2003, 05-23 Permit App: BD-03-474 ResidenceCity of (oW 003
SPOKANE VALLEY ( ip n' 0037
PERMIT # O347
BUILDING PERMIT APPLICATION
Box. 1. OWNER CoY `cc) C tiv \Vic-, JOB LOCATION \c\0G
OWNER'S ADDRESS 2 W R rOQIY . PHONE 3 '-I;su-A3
DESCRIBE JOB Gut\
THIS PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME C _04irm (i»c . 'nc... PHONE 5 -119,301:j
CONTRACTOR'S ADDRESS 2L- \K) . � A xyrk{ C g,cn y 'k.o, ,
CONTRACTOR'S REG.# C.C.Y,DC-\ outEXPIRATION DATE \•
(CARD MUST BE PRESENTED AND COPIED OR VEE IFIED)
BOX 3 CONTACT PERSON OF PROJECT Cuitic,Yr74N .. PHONE 1.-\ (0(5"
c0c,7
ADDRESS CITY ZIP
BOX 4 SEWER AVAILABILITY WATER AVAILABILITY
BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
30X 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR
1ST FLOOR / / 2ND FLQOR
/ OTHER / BASEMENT FINISHED /
DECK / GARAGE /
/ HEIGHT TO PEAK OF BUILDING FT.
BASEMENT UNFINISHED /
CARPORT / TOTAL
30X 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ). COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
IOX 9 PLUMBING FIXTURESIncluding rough -ins) FIXTURES(Including g ) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE / 2-54 SQ. FT. •
•
II.
OX 10 Water Service meter size (if known) Also see BOX 4
OX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
DX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
/ERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRIjJE AND '
DRRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
30VE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
JVNER/AGENT DATE
/Cl\/FRl
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard
Expiration Date
Print the name of the Folder
Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE _~
ZONE SETBIACKS. FRONT SIDE
REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT • NOT EXEMPT
FIRE DEPARTMENT I PPROVAL
REMARKS
• DISAPPROVAL DATE
PUBLIC WORKS DEP1ARTMENT APPROVAL
DISAPPROVAL DATE
a
TYPE OF JOB: NEW liESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL `COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF
OTHER
OCCUPANCY i TYPE OF CONSTRUCTION
STORIES
BUILDING SQ. FT. ep
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION
'BUILDING PERMIT N.
;I •
PERMIT FEE
PLAN CHECK FEE REC'D RECEIPT NUMBER
•PLAN CHECK FEE
PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE . ENERGY SURCHARGE
OTHER CHARGES ; I AMOUNT DUE
BUILDING DEPARTMONT APPROVAL . BY
'!
ASSIGNED ADDRESS
DATE
CITY OF THE SPOKANE
11707 E SPRAGUE AVE #106
SPOKANE. WA 99206
Phone/Web
'D: 75616793 Ref #: 0010
5/22/03 16:39:29
'patch #: 048
ISR
5536M
VV2 Code:
PPr Code: 053549 Invoice. 000974
ota1: $1597,40
Customer COPY
THAW( YOU!
CITY OF THE SPOKANE
11707 E SPRAGUE AVE 0106
SPOKANE. WA 99206
Phone/Web
ID: 75616793
05/23/03
Batch #: 049
VISR
numpooSMI
CVV2 Code:
kor Code, 067322
Total:
001.059.345.83.u5
001.059.342.40.02
'001.059.237.10.98
001.059.237.10.02
FIRE DEPARTMENT #
001.059.322.10.07
001.059.322.10.08
001.059.322.10.09
001.059.322.10.10
001.059.322.10.11
001.459.322.10.12
001.059.322.10.13
001.059.321.30.00.
001.059.342.40.01
001.059.237.10.99
OTHER:
Ref #: 0003
10:13:09
Invoice, 005424
$ 225,65
Customer COPY
THAW( VOU!
Works Fees Receipt
Permit No. IN) G'3 074 -
Date 5 e3
teceipt Number
y Zip
Energy plans check fee
SPECIAL Inspections
Bonds / Deposits
WSBcc surcharge *
Plans check fee
Sprinkler plans check
F. A. Plans check
Misc. plans check
Fire Alarm inspections
Sprinkler inspections
Misc. Inspections
FireWorks Permit
UFC permit fees
Bonds / Deposit *
PUBLIC WORKS
001.059.322.40.00 Right of Way
001.059.342.40.03 Special Inspections
001.059.237.10.99 Bonds/Deposits (cash)**
TOTAL AMOUNT DUE
.A
* To be sent to Wash. State Building Code Council quarterly.
# 65% of figure to be sent to the Fire Department Quarterly, except bonds etc.
* * Liability Insurance verification may also be required.
$ a
$ 697,40
s-Vrecpt
Sii�ke�`
jay
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW 63 -23V
APPROACH PERMIT
001() F vlctil LA .
APPLICATION
Location of property
Applicant Name CC) ;--r:v\
(Address/Parcel #, if available)
Address Phone
Contractor's Name
Address Phone
Contractor's Reg# Expires
PROJECT DESCRIPTION (Provide site sketch)
7k. Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other conditions
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
See construction requirements and details on reverse. Bond/insurance certification must be on
file with the City.
SPECIAL CONDITIONS:
PERMIT FEE $ Z S PC?
