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2007, 01-10 Permit App: 06004978 DuplexProject Number: 06004978 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 01/10/2007 Page 1 of 4 Project Information:. Permit Use: NEW DUPLEX - 3443 SQ FT Contact: DIAMOND ROCK CONSTRUCTION Address: 2602 N SULLIVAN C - S - Z: SPOKANE VALLEY, WA 99037 Setbacks: Front Phone: (509) 924-8964 Group Name: Project Name: Left: 5 Right: Rear: 25 Site Information: vageffammentat Plat Key: Name: MICA PARK ADD AMENDED Parcel Number: 45203.1709 SiteAddress: 1416 S SIESTA CT Location:: CSV Zoning: UR -7 Water District: Block: Urban Residential -7 Area: .00 Acres Lot: District: Sout O er: Name: FELDMAN-PERSON Address: 1500 SEAFIRST FIN CEN SPOKANE, WA 99201 Hold: ❑ Width: 0 Depth: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Flood Plain y (ft): 0 Released By: Building Plan Review Originally Released: 01/10/2007 By: mturbak leased By: Driveway/Approach Originally Released: 12/28/2006 By: TMELBOU Released By: Originally Released: 12/29/2006 By: j_davis Landuse/Zoning/HE Conditions Released By: 5 FT LEFT SETBACK AND 25 FT REAR SETBACK REQUIRED - SEE CONDITION - MT Originally Released: 01/10/2007 By: mturbak Operator: JD Printed By: MT Print Date: 01/10/2007 Project Number: 06004978 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 01/10/2007 Page 2 of 4 Sewer Review Released By: 07000023 Permits: Originally Released: Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Building Characteristics Group: R-3 Total Area Building Height 20 Stories 1 Dwelling Units 2 Type: VB 3443 01/10/2007 By: mturbak Building Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Description Grp Tvpe 1&2 FAMILY R-3 VB COV DECK R-3 VB GARAGE U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Notes 1ST FLOOR Totals: Units 1 1 1 Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Item Description FLOOD PLAIN PERMIT This Application: Sq Ft Valuation 3,443 $297,371.91 256 $3,840.00 960 $18,240.00 Total Project: Su Ft Valuation 3,443 $297,371.91 256 $3,840.00 960 $18,240.00 4,659 $319,451.91 4,659 $319,451.91 Unit Desc SELECT SELECT SELECT Fee Amount $2,225.75 $4.50 $890.30 Permit Total Fees: $3,120.55 Flood Plain Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Units Unit Desc 1 NUMBER OF Operator: JD Printed By: MT Permit Total Fees: Fee Amount $50.00 $50.00 Print Date: 01/10/2007 Project Number: 06004978 Inv: 1 . Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 01/10/2007 Page 3 of 4 Mechanical Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509) 924-8964 SPOKANE VALLEY WA 99216 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Units Unit Desc 2 NUMBER OF 2 NUMBER OF 6 # OF UNITS 6 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF Fee Amount $20.00 $24.00 $6.00 $60.00 $20.00 $20.00 $20.00 Permit Total Fees: $170.00 Plumbing Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509) 924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 4 NUMBER OF $24.00 SINKS 6 NUMBER OF $36.00 SHOWERS 2 NUMBER OF $12.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 2 NUMBER OF $12.00 CLOTHES WASHER 2 NUMBER OF $12.00 MISCELLANEOUS FIXTURES 2 NUMBER OF $12.00 Permit Total Fees: $120.00 Operator: JD Printed By: MT Print Date: 01/10/2007 Project Number: 06004978 Inv: 1 . •Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 01/10/2007 Page 4 of 4 Notes: : fnVkMVKr:- Z,s x: , .. .. 5 FT LEFT AND 25 FT REAR SETBACK REQUIRED - M.TURBAK - 1/10/2007 Payment Summary: .4: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $3,120.55 $3,120.55 $0.00 $3,120.55 Flood Plain $50.00 $50.00 $0.00 $50.00 Mechanical Permit $170.00 $170.00 $0.00 $170.00 Plumbing Permit $120.00 $120.00 $0.00 $120.00 Sivaav $3,460.55 $3,460.55 $0.00 $3,460.55 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: MT Print Date: 01/10/2007 rI•noj _ane 4.000 Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 * 2 006 (509)688-0036 FAX: (509)68 7� ry \vww.spokanevallev.org.com Residential Construction Permit Application PERMIT