2005, 02-11 Permit App: 05000429 ResidenceProject Number: 05000429 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - GAS Contact: JIM MAHUR HOMES INC
Address: 8121 E MARINGO DR
C - S - Z: SPOKANE, WA 99212
Setbacks: Front 32 Left: 6 Right: 8 Rear: 120 Phone: (509) 216-3980
Group Name:
Project Name:
Date: 02/11/2005 Page 1 of 4
Site Information:
Plat Key:
Name: SHP-04-04 District: Nort
Parcel Number: 45162.0328
SiteAddress: 1411 S PIERCE RD
Location:: CSV
Zoning: UR -7
Water District:
Area: 0 Sq Ft
Block:
Urban Residential -7
Lot: 1
Owner: Name: JIM MAHUR HOMES INC
Address: 8121 E MARINGO DR
SPOKANE, WA 99212
Hold: ❑
Width: 74 Depth: 195 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
t
Released By:
Approach / Drainage
Sewer Review
Permits:
Operator: DMD Printed By: DMD Print Date: 02/11/2005
Project Number: 05000429 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/11/2005 Page 2 of 4
Contractor: JIM MAHAR HOMES
Address: 8121 E MARINGO
SPOKANE, WA 99212
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Contractor: JIM MAHAR HOMES
Address: 8121 E MARINGO
SPOKANE, WA 99212
Group: R-3 Type: VB
Group: U-1 Type: VB
Total Area 2732
Building Height 25
Stories 2
Approach
Firm: JIM MAHAR HOMES
Phone: (509) 879-3495
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$25.00
$25.00
$50.00
Firm: JIM MAHAR HOMES
Phone: (509) 879-3495
Building Characteristics
Description Grp Type Notes
BASEMENT U R-3 VB
DECK R-3 VB
GARAGE U-1 VB
RESIDENCE R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
This Application:
Sq Ft Valuation
533 $7,995.00
100 $1,500.00
730 $13,870.00
1,369 $102,236.92
Totals: 2,732 $125,601.92
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Operator: DMD Printed By: DMD
Permit Total Fees:
Print Date:
Total Project:
Sq Ft Valuation
533 $7,995.00
100 $1,500.00
730 $13,870.00
1,369 $102,236.92
2,732 $125,601.92
Fee Amount
$1,139.35
$4.50
$455.74
$1,599.59
02/11/2005
Project Number: 05000429 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/11/2005 Page 3 of 4
Contractor: S & R HEATING
Address: 15501 N YALE RD
MEAD, WA 99021
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Contractor: JIM MAHAR HOMES
Address: 8121 E MARINGO
SPOKANE, WA 99212
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Mechanical Permit
Units
1
1
4
3
1
1
1
1
Units
3
5
3
1
1
1
1
3
Operator: DMD Printed By: DMD
Firm: S & R HEATING, INC
Phone: (509) 467-3960
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.00
$4.00
$30.00
$10.00
$10.00
$10.00
$10.00
$96.00
Firm: JIM MAHAR HOMES
Phone: (509) 879-3495
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$18.00
$30.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
02/11/2005
Project Number: 05000429 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/11/2005 Page 4 of 4
Payment Summary: VIERMEMMERMONEMSISINNIMMEMEMAINSUMMMRESMEMOININVMM.611
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,599.59
$96.00
$108.00
Invoice Amount
$50.00
$1,599.59
$96.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
VINUMMEMMAMOMAT
Amount Owing
$50.00
$1,599.59
$96.00
$108.00
$1,853.59 $1,853.59 $0.00 $1,853.59
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 02/11/2005
J
.0.0%'ley
BUILDING PERMIT APPLICATION
City of Spokane Valley Community Developnre+$
B
11707 E. Sprague Aver, Suite 106
Spokane Valley, WA 99206
Phon•: (509) 688-0036; Fax: (509) /g1-0037
Street Address:
/V/7 S %auAc�
Assessor's Tax Parcel Number(s): `� s� ({ z , 03 Z�
Legal Description: Lo f/ . W/DR 7 /4.47_P S/'fade
-a y
PERMIT DESCRIPTION:
F Building Permit
❑ Relocation
S/=!2
aChange in Use ED Grading 1:1 Manufactured Home
Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner:
Phone:c
_ /to • 3 990 Fax: ?/, fr f 1 3 3
Address:
City
.1
,Tr•
p OdE
❑ Contractor:
Phone:
Address:
a 's
;3444 Acnr.
