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2011, 02-22 Permit App:11000371 ResidenceProject Number: 11000371 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/22/2011 Page 1 of 3 Project Information: Permit Use: NEW 1376 SQFT 1 -STORY SFR - UNFIN BSMT- Contact: VICTORY HOMES ATTACHED GARAGE - ON SEWER Address: 2120 NORTHWEST BLDG-STE B C - S - Z: COEUR D'ALENE, ID 83814 Setbacks: Front Left: Right: Rear: Phone: (208) 777-7000 Site Information: Plat Key: Name: Range Parcel Number: 45044.1803 Group Name: Project Name: LOT 3 BLOCK 2 - RIVERCREST @ COYOTE ROCK Block: Lot: SiteAddress: 11605 E RIVERCREST DR Location:: CSV District: Nort Owner: Name: COYOTE ROCK LLC & NEIGHBO Address: 608 NORTHWEST BLVD STE #103 COEUR D'ALENE, ID 83814 Zoning: MUC Mixed Use Center District Water District: 026 IRVIN Hold: Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Released By: Originally Released: 02/15/2011 By: tmelbourn Landuse/Zoning/HE Conditions Sewer Review Permits: Released By: Originally Released: 02/22/2011 By: Mharnois Released By: Originally Released: 02/22/2011 By: jdavis Operator: jmm Printed By: MT Print Date: 02/22/2011 Project Number: 11000371 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/22/2011 Page 2 of 3 Contractor: VICTORY HOMES Address: 2120 NORTHWEST BLDG COEUR D ALENE ID 83814 Building Characteristics Group: R-3 Group: U-1 Building Height Stories Dwelling Units Type: VB Type: VB 20 1 1 Building Permit Firm: VICTORY HOMES Phone: (208) 777-7000 Description Grp Type Notes 1&2 FAMILY R-3 VB BASEMENT U 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 SFR / DUP SITE PLN REVIEW Contractor: COMFORT MECHANICAL Address: PO BOX 758 GREENACRES, WA 99016 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS 1 DUCT HOOD -TYPE II VENTILATION SYSTEM This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,346 $135,878.70 1,346 $135,878.70 1,376 $20,640.00 1,376 $20,640.00 374 $5,610.00 374 $5,610.00 440 $8,360.00 440 $8,360.00 Totals: 3,536 $170,488.70 3,536 $170,488.70 Units 1 1 1 1 Unit Desc SELECT SELECT SELECT SELECT Permit Total Fees: Mechanical Permit Units 1 1 2 2 1 1 Operator: jmm Printed By: MT Fee Amount $1,391.35 $4.50 $556.54 $50.00 $2,002.39 Firm: COMFORT MECHANICAL CONT Phone: (509) 928-0207 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $11.00 $13.00 $2.00 $22.00 $11.00 $13.00 $72.00 Print Date: 02/22/2011 Project Number: 11000371 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 02/22/2011 Page 3 of 3 Contractor: TRIPLE L PLUMBING Address: PO BOX 1945 HAYDEN ID 83835 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS MISCELLANEOUS FIXTURES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: TRIPLE L PLUMBING Phone: (208) 691-6273 Units Unit Desc 2 NUMBER OF 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $2,002.39 $72.00 $78.00 $2,152.39 Permit Total Fees: Invoice Amount $2,002.39 $72.00 $78.00 $2,152.39 Fee Amount $12.00 $24.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $78.00 Amount Paid $552.06 $0.00 $0.00 $552.06 Amount Owing $1,450.33 $72.00 $78.00 $1,600.33 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: MT Print Date: 02/22/2011 Contractors or Tradespeople Detail Page 1 of 3 0 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > 01 Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone No. Address Suite/Apt. City State Zip County Business Type Parent Company VICTORY HOMES (208) 777-7000 2120 Nw Boulevard Ste B Coeur D Alene ID 83814 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601926192 Active VICTOH*966NB Construction Contractor 8/2/2004 8/2/2012 Id General ji Unused - Other Associated Licenses License Name Type Specialty Specialty Effective 1 2 Date Expiration Date Status MORTC**110KE MORTCI*07017 CRESCH*112K2 MORT CONSTRUCTION Construction Contractor MORT CONSTRUCTION Construction INC Contractor CRESCENT HOMES LIGHT**012DR