NUMBER: tiCH PERMIT FEE: ,I�New Construction o Addition/Remodel o Other: o Accessory Bldg o Deck SITE ADDRESS ((-) )(, I 1:-)( 7)1, Wil. ASSESSORS PARCEL NO: 1:./5203 ., 1709 LEGAL DESCRIPTION: M i ca. perk- 4yr 4 d Lo -is eco. Building owner Name: b4 Q.1I.,, v►d e �'_ �'�►,,t S�r�G�rt, Address: 2/702 A.), 5,1 L i ✓ a iej City: Seo /hate (/c21 I& Zip: X 12 I G, Phone: 1 %�7—guy Fax: 924— goe Y Contact Perso Name: T ,,,,, Phone: .2 1 7 _ c-6, c�t� Describe the scope of work in detail: Ci-tArleX Contractor Name: Address: City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: Cost of Project: **************The following MUST be complete: (write N/A if not a licable)*************** HEIGHT TO PEAK: ,r,'.-.4.5-1 DIMENSIONS: (7-»» PP # OF STORIES: r TOTAL HABITABLE SPACE. 4q-3 MAIN FLOOR TO SQ. FTG: 3 ,/, j 3 '�/ 2" FLOOR �SQ. FTG: �/J UNFIN BASEMENT SQ. FTG: .3 IMPERVIOUS SURFACE AREA: FINISHED BASE I, ENT SQ. FTG: (_ GARAGE Q. FTG. 4� DECK/CC7V. PATIO SQ. FTG: O� 30% SLOPES ON PROPERTY: �o # OF BEDR•OMS: 60 l AI CONSTRUCTION TYPE: HE,T SOU CE: QSr f�IX 4r— SEWER OR SEPTIC? c �.t3-rC,fDIST The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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 /.2/1r (c, Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash 0 Check ❑ Mastercard 0 VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 0 Other Sp©kan Valley Community Development Mechanical Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org.com Application ❑ Commercial PERMIT NUMBER: PERMIT FEE: ❑ Residential SITE ADDRESS Building owner 1 q / Name: 1`t dL44.1 A �C_le- Cepivi 5 4 Phone: ei,?y - >� I b Y q Fax ! ? " fog ''i Address: 24 ©2 du , S, la v 0.N City s(eyState aJp` Zip X9216, Contractor ti Name: 69YYH 4-r"le_1r7 4 -Coat Phone: eT//� �'� �lp o Fax: Address: City State Zip License No: City Business License No: Contact" Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT "- 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = ,244 , Qa 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 _ = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE a X $10.00' = 20 . OU 13 RANGE X $10.00 = 14 DRYER 62 X $10.00 = .20 a 8lf, 15 FUEL BURNING WATER HEATER 2. x $10.00 = 20. eo 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 4, X $1.00 = cO . CO 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS (p X $10.00 = ep 0 e, 20 AIR HANDLER (DOES NOT include ducting) Equal to or Tess than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD .2 X $10.00 = 20 , pp 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR -COMMERCIAL X $22.00 = METHOD OF PAYMENT: ❑CASH ❑ CHECK 0 VISA 0 MC CARD #: SUBTOTAL 1-7 © , 00 DATE: PROCESSING FEE $35.00 EXPIRES. TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Spokane 'Dalley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.ore.corn Plumbing Permit Application PERMIT, NUMBER: PERMIT FEE: ❑ Commercial ❑ Residential SITE ADDRESS Building owner Name: Address: ,?1'Q t�� ,71) 1(;vex vl Contractor Fax City 59n fe4 (ty K)4 ZIP 9`2%4 Name: ,w: 'F S P/�.f-r Address: Phone: Fax: City State Zip License No: City Business License No: ?otitact Name: Phone: AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = ,2q , 2 URINALS ! X $6.00 = 3 TUBS 2 X $6.00 = r Cv 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 2 X $6.00 = //2 1a r On 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT / (p X $6.00 = j (0 6 DISHWASHER 2 X $6.00 = /2 ,. 