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2010, 09-08 Permit App: 10002797 Residence
Project Number: 10002797 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/8/2010 Page 1 of 3 Proiect Information: Permit Use: NEW SFR - SEWER Contact: FOUR POINT INVESTMENTS Address: 14581 PRISTINE CIRCLE C - S - Z: RATHDRUM ID 83858 Setbacks: Front Left: Right: Rear: Phone: (509) 755-7223 Group Name: Project Name: Site Information: Plat Key: Name: Range District: East Parcel Number: 45144.3103 Block: Lot: SiteAddress: 15119 E RIVERSIDE LN Location:: CSV Zoning: R-4 SF Res Urban District Water District: 010 VERA Area: 6,192 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Owner: Name: FOUR POINT INVESTMENTS Address: 14581 PRISTINE CIRCLE RATHDRUM ID 83858 Hold: L Depth: 0 Right Of Way (ft): 0 Released By: Originally Released: 9/8/2010 By: tmelbourn Landuse/Zoning/HE Conditions Sewer Review Permits: Released By: Originally Released: 9/8/2010 By: tschmidt Released By: Operator: jmm Printed By: jmm Print Date: 9/8/2010 Project Number: 10002797 Inv: 1 Penalties Contractor: OWNER Description 1&2 FAMILY DECK OPEN GAR WOOD Application THIS IS NOT A PERMIT will be assessed for commencing work without a permit Date: 9/8/2010 Page 2 of 3 Gra 'km Notes R-3 VB R-3 VB U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Contractor: OWNER Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS 1 DUCT AIR HANDLER <=10,000 CFM Contractor: OWNER Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER MISCELLANEOUS FIXTURES Building Permit Firm: OWNER Phone: (000) This Application: Sa Ft Valuation 1,158 $114,584.10 96 $1,440.00 440 $8,360.00 Totals: 1,694 $124,384.10 Units Unit Desc 1 1 1 SELECT SELECT SELECT 000-0000 Total Project: Sq Ft Valuation 1,158 $114,584.10 96 $1,440.00 440 $8,360.00 1,694 $124,384.10 Fee Amount $1,133.75 $4.50 $453.50 Permit Total Fees: $1,591.75 Mechanical Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 4 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $11.00 $13.00 $2.00 $44.00 $13.00 $83.00 Firm: OWNER Phone: (000) Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: jmm Printed By: jmm Permit Total Fees: Print Date: 000-0000 Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 $6.00 $66.00 9/8/2010 Project Number: 10002797 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/8/2010 Page 3 of 3 NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY individual freestanding or monument signs for Tract A-E of BSP -03-04. See project No. 05-001343 for multi -business complex sign. (4-26-05) KK Progress Elementary parcels 45144.0317 and 45144.1031 have restrictive environmental covenant placed upon them. See building address file for copy of Environmental Covenant. Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,591.75 $83.00 $66.00 $1,740.75 Invoice Amount $1,591.75 $83.00 $66.00 $1,740.75 Amount Paid $451.26 $0.00 $0.00 Amount Owing $1,140.49 $83.00 $66.00 $451.26 $1,289.49 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: jmm Print Date: 9/8/2010 �Ol�:aile jMalley Community Development Residential Con Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (5A911-137 37 www. .orae or struction. Permit Application t PERMITNUMBER:/b'i� PERMIT FEE: RNew Construction n Addition/Remodel n Other: ❑ Accessory Bldg ❑ Deck SITE ADDRESS: t 5 t' a € ' Qyy u -S t OAC. ASSESSORS PARCEL NO: E4 rj 14 K 11 0 3 LEGAL DESCRIPTION: ?Pt() 5LAG -02 -- U C 3 P7 L(L- ( Building Owner: Name: Ot(,f .00 t n Auet 1,402, ✓t -S Address: (q5(tI ? i v. i k i nt, C,v rcAQ, City: RG,11 l�I rti i State: • D Zip: g 3 sq �y Fax: 56, t Cf c? 4-7 1.7 Phone: 2° b 7sc 7,7,1,3 Contact Person Name: KQ yt% 3 dc -,e, Phone: ZC)56 ? 55" 71-z- 3 5 7 5 ktockz. Describe the scope of work in detail: Contractor: DIMENSIONS: Coox3Z # OF STORIES: I Name: dw NE: (?.... MAIN FLOOR TO SQ. FTG:/ t l SSK— 2"D FLOOR SQ. FTG: 111 / ". Address: IMPERVIOUS SURFACE AREA: '24 b b FINISHED BASE ENT SQ. FTG: City: State: Zip: Phone: Fax: HEAT SOURCE: FAQ F((Ja Pc CC_ Contractor Lic No: Exp Date: City Business Lic. No: 7 O `/ Cost of Project: $ $ d, - o o 51 X51 t � �� I . N e,,,,i C S -h\ --emu%+ - v -v u� � G Proposed Use: -9-e5 r,Q, **************The followinw MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: tt DIMENSIONS: Coox3Z # OF STORIES: I TOTAL HABITABLE SPACE: 1t 5$ Oi� MAIN FLOOR TO SQ. FTG:/ t l SSK— 2"D FLOOR SQ. FTG: 111 / ". UNFIN BASEMENT SQ. FTG: %.11 ✓_ � IMPERVIOUS SURFACE AREA: '24 b b FINISHED BASE ENT SQ. FTG: GARAGE SQ. FTG: 4 Lf ° 0 K DECK/COV PATIO S(. FTG: L� 1JGI 30% SLOPES ON PROPERTY: N 0 # OF BEDROOMS: CONSTRUCTION TYPE: ,leo o ' Xis" E HEAT SOURCE: FAQ F((Ja Pc CC_ SEWER —EPTIC? The permitee verifies, acknowledges and agrees by their signature that: 1) If this pel � dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Vail � signatory is the property owner or has permission to represent the property owner in tY, A _10//4) in full compliance with the City of Spokane Valley Development Code. Referenced coc rr t Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit o. f o local laws, codes or ordinances. 6) Plans or additional information may be required to b this application can be processed. DA SIGNATURE: Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2/15/07 ❑ Check Tr DATE: ❑ Mastercard ❑ VISA Expires: VIN#: (ling, the -. 