2005, 03-25 Permit: 05000918 ROW, Plumbing ReversalSikikane'`~
Val1ey
BUILDING DIVISION
11707 E Sprague Avenue Suite 106
Spokane Valley, WA 99206
Site Information
Project Information
Site Address: 1021 N PROGRESS RD
Parcel Number: 45141.0707
Subdivision:
Block:
Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: MEDCHILL, P E
Address: 1021 N PROGRESS RD
VERADALE, WA 99037-9554
Building Inspector: BARRY HUSFLOEN
Water Dist:
Project Number: 05000918 Inv: 1 Issue Date: 03/25/2005
Permit Use: ROAD OBSTRUCTION & PLUMBING REVERSAL FOR
SEWER CONNECTION
Applicant: NORMS Excavating
P.O. BOX 574
VERADALE, WA 99037
Contact: NORM'S Excavating
P.O. BOX 574
VERADALE, WA 99037
Setbacks - Front:
Group Name:
Project Name: ROW
Left: Right:
Phone: (509) 928-0580
Phone: (509) 928-0580
Rear:
Permits
Plumbing Permit
Contractor: BELKNAP PLUMBING
License #: BELKNP*071D6
WATER PIPING - DWV
FOR PLUMBING INSPECTIONS CALL (509) 688-0054.
1 $6.00 PROCESSING FEE
Total Permit Fee:
$35.00
$41.00
Right of Way
Contractor: NORM'S EXCAVATING INC
License #: NORMSEI972BM
CONST IN ROW -SEWER
FOR RIGHT OF WAY INSPECTIONS CALL
(509) 869-5373 ENGINEERING
1 $16.00 ROW INSPECTION
Total Permit Fee:
1 $25.00
$41.00
Payment Summary
Total Fees AmountPaid AmountOwing
$82.00 $82.00 $0.00
Processed By: KATHY CUMMINGS
Printed By: MIKE TURBAK
Tran Date Receipt # Payment Amt
03/25/2005 772 $82.00
Page 1 of 1
PERMIT
NOTICE -
The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by
definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the
applicant/permittee that the use described on the front of this permit complies with applicable codes 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 City Code:
FOOTING — when forms and reinforcement are in place and prior to placement of concrete -all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setback from property lines. Minimum setbacks are established by City of Spokane
Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable
setback provisions lies solely with the permittee -neither the City of Spokane Valley 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.
FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete.
PLUMBING — after rough -in, before covering, and final.
MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to
concealing.
FINAL — when complete and prior to occupancy and/or use. All permits require final inspection.
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.
MANUFACTURED HOMES — Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy;
completed inspection record card must be available on site.
PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover.
RIGHT-OF-WAY/APPROACH — prior to placement of concrete/asphalt 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 Building department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS
Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency.
Building, plumbing (includes interior reversals for sewer) and
mechanical, City of Spokane Valley Building Division 688-0054
Road cuts for utilities or driveways, City of Spokane Valley
Public Works 688-0195 or State Dept of Transportation
324-6000
Permits and inspections for electrical wiring, State Department of Labor Permits and inspections for Sewer Connection, Spokane County Utilities Division
And Industries 324-2640 477-3604
Permits and inspections for on-site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections, Spokane Valley
Health District 324-1560 Fire Department 692-4122
State law RCW 19.122 requires that prior to any excavation the "CALL BEFORE YOU DIG' center must be notified. Call before you dig at least 2 working days in advance, 456-8000.
PERMIT EXPIRATION AND REFUNDS
All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is
abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is
finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to
finish the original permit.
All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee
payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be
authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized
when an application is withdrawn or cancelled prior to the plan review being completed.
Owner / Agent
Date
Staff Approval Date
Mar 23 05 04:43p NORMS EXCAVATING
*lane
valley
5098920432
Ca[I 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
p.12
05- -9
Anticipated start date 4114/05 Permit #
ROW CONSTRUCTION PERMIT
Location of property 1021 N. Progress
Applicant Name Medchill
(AddressfParcel #, if available)
Account# 000122
Address Same Fax 892-0482
Contractor's Name North's Excavating, Inc.
Address PO Box 574 Veradale, WA 99037 Phone 5091928-0580
Contractor's Reg* NORMSEI972BM Expires 01114/07
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
( x I Sewer Connection n Driveway
Curb & Gutter n Gas Installation/Repair
Cable/Conduit/Pole n Sidewalk Repair/Construction
n Other
ElPavement Cut
Dimensions
Bond/insurance certification must be on me with the City. Bond # 103957298
SPECIAL CONDITIONS:
Permittee Signature Approved Date
I hereby authorize the City at Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date 09/30/05
Name of Holder Sheila Gibbons Signature
Fees Paid$ 16.00 $25.00
Date
Init
(Application) (Inspection)
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed)
Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
MAR 23 2005 16:52
5098920432 PAGE.12