2009, 08-28 Permit App: 09002738 ResidenceProject Number: 09002738 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/28/2009 Page 1 of 3
Project Information:
Permit Use: SFR W/ ATT GAR
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
- _ IEM BIS. sr .M+. , - E ..Er . ere;,a,
Contact: LEWIS CONSTRUCTION & DEV
Address: 12402 N DIVISION #197
C - S - Z: SPOKANE WA 99218
Phone: (509) 951-6959
Group Name:
Project Name:
C "14€ . V _- 446::
District: Nort
Parcel Number: 45161.2105 Block:
SiteAddress: 1304 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
Lot:
Owner: Name: LEWIS CONSTRUCTION & DEV, I
Address: 12402 N DIVISION ST #369
SPOKANE, WA 99218
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
8/27/2009 By: tmelbourn
Released By:
Sewer Review
Permits:
Originally Released:
8/27/2009 By: MBASINGE
Released By:
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Approach
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Operator: jmm Printed By: jmm Print Date: 8/28/2009
Project Number: 09002738 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/28/2009 Page 2 of 3
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Description Grp Type
1&2 FAMILY R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Building Permit
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,152 $111,548.16 1,152 $111,548.16
112 $1,680.00 112 $1,680.00
400 $7,600.00 400 $7,600.00
Totals: 1,664 $120,828.16 1,664 $120,828.16
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,111.35
$4.50
$444.54
Permit Total Fees: $1,560.39
Mechanical Permit
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
Fee Amount
$11.00
$13.00
$2.00
$33.00
Permit Total Fees: $59.00
Plumbing Permit
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$0.00
$6.00
$6.00
$6.00
$66.00
Operator: jmm Printed By: jmm Print Date: 8/28/2009
Project Number: 09002738 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/28/2009
Notes:Z .: ,: M M ;S:.. , Id v „SAI l ..: .:- P , MAI ,.. ..
All residential driveways and off-street parking areas shall be paved with asphalt, Portland cement,
grasscrete, paver blocks, or other equivalent hard surface material.
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,560.39
$59.00
$66.00
Invoice Amount
$1,560.39
$59.00
$66.00
Amount Paid Amount Owing
$442.30
$0.00
$0.00
$1,118.09
$59.00
$66.00
$1,685.39 $1,685.39
$442.30 $1,243.09
Page 3 of 3
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: 8/28/2009
Spokane
Valley
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
permitcenter®spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only)
RECEIVED BY
CITY OF SPOKANE VALLEY
AUG 2 7 2009
PERMIT CENTER
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
® NEW CONSTRUCTION ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK n OTHER
SITE ADDRESS:1304 N. ROBIE LANE, SPOKANE VALLEY, WA 99206
ASSESSORS PARCEL NO.:45161.2105 LEGAL DESCRIPTION:LOT 5, 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 /1 5/201 1
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 5, BLOCK 1 OF PINE VALLEY ESTATES (SUB -05-07)
Effective October 28, 2007 Page 1 of 3
C'•\nnriimantc and Sattinnc\C;anacic\f)acktnn\I I Cr) Tnfn\IIIPrniprtc Artiva\f14-MS - 1 Rn4 N Rnhia 1 n (Tiittla Hnmal\(1F,
7-�
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:14'-10"
FROM FINISH GRADE
Dimensions:48' x 44'
No. of Stories:1
Total Habitable
Space:1152
Main Floor SQ
FT:1152 0(4
Upper Floor SQ FT:N/A
Unfinished Basement
SQ FT:N/A
Finished Basement
SQ FT:N/A
Garage SQ FT:400
01!.
Deck/Covered Patio
SQ FT:bibc 11 1-
Impervious Surface
Area:420
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 = LAND @ $50,000 & CONSTRUCTION @ $85,000
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 e available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or appr.val fo` y violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be sub • - . • . •sequently approved before this application can be processed.