LIGHTHOUSE GROUP INC, THE Business Owner Information - Hide All Construction Contractor Construction Contractor General Unused 5/5/1989 4/27/1993 Archived General Unused 4/27/1993 2/15/2007 Expired General Unused 5/22/1989 8/29/2005 Expired General Unused 3/19/1999 7/22/2004 Inactive Name Role Effective Date Expiration Date httns://fortress.wa.gov/lni/bbin/Result.asnx 2/22/2011 Contractors or Tradespeople Detail Page 2 of 3 ASHENBRENER, CHRISTOPHER R-AGT Agent 08/02/2004 DRUMMOND, ROBERT S Agent 07/30/2010 ENDS, JON JAE President 03/1 7/2006 MORT, CLIFFORD E President 08/02/2004 JOHNSON, THOMAS A Vice President 08/02/2004 JOHNSON,JOHNNYJ Secretary 08/02/2004 03/17/2006 Bond Information J Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Name Number Date Date Date Date Amount Date 4 3 NATIONWIDE MUTUAL INS CO NATIONWIDE MUTUAL INS CO 7900640032 02/25/2006 Until Cancelled $12,000.00 12/12/2005 617177 02/25/2004 02/25/2006 $12,000.00 12/26/2003 Assignment of Savings Information ji No records found for the previous 6 year period Insurance Information 4) Insurance Company Name Policy Number Effective Expiration Cancel Impaired Date Date Date Date Amount Received Date GENERAL 12 FIDELITY INS BAG000716800 09/30/2010 09/30/2011 CO GENERAL 11 FIDELITY INS BAG000617300 09/30/2009 09/30/2010 CO GENERAL 10 FIDELITY INS BAG0004565 09/30/2008 09/30/2009 CO GENERAL 9 FIDELITY INS BAG000207100 09/27/2007 09/27/2008 CO GENERAL 8 FIDELITY INS BA00002071-00 09/27/2006 09/27/2007 CO 7 6 WESTERN PACIFIC MUTUAL INS CO WESTERN PACIFIC MUTUAL INS CO WPGL1100000206 01/20/2005 01/20/2007 $1,000,000.00 07/15/2010 $1,000,000.00 09/30/2009 51,000,000.00 09/10/2008 $1,000,000.00 09/06/2007 $1,000,000.00 09/29/2006 $1,000,000.00 01/03/2006 WPGL1100000205 01/20/2005 01/20/2006 $1,000,000.00 01/21/2005 Summons/Complaint Information i No unsatisfied complaints on file within prior 6 year period Warrant Information I httnc•//fnrtrecc wa c nv/lni/hhin/Remit acnx 2/22/2011 Contractors or Tradespeople Detail Page 3 of 3 No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ECLA000403 7/23/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 ECLA000402 7/23/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECLA000401 7/23/2010 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 © Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. httnc•//fnrtrpcc \Ara crnv/lni/hhin/Recnit acnx Access Washingtoe Sf>'{ (. +:!•llltlirril Wsh 2/22/2011 Contractors or Tradespeople Detail Page 1 of 2 0 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name TRIPLE L PLUMBING INC Phone No. (208) 691-6273 Address Po Box 1945 Suite/Apt. City Hayden State ID Zip 83835 County Out Of State Business Type Corporation Parent Company UBI No. ...d 602686922 Status Active License No. TRIPLLP931 B4 License Type Construction Contractor Effective Date 1/24/2007 Expiration Date 1/24/2013 Suspend Date Specialty 1 J Plumbing Specialty 2 Unused ,-, Other Associated Licenses License Name Type Specialty Specialty Effective Expiration 1 2 Date Date Status TRIPLLP941 DP TRIPLE L PLUMBING Construction Contractor Business Owner Information Hide All Plumbing Unused 3/17/2006 3/17/2008 Re - Licensed Name Role Effective Date Expiration Date LEMBURG, LINDY LYLE LEMBURG, STACIE ANN Bond Information President 01/24/2007 Vice President 01/24/2007 Bond Company Bond Account Effective Expiration Impaired Bond Received Bond Cancel Date Name Number Date Date Date Amount Date httnc•//fnrtrecc wa onv/lni/hhin/Recnit acnx 2/22/2011 Contractors or Tradespeople Detail Page 2 of 2 WESTERN 2 70879353 03/16/2010 SURETY CO 1 CBIC FC2229 12/21/2006 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Until Cancelled Until Cancelled $6,000.00 03/03/2010 03/26/2010 $6,000.00 01/24/2007 Insurance Company Name Policy Effective Expiration Cancel Impaired Number Date Date Date Date Amount Received Date 4 3 2 1 TRUCK