2010, 07-22 Permit App: 10002182 ResidenceProject Number: 10002182 Inv: I
Application Date: 7/22/2010 Page 1 of 3
THIS IS
NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
v n=r
Permit Use: SFR W/ATT GAR
Contact: LEWIS CONSTRUCTION & DEV
Address: 12402 N DIVISION #197
C - S - Z: SPOKANE WA 99218
Setbacks: Front Left: Right: Rear:
Phone: (509) 951-6959
Group Name:
Site Information:
Project Name:
Plat Key: Name: Range
District: Nort
Parcel Number: 45161.2107 Block:
Lot:
SiteAddress: 1316 N ROBIE RD
Owner: Name: RADEZKY PROPERTIES WEI. LLC
Address: 12402 N DIVISION ST #369
Location:: CSV
SPOKANE, WA 99218
Zoning: R-3 SF Res District
Water District: 011 MODERN
Hold: []
Area: 7,500 Sq Ft 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: 7/22/2010 By: tmelbourn
Driveway/Approach Released By
NOT REQUIRED PRIVATE ROAD
Originally Released:
Landuse/Zoning/HE Conditions
7/22/2010 By: TMELBOU
Released By: 1
Originally Released: 7/20/2010 By: CJJANSSE
Sewer Review Released By: —
Permits:
Operator: JD Printed By: jmm Print Date: 7/22/2010
Project Number: 10002182 Inv: I Application Date: 7/22/2010
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: LEWIS CONST & DEV INC Firm: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197 Phone: (509) 951-6959
SPOKANE WA 99218
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Description
Grp
Twe Notes
1&2 FAMILY
R-3
VB
COV DECK
R-3
VB
GAR WOOD
U-1
VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCCSURCHARGE
SF PLNS RVW < 7999 SQ FT
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
Building Permit
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Permit Total Fees: $59.00
Operator: JD Printed By: jmm Print Date: 7/22/2010
Page 2 of 3
This Application:
Total Project:
5_q_Ft Valuation
So Ft Valuation
1,232 $121,906.40
1,232 $121,906.40
120 $1,800.00
120 $1,800.00
480 $9,120.00
480 $9,120.00
Totals:
1,832 $132,826.40
1,832 $132,826.40
Units
Unit Desc
Fee Amount
1
SELECT
$1,178.55
1
SELECT
$4.50
1
SELECT
$471.42
Permit Total Fees:
$1,654.47
Mechanical Permit
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Units
Unit Desc
Fee Amount
1
NUMBER OF
$11.00
1
NUMBER OF
$13.00
2
# OF UNITS
$2.00
3
NUMBER OF
$33.00
Permit Total Fees: $59.00
Operator: JD Printed By: jmm Print Date: 7/22/2010
Page 2 of 3
Project Number: 10002182 Inv: I Application Date: 7/22/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: LEWIS CONST & DEV INC
Address: 12402 N DIVISION #197
SPOKANE WA 99218
Plumbing Permit
Firm: LEWIS CONST & DEV INC
Phone: (509) 951-6959
Item Description
Units
Unit Desc
Fee Amount
TOILETSBIDETS
2
NUMBER OF
$12.00
SINKS
3
NUMBER OF
$18.00
TUBS
2
NUMBER OF
$12.00
DISH WASHERS
1
NUMBER OF
$6.00
GARBAGE DISPOSAL
1
NUMBER OF
$6.00
CLOTHES WASHER
1
NUMBER OF
$6.00
MISCELLANEOUS FIXTURES
1
NUMBER OF
$6.00
Permit Total Fees:
$66.00
,,..