❑ Applicant:
Phone:
Address:
City State Zip Code
❑ Architect: �-�•
Phone: t' -Q, Fax:
Address:
City State Zip Code City State
WA State Contractor License #: Z/MAIAN/D 3 f#0? Contact: its- 2 /6 ° 3 4 F
Zip Code
i
PERMIT/BUILDING INFORMATION
w
HEIGHT TO PEAK:/ i1z 516A1
DIMENSIONS: cee ie3, 044
* OF STORIES: / l/=,.,..
MAIN FLOOR TO SQ. FTG:
/36 9
211D FLOOR SO. FTG:Q _
_
UNFIN BASEMENT SQ. FTG: s.
53
FINISHED BASEMENT SQ. FTG: O
GARAGE SQ. FTG: 73 U4ar
,,��
OV. PATIO SQ. FTG: , 0 Otic!
OCCUPANCY GROUP:
CONSTRUCTION TYPE: •R Ai
HEAT SOURCE:-� 4
SOF BEDROOMS: 3
TOTAL HABITABLE SPACE: 1 fn.
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:309
iiD C�
SLOPES ON PROPERTY:
U _
SEWER OR ONSITE PTIC
SYSTEM?
ProOct Address;
Owner:
Mailing Addr
Contractor:
Mailing Addr.. s:
PLUMBING PERMIT APPLICATION Community Devel
Phone: (609) 688-0036; FAX: (509) 688-0037 11707 E. Sprague
Spokane V
For Inspections, Call (509) 688-0054
/W/ 5. ealtee_,
City
Permit Use:
Phone (Daytime Contact):
State Zip Code
License #: Phone #:
City
State
Zip Code
10
17
WATER USING DEVICE
CROS CONNE6TION DEVICE
10
19Goit
20
21
INTERCEPTORS
LANEOUS PLUMBING
r ouliel)
FS(TUR1
SEWAGE DISPOSAuSYS
L
WASTE 22
TE
INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
DATE:
0 CHECK
BANKCARD NUMBER:
ICE AN/OR COFFEE MAKER. HOSE 116.
STEAMER
PROOFER. CARO • NATOR AMP COOLER
VACUUM i CK VALVE,
AND R.P.,P,p, FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
SHEMICAL HOLDING TANK
NITROUS. OXYGEN
o VISA 0 MASTERCARD
EXPIRES:
55 00
/ O
56.00
56.00
56 00
56.00
X 515.00
SUBTOTAL
78�
PROCESSING FEE
TOTAL PERwrr FEE OUE:
135.00
'/3
AUTHORIZED SIGNATURE:
OP WORK '
0 OF UNITS
1<
COST
•
T13TAIL_ T
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
•� /
2
URMMLS
—"
x
50 DD
=
3
TUBS
3
x
56.00
=
/ 1/
4
.'.0 ..: R TRAP
BATH ST • N ITE BUILT
X
56 00
=
S
SINKS
LAVSIBASINS, 8A • . FL • • R, KtTCHEN,
LAUNDRY, UTILITY. JANITOR, PHOTO,
XRAY. Ff, PREPiCULINARY MEAT
X
56.00
.
6
DtSNWINWIR
!
X
55.00
=
C
7
_ _ CLOTHE$ WASHER
x
56.00
=
0
y
DAMA,_DISPOSAL
/
X
56.00
_
/
9
WATER SOFTENER
X
36 00 =
10
ELECTRIC • T WATER TANK
NOTE IF S. $EE MECHANICAL
X
55 0o =
11
FFR
AREA. CASE. COIL, TRENCH. CONDENSATE /
X
55 00 =
12
ISppF OVERFLOW
ABMS
5600
13 _
t
rQystrA01J DRINKING
X
50.00_ _
14
NATER PIPINOKMAIN-IN WASTE,
VENT, tUIBIING. REVERSAL
NSTALLATION. ALTERATION. REPAIR.
REVERSALS
X
56.00 =
15
SEWAGE EJECTOR
ORINDE,JI MP PUMP
X
56.00 =
10
17
WATER USING DEVICE
CROS CONNE6TION DEVICE
10
19Goit
20
21
INTERCEPTORS
LANEOUS PLUMBING
r ouliel)
FS(TUR1
SEWAGE DISPOSAuSYS
L
WASTE 22
TE
INTERCEPTOR
METHOD OF PAYMENT:
❑ CASH
DATE:
0 CHECK
BANKCARD NUMBER:
ICE AN/OR COFFEE MAKER. HOSE 116.