Signature
Method of payment: ❑ Cash ® Check
Bankcard #:
Date:08/27/09
❑ Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 3 of 3
r•\nrriimantc anri Sattinnc\(;anacic\T)acktnn\I I Cr) Tnfn\IIIPrniertc Artiva\(lq-(1V5 - 11(14 N Rnhia 1 n (Ti&Hp Hnmal\116
PROPOSED USE:
NEW SINGLE FAMILY HOME
Effective October 28, 2007 Page 2 of 3
r•\Ilnrumantc and Sattinnc\C;antcic\Ilacktnn\I I rn Tnfn\IIIPrniertc Active\(1Q-(14S - 1l(14 N RnhiP I n (Tnttla Hnma1\(16
09/01/2009 16:04 5094831007
PAGE 01/01
SPOKARE Court
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1.026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Site Address: 1304 N ROBIE RD
Parcel Number: 15161,2105
Subdivision: CITY OF SPOKANE VALLEY
Block- Lot:
Zoning:
Owner: LEWIS CONSTR & DEVELOPMENT IN
Address: 12402 N DIVISION ST#369
SPOKANE. WA 99218
Building Inspector:
Water Dist: MODERN
Project Information
Project Number: 09004362 Inv: 1 Issue Dnte: 8/31/2009
Permit Use: SEWER CONNECTION - PINE VALLEY ESTATES
Applicant: CONNER EXCAVATING
1809 E HOUSTON
SPOKANE. WA 99217
Contact: CONNER EXCAVATING
1809 EHOUSTON
SPOKANE, WA 99217
Setbacks - Front: Left:
Group Name:
Project Name:
Phone: (509) 483-1123
Phone: (509) 483-1123
Right: Rear:
Permits
Sewer Connection Permit
Contractor: CONNER EXCAVATING License 4: WCCONE*277IR
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15,00
Total Permit Fee: $100.00
**FOR SEWER INSP CTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WU NU DAY NO11C3r REQUIRED, YI;KMf1'ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES4PPLY AFTER 30 MINUTES.
"CALL 1-800-424-5 55 BEFORE YOU 010 --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INS ALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOS RELATED TO TRENCH SAFETY.
**1NRTAI.1.ER TS R F1_ PONST_RLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER 1S TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUDS A1X TO DE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR A1f4D UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROIM THE LOWEST LEVEL OF THE STRUCTURE.
4"9•111s INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW CW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDE GROUND FACILITIES.
1
Payment Summary
Total Fees AmoultPaid AmonntOwing
$100.00 $100,00 $0.00
Tran Date
8/31/2009
Processed By: SHATTO, II�UL1E
Printed By: IIINTZ, PAI1TII Page 1 or 1
Receipt # Payment Amt
3648 $100.00
PERMIT
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenternspokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
SITE ADDRESS: / 3ll / A) fl cl l "'' r "Kr C5 1.14 ! 91 C
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name: LEWIS CONSTRUCTION & DEVELOPMENT, INC
Phone: 509-951-6959
Fax: 509-279-0967
Address: 12402 N. DIVISION #197
City: SPOKANE
State: WA
Zip: 99218
License No: LEWISCD917BN
City Business Lic: 602-728-595
Contact/Project Manager:
Name: Tim Lewis
Phone: 509-951-6959
DCASH ® CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
C:\Documents and Settings\Genesis\Desktop\! LCD Info\!!!Projects Active\09-035 - 1304 N Robie Ln (Tuttle Home)\06 Permitting\09-035 2009.08.27 Mechanical
Permit Application.doc
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 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
i
GAS PIPING SYSTEM (each outlet)
2
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
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 include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
3
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
elec
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
DCASH ® CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
C:\Documents and Settings\Genesis\Desktop\! LCD Info\!!!Projects Active\09-035 - 1304 N Robie Ln (Tuttle Home)\06 Permitting\09-035 2009.08.27 Mechanical
Permit Application.doc
arr liane
4
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenternu,,spokancvalley.org
Community Development
Plumbing Permit Application
rp )r 14), s'I(. , � G
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
n Commercial ® Residential
/ A/4- 77a`)6
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: LEWIS CONSTRUCTION & DEVELOPMENT, INC Phone: 509-951-6959 Fax: 509-279-0967
Address: 12402 N. DIVISION #197 City: SPOKANE State: WA Zip: 99218
License No: LEWISCD917BN City Business Lic: 602-728-595
Contact/Project Manager:
Name: Tim Lewis Phone: 509-951-6959
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
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
gas
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
DCASH ® CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
C:\Documents and Settings\Genesis\Desktop\! LCD Info\!!!Projects Active\09-035 - 1304 N Robie Ln (Tuttle Home)\06 Permitting\09-035 2009.08.27 Plumbing
Spokar►��Valley®
For City Use Only
PLUS Project Number Ct C Z 7
Project Address f .
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 revisedi target date.