Payment Summary:,a
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,654.47
$1,654.47
$469.18
$1,185.29
Mechanical Permit
$59.00
$59.00
$0.00
$59.00
Plumbing Permit
$66.00
$66.00
$0.00
$66.00
$1,779.47 $1,779.47 $469.18 $1,310.29
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: 7/22/2010
(Staff Use Only)
Spode PERMIT N
UMBER:
PERMIT FEE:
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206 iC W; &�` 6Z
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevalley.org
TRUCTION PERMIT APPLICATION
RESIDENTIAL CONS
NEW CONSTRUCTION Q ADDITION/O HEEMODEL El ACCESSORY BUILDING
DECK
SITE ADDRESS:1316 N. ROBIE LANE, SPOKANE VALLEY, WA 99206
ASSESSORS PARCEL NO.:451612107 LEGAL DESCRIPTION:LOT 7, 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 EXPIRES:01/15/2011 CITY BUSINESS
LICENSE NOA02-728-595
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
NEW, SINGLE FAMILY RESIDENCE - 3 BED, 2 BATH, 2 CAR GARAGE, 1 STORY, 1232 SF, CRAWL SPACE, RANCHER
ON LOT 7, BLOCK 1 OF PINE VALLEY ESTATES (SUB -05-07)
Effective October 28, 2007 Page 1 of 3
('-\I1carc\Tim\DPcktnn\1 I Pwic rnn0nirtinn and r)PVPInnmPnt Tnr\IIIPrniPrtc ArflvP\10-n'v; - 1116 N RnhiP\06 Parmittinn\in-
115.0'
North
Property L
65.2' Rear Property Line
I"— co.cm. P.m M
zeros"EMY&SNkgo—
TMMC�
7Y --
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❑❑-----------
I 5-0•
------------
Sewer------F—
Stub
ewerStub I ^
I
54.00' Rear Setback
(20'-0" Required)
S. l
(S-0•R.Wftm
PLANNING DEPT. APPROVED
Ely
DATE: 7:(Ooilo
115.60'
� I
South N
I Property Line
Pursuant to SVMc 19.40.020(B)"AII residential
i driveways and off-street parking areas shall be
paved with asphalt, Portland cement, grasscrete
paver blocks or other equivalent hard surface
— � material.
----------
I
I 4
Water
Stub
Lexis Homes
fie Paftide 1232
I IT' -e•
Iw
.m. x
I (zoa•R.wa.a�
�i SITE PLAN
1316 N Roble Lane @ Pine Valley
—L--------------- Estates ------
7,500 SF 65.2' Front Property Line
I
I
I
pm n1YLn..
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wYUftE..msnt
To. kF—t V
SIdw.MSxW sE..emB.f
ryp. NFronl Yertl
PROPOSED USE:
NEW SINGLE FAMILY HOME
Effective October 28, 2007 Page 2 of 3
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/o -- Z / 8 a -
****YOU MUST COMPLETE THE FOLLOWING****
MARK N /A IF NOT APPLICABLE
Height to Peak: 14'-10"
Dimensions:52' x 41'
No. of Stories:1
Total Habitable
FROM FINISH GRADE
Space: 1232
Main Floor SQ
Upper Floor SQ FT:N/A
Unfinished Basement
Finished Basement
FT: 1232 0 jL
SQ FT:N/A
SQ FT:N/A
Garage SQ FT:fit--
Deck/overed Patio
Impervious Surface
30% Slopes on
<3
SQ FT: /A .2�
Area:440
Property:No
No. of Bedrooms:3
Const ru
Heat Source:GAS,
Sewer or
Type:STICK FRAME
FORCED AIR
Septic:SEWER
TOTAL COST OF PROJECT: $138,000 = LAND @ $48,000 & CONSTRUCTION @ $90,000
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 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 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:07/20/10
Method of payment: ❑ Cash ® Check ❑ Visa ❑ Mastercard
Bankcard #: -'nP: VIN#:
v -
Authorized Signature:
/1/v J &A✓cjy
�Psycm r T
--P�VAY,d R6-4
Ettective October 28, 2007 Page 3 of 3
r-\llcPrc\Tim\r)Pcktnn\t I Pwic Cnnatrurfinn and I)PvPlnnmPnt Tnr\IIIPmiartc ArtivP\1n-n3S - 1311; N RnhiP\nF PPrmittinn\1n-
****YOU MUST COMPLETE THE FOLLOWING****
lhAeOV N /A TF NAT APPLICABLE
Height to Peak:14'-10"
Dimensions: 52' x 41'
No. of Stories:1
Total Habitable
FROM FINISH GRADE
Space:1232
Main Floor SQ
Upper Floor SQ FT:N/A
Unfinished Basement
Finished Basement
FT: 1232
SQ FT:N/A
SQ FT:N/A
Garage SQ FT:484
Deck/Covered Patio
Impervious Surface
30% Slopes on
SQ FT:N/A
Area:440
Property:NO
No. of Bedrooms:3
Construction
Heat Source:GAS,
Sewer or
Type:STICKFRAME
FORCED AIR
Septic:SEWER
TOTAL COST OF PROJECT: $138,000 = LAND @ $48,000 & CONSTRUCTION @ $90,000
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 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 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:07/20/10
Method of payment: ❑ Cash ® Check ❑ Visa ❑ Mastercard
Bankcard #: _'-EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 3 of 3
C-\Ilcarc\Tim\r)acktnn\I lawic Cnnctriirtinn and ni-vPlnnmant Inr\IIIPrniartc Artiva\1n-011; - 1'31A N Rnhia\n6 Parmittinn\1n-