Inspection Fee$
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Signature
Fees Paid$. :95-00
Date .3"-c.2,0,-() Init
Excerpts from Spokane Valley Standards (3.24, and details A8 and A -8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10% within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
art or
t< e11707 E. SPRAGUE, STE 106
0044 Valley
SPOKANE VALLEY, WA 99206
(509)688-0036 FAX (509)688-0037
SITE INFORMATION
Site Address: '90 /q E ,
S W MnbI\J
Parcel Number:
Subdivision: R` v eR w \l `,� 1k1
Block: Lot: \
Zoning: Water Dist:
Owner: — N O2c IJ
Address: a Z 'V\i [R c -S-1-)
v‘ 5 5PvKMtJ -
Building Inspector:
PROJECT TRANSMITTAL:
TRANSMITTAL DA 1E:
PERMIT INFORMATION
5S-)02
Permit Number: i -J-7 Li Issue Date:
Permit Use: Es
Applicant: c) wok, d
Contact:
Contractor:C , 1 D fO f\)
Phone:3z,--i5
Phone:
Setbacks — Front: Left: Right: Rear:
BUILDINGS:
APPROVALS
ENGINEERS: 0 k •Q. 47 LA) O 3 0�3 .
HEALTH:
WATER DIST:
APPROVALS
STORMWATER:
OTHER:
7L7 1001S1j
&,NR, 19 ZO3,`
1 r
71-1 ) IP
\•\ 0% "0
_ .00
1 -
-11.5'x37'
DRAINAGE
EASEMENT
0
N
3
6,602 SF
EASEMENT
1-1 4
6,613 SF
0
0
0
0_
6OJ.,
194.1
N7T39'34
TRACT "A"
>MMON AREA)
22,388 SF/e.
\
60.10
N
1
S77'40'49
"W
10.00'
1
6,917 SF
FN D
IN
"X"
CURB
.0.
"8
19 PCS
65ro9
6500
2
7,153 SF
0.
0
Jr -
v r
17.5'x48'
DRAINAGE \
EASEMENT \�
\
Yr
/'(`‘
FND "X"
/ IN CURB
0
17.5'x48'
DRAINAGE
EASEMENT
6500
3
7,153 SF
\35.0
0
65 p0
4
7,153 SF
0
' 13'3"
g2 49'
N65'09'55"E
b506 /49'
5
7,153 SF
s0.
0
(s0, 7,277 SF
c0
6' SIDEWALK
EASEMENT
AguLj
17'x41'
DRAINAGE
EASEMENT
0
c9
i9a�_
190Ott
7'x41'
DRAINAGE
\ EASEMENT
0
0
0o
cS
3
6, 598 SF
600
2
7,147 SF
0
LO
6b,0
(902°
1
6,598 SF 650 55"ER11.1G5i
65o gEP
pop �PSS
\
4
7,147 SF
cb
6 '3
1g
0
N
FND "V"
IN CURE
10' u-nuTY
EASEMENT
3
0.
7,266 SF
i
N
ADDRESS: 19019 E Shannon Lane
LEGAL DESCRIPTION:
-LOT: 4 BLOCK: 5
PLAT: Riverwalk 11th
CONTRACTORS' #: CONDRC1022MT
SCALE: 1" = 20.0-'
MAIN FLOOR SF:
SECOND FLOOR SF:
BASEMENT SF
FINISHED SF:
UNFINISHED SF:
GARAGE SF:
APPROVED BY
�..c)T) t
751
747
0
717
504
1 z � _0t
10-0`
lr S=3o-o3
05/28/03 09:05 FAX 5093279562
CONDRON CONSTRUCTION
Site Information
Site Address: 19019 E SHANNON LN
GREENACRES, WA 99016
Parcel Number. 55083.5904
Subdivision:
Block:3 Lot 4
Zoning UR -7 Urban ltesidcutial-7
(Muer: CONDRON CONSTRUCTION
Address: 802 W ROSEWOOD
SPOKANE, WA 9920S
Building Inspector: LEONARD ILUNO
Water Dist:
Project Information
Project Number: 03003645 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION -PIVERWALK 11T I-1
Applicant: CONDRON CONSTRUCTION
802 W. ROSEWOOD, SUITE B
SPOKANE, WA 99208
Contact: CONDRON CONSTRUCTION
302 W. ROSEWOOD, SUITE B
SPOKANE, WA 99208
5/232003
Phone: (509) 325-4865
Phone: (509) 325-4865
Setbacks -Front: Left: Right: Rear:
Group Num:
Project Name:
Sewer Connection Permit
Permits
Contractor: CONDRON CONSTRUCTION Liccnsc #: CONDRCI044MT
SEWER CONNECTION t $35.00 PROCESSING FEE
Toted Permit Fee:
$15.00
8100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00. PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTTCE`RL• QUIRED. •
Contractor or applio int is to field locate and conium the elevation and position •of sewer stub prior to any other excavation.
Sewer stubs are to bc checked prior to councction to ensure that they have acceptable grade and are clear and unobstructed to the mum sewer.
Sewer lines should be constructed to allow for gravity flow from the lowest level,nf the structure.
This permit must bc presented to the job sitc inspector for veriticatiotn, To 16c -sic buried cables, gas piping, water lines,, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY'EKCAVATJON TIIB, 7.CA.LL BEFORE YOU DIG CE TE" R BE.
NO•f1FIFD. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE,1509)456-8000.
Spokane County Code requires the installer complywith all requirements of the Washington Stale Dept afLabor and lndustrics, including
those related to trench safety.
Total Fees AmountPaid AmnuntOtvino
8100.00 8100.00 50.00
Payment Summary
Tran Date Recei t#
5/23/2003 3269
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
MAY 25 2003 09:09
Pavmeut Amt
$100.00
PERMIT
5093279562 PAGE.02