3) The to be done of state or ved before <m.r Spokane ./sUalle3' Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevallev.org Plumbing Permit Application ❑ Commercial PERMIT NUMBER: PERMIT FEE: ❑ Residential SITE ADDRESS: 15 ( 1 ` 1 Z Ne/r/ 1 Building Owner Name: f V0 l h'. T l \j e, J k Phone: o% 75-5- 7223 Fax: g b G if if c 471-7 Address: (t f 5-51 7r, S,[Ltvi,C t irc- City: (%r4-kv 4.4•14v State: o Zip: g 3i k S'-bi Contractor Name: ©.i Lg L Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact ,� ` Name: , �-G Ut4 ..! U 7t. Phone: ?.D ti 7 SSS-- 72_1,3 DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS x $6.00 2 URINALS X $6.00 3 TUBS 2 x $6.00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 3 X $6.00 6 DISHWASHER X $6.00 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL 1 X $6.00 9 WATER SOFTENER X $6.00 10 ELECTRIC WATER HEATER NOTE: IF GAS, SEE MECHANICAL X $6.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X $6.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC Card# AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: sooka<\... Permit Center 11703 E Sprague Ave, Suite B-3 `�Spokane Valley, WA 99206 'S al (509)688-0036 FAX: (509)688-0037 Community Development "`Spukanevalley.ore Mechanical Permit Application ❑ Commercial PERMIT NUMBER: PERMIT FEE: esidential SITE ADDRESS: l (1 l E • V.we Building Owner 'C irki V6 t v -1, Metkvle e4I r Name:pp Phone: 2 d% 75 e 7223 Fax: 8' 0 44s- 411-7 Address: 14 515 b l yr l 5� 111e, // ,,,, c , I - c -t City: �u' d✓ Won, State: . Zip: 6 3 Si g ct' Contractor Name:Fax: dW�� Phone: Zoe SSS ?2z3 Address: City: State: Zip: License No: City Business Lic: Contact Name: , t4A,t, d'()k1,F, Phone: 9 75-) 127i3 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 4 UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 More than 400,000 X $100.00 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 6 7 USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION More than 400,000 X $100.00 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 13 RANGE X $10.00 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) Z. x $1.00 18 19 20 DUCT SYSTEMS VENTILATING FANS AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X X X $10.00 $10.00 $12.00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 22 EVAPORATIVE COOLERS X $10.00 23 TYPE HOOD X $50.00 24 TYPE Il HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 4-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60.00 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X $10.00 32 WOOD STOVE - FREE STANDING X $25.00 33 REPAIR & ADDITIONS X $15.00 34 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X $19.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: Spanokane PERMIT CENTER 11703 E. Sprague Ave., Suite B-3 Spokane Valley, WA 99206 509-688-0036; Fax 509-688-0037 www.spokanevalley.org Affidavit in Lieu of General Contractor Registration State of Washington ) County of Spokane ) Loi kA '& Tb be- , state as follows: (Print name as signed) 1. I have made application for a building permit from the City of Spokane Valley, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of which is printed on the reverse side of this affidavit. 3. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Spokane Valley must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. 12— , and will therefore, not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. ```01N{111111iiii P ., &A.", ''''' ,OTAR *" ®®c PUBLIC and swo to before me this ay of , 20jQ U v12,� 04. &c 2 Notary's Name (Print) IMALJ etil/-e Notary's Signature NOT Y PUBLIC in and for the State of Wash' on, residing at [Pt✓ County My Commission expires: October 15, 2007 Page 1 of 2 P:\Community Development\Forms\Building Forms Revised Code of Washington 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1) An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2) Officers of a court when they are acting within the scope of their office; 3) Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4) Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5) The sale or installation of any finished products, materials, or articles of merchandise that are not actually fabricated into and do not become a permanent fixed part of a structure; 6) Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7) Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8) Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9) Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10) Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11) An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12) Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his or her own property with the intention and for the purpose of selling the improved property; 13) Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14) A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his or her license; 15) Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16) Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17) A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; 18) An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in-kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and/or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. October 15, 2007 Page 2 of 2 P:\Community Development\Forms\Building Forms Spokane Valley® For City Use Only PLUS Project Number / 7 Project Address ,/ :j 11 t" 11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206 509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter®spokanevalley.org t 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. t /0+/, 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. Tips for a Smoother Project Application Review ➢ 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. ➢ 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 1 0" <• -* m 30 ONINNVId 0 rn a 0 6' O G 0 -0Tj � W SPOKE COUI'LTY Site Information SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Project Information Site Address: 15119 E RIVERSIDE LN Parcel Number: 45144.3103 Subdivision: CITY OF SPOKANE VALLEY Block: 1 Lot: 3 Zoning: UNK Unknown Owner: FOUR POINTS INVESTMENT GROUP Address: 14581 PRISTINE CIR RATHDRUM, ID 83858 Building Inspector: Water Dist: Project Number: 10004813 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION Applicant: LISH EXCAVATION CO 703 E 33RD AVE SPOKANE, WA 99203 Contact: LISH EXCAVATION CO 703E 33RD AVE SPOKANE, WA 99203 Setbacks - Front: Group Name: Project Name: 9/13/2010 Phone: (509) 216-0549 Phone: (509) 216-0549 Left: • Right: Rear: Permits Sewer Connection Permit Contractor: LISH EXCAVATION CO License #: LISHEEC936O5 PROCESSING FEE 1 $15.00 Si SEWER CONNECTION 1 $125.00 Total Permit Fee: $140.00 **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. **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. **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. Payment Summary Total Fees AmountPaid AmountOwing $140.00 $140.00 $0.00 Tran Date Receipt # Payment Amt 9/13/2010 3930 $140.00 Processed By: CUMMINGS, KATHY Printed By: Force, Faith Page 1 of 1 PERMIT NOTICE It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and requirements 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 County Code: 1. FOOTING - all structures, including manufactured homes when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Front, flanking, side and rear yard setbacks are measured from property lines. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane County 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. 2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. 3. FRAMING - after all framing, bracing and blocking is in place, plumbing, mechanical rough -in inspections have been approved, and prior to concealing. 4. INSULATION - prior to the installation of drywall. 5. PLUMBING - after rough -in, before covering, and final. 6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL - all permits - when complete and prior to occupancy and/or use. Please provide 24 hours notice. 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. 8. MANUFACTURED HOMES - foundation inspections prior to pouring pads, inspection of blocking/tie-downs, when completed per manufacturers installation instructions. Final Inspection approval prior to occupancy: stairs, handrails, skirting, etc., installations completed WAINS Tag(s) must be affixed to the home, completed inspection record card and manufacturer's installation instructions must be available on site. 9. SEWERS - prior to cover 10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, 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 department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS: TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE . PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS FROM MORE THAN ONE AGENCY. • Building, plumbing, mechanical and fire inspections, Department of Building & Planning 477-3675 • Construction in a flood plain, Division of Engineering & Roads 477-3600 • Electrical wiring, State Department of Labor and Industries 324-2640 • On-site waste disposal system, Spokane Regional Health District 324-1560 • Road cuts for utilities or driveways, Division of Engineering & Roads - 48-HOUR NOTICE REQUIRED 477-3600 or State Department of Transportation 456-3000 • Sewer connection, Division of Utilities 477-3604 or City Public Works Department 625-6300 PERMIT EXPIRATION Unless otherwise noted, building, plumbing, fire and mechanical permits will be considered null and void by limitation if the work authorized by the permit is not commenced within 180 days or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Department prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. Please call if you have any questions. REFUNDS All requests for building permit refunds must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment. Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized more than 180 days after fee payment. Please contact the other agencies with respect to their refund policy on all other permit types. MISTAKE? If you think we've made an error in processing this permit or find erroneous information on the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building and Planning at: Spokane County Department of Building & Planning 1026 West Broadway Avenue Spokane, WA 99260 Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133 REVISED 02/10 BLDG PERMIT