2009, 05-21 Permit App: 09001385 ResidenceProject Number: 09001385 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/21/2009 Page 1 of 2
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: LEWISCONSTRUCTION & DVLPMT IN
Address: 12402 N DIVISION
C - S - Z: SPOKANE WA 99218
Phone: (509) 951-6959
Group Name:
Project Name: SUB -05-07 LOT 3 BLK 1
District: Nort
Parcel Number: 45161.2103 Block:
SiteAddress: 1220 N ROBIE RD
Location:: CSV
Zoning: R-3 SF Res District
Water District:
Area: 7,500 Sq Ft
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:,,,
Lot:
Owner: Name: RADEZKY PROPERTIES WEl LLC
Address: 12402 N DIVISION ST #369
SPOKANE, WA 99218
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 5/20/2009 By: tmelbourn
Released By:
Landuse/Zoning/HE Conditions
Released +By
Sewer Review
Permits:
Originally Released: 5/19/2009 By: cjjanssen
Released By:
Operator: JD
Printed By: jmm
Print Date: 5/21/2009
Project Number: 09001385 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/21/2009 Page 2 of 2
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Item Description
APPROACH -CONST IN ROW
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Building Height 15
Description
1&2 FAMILY
GARAGE
Gra
R-3
U-1
Approach
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Building Characteristics
Type
VB
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Payment Summary
Permit Type
Approach
Building Permit
Notes
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,152 $111,548.16 1,152 $111,548.16
484 $9,196.00 484 $9,196.00
Totals: 1,636 $120,744.16 1,636 $120,744.16
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$50.00
$1,560.39
Permit Total Fees:
Invoice Amount
$50.00
$1,560.39
Fee Amount
$1,111.35
$4.50
$444.54
$1,560.39
Amount Paid Amount Owing
$0.00 $50.00
$444.54 $1,115.85
$1,610.39 $1,610.39
$444.54 $1,165.85
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: JD Printed By: jmm
Print Date: 5/21/2009
05/26/2009 14:13 5E19483119b/
SPOKA[E COI KEY
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 1220 N ROBIE RD
Parcel Number: 45161.2103
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: 12ADEZKV PR()PF.RTTFS WF.I LLC
Address: 12402 N DIVISION ST #369
SPOKANE, wA 99218
Building Inspector:
Water Dist: MODERN
1
Pel
Sewer Connection Permit
Contractor: CONNER EXCAVA'
SEWER CONNECTION
Project Number: UYUUL149 Inv: 1 Issue Date: 5/26/2009
Permit Use: SEWER CONNECTION - PINE VALLEY EST
,Applicant:
CDN ':AVATING
ON
99217
1V ATING
)N
99217
•
Right:
Phone: (509) 483-1123
Phone: (509) 483-1123
Rear:
1E*277JR
FEE
1 $15.00
Total Permit Fee: S100.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT. MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMI _ u rUR A 30 -MINUTE INSPEC;110JN. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**INSTALLER I5 RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
13E 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 ARE TO BE CI-IECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. 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 STATF, DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCI-I SAFETY.
Payment Summary
Total Fees AmountPaid AmonntOwing
$100.00 $100.00 $0.00
Iran Date
5/26/2009
Processed By: DOMPIER, DAWN
Printed By: HTNTZ, FAITH Page 1 of 1
ecei t # Payment Amt
1963
$100.00
PERMIT
si�1t:'s41mu.b
jUalley�
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
Permitcentercaspokanevalley.org
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION D ADDITION/REMODEL ❑ ACCESSORY BUILDING
Ej DECK ❑ OTHER
SITE ADDRESS:1220 N. ROBIE LANE, SPOKANE VALLEY, WA 99206
ASSESSORS PARCEL NO.:NOT YET ASSIGNED, NEW PLAT (SUB -05-07) LEGAL
DESCRIPTION:LOT 3, BLOCK 1, PINE VALLEY ESTATES, AS PER PLAT THEREOF RECORDED IN BOOK 35
OF PLATS, PAGES 42-43;
SITUATE IN THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 16, TOWNSHIP 25
NORTH, RANGE 44 EAST, WILLAMETTE MERIDIAN, CITY OF SPOKANE VALLEY, COUNTY OF SPOKANE,
STATE OF WASHINGTON.
