2000, 01-05 Permit: 00000046 SewerSPOKANE COUNTY DIVISION OFBUILDING AND PLANNING
1026 W. BROADWAY • SPOKANE, WA 99260-0050
(509) 477-3675
SITE INFORMATION
PROJECT INFORMATION
Site Address: 515 S SHELLEY LAKE LN
VERADALE, WA 99037
Parcel Number: 45242.1306
Subdivision: SHELLEY LAKE
Zoning: UR -3 Urban Residential 3.5
Owner:
Address:
LEXINGTON HOMES INC
12218 E NEZPERCE LN
SPOKANE, WA 99206
Inspector: DAN HOWARD
Water Dist: UNKNOWN
roject Number: 00000046 Inv: 1 Issue Date:
ermit Use: SEWER CONNECTION - SHELLEY LAKE
Applicant: LEXINGTON HOMES
Phone: (509) 924-1519
Address: 12218 NEZ PERCE LN
SPOKANE WA 99206
Contact: LEXINGTON HOMES
12218 NEZ PERCE
SPOKANE WA 9920
Setbacks - Front: Left:
Phone: (509) 924-1519
Right: Rear:
(
PERMITS)
Sewer Permit
Contractor: LEXINGTON HOMES
SEWER CONNECTION
License #: LEXINHI025JA
1 $85.00 PROCESSING FEE
$15.00
Total Permit Fee: $100.00
PAYMENT SUMMARY
Page 1 of 1
NOTES
PERMIT By: BURRIS, ROBIN
Tran Date Receipt # Payment Amt
1/05/2000 71 $100.00
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
1
NOTICE
It is the responsibility of the permittee, not Spokane County, 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 required inspections and obtain the necessary approvals prior to
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's
expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - 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. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway
right-of-way. 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. (Blocking for a manufactured home is
required to be inspected prior to the installation of skirting.)
3. FRAMING - after all framing, bracing and blocking is in place, 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 - 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.
In addition to the above any plumbing or mechanical systems or materials 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.
CALL 477-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES:
• Road cuts for utilities or drives, Division of Engeering & Roads
477-3600
or State Department of Transportation
456-3000
• On-site waste disposal system, Spokane Regional Health District
324-1560
• Construction in a flood plain, Division of Engineering & Roads
477-3600
• Sewer connection, County Division of Utilities
477-3604
or City Public Works Department
625-6300
• Electrical wiring, State Department of Labor and Industries
324-2640
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit if not commenced 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 Official prior to expiration.
At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within
one year of the date of expiration for one-half the original fee, subject to certain limitations— please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in 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 Division of Building and Planning at the address found on the face of this permit.
I certify that I am the owner or am authorized by the owner to make this application and that I have examined this permit/application, state that the
information contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County
to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and
agree to comply with same. All provisions of laws and ordinanc- governing this type of work will be complied with whether specified herein or not.
I understand that the issuance of this permit/application and . tjsubsequent inspection approvals or Certificates of Occupancy shall not be construed
to give authority to violate or cancel the provisions of any , . e or local law regulating construction or agreement concerning this property, or as a
warranty of conformance w - visions of any sta - I,r local laws regulating construction.
SIGNATURE OF / / APPLICATION
OWNER OR AGE ✓/? 23I- DATE
UrttrrtE5 Divtstoty
N. Bruce Rawls. P.E., Utilities Director
C O LT N T
A DIVISION of THE PUBLIC WORKS DEPARTNE`NT
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
Date.. 12__ 9-8 Parcel No(s):
Site Address(es): .75- S, /*Or Lit' 40t1�
Eui!Cer Name:i✓G ro.✓
fit✓4_OR Owner Name:
Payment Option Selected (Check One):
1 ( ) GFC payment received at issuance of Sewer Connection Permit by
. Qi To 6 . pat .k c\oSt(j .
2. ( ) GFC payment in 24 equal monthly payments upon establishment cf Sewer Ealing Account.
Complete one of the following statements.
a. Owner's Statement: 1,
understand that I will
be trilled for the applicable GFC amount in 24 monthly installments. inc monthly GFC
installments wi e added to my monthly sewer service charges.
Division cf Utilities
Sicneture
Builder's Statement: I,
understand that
because I am selecting this option for payment of the GFC, that the purchaser cf the hcme will
be responsible for payment of the applicable GFC in 24 equal mcnthiy installments. I agree to
formally disclose to potential buyers cf the property that the GFC charges will be added to the
mcnthly sewer ser/Ice billings as soon as billing comments.
Date
Builders Authorized Representative's Signature Date
Spokane County,
Division of Utilities
1.026 W. Broadway • Spokane, WA 99260-0130 • (509) 477-3604 FAX (509) 4:7.4715 TDO: (509) 324-3166
GFC Payment Option Form
Revised 1/26/99