STEAMER
PROOFER. CARO • NATOR AMP COOLER
VACUUM i CK VALVE,
AND R.P.,P,p, FOR: VATS, TANKS, BOILERS
GREASE TRAP, SAND TRAP,
SHEMICAL HOLDING TANK
NITROUS. OXYGEN
o VISA 0 MASTERCARD
EXPIRES:
55 00
/ O
56.00
56.00
56 00
56.00
X 515.00
SUBTOTAL
78�
PROCESSING FEE
TOTAL PERwrr FEE OUE:
135.00
'/3
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 698-0054
/yip S. pum.e.v
•
Project Address:
Owner; rti
Meiling Aderess:ld ,y1 11 n,
f /1 i:.. rr. '?l ' .? ,v License #: Phone #:
Contradcw: ,
Mailing Address: " . . -._A,'
rr
Community Devel
11707 E. Sprague
Spokane
Permit Use:
Phone (Daytime Contact).
Cdy
Sla /34_/ z., Cade
AUTHORIZED SIGNATURE
** TOTAL PAGE.04 **
DROCRIPTTON, WORK
a OF
X
COST
■
TOTIN,AMOUNT
1
Fuskjaansio APPLIANCE
Equal to or less Own 100,000
1UNITS
(
x
X
112 00
515 00
-
/ 2. -
Flak SUANINOAPPLIANQE
Flak
Mora than 100.000
_3 _
4
UNLI ' TEO APPLANCE A di Tonal Fee
Eal to Or lass n 400.000
X
X
X
550.00
=
_
5100.00
150.00
=
=
UNLISTED APPLbNCf JA00i80nal Fee)
MMR than 400,000
Equal to or I0115 Olen 400,000
5
USED APPLW4al ( #$EC min. AFUE nib,'
6
USEP APPLIANCE (WSEC min. AFUE raWng)
More than 100,000
x
5100 00
_
7
(IIQILEWNEFRPOERATION
1 - 100M BTU
X
112 00
e
SOILEMIEFRIG(MTIQN
101 - 500 I TU
X
X
52000
$2S 00
=
6
IIIMUlearRIGERATION
501. 1,0013M BTU
10
1,001 • 1,750M BTU
Moro Phan 1,750M BTU
X
X
X
535 00
S60 00
510 00
�,_
�_
=
11
LERIREFRIGERATION
12
miSt&RINEFRICIERATION
GASOG. GAS INSERT, GAS FIREPLrCE
.
13
,
RANGE
/i
/
x
w 510.00
=
r / 4)
14
pIYER
X
510.00
15
FUEL BURNING WATER NEATER
)
X
510.00
-
1 U
16
tdtqc,FUEL BURNING APPLIANCE
X
510.00
=
'---------q-------+
17
_
PIAS PIPING (each chalet)
X
51.00
16
DUCT SYSTEMS
_
X
510.00„4
510.00
_
3 ,—.
19
VENTILATING FANS
20
AIR HANDLER (DOES NOT Inclu0e Dueling)
Equal t0 or Tess Iran 10,000 CFM
Grater Ikon 10,000 CFM
X
X
512.00 __i,_,
515 00
=
21
AIR HANDLER (00ES NOT Include ducting)
22
EVAPOMTIVE COOLERS
X
510.00
27
TYPE I NQOO
x
S50 00
=
24
TYPE 11 HOOD
r
/
x
510.00
=
'n
25
HEAT PUMP/AIR CONDrrIONER
o-3 TON
X
512.00
=
26
AIR t.lr 1TIQNE R
3.15 TON
X
520.00
___
27
AIR CONDITIONER
15.30 TON
X
525.00
=
21
AIR CONOITIOMMR
30.50 TON
X
535.00
=
21
AIR CONDITIONER
More than 50 TON
X560.00
=
30
LPG STORAGE TANK-
X
510.00
-
-
31
WOOD OR PELLET STOVE/INSERT
X
510 00
=
32
W0013 STOVE - FREE STANDING
X
525 00
=
r_ R AO. ITIONS
X
515.00
34
_
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
•
36
INCINERATOR - RESIDENCE
X
515,00 ,
+
37
INCINERATOR - COMMERCIAL
X
122.00
-
,
7G
METHOD OF PAYMENT;
0 CASH Q CHECK 0 VISA CI MC
CAR] a•
SUBTOTAL
DATE:
,
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
i1)
AUTHORIZED SIGNATURE
** TOTAL PAGE.04 **
-.—_J ._........aa va 2,162221M2..0
SEWER CONNECTION PERMIT APPLICATION FORM
ASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
NIt ate vabd for 12 months form the date of issuance: .No extensions will be granted. A separate right-of-way permit is
ted in or from the county right-of-way.