BUILDING OWNER NAME:LEWIS CONSTRUCTION & DEVELOPMENT, INC.
NAME:LEWIS CONSTRUCTION & DEVELOPMENT, INC.
ADDRESS:12402 N. DIVISION #197
CiTY:SPOKANE
STATE: WA
Zip:99218
PHONE:509-951-6959
FAx:509-279-0967
CELL:509-951-6959
CONTACT NAME:TIM LEWIS
PHONE:509-951-6959
FAx:509-279-0967
CELL:509-951-6959
CONTRACTOR NAME:SAME AS ABOVE
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:LEWISCD917BN
LICENSE NO.:602-728-595
EXPIRES:01 /15/2011
CITY BUSINESS
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
NEW, SINGLE FAMILY RESIDENCE - 3 BED, 2 BATH, 2 CAR GARAGE, 1 STORY, 1152 SF, SLAB ON GRADE, RANCHER
ON LOT 3, BLOCK 1 OF PINE VALLEY ESTATES (SUB -05-07)
Effective October 28, 2007 Page 1 of 3
C'•\nnrnmentc and cettinnc\Genecic\necktnn\I Cf) Tnfn\IIIPrniertc Artive\na-nns - 127n N Rnhie lane - R111 - PVF Fnnthillc
****YOU MUST COMPLETE THE FOLLOWING****
ABLE
Height to Peak:14'-10"
FROM FINISH GRADE
Dimensions:48' x 46'
No. of Stories:1
Total Habitable
Space:1152
Main Floor SQ
FT:1152 CV4,
Upper Floor SQ FT:N/A
Unfinished Basement
SQ FT:N/A
Finished Basement
SQ FT:N/A
Garage SQ FT:484 0Deck/Covered
Patio
SQ FT:N/A
Impervious Surface
Area: 116 2 j/=
30% Slopes on
Property:No
No. of Bedrooms:3
Construction
Type:STICK FRAME
Heat Source:GAs,
FORCED AIR
Sewer or
SeptiC:SEWER
TOTAL COST OF PROJECT: $135,000 G4 Q0 G`'S4,40o0 Hoose- C coo
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The City of
Spokane Valley permit is not a permit or approval for any violation of deral, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and -. ently ap• •ved before this application can be processed.
Signature
Date:5/18/09
Method of payment: 0 Cash
Bankcard #. REDACTED
VIN#:
❑ Check
0 Visa
® Mastercard
EXP: 06/10
Authorized Signature:
This document originally conta
confidential credit card information ich
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
V
A 7 c#6
Effective October 28, 2007 Page 3 of 3
C•\Ilnriimentc and Settinnc\(;enecic\r)ecktnn\I CT) Tnfn\IIIPrniertc Active\n4-MS - 177n N Rnhip 1 ane - R111 - PVF Fnnthillc
PROPOSED USE:
NEW SINGLE FAMILY HOME
Effective October 28, 2007 Page 2 of 3
C\F)nrumantc Anrl Sattinnc\C;anacic\flacktnn\I C'f) Tnfn\IIIPrniartc Artivp\ l4-lfl' - 177(1 N Rnhia 1 Ana - R11 i - PVF Fnnthillc
F(25-0522-000 (4/97
•
DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 LEWISCD917BN 115/ 1/15/20091
EFFECTIVE DATE
LEWIS CONSTRUCTION & DEV INC
12402 N DIVISION #197
SPOKANE WA 99218
Detach And Display Certificate
STATE OF
WASHINGTON
MASTER LICENSE SERVICE
PO Box 9034 • Olympia, WA 98507-9034 • (360) 664-1400
REGISTRATIONS AND LICENSES
Domestic Profit Corporation
LEWIS CONSTRUCTION AND DEVELOPMENT, INC.
