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2010, 09-09 Permit App: 10002803 ResidenceProject Number: 10002803 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/9/2010 Page 1 of 3 Project Information: Permit Use: NEW SFR - SEWER Setbacks: Front Left: Right: Rear: Site Information: Plat Key: Name: Range Parcel Number: 55074.3905 Block: SiteAddress: 18117 E MICHIELLI AVE Location:: CSV Contact: MATTESON CONSTRUCTION Address: PO BOX 1060 C - S - Z: OTIS ORCHARDS WA 99027 Phone: (509) 723-8873 Group Name: Project Name: District: East Lot: Owner: Name: PAKIBA LLC Address: 712 S MOEN ST SPOKANE VALLEY, WA 99016 Zoning: R-4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Area: 7,143 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Hold: V' Depth: 0 Right Of Way (ft): 0 Released By: Originally Released: 9/9/2010 By: tmelbourn Landuse/Zoning/HE Conditions Driveway/Approach Sewer Review Permits: Released By: Originally Released: 9/8/2010 By: cjjanssen Released By: Originally Released: 9/9/2010 By: WMCGAV Released By: Operator: jmm Printed By: jmm Print Date: 9/9/2010 Project Number: 10002803 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/9/2010 Page 2 of 3 Contractor: MATTESON CONSTRUCTION Address: PO BOX 1060 OTIS ORCHARDS WA 99027 Item Description APPROACH -CONST IN ROW Approach Firm: MATTESON CONSTRUCTION Phone: (509) 723-8873 Units Unit Desc Contractor: MATTESON CONSTRUCTION Address: PO BOX 1060 OTIS ORCHARDS WA 99027 Description Grp Dm Notes 1&2 FAMILY R-3 VB 2ND FLOOR R-3 VB DECK OPEN R-3 VB GAR WOOD U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Fee Amount 1 NUMBER OF $52.00 Permit Total Fees: Building Permit $52.00 Firm: MATTESON CONSTRUCTION Phone: (509) 723-8873 This Application: Total Project: Su Ft Valuation Sq Ft Valuation 820 $81,139.00 820 $81,139.00 1,136 $84,302.56 1,136 $84,302.56 50 $750.00 50 $750.00 509 $9,671.00 509 $9,671.00 Totals: 2,515 $175,862.56 2,515 $175,862.56 Units 1 1 1 Contractor: MATTESON CONSTRUCTION Address: PO BOX 1060 OTIS ORCHARDS WA 99027 Item Description DUCT WORK SYSTEM GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS 1 DUCT CLOTHES DRYER RANGE Unit Desc SELECT SELECT SELECT Fee Amount $1,419.35 $4.50 $567.74 Permit Total Fees: $1,991.59 Mechanical Permit Firm: MATTESON CONSTRUCTION Phone: Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: jmm Printed By: jmm Permit Total Fees: (509) 723-8873 Print Date: Fee Amount $11.00 $11.00 $13.00 $2.00 $33.00 $10.00 $10.00 $90.00 9/9/2010 Project Number: 10002803 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/9/2010 Page 3 of 3 Contractor: MATTESON CONSTRUCTION Address: PO BOX 1060 OTIS ORCHARDS WA 99027 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS Notes: Plumbing Permit Firm: MATTESON CONSTRUCTION Phone: (509) 723-8873 Units Unit Desc 2 NUMBER OF 4 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $12.00 $24.00 $12.00 $6.00 $6.00 $6.00 $6.00 $72.00 Notes: saw cutting of the existing curb is not allowed in the City's jurisdiction. Driveway is to be inspected by the City's ROW inspector prior to concrete placement Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $52.00 $52.00 $1,991.59 $90.00 $72.00 $2,205.59 $1,991.59 $90.00 $72.00 $2,205.59 Amount Paid $0.00 $489.34 $0.00 $0.00 $489.34 Amount Owing $52.00 $1,502.25 $90.00 $72.00 $1,716.25 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: jmm Printed By: jmm Print Date: 9/9/2010 Community Development Residential Construction Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org PERMIT NUMBER: 3 PERMIT FEE: onstruction Ad tion/Remodel 1-1 Other: Accessory Bldg Deck SITE ADDRESS: A� 1 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: cy,tcksn.s.{.7 e-viv LA Building Owner: DIM NSIONS: — 1 A x7 -i ' # OF STORIES: 2— TOTAL HABITABLE SPACE: --2-,E,- Name: - 2ND FLOOR SQ. FTG: Q 3 Name: p(\c., 9_, t\ L„ < Address: W-( (--,.\_.),,,,, % __ ,- 2_'‘S 1=- P.)