Your application review TARGET DATE is )`-)C1
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
Sii6kane
6 (G�ff t
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@ spokanevalleY.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
APPROACH PERMIT APPLICATION
PROJECT ADDRESS:1304 N. ROBIE LANE, SPOKANE VALLEY, WA 99206
START DATE:08/28/09 ANTICIPATED COMPLETION DATE:11
BUILDING OWNER NAME:
MAILING ADDRESS:SAME AS BELOW
CITY:
STATE:
CONTACT PERSON NAME:TIM LEWIS
PHONE:
FAX:
CELL:
CONTRACTOR NAME:LEWIS CONSTRUCTION & DEVELOPME , INC
MAILING ADDRESS: 12402 N. DIVISION #197
CITY:SPOKANE STATE:WA
ZIP:99218
PHONE:509-951-6959
951-6959
FAx:509- 9-0967
CELL:509-
CONTRACTOR LICENSE No.: LEWISCD917BN
LICENSE No.:602-728-595
EXPIRES:01 /15/2011
CITY BUSINESS
PROJECT DESCRIPTION
Residential Driveway
• Existing Curb & Gutter
• Culvert Installation
• Other Conditions:
Please Provide Site Sketch)
0 Commercial/Industrial Driveway
O Rural Road Section
• Sidewalk Repair/Construction
Bond/Insurance certification mus be 1,n file with the City.
DISCLAIMER
The permitted verifies, acknowledges and agrees b
be served by potable water. 2) Ownership of this
owner or has permission to represent the prope
Spokane Valley Development code. Reference
Spokane Valley permit is not a permit or appr
information may be required to be s
Signature
their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
ity of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner in this transaction. 4) All construction is to be done in full compliance with the City of
codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
fo ny violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
sequently approved before this application can be processed
Method of payment:
Bankcard #:
Z Check ❑ Visa
EXP:
6Y7?0y,e)
Date:egat009
❑ Mastercard
VIN #
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
C'\rinf iimentc anrt cPftlnnC\iiPnPciC\fiPCktnrl\i 1 (1) Tnfn\iiiPrniPftc Activp\n4-(VIC - 11n4 N Rnhip I n (TIIttIP Hnmal\D6
10,
TAP
1----5_, r --s--1
l
%t
A jOj _ 9
L LLL
PRIVATE I DRIVE
41.
• 5
5!
5
T
5
L_
SH
3
ROBE LANE
"max imaii: , I
b ! I
3!
V,
5
N
W J LIE
Z Ja
II 1(0-
111
T
a
BOONE AVENUE
!1J
W 9
N
- O
m J m
Lf)
0>�
J w
z
a
w
z
J
wa
En' 0J
0
re 11•1
z5
0
Not To Scale - All Dimensions Provided
PLANNING DEPT. APPROVED
Lct
3N1 `1N31Ald0'13/ 0 V'N01131-7211SNO3 SIM31
N
C3 ti.
lg h
ti
3,111.0.V.`,07..,.waJNLL„.,
a.".4°"':> .rvo m4
.vnta.aryl.4,,ep �w e, u0pn. b
.�,. ,;.o,v�.. v° .,,w,4 ,w41 ,.�w,. o, .m+�wa
36.6:60,66,6,0666,66,3163,666,1v.1.^.]m ...13.......,
0 V W3.o a .... ,..0 1^.44. y uan 66,
-p �,w,n„arr .,kl,..,.ml�.a s.o,u.P��•,.,�,w
„..P -n atom ,e'spy-vamp 'nap
..y�may.Yia.,e'vPvw v�.uP'.vaP nv
vmia (
Z i ° a
F i >
• j 3 p Li ° a E. m
u¢ Z 2^ v N
J m> N iR 6 Q,
o 0 a m
U N
n
P v.^— O
,,,
vi v< O '0
1) .. � o W
''� z `� 7,-. m-
Q g H I-� 'Cr- �.-1 )
m ¢=¢ a$
0 K z-zz'--
w,,
y 3 o
C/1 m F c m O
_
"'
..
.� „
H I(
v a¢¢
. 8 zmzz 0
77
Pr 8
E—
w_ N— -m?
9 °-' vry 9 0
o o
17;
m
v
z Y 0
V) a
,n
O
.41t
Pm,km P.v"+Po
10,
TAP
1----5_, r --s--1
l
%t
A jOj _ 9
L LLL
PRIVATE I DRIVE
41.
• 5
5!
5
T
5
L_
SH
3
ROBE LANE
"max imaii: , I
b ! I
3!
V,
5
N
W J LIE
Z Ja
II 1(0-
111
T
a
BOONE AVENUE
!1J
W 9
N
- O
m J m
Lf)
0>�
J w
z
a
w
z
J
wa
En' 0J
0
re 11•1
z5
0
Not To Scale - All Dimensions Provided
PLANNING DEPT. APPROVED