INS EXCHANGE TRUCK INS EXCHANGE FARMERS INS EXCHANGE FARMERS INS EXCHANGE 035113643 08/15/2010 08/15/2011 035113643 08/15/2009 08/15/2010 035113643 08/15/2007 08/15/2009 035113643 08/15/2006 08/15/2007 Summons/Complaint Information 11 No unsatisfied complaints on file within prior 6 year period Warrant Information id No unsatisfied warrants on file within prior 6 year period $1,000,000.00 08/09/2010 $1,000,000.00 08/07/2009 $500,000.00 07/23/2008 $500,000.00 01/24/2007 O Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. httnc•//fnrtrecc vim env/lni/hhin/Remit acnx Access Alla Washington-. 2/22/2011 "`� `� ty p p (Staff Use Only) 'Communi De eld ment Department ��� rmit Center, (rf{1S 703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: ciry ofokane Valley, WA 99206 pokane : (509) 720-2 40 PERMIT FEE: Valle T 1Je ermitc 509) terr . s.-0 X37 �s.e anevalle .or 6PN e RESIDENTI L CONSTRUCTION PERMIT APPLICATION ® NEW CONSTRUCTION ❑ DECK ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING ❑ OTHER SITE ADDRESS:11605 E. RIVERCREST DR. ASSESSORS PARCEL NO.: COYOTE ROCK LEGAL DESCRIPTION:LOT 3 BLOCK 2 RIVERCREST AT BUILDING OWNER NAME:VICTORY HOMES NAME:VICTORY HOMES ADDREss:2120 NORTHWEST BLV CITY:COEUR D'ALENE PHONE:208 777-7000 CONTACT NAME:TRACY COLLINS STATE: I DAHO Fax:208 457-8043 Zip:83814 CELL:208 699-9520 PHONE:208 777-7000 FAX: CELL:208 699-9520 CONTRACTOR NAME:VICTORY HOMES MAILING ADDRESS:2120 NORTHWEST BLv. CITY:COEUR D'ALENE PHONE:208 777-7000 9520 STATE: I D FAx:208 457-8043 Zip:83814 CELL:208 699- CONTRACTOR LICENSE No.:RCE797 NO.: EXPIRES:11/17/11 CITY BUSINESS LICENSE DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: SINGLE FAMILY RESIDENCE W/UNFINISHED BASEMENT AND ATTACHED GARAGE ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak:20FT. Dimensions:40X60 No. of Stories:1 Total Habitable Space:2722 SQ.FT. Main Floor SQ FT:1346 OK- Upper Floor SQ FT:O Unfinished Basement SQ FT:1376 o 44- Finished Basement SQ FT:O Garage SQ FT:440 oL& DeckfCovered Patio SQ FT 3rrcf.e Impervious Surface Area:2106 30% Slopes on D. 'rn *' .^ No. of Bedrooms:3 Heat Source:NAT GAS 7U0 (7K (/Cs) 7' Co ype• TOTAL COST OF PROJECT: $160,000 DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for cor be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the prop owner or has permission to represent the property owner in this transaction. 4) Alt construction i5 Spokane Valley Development code. Referenced codes are available for review at the City of SE A./�,Cd� /c(7 x 6T a s/will perty :ity of ity of Spokane Valley permit is not a permit 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 application can be processed. Signature Date:2/15/11 Permit Center Skanr e 11703 E Sprague Ave, Suite B-3 l� Spokane Valley, WA 99206 4000 Val ley (509)688-0036 FAX: (509)688-0037 Community Development pennitec ntcra ,pokancA alley. ore Mechanical Permit Application PERMIT NUMBER: PERMIT FEE: ❑ Commercial El Residential SITE ADDRESS: Building Owner NameVictory Homes Phone928-0207 Fax: 928-0207 Address:11327 Montgomery City: Spokane Valley State:Wa zip:99206 Contractor NameComfort Mech. Phone: 928-0207 Fax: 928-0207 Address: 11327 Montgomery License No: comfomc009c9 C ()Kw e,03.1(..CD City Spokane Valley State:Wa zip: 99206 City Business Lic:bomfomc009c9 Contact/Project Manager: Name: Tracy Collins Mr - a Phone: 928-0207 z__ ZL P P #UNITS FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to & induding 100,000 BTU 1 FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Over 100,000 BTU DUCT WORK SYSTEM HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER Over 3-15 TON AIR CONDITIONER Over 15-30 TON AIR CONDITIONER Over 30-50 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER 1 GAS PIPING SYSTEM (each outlet) 2 GAS LOG, FIREPLACE, & GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT 1 REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp -100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 - 15 hp - 100,001 to 500,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 15 - 30 hp - 500,001 to 1,000,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30 hp -1,000,001 to 1,750,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 50 hp - over 1,750,000 BTU AIR HANDLER (DOES NOT indude ducting) Each unit up to 10,000 cfm, including ducts AIR HANDLER (DOES NOT indude ducting) Each unit over 10,000 cfm EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a singe duct 2 VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust INCINERATORS Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES Range, Clothes Washer UNLISTED APPLIANCES Under 400,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD Type I 1 HOOD Type II L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM - FREE STANDING ❑CASH M CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc Sikikane ,.jValley Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permit centcr(Sspokanevallev.org Community Development Plumbing Permit Application PERMIT NUMBER: PERMIT FEE: n Commercial n Residential SITE ADDRESS: 11605 E. Rivercrest Dr. Building Owner Victory Homes Name: Victory Homes Phone: 208 691-6273 Fax: 208 457-8043 Address: 2120 NOrthwest Blv. Coeur d'Alene, Id.83814 City: State: Zip: Contractor Triple L Plumbing Name: 208 691-6273 Phone: 208 691-6273 Fax: 208 457-8043 Address: 1324 N. Liberty Lk Rd. City. Liberty Lake State: Wa Zip: 99019 License No: triplIp941 dp City Business Lic: 602 686 922 Contact/Project Manager: Tracy Collins Name: Victory Homes Phone: 208 691-6273 r # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS 2 URINALS TUBS 1 SHOWERS (per trap) 1 SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat 4 DISHWASHER 1 CLOTHES WASHER 1 GARBAGE DISPOSAL 1 WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate 1 ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler 1 PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical see mech. INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS ❑CASH ❑� CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc Sj�ktii j�iley For City Use Only 7 ,� PLUS Project Number r 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. 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. 6,1/2 // Tips for a Smoother Project Application Review D 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 SPOKANE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 11605 E RIVERCREST DR Parcel Number: 45044.1803 Subdivision: CITY OF SPOKANE VALLEY Block: Lot: Zoning: Owner: COYOTE ROCK LLC & NEIGHBORHOO Address: 608 NORTHWEST BLVD STE #103 COEUR D'ALENE, ID 83814 Building Inspector: Water Dist: Project Number: 11000535 Inv: 1 Issue Date: 2/22/2011 Permit Use: SEWER CONNECTION Applicant: ARROW EXCAVATION 11741 W ROMIN RD POST FALLS, ID 83854 Contact: ARROW EXCAVATION 11741 W ROMIN RD POST FALLS, ID 83854 Phone: (208) 929-1830 Phone: (208) 929-1830 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: ARROW EXCAVATION, INC License #: ARROWEI055DF SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.00 Total Permit Fee: $150.00 **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. **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. **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. Payment Summary Total Fees AmountPaid AmountOwing $150.00 $150.00 $0.00 Tran Date 2/22/2011 Processed By: DOMPIER, DAWN Printed By: Carver, Laurie Page 1 of 1 Receipt # Payment Amt 523 $150.00 PERMIT / 5 t2- 3 1St 4,01ZDCA. EAsk-,44b-1/ xv / 5 ie l r c a.“1” L.v, . --� Lt4. 3 el - 0 e- * �G ,rf At Car 414 JAI O,1 /14 1 444 S F . THIS IS NOT A SURVEY HOUSE PLACEMENT IS APPROXIMATE PLANNING DEPT. APPROVED BY: paTE: RECEIVED CSV PERMIT CENTER FEB 15 011 Project # — Name Submittal # 5-;" 72i 1-12.4 4./ 1 .2..2 S -h././ /- Dr