2003, 05-13 Permit App: BD-03-395 MH��Tl
me 11707 E. SPRAGUE, STE 106
` ., *Vafley SPOKANE VALLEY, WA 99206
/�""'" (509)688-0036 FAX (509)688-6037
SITE INFORMATION
Site Address:
Parcel Number: b
Subdivision: f ,r ✓nS�'�� Sfi
Block: ' L Lot:
Zoning: Water Dist:
Owner: C E L� {>
Address: l Pri ►<t c �,��
Building Inspector: I
BUILDINGS:
PLANNING:
ENGINEERS:
MrA
PROJECT TRANSMITTAL:
TRANSMITTAL DATE:
PERMIT INFORMATION
Permit Number: Tj S Issue Date: 5-13 0 3
Permit Use:�-
Applicant:
Phone:
Contact: n
Phone: "3 0 Z
Contractor:
Setbacks — Front: Z- Left: S . Right:�� Rear: 12
APPROVALS
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APPROVALS
WATER DIS
Site Information Project Information
Site Address: 16611 E NIXON CT
vERADALE, WA 99037
Parcel Number: 45134.2328
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: BYE, C ARTHUR
Address: 7819 E PRINCETON
SPOKANE WA 99212
Building Inspector: BOBBY STONE
Water Dist:
Sewer Connection Permit
Project Number: 03003271 Inv: 1 Issue Date: 5/12/2003
Permit Use: SEWER CONNECTION
- WHITE BIRCH (ARMSTRONG
EST)
Applicant: BYE, C ARTHUR
7819 E PRINCETON
SPOKANE WA 99212
Phone: (509) 927-3442
Contact: BYE, C ARTHUR
7819 E PRINCETON
SPOKANE WA 99212
Phone: (509) 927-3442
Setbacks - Front: Left:
Right: Rear:
Group Name:
Project Name:
Permits
Contractor: OWNER License #: OWNER
SEWER CONNECTION 1 $85.00 PROCESSINGFEE
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:311-5:00 P?
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIR
Contractor or applicant is to field locate and confirm the elevation and posrttoii o
Sewer stubs are to be checked prior to connection to ensure that they have accer
Sewer lines should be constructed to allow for gravity flow from the lowest leve.
This permit must be presented to the job site inspector for verification. To loeat(
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR ,TQ ANY EXCAVAT]
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 W bRKING DAYS IN E
Spokane County Code requires the installer comply vvith-all;requirements of the
those related to trench safety.
Total Permit Fee:
MONDAY THRU FRIDAY
$15.00
$100.00
sewer stub prior to any other excavation.
ible grade and are clear and unobstructed to the main sewer.
)f the structure.
buried cables, gas piping, water lines, etc.
BEFORE YOU DIG" CENTER BE
456-8000.
Dept of Labor and Industries, including
Total Fees AmountPaid AmountOwing Tran Date Receipt # Payment Amt
$100.00 $100.00 $0.00 5/12/2003 2961 $100.00
Processed By: SHATTO, JULIE PERNUT
Printed By: WENDEL, GLORIA Page 1 of 1
me
,;,,,,iUalley
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW 1�
APPLICATION
Location of property.
Applicant Name r'
APPROACH PERMIT
(Address/Parcel #, if available)
Address / 64 i ` )-5 10 )(4 C7 -r q Phone / a-'�7 - 3 L%
Contractor's Name c ��r77 e,
Address 5 P -Y77 e!n-- Phone :51-7 me --
Contractor's Reg# Expires
PROJECT DESCRIPTION (Provide site sketch)
N� Residential Driveway ❑ Commercial/Industrial Driveway
❑ Existing Curb & Gutter ❑ Rural Road Section
❑ Culvert Installation ❑ Sidewalk Repair/Construction
❑ Other conditions
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $
Insaection
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Fees Paid$_
Signature
Date-/ 3 -in �LIn
Excerpts from Spokane Valley Standards (3.24, and details A8 and A -8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10% within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
— - -11-=-
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City of 003
SPOKANE VALLEYvo37
PERMIT # I
BUILDING PERMIT APPLICATION
Box 1 OWNER
OWNER'S ADDRESS
DESCRIBE JOB
CITY
JOB LOCATION
PHONE
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME C , 15;-z2 i;LL)
c) (- L PHONE ja7 - Ll I/
CONTRACTOR'S ADDRESS
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VETFIED)
BOX 3 CONTACT PERSON OF PROJECT �, � PHONE
ADDRESS CITY ZIP
BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBERS
LEGAL DESCRIPTION A
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
3OX 7 BUILDING SQUARE FOOTAGE (Existing / roposed 1ST FLOOR a100/
3RD FLOOR / OTHER ' /
BASEMENT UNFINISHED
DECK
BASEMENT FINISHED
2ND FLOOR /
GARAGE % J4
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT.
30X 8 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS ) ( ) EXISTING STRUCTURE
( )
COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE _ SQ. FT.
3OX 9 PLUMBING FIXTURES (Including rough -ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL. p
lox 10 Water Service meter size (if known) Also see BOX 4
lox 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
SOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
VERIFY UNDER THE PENALTY F PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
;ORRECT TO THE BEST OF K OWLEDGE AND F RTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
,BOVE PREMISES TO PERF RM HE WORK FOR WH H THE APPLICATION .IS MADE.
>WNER / AGENT DATE 5--Z/ .2—/e J7 _ (OVER)
1 x.cx coy autnorize the City of Spokane Valley to charge the fee for this permit to my credit card:
I
Visa Mastercard
--- — — — — — — — — — — — — Expiration Date
Print the name of the Holder
– OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR
HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROV
REMARKS
DATE
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT' APPROVAL DISAPPROVAL
DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL
DATE
TYPE OF JOB: NEW.RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF _OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
I BUILDING SQ. FT. @ _
UILDING SQ. FT. @
BUILDING SQ. FT.
_BUILDING SQ. FT.
TOTAL SQ. FT.
BUILDING PERMIT NO.
52
C
PLAN CHECK FEE RECD
PERMIT FEE PLAN CHECK FEE
TOTAL FEES WSBCC SURCHARGE
TOTAL VALUATION
STORIES
RECEIPT NUMBER
PLUMBING FEE MECH. FEE
ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
DATE
ASSIGNED ADDRESS