00 7 CLOTHES WASHER Z X $6.00 = / 2 , 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = /2 (Ob 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK DATE: SUBTOTAL /20 , c� 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE ' SPOKANE, WA 99260-0050 1 Site Information Project Information Site Address: 0 S SIESTA DR Parcel Number: 45203.1709 Subdivision: MICA PARK ADD AMENDED Block: 1 Lot: 9 Zoning: UNK Unknown Owner: DIAMOND ROCK CONSTRUCTION Address: 15321 E MISSION AVE VERADALE, WA 99037 Building Inspector: Water Dist: Project Number: 07000023 Inv: 1 Issue Date: 1/3/2007 Permit Use: SEWER CONNECTION - MICA PARK AMENDED PLAT Applicant: DIAMOND ROCK CONSTRUCTION 15321 E MISSION AVE VERADALE, WA 99037 Phone: (509) 924-8964 Contact: DIAMOND ROCK CONSTRUCTION 15321 E MISSION AVE VERADALE, WA 99037 Phone: (509) 924-8964 Setbacks - Front: Left: Right: Group Name: Project Name: Rear: 1 Permits 1 Sewer Connection Permit Contractor: PRECISION GRADING License #: PRECIGL97INJ SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 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 MINUTES. THE INSTALLER IS RESPONSIBLE TO INSURE 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 ARE TO BE CHECKED 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 STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 1/3/2007 6 $100.00 Processed By: CUMMINGS, KATHY Printed By: HINTZ, FAITH Page 1 of 1 PERMIT r,,,•t ..000\10,01, CITY OF SPOKANE VALLEY StkaneCommunity Development Department ijValley 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Tel: (509) 921-1000 Fax: (509) 921-1008 planning©spokanevallev.oro (For Staff Use Only) DATE SUBMITTED: RECEIVEED BY: /� FILE NO./NAME: l lei I iLi en �J FEE: )C' FLOODPLAIN DEVELOPMENT APPLICATION PART I — APPLICATION INFORMATION APPLICANT ORMATI }O} ,7 //'� APPLICANT: ielMUn.0 — (— i. 1- MAILING ADDRESS: '?4,:.,V. Z /V 5t.1 t 1. LJ ' n CITY: 5P2' k41 C LA 1 CC.'' STATE: Y4 7414- ZIP: 1 G 1 PHONE: (HOME/WORK)5 lJ I R Z 4C let (FAX) (CELL) Please Circle NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION, PART IV, FROM THE LEGAL OWNER. OWNER INFORMATION:�/� LEGAL OWNER: 774 /3144.1 P— C12vIS Ii MAILING ADDRESS: Z GOZ /U Seal /// I/6 iT 20' CITY: SpoA II! T STATE: �//' ZIP: 99 z1.G PHONE: (HOME/WORK) 92 —YY(,y FAX) qi , " PO q q (CELL) Please Circle PART II — SUBMITTAL REQUIREMENTS Check box to indicate that required information has been provided. All Floodplain Permit Applications shall contain the following required information. If required and not submitted, the application will be returned to the applicant as incomplete: Three (3) to -scale (minimum scale is 1 inch = 20 feet) site plans showing the nature, location, dimensions and elevation of the property and identifying the portion of the property located within the designated floodplain, existing or proposed structures, location of proposed fill, location of storage of materials, and e location of drainage facilities. roposed elevation in relation to mean sea level of the lowest floor including basement of all structures. 13/P Proposed elevation in relation to mean sea level for any structure that has been flood -proofed El For non-residential construction only, certification by a registered professional engineer or architect that flood -proofing methods for any non-residential structures meet the flood -proofing criteria of Section 5.06.08.2 of the City's Floodplain Ordinance. ❑ Written description if applicable describing the extent to which a watercourse will be altered or relocated as a result of the proposed development. Page 1 of 5 Version 1: 05/04 S i 254c b' I -4e - FAX TRANSMITTAL LandTek, LLC p "4 PROFESSIONAL LAND SURVEYORS 619 N. Madelia Street Spokane, WA 99202 Phone (509) 926-2821 FAX (509) 926-2736 Date 5/2/07 9;42 AM From: Jeff R. Wiley, P.L.S. Pages including cover sheet 7 Phone (509) 926-2821 LandTek No. 070000 Fax (509) 926-2736 Email jwileyylandteksurveyors.cam To: Company: Fax Phone CC: Tom Diadond Rock 926-8094 Attached documents sent to Dennis Crapo on 4/19/07 LO/TO'd 9T':'T LOOZ-ZO-AYW LETTER OF. TRANSMITTAL TO: Dennis Crapo Diamond Rock Construction WE ARE SENDING YOU: ❑ Shop drawing ❑ Prints ❑ Copy of letter ❑ Change order Originals ❑ Plans LandTek, LLC PROFESSIONAL LAND SURVEYORS 819 N. Madelia Street Spokane, WA 99202 Phone (509) 926-2821 FAX (509) 926-2736 DATE 4/19/07 JOB NO: 06-1067 RE: 1416 & 1418 South Siesta Drive Final Elevation Certificate ❑ Samples El 0 Specifications Quantity 1 Date 4/19/07 Elevation certificate Description THESE ARE TRANSMITTED: ❑ For your approval ❑ For review and comment ® For your use ❑ Approved as noted ❑ As requested ❑ 0 For bids due 0 Prints retumed after loaned to us COPY TO: SIGNED Jeff R. Wiley, P.L.S- Professional Land Surveyors LO/ZO'd qfi:rii J.nn7.