9822 N NORTHVIEW LN
SPOKANE WA 99208 8985
TAX REGISTRATION
CITY LICENSES/REGISTRATIONS:
SPOKANE VALLEY GENERAL BUSINESS
The licensee named above has been issued the business registrations or
licenses listed. By accepting this document the licensee certifies the information
provided on the application for these licenses was complete, true, and accurate
to the best of his or her knowledge, and that business will be conducted in
compliance with all applicable Washington state, county, and city regulations.
Unified Business ID #:
Business ID #:
Location:
moraip#Expires:
602 728 595
1
1
05-31-2009
Director, Department of Licensing
Valley®
For City Use Only
PLUS Project Number C
Project Address
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevailey.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 tar et date.
zZ IL;
,
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
Actual
Side
Setback
Minimum
Side
Setback
Water Stub
5.15' South &
23.34' East
of NW
Prop. Corner
Actual
Front
Setback
8'-0
Utility
Stubs
LOT SIZE = 7,500
SF
R-3 ZONING
48'-0"
1,152 SF
HOME
484 SF
GARAGE
Required
Rear
Setback o
Sewer Stub
15.76' South & 0.61' East
of NW Prop. Corner
Proposed
Driveway
22'W x 21'L
1120 N ROBIE LANE
SITE PLAN
PLANNING DEPT. APPROVED
BY* C.1:C(tl
DATE: -)11(i/C1
Utility
Easement
Drainage
Easement
Actual
Side
Setback
Minimum
Side
Setback
Required
Front
Setback
LOT 3, BLOCK 1
PINE VALLEY ESTATES
(SUB -05-07)
Not To Scale - All Dimensions Provided
44-
j I
a
LnEo.e
L1 ,alfa ,....Sr
In<7E 64.4 11.E was
,32601
SINTO LANE
na.E Slob
'BLOCK2
left
.war J L cl r----
Fr l
1141,
PRIVATE ERNE
A
PINE
VALLEY
ESTATES
Project
Site
N
BOONE AVENUE
.amxux
a.a S
isle,. RENE.
WON n;
BLOCK 1
r,.wa I 3
1.aKnmaE.
12211x.160
12201.1 u j
SF
1214.1.41.11{
11621E
Driving Directions:
From 1-90 go South on Pines the Right on Boone
then North on Roble.
Actual
Side
Setback
Minimum
Side
Setback
Water Stub
5 15' South &
23 34' East
of NW
Prop Comer
Actual
Front
Setback
LOT SIZE = 7,500
SF
R-3 ZONING
Requrred
Rear
Setback
1 152 SF
HOME
484 SF
GARAGE
, Stubs
Sewer Stub
15 76' South & 0 61' East
of NW Prop Corner
il
Easement
yent
Proposed
Dnvway
22'Wx 21'L
Drainage
Easement
1120 N ROBIE LANE
SITE PLAN
Actual
Side
Setback _,
Minimum
Side
Setback
Required
Front
Setback
LOT 3, BLOCK 1
PINE VALLEY ESTATES
(SUB -05-07)
Not To Scale - All Dimensions Provided
The -
FFootfias 1152
P§�rdut�
L' 4
e"�eFg?F=
<�q_fr 3e
yybo
ar' =a
±,?we _a t9a 3
_urV
eE�yc4;
= ttekeg
LEWIS CONSTRUCTION St DEVELOPMENT, INC
LEWIS
CONSTRUCTION
& DEVELOPMENT,
INC
12402 N. DIVIRION
#1 97
SPOKANE, WA
99218
Address:
122(1 N Roble Lane
Spokane. WA 99208
Location:
Pine Valley Estates
(SI7f3-05-07)
IA 3 - Block I
Job #: 09-005
Square Footage:
I Approximates
Basement N/A
1st Floor 1,152
2nd Floor NIA
Bonus Room. N/A
Garage. 484
Fond SF 1,636
Fmished SF 1,152
Floor Plates:
IAppro, Floor -Floor HO
Basement N/A
1st Floor 8'
2nd Floor NIA
Bonus Room N/A
Garage 8'
Permit Submetal Uwe
May 18, 20(9
Scale As Noted
Site
Plan
AO
1
1220 N. Robie Ln Lot 3, Block 1 - Pine Valley Estates (SUB -05-07)
Driveway Approach
co
No Walks
At Pine Valley Estates
NOTES:
1. ALTERNATE DRIVEWAY DESIGNS SHALL REOUIRE THE APPROVAL OF THE CITY ENG'R. SERVICES DEPT.
2. THE DRIVEWAY BOUNDARY SHALL NOT BE PLACED WITHIN 5'-0" FROM THE R.O.W. LINE OF ANY INTERSECTING
STREET NOR WITHIN THE RADIUS OF A CURB RETURN.
3. REAR THICKENED EDGE IS NOT REQUIRED IF THE DRIVEWAY ABUTS AN EXISTING PAVED OR CONCRETE SURFACE.
4. THE SHADED PAYMENT AREA REOUIRES A 6 -INCH MIN DEPTH OF AIR -ENTRAINED, 6 SACK, COMMERCIAL
CONCRETE IN ACCORDANCE W/ SEC 6-02.3(2)13 & 4 -INCHES OF COMPACTED CSTC. CURB OR CURB/GUTTER
WITHIN THE DRIVEWAY BOUNDARY SHALL BE A SEPARATE PAY ITEM.
5. EXPANSION (ISOLATION) JOINTS SHALL USE A 3/8" PREMOLDED JOINT FILLER PER SEC 9-04.1(2). JOINTS
SHALL EXTEND THROUGH THE FULL CROSS-SECTION OF THE SIDEWALK & CURB OR CURB/GUTTER,
WHERE APPLICABLE. JOINTS ARE ALSO REVD BETWEEN EXISTING & NEW CONCRETE WHERE SIDEWALK
& CURB OR CURB/GUTTER ARE REMOVED FOR DRIVEWAY CONSTRUCTION,
6. CONTRACTION (CONTROL) JOINTS SHALL BE SPACED ALONG THE DRIVEWAY WIOTH (W)
NO FURTHER THAN (1.5) TIMES THE DRIVEWAY LENGTH (L).
7. THE DRIVEWAY MAY BE LOWERED AT FRONT -OF -WALK (F.O.W.) TO A 3"
MIN ABOVE GUTTER (-0.35' ELEV) & THEN SLOPED AT 1/4" PER FT
TO MATCH LOWER EXISTING DRIVEWAYS AT BACK -OF -WALK (BMA),
8. A CONCRETE APRON SHALL BE PLACED AT THE SWALE
INLET & ANCHORED INTO THE DRIVEWAY W/ (2)- #4
X 12" REBAR.
No Curbs
At Pine
Valley
Estates -
NO TROWEL
LINE
OR 3/4"
RADIUS
8 GUTTER
6" Concrete
Approach Per
This Detail
sow.
.4",
•"o,�r or
9. MAINTAIN 1" EXPOSURE BETWEEN TOP -OF -
SOD & TOP -OF -DRIVEWAY, SIDEWALK, &
CONCRETE CURB.
10, SEE STD PLAN F-106 FOR
No Walks TOP -OF -CURB HEIGHT
At Pine Valle Estates REO'MTS AT & BEYOND
Valley DRIVEWAY ENTRANCE &
FOR CSBC REO'MTS UNDER
CURB/GUTTER.
PAYMENT AREA (S.Y.) = W(L)+5W
SEE NOTE 4 g
BTM. UPPER
No Curbs SWALF
At Pine Valley Estates
APPROVED BY
PRspiam ENGR4ER,`0ESGN w GARYI NELSON, ►.E.
ADOPTED. 4/2004
REVISED: 01/2008
SUPERSEDES: 05/2007
CHECKED BY: JAG
SCALE: NTS
DWG/REV. BY: MDH/TSS
CONCRETE DRIVEWAY
W/ SWALE INLET
ENGINEERING SERVICES STANDARD
PLAN No.
CITY OF SPOKANE, WASHINGTON F-1048
.19
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