Permit Center
11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
1�LL11G Spokane Valley, WA 99206
.;00W�A' (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
perm itcenterLa� spokanevalley or
Community Development
Plumbine Permit
STPE ADDRESS:
❑ Commercial X Residential
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 r trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
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
❑CASH ® CHECK ❑ VISA ❑ MC EXPIRES:
Card# IN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: htta://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
C:\Users\Tim\Desktop\! Lewis Construction and Development Inc\!!!Projects Active\10-035 - 1316 N Robie\06 Permitting\10-035 2010.07.20 Plumbing Permit
Permit Center
rm6 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
`�' Spokane Valley, WA 99206
'� V�11 (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development Permitcenter/u`spokanevallev.orc
Mechanical Permit Application �J� / �I❑ Commercial ® Residential
�j�
SITE ADDRESS: _ I ? J A - / �J ��L` F�� 1, -1d -"7 y w �' � S� 1 ` ( 20
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
❑CASH ® CHECK ❑ VISA MC
EXPIRES: V
#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
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 -1 00, 000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 h –100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 – 30 h - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 h – 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS ABSORPTIONS SYSTEM
Over 50 h – 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 thanportables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
3
VENTILATION AND EXHAUST
Each ventilations stem
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
❑CASH ® CHECK ❑ VISA MC
EXPIRES: V
CARD #:
SIGNATURE
C:\Users\Tim\Desktop\l Lewis Construction and Development Inc\!!!Projects Active\10-035 - 1316 N Robie\06 Permitting\10-035 2010.07.20 Mechanical Permit
Application.doc
PROPOSED USE:
NFW SINGLE FAMILY HOME
Effective October 28, 2007 Page 2 of 3
C'-\Ilcarc\Tim\I)Pcktnn\1 I awic C'nnctriirtinn and Davalnnmant inr\111PrniPrtc Artiva\1f1-n-v; - 1116 N Pnhia\n6 Parmittinn\1C1-
For City Use Only
r PLUS Project Number00
�{
CITY OF
Project Address
sane
alle °
y 11703 E Sprague Ave Suite B-3 ♦Spokane Valley WA 99206
49;00 509.688.0036 ♦ 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
i
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. 1.
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 9107
07/23/2010 07:32
RECEIVED 07/23/2010 08:03 5096880037 SV PERMIT CENTERFR
5094831007 PAGE 01/01
SPOKANE COUN'T'Y
DEPARTMENT OF BUILDING & PLANNING
Site Information
Site Address: 1316 N ROBIEE RD
Parcel Number. 45161.2107
1026 WEST BROADWAY AVENUE - SPOKANE, WA 99260-0050
Subdivision: CITY OF SPOKANE VALLEY
Block. 1 Trot: 7
Zoning:
Owner-- LEWIS CONST & DEV
Address: 12402 N DIVISION ST #369
SPOKANE, WA 99218
Building Inspector:
Water Dist:
Sewer Connection Permit
Permits
Contractor: CONNER EXCAVATING
PROCESSING FEE
Project Information
Project Number: 10003728 Inv: 1 Issue Date: 7/21/2010
Permit Use: SEWER CONNECTION
Applicant: WC CONNER EXCAVATING
1809 E HOUSTON AVE
SPOKANE WA 99217
Contact: WC CONNER EXCAVATING
1809 E.HOUSTUN AVE
SPOKANE WA 99217
Setbacks - Front: Left: Right:
Group Name:
Project Name:
License #: WCCONE*277JR
$15.00 S1 SEWER CONNECTION
Phone: (509) 483-1123
Phone: (509) 483-1123
Rear:
Total Permit Fee:
1 $125.00
$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 MINU'T'ES.
**CALL I-800-4245555 BEFORE YOU DIG- AT LEAST 2 WORKING DAYS IN ADVANCE. SPnKAN% COUNTY f oT1R
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF TIME WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER 1S RE4"SPONSIBLb'1'U INSWKE 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 TIME SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACiL.ITIF.,S.
Payment Summary
Total Fees Amount aid AmountOwing Tran -Vat e Receipt # Payment Aunt
$140.00 $140.00 $0.00 7/21/2010 3020 $140.00
Processed By: SHATTO, JULIE PERMIT
Frinted t3y: Lemley, Linda Page 1 of 1