-7.n-xVW U.S. DEPARTMENT OP HOMELAND SECURITY ELEVATION CERTIFICATE Elders! Emergency Management Agency Nations! Flood Insurance Program important: Read the instructions on pages 1-8. Al. Buiidin SECTION A - PROPERTY INFORMATION g Owner's Name Diamond Rock Construdion A2. Building Street Address (including Apt, Unit, Suite, and/or BI 1416 & 1418 S Siesta Drive d9. No.) or P.O, Route and Box No, City Spokane Valley State WA IIP Code 99206 A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Descr Lot 9. Block 1, Mica Park Addition, Tax Parcel No. 45203.1709 lotion, etc.) M. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residem AS. Latitude/Longitude: Lat. 7' 9 A Horizontal Datum: NAD 1927 A NAD 1983 A8. For a building with a crawl space or enclosure(s) provide 6. Attach at least 2 Long. L1_. MB No_ 1660-0008 Expires February 28. 2009 11 L 16 38,0 photographs of the building it the Certificate 1s being used to obtain flood insurance. 7. Building Diagram Number 8 a) Square footage of crawl space or yr e permanent flood nn m(l b)No. of openings in the crawl space or �� i{ enclosure(s) walls within 1.0 foot above adjacent grade A c) Total net area of flood openings in AB.b sq in SECTION 15 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION A9. For a budding with an attached garage, provide: a) Square footage of attached garage a�g q ft b) No of permanent flood openings in the attached garage waifs within 1.0 foot above adjacent grade Q g c) Total net area of flood openings in A9.b 0 sq in 81. NFIP Community Name & Community Number Spokane County 530174 86. FIRM Index Date January 17, 1975 County Name Spok 67. FIRM Panel Effective/Revised Date September 30, 1992 810. Indicate the source Of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139. 0 FLS Profile I21 FIRM 811. Indicate datum used ❑ Community Determined ❑ Other (Describe) B12.1Is the build for BFE in hem (39: ® NOVO 1929 0 NAVA 1988 Designation D located in a Coastal Barrier Resources System(CBRS) area or Otherwise ❑Other (Describe) ❑ ate CBRS 0 OPA Protected Area (OPA)? B8. Hood A44(s) Cl_ Building ti elevaaons are based on; _ • •--• • • ` r •�, 'Anew ElevationCertificate ❑ Construction Drawings* will be required when Wrrs ng i BdleUnder Construction* C2. Elevations —Zones A1 -A30, AE, Ali, u traction of the e. building e. i®Finished Construction below according to the building lramspecified in (wit WE), VE, V1 -V30, V (wilh gFE). AR. AWA, ARAE, AR/Al-A30, AR/AH, AR/AO. Co Benchmark Utilized U P 16em A7Complete Items C2. ,48 Vertical Datum Maze_ B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 1990.50 ❑Yes No Conversion/Comments a) Top of bottom floor (Including basement, crawl space, or enclosure floor) b) Top of the next higher floor c) Bottom of the fairest horizontal structural member (V zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building type of equipment In Comments) f) Lowest adjacent (finished) grade (EAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. JAR 0 feet 0 meters (Puerto Rico only) 0 feet q meters (Puerto Rico only) 0 feet Cl meters (Puerto Rico only) 46 0 feet C] meters (Puerto Rico only) ?1m'M 0 feet 0 meters (Puerto Rico only) 12M-$ IR fit 0 meters (Puerto Rico only) .8 I feet ❑ meters (Puerto Rico only) This oertiflcati sacnoN D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION on is to be signed and sealed by a land surae information. / Y that the information on this Cantil ate repengineer, or architect authorised by law to y best a OS, Code, date certify 1 elevation understand that any f� statement maybe ��� b lone or yr > to available. Y lsoltnherff wider 18 U.S. Code, 0 Check here if comments are provided on section fQOf. boat � farm. Certifier's Name Jeff R, Wtfey, PLS �-- Title Mr. Address 619 N Signature License Number 22354 L0/20'd ),I:1i1 ).nnz-zn-XNw IMPORTANT: In these