2003, 05-16 Permit App: BD-03-444 ResidenceCity of
SPOKANE VALLEY
(RO- 0034a
X gyri( -0o37
PERMIT # /`� -s- 3/Yt
BUILDING PERMIT APPLICATION
Box 1 OWNER /--LCA /�f%/,27A- JOB CATION /59i 3 /;,., /4
OWN 'S A DRESS/ 750 /V CITY / PHONE ;2 16—LO 3 S
DESCRIBE JOB
t l
THIS PROPERTY IS OWNED BY
PARTNERSHIP COR
/MARRIED
s -cgs-- d20 : /3L/ -C
BOX 2 CONTRACTOR'S NAME// -t /717 / j'� v�' /()/ PHONE g` 3
CONTRACTOR'S ADDRESS /7r0 /�/• /.�; �. � J CITY
CONTRACTOR'S REG.# H X j7C (0 3 S YEXPIRATION DATE L27 0(.94
(CARD MUST BE PRESENTED AND COPIE OR F IFIED)
30X 3 CONTACT PERSON OF PROJECT PHONE
ADDRESS CITY ZIP
30X 4 SEWER AVAILABILITY yr=5 WATER AVAILABILITY 1ie"--5
30X 5 ESTIMATED PROJECT COST $ /7) � 060-00 EXISTING BLDG. VALUATION $
a
•
30X 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
• CENSUS NUMBER LOT NUMBER
OX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR &t2 / 2ND FLOOR --tom--
3RD FLOOR /_ OTHER - / BASEMENT FINISHED ,r00 /
BASEMENT UNFINISHED/2001 DECK 9 / GARAGE 780/
CARPORT / TOTAL - f HEIGHT TO PEAK OF BUILDING FT.
JX 8 (l/) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
(1 NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE 3 'r SQ. FT.•
Z
)X 9 PLUMBING FIXTURES (Including rough -ins) 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
)X 10 Water Service meter size (if known)
)X 11
T i7
Also see BOX 4
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)
X 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
=RIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND •
,RRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
OVE PREMISES TO PERFO'M THE WORK FOR WHICH THE APPLICATION IS MADE.
/NER / AGENT (� ! F %' - DATE
��/tC 3 (OVER)
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard
Print the name of the Holder
—'-- — ---- — — _ _ Expiration Date
Signature
OFFICE USE ONLY - PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE
REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT • NOT EXEMPT
FIRE DEPARTMENIAPPROVAL DISAPPROVAL
REMARKS
DATE
PUBLIC WORKS DEPARTMENT APPROVAL
DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE 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
TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT.
BUILDING SQ. FT. @ ^
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NC. PLAN. CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE MECH. FEE
ENERGY SURCHARGE
AMOUNT DUE
TOTAL FEES WSBCC SURCHARGE
OTHER CHARGES
BUILDING DEPARTMffNT APPROVAL
. BY
DATE
ASSIGNED ADDRESS
City of
SPOKANE, VALLEY
UTILITY RIGHT — OF — WAY APPLICATION AND PERMIT
PUBLIC WORKS DEPARTMENT Date project starts ..5-67
Date Project ends u 3
(Please call for fmal spection)
APPLICATION
Location of property involved (or address) / 26)'/ 3
Name of company /7Zr--7,-- K,L7/
Address of company /7 3 /y- ,74-4 /gal
Contractors name l�ct.,'--
Contractors address /73-0 '> /V *-i'‘-e^ tcJ
PERMIT # PW (
j
phone
Contractors registration Number, C 3 S Phi- Expiration date /0
Right of Way:
Pavement or sidewalk intrusive. Yes No
Intrusive outside of pavement or sidewalks. Yes No
Length of cut ft. Depth of cut ft. Width of cut ft.
Direction of cut
Contact person
Address of contact
Please explain in detail the description of the activity proposed.
Phone
hereby authorize the City of Spokane Valley to charge this permit fee to my charge card.
Visa mastercharge
Valid Date
Print name of holder Signature
PERMIT:
Restoration: Permanent
Type of back fill to be used: gravel Crushed
Temporary
CDF
IS A COPY OF A BOND DEPOSITED WITH THE CITY OF SPOKANE VALLEY ?
A COPY OF THE CITY / UTILITY LIABILITY INSURANCE POLICY MUST BE ON
FILE AT THE CITY.
PERMIT FEE $
Approved .
Public Wor s, moire or
R -O- WAPP.
INSPECTION FEE $
VS /Le/03
ate
CALL 24 HOURS BEFORE INSPECTION NEEDED
Phone 509-688-0036 Fax 509-688-0037
Storf7TY t
e
i, jValley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: / -7 3/ 740 (,r-,1�
PERMIT
USE:
OWNER /
/kr. /e.-
PHONE (Daytime Contact):
MAILING ADDRESS:
/ 7 S -P 3/-
-<',344-,4 /7J
AMOUNT
(street)
(city/state)
(ZIP)
CONTRACTOR:
#_47. ,47/ r. _ 1%
LICENSE #:
-
MAILING ADDRESS:
/
PHONE #:
> 100,000
X
(street)
(city/state)
(ZIP)
METHOD OF PA
0 CASH 0 CHECK 0 - ❑ ' I
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
/
X
515
-
/ 5 F"
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
X
550
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
- or < 400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
/
X
$10
-
110 ''''"
13
RANGE
-
X
510
=
14
DRYER
-
/
X
$10
-
/ '"i
15
FUEL BURNING WATER HEATER
-
/
X
510
-
! e2 i
16
MISC FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
3
X
51
-
�; ...
18
DUCT SYSTEMS
-
X
$10
-
19
VENTILATING FANS
-
4-
X
510
-
4/9n-
20
AIR HANDLER (DOES NOT include ducting)
- OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
$10
-
23
TYPE I HOOD
-
X
550
-
24
TYPE II HOOD
-
/
X
$10
-
/O 0..,
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
520
-
27
AIR CONDITIONER
15-30 TON
X
525
=
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
560
=
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
525
-
y NT
VISA;�
SUBTOTAL:
x '
i1
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK 0 - ❑ ' I
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
✓IETHOD 0
] CASH
>ATE:
*Wane
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Plumbing Permit Application
PLUMBING FIXTURES
DESCRIPTION
PROJECT
ADDRESS: 4'6/ 3 i /7,044--r;2 L U r-•44--_ 4-7
PERMIT
USE:
OWNER:`
f fG i— c j��-e�jj•
PHONE (Daytime Contact):
MAILING ADDRESS: (�
(7) ? Ai (6*Citi
�%
/2C,
1
(street)
(city/state)
(ZIP)
CONTRACTOR: A (,15 Ola
�%/� µ ,,,'' 7
/
LICENSE #:
/
MAILING ADDRESS:
URINALS
PHONE #:
X
$6
(street)
(city/state)
(ZIP)
PLUMBING FIXTURES
ANKCARD NUMBER
UTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3 St
X
$6
-
/
2
URINALS
X
$6
-
3
TUBS
•2-
X
$6i
1,k2,4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
�
X
$6
4tV'
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
6-
)(
$6
-
30
6
DISHWASHER
/
X
7
CLOTHES WASHER
/
X
$6
-
8
GARBAGE DISPOSAL
/
X
$6
-
6-:
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
/
X
$6
-
12
FOUNTAINS, DRINKING
X
$6
-,67
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
2
X
56
-
/
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
/
X
$6
-
/'_
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
3
x
$6
-
{�
/S
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$b
••
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
Vast;
•
SUBTOTAL:
04-L
/ /"
(1
PLUS PROCESSING FEE:
$35.00
r_vn•nco_
TOTAL PERMIT FEE DUE:
ANKCARD NUMBER
UTHORIZED SIGNATURE:
ryetzr ,q4,44`11
774 rile Cee* 16 s "If
Call 24 hours before inspection required
Phone 509.688-0036 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Anticipated start date Permit # PW -I'71
APPROACH PERMIT
APPLICATION
Location of property 15(o ns a C r e k +--1
(Address/Parcel #, if available)
0.c. ��a-t9%,S •
Applicant Name
Address
Contractor's Name
Address
Contractor's Reg# P,o n c c. - cb(a t _Q
Phone 342
46-yyke EPJ 4_, it\ nitifi-\--ftv.
Phone
Expires (p (k°( (`2001
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
nOther 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 $
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
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.
Site Information Project Information
Site Address: 18613 E TURTLE CREEK LN
GREENACRES, WA 99016
Parcel Number: 55194.1320
Subdivision:
Block: 3 Lot: 20
Zoning: UNK Unknown
Owner: HAIDER, ALEX
Address: 17503 N KIMBERLY RD
COLBERT, WA 99005 -
Building Inspector: LEONARD FLUNO
Water Dist:
Project Number: 03003420 Inv: 1 Issue Date: 5/16/2003
Permit Use: SEWER CONNECTION - TURTLE CREEK 3RD
Applicant: HAIDER, ALEX
17503 N KIMBERLY RD
COLBERT, WA 99005- Phone: (509) 216-4035
Contact: HAIDER, ALEX
17503 N KIMBERLY RD
COLBERT, WA 99005- Phone: (509) 216-4035
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
$15.00
$100.00
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant 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.
Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS INADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
5/16/2003 3094 $100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
l/
S=.19- o 3
6-=_29-03 r/i
,7-o3