/ 4- FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: ( City: a State Address: % E ie 0 Zip:..0 Phone: J�-" !i.S- Zi67 Fax: SEWER OR SEPTIC? SC.. -.c (Z Contractor Lic No: City: -i 4001°ValFMtlley Project Transmittal City of Spokane Valley Community Development Department 11703 E. Sprague Ave, Suite B3 Spokane Valley, WA 99206 Phone: 509.688.0036 New project 0 Previous pre -app meeting 0 Plan revisions 0 Transmittal Date: Wednesday, September 08, 2010 Site Address: 18117 E MICHIELLI AVE Parcel Number: 55074.3905 Zoning: R-4 Fire District: FD 01 Project Number: 10002803 Water District: CONSOLIDATED ID #19 Applicant: MATTESON CONSTRUCTION PO BOX 1060 OTIS ORCHARDS WA 99027 (509) 723-8873 e-mail: Contact: MATTESON CONSTRUCTION PO BOX 1060 OTIS ORCHARDS WA 99027 (509) 723-8873 e-mail: Contractor: MATTESON CONSTRUCTION LLC PO BOX 1060 OTIS ORCHARDS WA 99027 (509) 723-8873 Project NEW SFR - SEWER Description: Owner: PAKIBA LLC 712 S MOEN ST SPOKANE VALLEY. WA 99016 e-mail: Occupant: e-mail: Arch / Engineer e -m UOIL,00 klu Please send all plan review and project comments via e-mail to the highlighted individuals. Building Landuse Engineer Utilities Health Fire Dist Assessor APPLICATION \ CONSTRUCTION PLANS 7'.-- SITE PLAN TDS Please send all plan review and project comments via e-mail to the highlighted individuals. Siokane For City Use Only PLUS Project Number j ` j Project Address 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 ♦ 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. J. Your application review TARGET DATE is The 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. D 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. WHITE -APPLICANT PINK - BUILDING FILE REV 9/07 Community Development Mechanical Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org PERMIT NUMBER: PERMIT FEE: ❑ CommercialFR/Residential SITE ADDRESS: 1 X i 1 7 t M Building Owner ptFi'(. lyA �� Name: ; K'. Phone: cel - J --A . C', <, ', r; Fax: �1 '" M', 2--'\S- Address: v ¢C 6City' "SP�>Y-n�C. .. .L. --1 State: vqi. : ,- Zip: `l�ivl L9 Contractor M*,,-ttesG,,y C:y,.,'��.„c_ c-, �;,L Name: pQa -g nN > n'iY `.>,= Phone: , ' , 1.?:.----7.-.3Fax: Address: f,6 &s, t J City: �.� JrC (K>: ct State: ` zip: Z� - License No:fv,i a L. 1 L City Business Lic: Contact 3Ar Name: Phone: c.___ DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT FUEL BURNING APPLIANCE Equal to or less than 100,000 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 X $10.00 13 RANGE X $10.00 13.( 14 DRYER 1 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) X $1.00 2.00 18 19 20 DUCT SYSTEMS VENTILATING FANS AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X X X $10.00 $10.00 $12.00 )L> -civ 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 X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 4-15 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: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: iYi• l.I(13_ rnrara_ Q .'Valley Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial [ Residential SITE ADDRESS: 1 Building Owner FAv-k6"1 (..},i- Phone: Name: tIZAL-,�S PASt_Phone: ;"� 7 5 --7s.j Fax: .�c1- �3 _7_9 '(3 Address:ct) (•i.>x 1 City: L IN---- l ��L,L;``-r State: 1.� i,AN Zip: �CtUi lr. Contractor N,r.A`tc.-rte. ctsj,j �l2vr..T ,0,4„..s L,;_L" Name: 7 'F,Mi:, r •-N,N1113 5(,r -•Phone: SGC}—,Z��3 Fax: Address: J jx i aL, u City. Crit S (..__rC t \� uA.S State: Li,.., Zip: G L),-- f License No: n'1„1rC E C L_ CV -1 -1 C City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS v X $6.00 2 URINALS X $6.00 3 TUBS X $6.00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 6 DISHWASHER X $6.00 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL X $6.00 9 WATER SOFTENER X $6.00 10 ELECTRIC WATER HEATER 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 X $6.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS 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 ❑ MC Card# AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: CITY OF ''e\" doValley. Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Approach Permit Application PERMIT NUMBER10 PERMIT FEE: PROJECT ADDRESS iC « / L NIke--RkE11--1 START DATE ANTICIPA 1ED COMPLETION DATE Building Owner: Contractor: Name: P„--,.„ L�-L Name:C,SiR- LL( Address: fa R 1 �I City: State: Zip: CP k Phone: Lf . ~- `> Fax:: Contact Person Name: Phone: ;��� ` =i L� 1 PRO/ECT DESCRIPTION (Provide site sketch) Residential Driveway Existing Curb & Gutter Culvert Installation Other Conditions Address: pry (�,;r 0Lw City: n -k -ss. State: •".A Zip: f :-? Phone:<� ;L.gg f > Fax: Contractor Lic No: �. < s ,Exp Date: > , 7 City Business Lic. No: Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction Bond/Insurance certification must be on file with the city. DISCLAIMER The permittee verifies, acknowledges and agrees by their signatures 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 ordin ces. 6) Plans or additional information may be required to be submitted, and subsequently approved before this applicati caz e processed. Signature Date (gLo Method ofPayment: ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 3/6/06 • • tkr•LL 4#MS PLANNING DEPT. APPROVED °T DATE: '' I° r 414 ••••••,•• • .7. A, A vEN 4•2-- ant. kane ..o0°Valley RECEIVED SEP 0 9 2010 Spokane Valley Permit Center 11707E Sprague • ve u • • pokane Valley WA 99206 509.921.1000 • Fax: 509.921.1008 • cityhall®spokanevalley.org Devel • pment Engineering Approach Permit Application Review TO: Building Department Site Address: 18117 E. Michielli Project No: 10-2803 Reviewed By: Dig i tle Date: 97y// Accepted Not Accepted Approach X Building Location Paved Access Notes: Saw cutting of existing curb is not allowed within the City's jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior to concrete placement. Reviewed By: Dig i tle Date: 97y// *Mane Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevaliey.org Community Development Approach Permit Application PERMIT NUMBER:/ p .9 S03 PERMIT FEE: PROJECT ADDRESS t1t• t' (v", t START DATE p c\1,t c ANTICIPATED COMPLETION DATE , Euilding O*ner: Contractor: Name: (((.k ip Address: fO g1 City: S4btcA.A1.�.4;' State: L../ A Zip: °RAk• Phone: _2 - Fax: r,.Ft'_V- 3. .- 7 C:`6..t Contact Person Phone: c; f\ 7" . 4\ t: PRO ECT DESCRIPTION (Provide site sketch) Residential Driveway Existing Curb & Gutter Culvert Installation Other Conditions Name: R,, ,Fc tie= Wit,:. Cs' e( : c t: rr-' L.L.0 Address: PO (7,py, i 0(0,0 City: c{tiy State: Zip: ciao -i--7 Phone: jzt. i 13 rsrC �'> Fax: Contractor Lic No:i`l�liif_t` .`t Exp Date: .,� V-7„ City Business Lic. No: Commercial/Industrial Driveway Rural Road Section Sidewalk Repair/Construction Bond/Insurance certification must be on file with the city. pis CLAIMER The permittee verifies, acknowledges and agrees by their signatures 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 pennit 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 applicati ca a processed. Signature Date g tU Method ofFayinent• 0 Cash ❑ Check ❑ Mastercard 0 VISA Bankcard #: Expires: VIN#: Authorized Signature: REV1BIO 319106 L0-1- 51 7 ea. .7/4.:?.) ; F /Bin f, te-Nt_La StAtc O''= 70' 0 5 0 Yo 1‘)1 1-110 � ,00 C;, lJ 3 :, : j Anti 6 tie 44 414 reb,,i — -- 30 0 Heather Morris From: Wayne McGavran Sent: Thursday, September 09, 2010 8:05 AM To: Permit Center; Scott Wallace Subject: RE: APPROACH 10 2803 I approved this permit, today. Wayne From: Jodi Main On Behalf Of Permit Center Sent: Wednesday, September 08, 2010 2:25 PM To: Permit Center; Scott Wallace; Wayne McGavran Subject: APPROACH 10 2803 ThanKs :) Jodi Main, CPT Permit S'peCialist City of,Spoirane VailaY 12703EPrague, $ 3 S'poKane Valle,' WA 99206 P#509-220-5319 f#509-688-0037 1 SPOKE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 18117 E MICHIELLI AVE Parcel Number: 55074.3905 Subdivision: CITY OF SPOKANE VALLEY Block: 3 Lot: 5 Zoning: UNK Unknown Owner: PAKIBA LLC Address: PO BOX 147 SPOKANE VALLEY, WA 99016 Building Inspector: Water Dist: Project Number: 10004821 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION 9/13/2010 Applicant: MATTESON CONSTRUCTION PO BOX 1060 OTIS ORCHARDS, WA 99027 Phone: (509) 723-8873 Contact: MATTESON CONSTRUCTION PO BOX 1060 OTIS ORCHARDS, WA 99027 Phone: (509) 723-8873 Setbacks - Front: Left: - Right: Rear: Group Name: Project Name: 1 Permits Sewer Connection Permit Contractor: MATTESON CONSTRUCTION LLC License #: MATTECL991CB PROCESSING FEE 1 $15.00 SI SEWER CONNECTION 1 $125.00 Total Permit Fee: $140.00 **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. **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. **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. Payment Summary Total Fees AmountPaid AmountOwing $140.00 $140.00 $0.00 Tran Date Receipt # Payment Amt 9/13/2010 3933 $140.00 Processed By: CUMMINGS, KATHY Printed By: Force, Faith Page I of 1 PERMIT NOTICE It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING - all structures, including manufactured homes when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Front, flanking, side and rear yard setbacks are measured from property lines. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. 3. FRAMING - after all framing, bracing and blocking is in place, plumbing, mechanical rough -in inspections have been approved, and prior to concealing. 4. INSULATION - prior to the installation of drywall. 5. PLUMBING - after rough -in, before covering, and final. 6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL - all permits - when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site drainage ("208 swales'), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issuance of a Certificate of Occupancy. 8. MANUFACTURED HOMES - foundation inspections prior to pouring pads, inspection of blocking/tie-downs, when completed per manufacturers installation instructions. Final Inspection approval prior to occupancy: stairs, handrails, skirting, etc., installations completed WAINS Tag(s) must be affixed to the home, completed inspection record card and manufacturer's installation instructions must be available on site. 9. SEWERS - prior to cover 10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion. In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS: TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE . PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS FROM MORE THAN ONE AGENCY. • Building, plumbing, mechanical and fire inspections, Department of Building & Planning 477-3675 • Construction in a flood plain, Division of Engineering & Roads 477-3600 • Electrical wiring, State Department of Labor and Industries 324-2640 • On-site waste disposal system, Spokane Regional Health District 324-1560 • Road cuts for utilities or driveways, Division of Engineering & Roads - 48-HOUR NOTICE REQUIRED 477-3600 or State Department of Transportation 456-3000 • Sewer connection, Division of Utilities 477-3604 or City Public Works Department 625-6300 PERMIT EXPIRATION Unless otherwise noted, building, plumbing, fire and mechanical permits will be considered null and void by limitation if the work authorized by the permit is not commenced within 180 days or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Department prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. Please call if you have any questions. REFUNDS All requests for building permit refunds must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment. Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized more than 180 days after fee payment. Please contact the other agencies with respect to their refund policy on all other permit types. MISTAKE? If you think we've made an error in processing this permit or find erroneous information on the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building and Planning at: Spokane County Department of Building & Planning 1026 West Broadway Avenue Spokane, WA 99260 Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133 REVISED 02/10 BLDG PERMIT