spaces, copy the corresponding Information from Section A. Building Street Address (including Apt., Unit, Suite, andror Bldg- No.) or P.O. Route and Box No. 1416 & 1418 S Siesta Drive City Spokane Valley State WA ZIP Code 99206 Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQ RED) FOR . _ AND _ N Check here if attachments FOR - ••• • cunt q (ttlt!THOUT BFE) For Zones AO and A (,without SPE),Com lets and C. For Items E1 -E4, use natu)P Items E1 -E5. If the Certificate is intended to Support a LOMA or LOMR-F grade, if available. Check the measurement used. In Puerto Rico only, enter meters.' complete Sections A, B, E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom, floor (including basement, crawl b) Top of bottom floor (ncludin space, or enclosure) Is ❑ feet ❑ meters E2. ForBuilding g bent, crawl space, or enclosure) is 0 feet 0 meters ❑ above or below the HAG. Diagrams 8-S with permanent flood openings provided in Section A Items 8 and/or 9 see0 above or 0 below the LAG. (elevation C2.b in the diagrams) of the building as ( page 8 of Instructions),-LAG.the E3, Attached garage (top of slab) is _ 0 0 ab meters �] above or Q below the HAG. next higher floor E4. Top of platfamt of machinery and/or 0feet meters ©above or 0 below the HAG. E4. ZonepAO only no aflchi depth equipment nt servicing the building is . El feet number is available, is the top of the bottom ❑meters 0 above or ❑ below the Iain. ordinance?this i elevated m in Secaccortion with the community's floodplain management ❑ Yes 0 No ❑Unknown. The local official must ceRify this information Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized `—'� T Zone er must sign here. a thert zd re ,rte$ who completes Sections A, B, and E for Zone A (without a FEMA-issuedSections correct knowledge. Or rAmmunity isgued BFE) Property Owner's or Owner's Authorized Representatives Name Address The tows official who flat SECTION G - COMMUNITY INFORMATION (OPTIONAL)�4 k h a��ii°!` and 0 of this Elewho is authorized by law or ordinance to administer the �nunityy's Certificate. Complete the app6gble item(s) and sign below. Chem management ordinance can complete Sections A, E C (or E), G1. 0 The information in Section C was taken from the measurement used in Items G8. and G9. is authorized by mw ato certifynC was elevation intoe other documentation that has been signed muttion. Ondicate the sou and sealed by a licensed surveyorr, engineer, w. or architect who G2. 0 A community official completed roe and date of the elevatipn data In the Comments area below.) p Section E for a building located in Zone A (without a FEMA. or cora G3. 0 The following informationG4.-G9.) pfd for cora fly -issued BFE)or z (Items is town �- Permr� Number inanity floodplain management Purposes. one AO, G5 Date Permit Issued G7. This permit has been Issued far: G8. Elevation of Q New Construction 0 Substantial Improvement as -buff Iowest fir (including basement) of the building: 09. BFE or On Zone AO) depth of flooding at the building site: ❑ feetmeters (PR) Datum Local Officiea's Name Community Name Signature Comments Comments LOibO'd Q feet 0 meters (PR) Datum Title Date L%:fiiT L003-3O-AHW L0'd 'T JOL Building Photographs Continuation Page Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 416 & 1418 S Siesta Drive City Spokane valley State Wa ZIP Code 929e oe For Insurance Company Use: Policy Number Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with; date taken; "Front View" and "Rear Vier"; and, if required, "Right Side View" and "Left Side View_" LO/LO'd 89:%T LOOZ-3O-AYW Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, armor Bldg. No.) or P.O. Route and Box No. 416 & 1418 S Siesta Drive City Spokane Valley State WA ZIP Code sans For insurance Company Use; Policy Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building the instructions for Item A6. Identify all photographs with: date taken; Front View" and "Rear photographs b�ow accordinged, to ht Side View' and "Left Side View." If submitting more photographs than will