PROJECT INFORMATION
Job Address: /q// S . �L�a•,,�.�
Parcel Number: Lot: / Block: /
Project Name:
ULID Name:
❑ Regular
❑ Dry Sewer
❑ Repair
❑ Addition
❑ Abandonment
CHECK APPLICABLE BOXES
Residential -New
• Commercial 0 New
O Temporary
Owner's name:
Address:
City/State:
i..
Zip:
Phone:
/3770
* FIRST TIME CONTRACTORS OR HOME OWNERS PERFORMING THE INSTALLATION MUST FIRST CONTACT THE
UTILITIES DIVISION BEFORE PERMIT(S) CAN BE ISSUED.
SIGNATURE OF UTILITIES DIVISION PERSON CONTACTED:
Contractor (compare e):
Business address:
City/State:
Sate contractor license number.
Contact Name:
Phone Number:
INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one
Fi// out the information in the iab/e below ifapplicable**
Contractor (if different from above): Phone:
Business Address:
City/State/Zip
Number of Buildings connecting to sewer
• For a single -firmly residential unit, one permit is required;
•
• Fora condominium, townhouse, duplex, triple or fourplcx with separate ownership (as determined by lot lines) separate address and separate stub, one permit is required per address per stub;• Fora single building duplex, triplex or fourplcx with single ownership, one permit is required
Multiple buildings (apartments, industrial complexes) with single ownership, one permit required per budding connecting to the sewer.
(FOR SITUATIONS NOT COVERED HERE, CALL THE COUNTY DIVISION OF UTILITIES AT 477-3604)
Is any of the work to be performed in or from the county right-of-way? O Yes
APPLICANT SIGNATURE:
"Forplmnrbingrmrralfee i >•mmbtion ter reverse side ofdieform.:
FEE INFORMATION /
X (times) 5100 (per bldg) = S ( + 510.00 =
// 0
11iGI1'f OF WAY PGR\IIT
Method of Payment:
0 Cash
0 Check
O Visa
Date:
Bankcard Number:
Authorized Signature:
0 MasterCard
0 Discover Card
DATE:
Expires:
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue' Spokane WA 99260
Td. No. (509) 477-3675 * Fax No. (5091477-7108 • 'I'nr t to- morn
S P O K A N E r..._�; ;' C O U N T Y
UTILITIES DIVISION
N. Bruce Rawls, P.E., Utilities Director
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
Date: oZ 7-- D5
Plat Name:
5 AM/L7 9/Atst Lot No(s): r Block No(s):
Site Address(es): / `q/ S ' Parcel No(s):
Owner Name:
OR Builder Name: / I
PRINT Owner's Name PRI Builder's Name
Payment Option Selected (Check One):
1. ❑ GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. Er6FC to be paid at closing. See Special Conditions below regarding GFC rate.
3. ❑ GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
See Special Conditions below regarding GFC rate.
If Option No. 3 is selected, complete one of the following statements:
a. Owner's Statement: I, , understand that I will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added
to my monthly sewer service charges.
b. Builder's Statement: 1, , understand that because I
am selecting this option for payment of the GFC, the purchaser of the home will be responsible for payment of
the applicable GFC in 24 equal monthly installments. 1. agree to formally disclose to potential buyers of the
property that the GFC charges will be added to the monthly sewer service billings as soon as billing
commences.
Special Conditions: Sewer connection permits are valid for 12 months from date of issue. If final connection is
.not completed and inspected within the 12 -month life of the permit, a new permit will be required and the GFC rate
that is in effect when the new permit is issued will apply.
Other Special Conditions: ❑ No 0 Yes — See Reverse Side of Form
2_ _0s_
Owner'r Builder's Signature Date
Located at: 1026 W. Broadway, 4th Flogr
Spokane County, Division of Uti " Fa
'° y t Option Form, Revised 02-04-04
ti16 W. Broadway • Spokane, WA $F95
992C 0s�
/-Cnn\ nnn '2c nn 'C A V. (z1101 A77_471 g • Tff• (gig)) 477-7133
I
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year:
Pit Set
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
J
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation:
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone: Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING 0 CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
❑ WELDING
Fax:
DISCLMMER
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 0 Check [] Mastercard 0 VISA 0 Other
Bankcard 1: Expires: VIN*:
Authorized Signature:
li
SPOKANE COURTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 1411 S PIERCE RD
Parcel Number: 45162.0328
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: JIM MAHAR HOMES INC
Address: 8121 E MARINGO DR
SPOKANE, WA 99218
Building Inspector: BOBBY STONE
Water Dist:
Project Information
Project Number: 05000680 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - SP -04-04
Applicant: JIM MAHAR HOMES INC
8121 E MARINGO
SPOKANE, WA 99212
Contact: JIM MAHAR HOMES INC
8121 E MARINGO
SPOKANE, WA 99212
Setbacks - Front: Left: Right:
Group Name:
Project Name:
2/9/2005
Phone: (509) 879-3495
Phone: (509) 879-3495
Rear:
Permits
Sewer Connection Permit
Contractor: JIM MAHAR HOMES License #: JIMMAHI039P2
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
1
$15.00
$100.00
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant 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. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
2/9/2005 568 $100.00
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITH Page 1 of 1
PERMIT
RIGHT OF WAY PERMIT PROVISIONS
GENERAL
Fees and Rates
In addition to the permit application fee of $16.00, 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 on permit constitutes an agreement to these
and below terms and provisions. SCSFRSC 9.04
1. Authority.
2. Definitions
3. Keep Permit on the Job
4. No Precedent Established
5. Permits from Others
6. Other Work
7. Permission from Property Owners
8. Protection to the Public
9. Standards of Construction
10. City Supervision
11. Expense of Review and Inspection
12. Restoration of Right -of -Way
13. Existing Utilities
14. Future Moving of Installation
This permit is issued pursuant to the Spokane County Standards for Road and Sewer
Construction as adopted by the City of Spokane Valley and the Washington State Department
of Transportation (WSDOT) Standard Specifications for Road, Bridge and Municipal
Construction. SCSFRSC 1.01. 1.06
The word "City" means the City of Spokane Valley acting by and through the Public Works
Director or his duly authorized representative.
This permit shall be kept at the site of the work and shalt be shown to any representative of
the City, or any law enforcement officer on request.
This permit is granted with the understanding that this action is not to be considered to
establish a precedent conceming any kind of encroachment within the City right-of-way.
SCSFRSC 9.01(7)
When the law requires the consent to any work hereunder from any other public board or
person having jurisdiction, this permit shall be suspended in operation unless and until such
consent is obtained. SCSFRSC 9.01(7)
This Permit is to be strictly construed, and no work other than that specifically mentioned is
authorized hereby. SCSFRSC 9.02(1)
Whenever it is necessary to secure permission from abutting property owners, such authority
must be secured by the permittee prior to commencing work.
The work shall cause the least possible inconvenience to the traveling public. At least one-
way traffic shall be maintained at all times during the working day (7 a.m. to 5 p.m.) .Two-way
traffic shall be maintained from the close of the working day to the start of the next working
day. All warning signs, lights, devices and procedures shall conform to MUTCD and WSDOT
Standard Specifications for Road, Bridge and Municipal Construction.
SCSFRSC 1.03, 8.01, 3.12, 9.02
Any matter not specifically mentioned herein, or covered by direct reference, shall conform to
the Spokane County Standards for Road and Sewer Construction and the Washington State
Standard Specifications for Road, Bridge and Municipal Construction.
SCSFRSC 1.01
All work shall be performed to the satisfaction of the City. The City may inspect the work but is
not required to do so. SCSFRSC 9.02, 9.04, 9.06
On work which in the judgement of the City requires Engineering Review of plans and/or the
presence of an employee of the Public Works Department as an inspector, the actual cost
(including salary, traveling expense, and overhead) of such inspection shall be paid by the
permittee upon presentation of a statement therefor. The cost of any tests required by the City
shall be bome by the permittee. SCSFRSC 9.02(1)
All portions of the right-of-way, and all adjacent areas directly affecting such, if disturbed by
work pursuant to this permit, shall restore the surface of the right-of-way or public property to
at least the currently adopted City Standards or as required by the Public Works Director
through a right-of-way permit, depending on special circumstances.
SCSFRSC 8.04, SC5-04A
The permittee shall contact all utilities to determine the location of any existing facilities prior
to excavation. The Washington One Call ticket number and name shall be kept on the job site
and be available to any representative of the City Public Works Department or any law
enforcement officer on request. The permittee shall also contact the local water purveyor,
sanitation district or other utility not affiliated with Washington One Call to advise them of the
proposed project. The date and name of this contact must also be kept on the job site. The
permittee shall immediately notify the owning utility of any damage to their existing facility.
In the event it becomes necessary, in the opinion of the City, to remove or relocate the
encroachment permitted hereunder, such shall be accomplished by and at the sole expense
of the permittee, and within such time and manner as may be required by the City. SCSFRSC
801
• 15. Joint and Several Obligation
16. Maintenance
UTILITY AND UNDERGROUND
1. Cutting Pavement
2. Backfill and Compaction
3. Replacement of Pavement
4. General
5. Responsibility for Failures
6. Five-year prohibition
If there is more than one permittee subject to the terms of this permit, then all of the terms of
this permit shall bind the permittees individually and collectively, and said permittees shall be
individually and collecti/ely liable therefore. SCSFRSC 9.02
The permittee agrees by the acceptance of this permit to exercise reasonable care to
maintain properly any encroachment placed by it in the right-of-way and to exercise
reasonable care in inspecting for and immediately repairing and making good any injury to
any portion of the right-of-way which occurs as a result of the maintenance of the
encroachment in the right-of-way or as a result of the work done under this permit, including
any and all injury to the right-of-way which would not have occurred had such work not been
done or such encroachment not been placed. SCSFRSC 10.02, 10.03
All construction in asphalt shall be horizontal -directional bored wherever possible. Open cut
construction must be specifically permitted or may be authorized by the City inspector to
accommodate unexpected field conditions. When pavement is cut it shall be done in a
manner which causes the least possible damage to the adjacent pavement. After the utility is
placed and the trench is backfilled and based, the pavement shall be sawcut to a minimum of
1 foot beyond the edge of the trench in any direction. Any cuts within the traveled way shall be
overcut to a full lane width at a minimum. If the cut extends beyond centerline, the final cut
shall extend the full lane width. All cuts shall be a minimum of3 feet wide to accommodate
sufficient compaction equipment. If the trench edge is within 5 feet of the edge of the roadway
pavement, the pavement shall be removed to the edge of the roadway. SCSFRSC 8.04, SC
5-04a, WSDOT 5-04.3(w)
Backfill and pavement material compaction shall conform to Spokane County Standards
For Road and Sewer Construction 2-03.3(14) D, and 4-04.3(5).
The surface of all trenches in the traveled way shall be temporarily patchecj, .atberwise
surfaced at the end of each working day. Such temporary patching or other nerd approved
surfacing shall be kept in a smooth, firm, dust -free condition for the safe use of the public until
the final surface patching is completed. Cold mix asphalt may be used as a temporary
patch material. After ditch edges have been sawcut, the base and pavement shall be
replaced. The thickness of the base and paving to be replaced shall be determined in the field
and shall be at least equal in section to that adjacent to the trench area. Pavement shall be a
minimum of 2 inches thick. Pavement shall be replaced with hot mix asphalt which shall
conform to state requirements for 3/4" maximum medium grading. Base material shall
conform to State requirements for Base Course.
SCSFRSC SC5-04a, WSDOT 5-04.3(5)e
Minimum cover over utilities shall be 24 inches below finish grade.
Disposal of spoil material shall be outside the right-of-way unless otherwise specifically
approved by the City.
Maximum length of work under construction at any time shall not exceed 1000 feet.
Reasonable care shall be taken to avoid damage to major roots of trees.
If an independent contractor installs a utility, the operator of the utility must accept the work
before final approval of the work by the City.
SCSFRSC SC5-04a(3). WSDOT 5-04.3(5)e
The permittee shall be responsible for correcting any failures of any work done under this
permit for a period of two years after completion of the project.
SCSFRSC 10.02
Cutting or trenching pavement surfaces that have been reconstructed within the past five
years shall be prohibited in accordance with the requirements of Spokane County Standards
for Road and Sewer Construction, Section 8.04.
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