2005, 02-23 Permit App: 05000548 MHProject Number: 05000548 Inv: 1
Application Date: 02/23/2005 Page 1 of 2
THIS.IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: ri _r , . , �: .. -,��_TAn . � ,.A, .
Permit Use: REPLACEMENT OF TRIPLE WIDE MANUF Contact: ALL SEASONS EXCAVATION
HOME - PIT SET Address: POB 14978
C - S - Z: SPOKANE WA 99214
-Setbacks: Front 185 Left: 30 Right: 50+ Rear: 50+ Phone: (509) 455-9285
Group Name:
Project Name
Site Information: ";A _ .- .,, -
Plat Key: Name: GREENACRES IRR DISTRICT A District: East
---- --- --------
Parcel Number: 55073.1656 Block: Lot:
SiteAddress: 17621 E MISSION AVE Owner: Name: HANCOCK, JOHN H & SHIRLEY
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 43,560 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Address: 17621 E MISSION AVE
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: M, ai _ rr . �a ...,� . �. iia . . ��. � r . ab - .� - R. �_°_ . �
Review
Site Plan Review Released By _
Originally Released: 02/22/2005 By: KKENDAL
Plan Review j Released By:
MANUFACTURED SPECS
Originally Released:
Septic System Review
02/23/2005 By: ddompier-�
Released By:
Permits:
Operator: DMD Printed By: DMD Print Date: 02/23/2005
Project Number: 05000548 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/23/2005 Page 2 of 2
Manufactured Home -
Contractor: ALL SEASONS EXCAVATION Firm: CLAY CLACEY/ALL SEASONS EX
Address: PO BOX 14978
SPOKANE, WA 99214
Item Description
INSPECTION FEE
Notes:
Payment Summary:
Permit Type
Manufactured Home
Phone: (509) 922-4135
Units Unit Desc
3 SECTIONS
Permit Total Fees:
Fee Amount
$150.00
$150.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$150.00 $150.00
$0.00 $150.00
$150.00 $150.00 $0.00 $150.00
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: DMD Printed By: DMD Print Date: 02/23/2005
5�4
W)Poignck,;oOValley-
• BUILDING PERMIT APPLICATION WORKSHEET
City of -Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: /7CZ /
Assessor's Tax Parcel Number(s)
Legal Description:
PERMIT DESCRIPTION:
i
7?_ /�
❑ Building Permit ❑ Change in Use ❑ Grading
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety
II OWNER/APPLICANT INFORMATION
(} Owner:,
Phone: v Gl7l Fax:
Addre s: /7
o ca . /icecz,o/G
State Zip Code
N Contractor:
Phone: 9j5y Fax:
Addre s:
y State Zip Code
WA State Contractor License #: �__
C
Applicant:
Phone: _
Address:
City
Architect:
Phone:
Address:
City
//
,R Manufactured Home
❑ Other
Fax:
State Zip Code
Fax -
State Zip Code
Contact: \-j tf ac
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS-.
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: .
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP.-
CONSTRU TI N TYP :
HEAT SOURCE:
# OF BEDROOMS
TOTAL ABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
L
MANUFACTURED HOME
Width: &'O
Manufacturer: (/a
Length:
Yea(: _Zccrs Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
z
p
City
State
Zip
SPECIAL INSPECTIONS
(� BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
n 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)
f Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: _ VIN#:
Authorized Signature:
b1/:LJ/20b5 11: Lb Dn'JJL4�Z)or TO 3241567 P.01iO3
FEB 23 2005 1381-01 FR
Project Number: 05000548 Inv: Y Application i Date: 024:3/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without ;a permit
pro ect I %rTaiion: msas>w�a��
pgtmit Usc: REPLACEMENT OF TRIPLE wIDZ MANUF Contact: ALL SEASONS EXCAVATION
HOME - PIT SET Ady ese: POB 14978
C. § - Z: SPOKANE WA 99214
Setbacks: Front 185 Left: 30 Right: 50+ Rear: 50+ Phone, (509) 455-9285
Croup 14ame:
Project Dame:
Site Informatp�;
Plat Key: Name: GIREENACRES IRR DISTRICT A i -^- District, E asi
Parcel Numd)er: 55073.1656. Block: Lot:
SitcAddress: 17621 E MISSION AVE Owner- Na=c: HANCOCK, JOHN It & SHIRLEY ,
Address: ,17621 'E MISSION AVE
Location:: CSV SPOKANE VALLEY, WA 99216
4
Zoning: UR -3S Urban Reeldential 3.5
Watcr Dishict: Aold: ❑ \
Area: 43,560 $9 Ft Width: 0 Depth: 0 ) Right Of Walt (ft), 0
Nbr of Bldga: I Nbr of Dwellings: 1
Aview
Site Plan Preview
Originally Released:
Plan Review
02/22/2005 By: KKENDAL
MAN1tTFAC'nWD SPECS
Originally Released: 02/23121105 By. iddompler
Septic Sysftm Review
i
Permits:
Operator: DIWD
Printed 11y: DMD
Print Date: 02/13/2005
i
FEB 23 2005 11:Z3 5093241567 PAGE.01
02/23/2005 09:56 5093241567 SKtiL tn5 P.01/03-- y�
FEB 23 ',^005 08=01 FR TO 3241567
i
Project Number. OS000548 Inv: 1 Application II Date: 02/23/2005 Page 1 of 2
THIS IS NOT A PE69T
Penalties will be assessed for commencing work without a permit
I
Avieet In fa ems:
Permit Use: REPLACEMENT OF TRIPLE WIDE MANUF
HOME - PIT SET
Setbacks: Front 165 LeB: 30 Right: 50+ Rear. 50+
Site In formatioll6
Plat Key: Name: OREENACRES IRR DISTRICT A District: Egst
Pftrcel Numit�or. 55073.1656 Block: Lot: !
I
SiteAddress: 17631 E MISSION AVE Owner; Nam: I HANCOCK, JOHN FC & SI�IRLES'
Address:', 17621 E MISSION AVE
Location:: CSV SPOKANE VALLEY, WA 99216
Zoning: UR -3.5 Urban Residential 3.3 i
Water District: $Old: ❑
Area; 43.560 Sq Ft Width: 0 Isepth: 0 Right Of Way (ft) 0
Nbr of Bldgs: 1 Nbr of Dwellings: I
Revierelnformala
Site Plan Review
Originally (released: 02/22/2005 By: XKENDAL
•,
Plan Revle
w
MANITFAC'I'URED SPECS
Originally Released: 02/23/205 By. +ddompier
Septic System Review
borooms, or
CI tact; ALL SEASONS EXCAVATION
Ad ess: POB 14978
C . Z SPOKANE WA 99214
.PI one: (509) 453-9285
()roup ? amc:
Project Name: —
643iQTt113B �;,rtu i,`.�3•<'--zi.
I
Permits: �,®,�� ®�®•�
Operator: DIM)
Printed I1y: DMD
Print Date: 02/73/2005
FEB 23 2005 10:03 I 5093241567 PAGE.01
INSUL. FIBERGLASS LID W/SS BOLTS
AND NEOPRENE GASKET
SEE NOTE 6 / 2' DIA. I
RISER W
+ GROMME
FROM HOUSE
CAST—A—SEAL® 402
FLEXIBLE ADAPTER
OR EQUIVALENT.
(SEE NOTE 7)
TYPICAL OF ALL
TANK PENETRATIONS.
POLYSPUN CONST.
FABRIC (TYP.)
4" PVC DRAINFIELD PIPE -
MAX. SLOPE = 1°/100'
WASHED DRAIN ROCK
(1/2"-2 1/2") TYP.
I
RISERS AND LIDS ARE RECOMMENDED. HOWEVER,
THEY ARE REQUIRED IF THE COVER OVER
THE SEPTIC LID IS GREATER THAN 12"
OR AN EFFLUENT FILTER IS USED.
TO DRAINFIELD
SEPTIC TANK SETTLING TANK
SEPTIC TANK
N.T.S.
II
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12' (MIN.)
FILL AS NECESSARY TO
PROVIDE 18" OF COVE(
OVER DRAINROCK
SLOPE TO DRAIN
FUTURE
REPLACEMENT
DRAINFIELD SECTION
N.T.S.
i
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1
PVC DRAINFIELD PIPE
27± r ----------------------------- ----- PVC
Residence
r
f
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0.45
SANDY LOAM/TOPSOIL
36" MAX.
TRENCH DEPTH
36" MIN, TO
RESTRICTIVE
LAYER
FENCE
Z hitt'LAI:tN`GNI �
a 267' (TOTAL) OF 4"
1
PVC DRAINFIELD PIPE
27± r ----------------------------- ----- PVC
Residence
I
(5' MIN.) —P ®— ll ---I
y----- ----- -�
1-71;
Silt Loam
I
0.45
ILZ
Jb
I------------- -----
APPROX. TEST
(
HOLE
------------------------- -------'j
(TYP. OF 5)
z 73' (TY� OF 3) ® GROUND LEVEL
��--1-------� — — —EL. = 97.6±
1
i LATERALr1i = 95.1 f
267
j
2 COMPARTMENT 1000 0 10'
267
GALLON SEPTIC TANKO MIN.
v; I2
N
INLET I.E. = 96.5±
OUTLET I.E. = 96.25±
(SEE DETAIL)
P
1)
SITE PLAN DOES NOT REPRESENT A TOPOGRAPHIC. '
GROUND LEVEL �
® EL. = 98.6±
GRAVITY SEWER PYo0or
(SEE NOTE 4) GARAGE
* EXISTING HOUSE
m
TO BE DESTROYED.
— 30'± PROPOSED 3
OBTAINED FROM SPOKANE REGIONAL HEALTH DISTRICT,
y° yo
``'
BEDROOM HOME"
O
F.F. = 100.0' I I
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APPROX. wArERLINE LOCATION 2�
(VERIFY A TUAL LOCATION y
SEE NOTE 2) �y
j.
I
E. MISSION AVENUE
SITE PLAN
SCALE: 1 "= 20'
LINE
� U!
�o C)
6vl� AD1
SYSTEM DATA
Number of dwelling units
1
Type of units
Residence
Soil Type
Silt Loam
Allowable application rate--gal/sf/day
0.45
GENERAL
Jb
Number of bedrooms --each
3
Total daily wastewater loading--gpd
360
Septic tankage recommended --gallons
1000
DRAINFIELD
1
Total drainfield length required --feet
267
Total drainfield length provided --feet
267
GENERAL SPECIFICATIONS
1) The septic tank shall be an approved commercially constructed 1000
gallon two—compartment septic tank as manufactured by White Block
Company, Wilbert Vault Company, or approved equal.
2) The drainfield trenches shall be excavated in the area and at the depth
shown on the plans or as noted in field staking, taking care not to
compact the soil during excavation. Maximum trench slope is 1"/100'.
Scarify the bottom of the drainfield trenches to a depth of 3".
3) All construction shall conform with the Spokane Regional Health District
rules and regulations for sewage disposal systems.
4) All wastewater pipes entering or leaving the tank shall form a watertight
seal with the concrete walls. A flexible coupling shall be provided on
all pipes.
5) Inspection of the system by the design engineer is required during
construction. Contractor shall keep the design engineer informed of the
construction schedule. The system shall not be backfilled until the
septic tank and all piping have been inspected. Call 624-9351 (Metro
Engineering) to schedule inspections.
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1)
SITE PLAN DOES NOT REPRESENT A TOPOGRAPHIC. '
�
SURVEY. DRAWING IS PREPARED FROM INFORMATION
Q
m
0
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OBTAINED FROM SPOKANE REGIONAL HEALTH DISTRICT,
``'
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JOHN HANCOCK (OWNER) AND LIMITED FIELD DATA.
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ELEVATIONS SHOWN ARE ASSUMED.
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2)
MAINTAIN A 10' SEPARATION FROM BUILDING SEWER AND
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ALL SEPTIC SYSTEM COMPONENTS TO ANY WATER LINES.
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II
3)
MAINTAIN A MINIMUM OF 5' FROM ALL SEPTIC SYSTEM
COMPONENTS TO PROPERTY LINES OR EASEMENTS.
d3.i q:
4)
INSTALLER SHALL VERIFY ELEVATIONS OF THE DRAINFIELD
7A l.)
AND SEPTIC TANK TO ASSURE GRAVITY FLOW TO EACH
tX
(2% MIN. SLOPE ON GRAVITY SEWER).
5)
EXISTING AND PROPOSED UTILITIES MAY NOT BE SHOWN.
PRIOR TO CONSTRUCTION, THE CONTRACTOR SHALL BE
RESPONSIBLE FOR LOCATING ALL UNDERGROUND
t -I
Aid'
UTILITIES. CALL THE UNDERGROUND UTILITY LOCATION
SERVICE AT 456-8000 BEFORE YOU DIG. ANY
CONFLICTING UTILITIES SHALL BE RELOCATED PRIOR TO
CONSTRUCTION.
6)
CHECK WITH TANK MANUFACTURER ON MAXIMUM COVER
OVER TANK. IF COVER IS GREATER THAN ALLOWED
FOR A STANDARD TANK, A TRAFFIC RATED TANK NEEDS
TO BE USED. (H-20 LOADING)
7)
IF CAST—A—SEAL® 402 OR EQUIVALENT ADAPTER IS
NOT USED A FLEXIBLE COUPLING MUST BE INSTALLED
WITHIN 18" OF THE TANK.
v
8)
INSTALL AN ORENCO, ZABEL, POLYLOK PL -122 OR
s
APPROVED EQUIVALENT, EFFLUENT FILTER IN THE
SETTLING TANK ACCORDING TO THE MANUFACTURER'S
i
i
SPECIFICATIONS.
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