fit on this page, use the Conti Side ine,required, Page, nua6on page, LO/90'd Z9:iti LOOZ-ZO-XVW Building Photographs Continuation Page Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No 416 & 1418 S Siesta Drive City Spokane Valley State Wa ZIP Code 99206 For Insurance Company Use: Potioy Number Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and "Left Side View.' icer l nn7_7n-IWTd Feb 16 07 01 : 06p Landtek LLC 509-926-2736 p. 1 FAX TRANSMITTAL LandTek, LLC PROFESSIONAL LAND SURVEYORS 619 N.Madelia Street Spokane,WA 99202 Phone(509)926-2821 FAX(509)926.2736 Date 2/16/07 1:07 PM From: Bruce R. Larsen, P.L.S. Pages including cover sheet 3 Phone (509)926-2821 grt// LandTek No. 06-1067 Fax (509)926-2736 Email blarsen@landteksurveyors.com To: Tom Company: Diamond Rock Construction Fax Phone 926-8094 CC: Tom, A "Building Under Construction"elevation certificate for the Siesta Drive building is attached for your use. Feb 16 07 01:08p Landtek LLC 509-926-2736 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. p.2 OMB No. 1660-0008 Expires February 28, 2009 SECTION A - PROPERTY INFORMATION For,Insurance Company Use: Al. Building Owner's Name DIAMOND ROCK CONSTRUCTION Policy Number A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1416 & 1418 S SIESTA DRIVE Company,N AIC Number City SPOKANE VALLEY State WA ZIP Code 99206 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 9, BLOCK 1, MICA PARK ADDITION, TAX PARCEL NO. 45203.1709 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. N4738'39.3* Long. W117°16'38.0" A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) 3000sq ft hl Nn of nermanent flood oneninns in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade 42 c) Total net area of flood openings in A8.b 3528 sq in RESIDENTIAL to obtain flood insurance. Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage sq ft bl Noof permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name & Community Number 530174 B2. County Name SPOKANE B3. State WA B4. Map/Panel Number 294 B5. Suffix C B6. FIRM Index Date 1/17/1975 B7. FIRM Panel Effective/Revised Date 9/30/1992 88. Flood Zone(s) A4 B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 1990.50 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. rl FIC Profit.* IRI FIRM f-1 Community Determined 71 Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 NAVD 1988 D Other (Describe) 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No Designation Date 0 CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-ZonesAl-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized USGS P-485 Vertical Datum NGVD-29 Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) f) 9) Check the measurement used. 1988.50 ® feet 0 meters (Puerto Rico only) 1991.53 IS feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) ❑ feet ❑ feet 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevat information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Certifier's Name BRUCE R. LARSEN, PLS License Number 26390 Title Company Name LANDTEK, LLC Address 619 N MADELIA ST Signa "re Date City SPOKANE State WA ZIP Code 99202 Telephone (509) 926-2821 earmil FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Feb 16 07 01:09p Landtek LLC 509-926-2736 p.3 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. For Insurance Company Use: Policy Number City State ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments ELEVATION SHOWN UNDER C2 a) b) IS TOP OF FOUNDATION WALL. FLOOR HAS NOT BEEN INSTALLED AS OF MEASUREMENT DATE. GARAGE IS NOTCJNSTRUC ACHINERY SERVICING BUILDING IS NOT INSTALLED. SITE GRADING IS NOT COMPLETED. - '✓ Z/16/0 Signature BRUCE R. LARSEN, PLS Date 1 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 8, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet ❑ meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters ❑ above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑ meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. Gl. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions