-6713
2001 WSBC Residential Compliance Farm
Prescriptive (Chapter 6) Options for all R Occupancies,. Climate Zone 2 0, 1
Heat source: a Ti
p.1
INSTRUCTIONS
Yota g�_rmit w$1 be processed more efficiently if you provide all of the requested info ationl artment staff ton
help you with general questions abort this form Your building must match the selected option requirements without
exceptions orsubstitutions-
2) Glazing percentage determines which option to choose- Complete the following glazing area calcuiation before
proceeding to the option table below.
•
GLAZING AREA CALCULATION:
1 SS" SF. /sit -7
SF. _
)v
T-1
TOTAL WINDOW AREA -. -. _ _.. _.- ._._ _I -MA) td FLOOR ARE+4 TALL FLOORS,),_ _ %TOF G'LAZ) NG
NOTE Use rough opening (R/O) for window area_ include all half -lite and full -lite door glazing in this
calculation.
CANT -COMPLY? If none of the Prescriptive (Chapter d) Options below are acu ptab1� consider systems analysis
(Chapter 4) or, Component Performance (Chapter 5) Approach. The main advantage is f1eax-bility to juggle individual LT
factors (R -values) as long as as overall maximum value isn't ex.--eded. Note that the overall pesorrnance requirements
are no less stringent than the Presuiptive requirements. Calculations may be performed by hand or,'. using an acceptable
computer software program. Helpful forms and other resources can be downloaded at htto://wwvv. ergy.wsti.edu/
buildings -
• CIRCLE
OPTION
TABLE 6-2
PRESCRIPTIVE'REOUIREMENTS°4UON GROUP R:OCCUPANCY •
CLIMATE ZONE 2
Reference Case
0. Nominal a -valves are for wood frame assemblies -only or assemblies builr in accordance with Section 60I.1.
1. IvEnimom requinm eats for each option listed_ For example, if aprnposcd design has a Pl- ono ratio to the conditidncd floor
arca of 13%,itshall comply with all ofth.:. requirern_eats ofthc.15% glthcg option (or higher). Proposed designs which cannot
meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code.
2. Requirmnent applies to all ceiling wept single rafter or joist vaulted ceilings. Ad.? motts AdvaneedPratne1 Ceding.
3. Requir—nsnt appleable only to siugie rafter orjoist vaulted eetiings.
. 4- . Below gradewalls sh01 be Me:Anted either on thc eter or to a noninfinima. level ofR-10, or on the interior to the same level es
walls.above grade_ .Pxtnrior insulation instaled on below grade walls shall be a water resisrant material, manufactured for its
intended use, and installed according to the mrmufaetnreds speci5catians See Section 61322
5. Floors ova -crawl spaces or exposed to ambient air condiiions
6. Required slab perimeter insulation shill be a water resis�matcrial, manafaemted for its intmdcd use„ end Metalled
according to manrtfaccances speciEcatiout. See Section 6tl24.. . . . -
7. Int. denotes standard framing 16 inches an center with headers inmlated *with a minimum ofR 5 insulation_
8- This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fie doors, shall be assigned default U -factors from Table IO -6C_
10. Where a maximum glaring arca is listed, the toad glazing atm (combined vertical plus overhead) as a percent of gross
conditioscd floor area shall be less than or equal to that value. Overhead glazing with II -factor of 17=0,0 or less is not included
in glazing arca limitations -
11. Overhead glaMing shall have IT -factors dctc vaned in accordance with h RC 100 or as specific is Section S02 -IS_
12. Log and solid timber walls with a minimum averzee tbiclams of3S' arc =mart from this insulation rola ircmeni
ATT('_ -7n-(10 TUTI !1'7. AA A1I LDru. Cl1 n CCC C'71 7 Tn na nr
SULLIVAN HOMES
INCORPORATED
TRANSMITTAL SHEET
TO: SPOKANE VALLEY FROM:
Sullivan Homes
CONTACT: EVAN HUGHES DATE:
3/08/06
PHONE NUMBER: 509-624-4598
RE: 917 S Mayhew Lane Building Permit
0 URGENT X FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
CONTENTS:
(2) FULL PLAN SETS 24" X 36"
(2) PLOT PLANS
(1) BUILDING PERMIT APPLICATION
(1) MECHANICAL PERMIT APPLICATION
(1) PLUMBING PERMIT APPLICATION
(1) RESIDENTIAL GLAZING COMPLIANCE FORM
***PLEASE CONTACT US IF ALL OF LISTED ITEMS ARE NOT INCLUDED***
16114 E. INDIANA AVE, SUITE 200 • SPOKANE VALLEY, WASHINGTON • 99216
PHONE: 509.624.4598 • FAX: 509.624.4630
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 917 S MAYHEW LN
Parcel Number: 45224.2715
Subdivision: RANGE
Block: 1 Lot: 15
Zoning: UNK Unknown
Owner: SULLIVAN HOMES INC
Address: 16114 E INDIANA AVE, STE 200
SPOKANE VALLEY WA 99216
Building Inspector:
Water Dist:
Project Number: 06002195 Inv: 1 Issue Date: 4/17/2006
Permit Use: SEWER CONNECTION - EVERGREEN GLEN @ PARK
PLACE
Applicant: SULLIVAN HOMES INC
16114 E INDIANA AVE, STE 200
SPOKANE VALLEY WA 99216 Phone: (509) 624-4598
Contact: SULLIVAN HOMES INC
16114 E INDIANA AVE, STE 200
SPOKANE VALLEY WA 99216 Phone: (509) 624-4598
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Rear:
1 Permits 1
Sewer Connection Permit
Contractor: STURM HEATING License #: STURMI*210QF
SEWER CONNECTION
1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $100.00
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.
THE 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 ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. 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.
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.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
4/17/2006 1815 $100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT