2008, 09-10 Permit App: 08003476 ResidenceProject Number: 08003476 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/10/2008 Page 1 of 3
Project Information:
Permit Use: NEW SFR -SEWER Contact: APM HOMES, LLC
Address: 4720 S DANDY CT
C - S - Z: SPOKANE, WA 99202
Setbacks: Front Left: Right: Rear: Phone: (509) 230-9159
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55202.0286 Block:
Lot:
SiteAddress: 19326 E 4TH AVE Owner: Name: APM HOMES, LLC
Address: 4720 S DANDY CT
Location:: CSV SPOKANE, WA 99202
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 12,614 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
Originally Released:
Landuse/Zoning/HE Conditions
9/8/2008 By: tmelbourn
Sewer Review
Permits:
Originally Released: 9/5/2008 By: mpalaniuk
Iriasetd By: t�
Originally Released: Released: 9/10/2008 By: JLMain
Operator: jmm Printed By: jmm Print Date: 9/10/2008
Project Number: 08003476 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/10/2008 Page 2 of 3
Contractor: A P M HOMES LLC
Address: 4720 DANDY CT
SPOKANE WA 99224
Item Description
APPROACH -CONST IN ROW
Contractor: A P M HOMES LLC
Address: 4720 DANDY CT
SPOKANE WA 99224
Description Grp Type Notes
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
COV DECK R-3 VB
DECK OPEN R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: A P M HOMES LLC
Address: 4720 DANDY CT
SPOKANE WA 99224
Item Description
GAS WATER HEATER
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Approach
Firm: A P M HOMES LLC
Phone: (509) 230-9159
Units Unit Desc
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees: $50.00
Building Permit
Firm: A P M HOMES LLC
Phone: (509) 230-9159
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,286 $122,157.14 1,286 $122,157.14
1,348 $100,668.64 1,348 $100,668.64
49 $735.00 49 $735.00
100 $1,500.00 100 $1,500.00
777 $14,763.00 777 $14,763.00
Totals: 3,560 $239,823.78 3,560 $239,823.78
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,777.75
$4.50
$711.10
$2,493.35
Firm: A P M HOMES LLC
Phone: (509) 230-9159
Units Unit Desc
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
Operator: jmm Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$4.00
$12.00
$50.00
$10.00
$10.00
$40.00
$136.00
9/10/2008
Project Number: 08003476 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/10/2008
Contractor: A P M HOMES LLC
Address: 4720 DANDY CT
SPOKANE WA 99224
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Plumbing Permit
Units
3
6
1
2
1
1
1
Page 3 of 3
Firm: A P M HOMES LLC
Phone: (509) 230-9159
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$36.00
$6.00
$12.00
$6.00
$6.00
$6.00
$90.00
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$2,493.35
$136.00
$90.00
Invoice Amount
$50.00
$2,493.35
$136.00
$90.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$2,493.35
$136.00
$90.00
$2,769.35 $2,769.35 $0.00 $2,769.35
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: jmm
Print Date: 9/10/2008
Permit Center
Scm or 11703 E Sprague Ave, Suite B-3 RECEIVED BY
pokane Spokane Valley, WA 99206
Valley. (509)688-0036 FAX: (509)688- \1A! LEYPERMIT FEE:
p
j wwtiv.spokanevalley.or SEP Q 4 2008
PERMIT NUMBER: '
Community Development
Residential Construction
Permit Application
nstructian-- Accessory Bldg
Ad itioln/Remodel Deck
❑ Other:
SITE ADDRESS: ( 2 6 Ea g /f uelvl L. ` kg A7 99 0 /
ASSESSORS PARCEL NO: 55202 • 0 Z'6 LEGAL DESCRIPTION:
407z # Z.
Building Owner: Ali x m0 LA /.e h L O
Name: /e A m -o$ &9k 1 k...0
77?
Address:
724 g 0,4 07"
City: St ok-Ari State: k4 Zip:LA? 4 // 4j
Phone ogJz-i> 0_6/ 1 S 9 Fax:
Contact Person
Name: /die: ' , S4- /e,i <<-c7
Phone: (S or 2- 3 0 9/ S7
Describe the scope of work in detail:
Contractor: OM AO ine,c AG. C.
Name: ,pet e, ) /� & e / i< o
Address: /' 43 ...5, /362.4i...0(7 CC—
City: ' J �� State. Zip: 97e_ir
Phone: S 2g n ...w s --e7 Fax:
onJ,tor j,����i%�or}/tmw92q Date: Qs /0. 2 0/0
City Business Lic. No: 40 g S' ! S^ 3
Cost of Project: $ /2.0. 0 0 0
///e�
Proposed Use:
%.a ,e e c / o/.e
**************The followin MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:DIMENSION
6 //2--07/2.
g
:
6'O 6y S3
# OF STORIES: %
TOTAL HA ITABLE SPACE:
2- G
MAIN FLOOR TO SQ.
FTG: `-• 12.75
2N� FLOOR SQ. FTG:
/ 3 3
UNFIN BASEMENT SQ. FTG:
J �"`�'''�-
IMPERVIOUS SURFACE
AREA:
ori
FINISHED BASpIENT
SQ. FTG:'V2 hese.“ (-ft-
GARAGE SQ. FTG:
D 777
DEC
_/ o
PATIO Q. FTG:
-14.6k-IN
�'6 '/
30% SLOPES ON
PROPERTY:
# OF BEDROOMS: /(
CONSTRUCTION TYPE:
• S• • -
SEW OR SEPTIC?
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 Developm %' t Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane V`I -y Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional infation may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
t Check
❑ Mastercard
Expires:
DATE: 0 9. 0 (, Dep
❑ VISA
VIN#:
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions
o Direction arrow pointing North and orientation to streets
o Proposed/existing buildings (footprint and dimensions)
o Utilities, septic tank/drain field locations and distances
o Setbacks to property lines
o Distance between buildings
o Right of way/easement location & sizes
o Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
O Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations
o Perimeter concrete foundation wall sizes
o Crawlspace ventilation
o Supporting wood cripple walls or beams
o Thickened concrete pads supporting
beams or girder trusses
❑ Floor Plan of each level (finished or unfinished) with dimensions:
o Floor Joist direction, size and spacing ❑ Window and door location and sizes
o Header, beam or concrete lintel sizes o Window well locations if applicable
o Brace wall panel locations
o Water heater and furnace locations
o Exhaust fan locations
o Deck or concrete patio sizes and locations
❑ Roof Plan:
o Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
O Wall Section Detail including:
Roof
o Slope/ roofing material/ underlayment/ ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Height/ top plate/ stud size and spacing/ sole plate
o Exterior sheathing size and type
Floor
o Joist size and spacing
Foundation Wall
o Concrete or Masonry unit width
o Earth to wood separation distance
Footing
o Size
Radon
o Passive system with 6mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
0 Stairway tread rise & run and nosing
o Room usage labels
o Smoke detector locations
o Attic and crawl space access locations
o Fire Wall construction
o Ridge, eave and valley lines
o Beam and girder size and location
o Truss or rafter size, spacing & connection
o Attic insulation/ air space baffle/ ventilation
o Size of ceiling gypsum wall board
o Siding/ exterior house wrap/ anchor bolts
o Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor size/ insulation
o Footing bottom to finished ground level depth
o Horizontal & vertical reinforcement if any
o Reinforcement if any
o Active system with 6 mil vapor barrier
o Footings/ post/ and beam size and locations
o Handrail / Guard height & spacing
•••"40.„
Spokane
��Ualley
Site Address: 19326 E 4TH AVE
Parcel Number: 55202.0286
Zoning: R-3
Fire District: FD 01
Project
Transmittal
City of Spokane Valley
Community Development
Department
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
New project ❑
Precious pre -app meeting fl
Plan recisions ❑
Transmittal Date:
Thursday, September 04, 2008
Project Number: 08003476
Water District: CONSOLIDATED ID #19
Applicant:
e-mail:
Contact:
e-mail:
Contractor:
APM HOMES, LLC
4720 S DANDY CT
SPOKANE. WA 99202
(509) 230-9159
APM HOMES. LLC
4720 S DANDY CT
SPOKANE, WA 99202
(509) 230-9159
A P M HOMES LLC
4720 DANDY CT
SPOKANE WA 99224
(509) 230-9159
Owner: APM HOMES, LLC
4720 S DANDY CT
SPOKANE, WA 99202
e-mail:
Occupant:
e-mail:
Arch / Engineer:
e-mail:
D
r
Project NEW SFR -SEWER
Description:
Building
Landuse
Engineer Utilities
Health
Fire Dist
Assessor
APPLICATIO
CONSTRUCTION PLAN
SITE PLAN
S
TD
S
Please send all plan review and project comments via e-mail to the
highlighted individuals.
1/
Spkean�'
jUalley'
For City Use Only
PLUS Project Number ?� L/ 7L,
Project Address ! 33,a
11703 E Sprague Ave Suite 8-3 • Spokane Valley WA 99206
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.
//0 Se
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.
Your application review TARGET DATE is
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.
D 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 9/07
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.svokanevallev.ore
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS:
Building Owner
Name:/ Dto..Ate/ /Lh 40.40
Phone: 23. 0 .-9( S9 Fax:
0--
Address: 97L0 S . /7 on.idy
City: 0 State:
Zip: ciA92_Ly
Contractor
h.
Name: ,41� in-L7giw9/ 7
Phone: Z' , 0 _9( sq Fax:
Address:
City:2 04„,a__ State: voi
Zip: 9yzL, y
/, /' �s n
License No: PC O I p/u/7 o/wry 927
City B mess Lic: A o/ Sy y 53
Contact
Name: peat j,w,S%49 4. kms%
Phone: 2_3. 0 - 9I S 9 539
- S2_70
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
x
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100.00
5
USED APPLIANCE (WSEC min AFUE rating)
Equal to or less than 400,000
X
550.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
6
BOILER/REFRIGERATION
101 -500M BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
535.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
13
RANGE
;
X
510.00
X
510.00
14
DRYER
l
X
510.00
15
FUEL BURNING WATER HEATER
l
X
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
x
51.00
18
DUCT SYSTEMS
19
VENTILATING FANS
s
X
510.00
X
$10.00
20
AIR HANDLER (DOES NOT indude ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT indude ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
28
AIR CONDITIONER
4-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
AIR CONDITIONER
More than 50 TON
X
560.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
525.00
33
REPAIR 8. ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
x
522.00
METHOD OF PAYMENT:
ECASH *CHECK ❑ VISA ❑ MC
CARD P.
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
. Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.snokanevallev.org
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial 6 Residential
SITE ADDRESS:
Building Owner
Name: //t (In t4 / en—ilii
Phone: 2-3. 0 ,q7 sq Fax:
q/MO
Address: J7 l 2,0 p 0..„,/,),
(3
City: e j 04.0,-,A___State: f4
Zip: 99124
Contractor .#pm ko/�W_S l�C
�T
Name: �-L _ n
� S /
Phone: 2(3,J -9I s4 Fax:
Address: 0720
3 /2 ca, C,'
City: 0kik ebt State: --
Zip: 99114
License No: �G+O/
P4yo/4oq np
7
OS'
S 6
City Busin ss Lie: 4 o D S4 'z s
O 7 7
Contact
Name:
Phone:
DESCRIPTION OF WORK
#OF UNITS X COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
3
x
56.00
2
URINALS
X
56.00
3
TUBS
2-
X
56.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
/
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
X
56.00
7
CLOTHES WASHER
X
56.00
8
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
X
56.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
56.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
13
FOUNTAINS, DRINKING
X
56.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
56.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
•SOkan' e`''3/4
#Valley®
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DATE
ANTICIPATED COMPLETION DATE
Building Owner.
Contractor:
Name: 7,44 /i20Ski /6, k,7
Address: 4,7 2.0 .� /)m. -d s/
Qty
Phone: as --qv sq Fax:
Name: 11/04 Aro g /c,¢ / .p
State: LISP¢ Zip: & 19
Contact Person
Name: 1/ ff moSt%t
Phone: O 9 2- • o —
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Address: .97 Zo g Dert-tati(k
City: t�Lf./>7t-t.._ State: Zip.Qfl14.
Phone: at O — 9/ 1-9, Fax:
jriJtyriclt�ln GN/NNgz!' yspate: O3. /0, 20/O
City Business Lic. No: ', 09 SKy1y S3
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The pernittee verifies, acknowledges and agrees by their signatures 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 Developm.' Code. Referenced codes are available for review at the City of Spokane
is not a permit or approval for any violation of federal, state or local laws,
ay be required to be submitted, and subsequently approved before this
Valley Permit Center. 5) This City of Spokane Valley Pe
codes or ordinances. 6) Plans or additional infonnati
application can be processed.
Signature
Method of Payment:
❑ Cash 10 Check
Bankcard #:
Authorized Signature:
REVISED 319104
Date O% OS! Oa'
❑ Mastercard 0 VISA
Expires: VIN#:
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 19326 E 4TH AVE
Parcel Number: 55202.0286
Subdivision: RANGE
Block: Lot:
Zoning:
Owner: APM HOMES, LLC
Address: 4720 S DANDY CT
SPOKANE, WA 99202
Building Inspector:
Water Dist: CONSOLIDATED ID #19
Project Number: 08005129 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - SHP 31-06
9/10/2008
Applicant: APM HOMES, LLC
4720 S DANDY CT
SPOKANE, WA 99202 Phone: (509) 230-9159
Contact: APM HOMES, LLC
4720 S DANDY CT
SPOKANE, WA 99202 Phone: (509) 230-9159
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: H & S CONSTRUCTION License #: HSCON** 123Iff
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.
**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.
1
Payment Summary
1
Total Fees AmountPaid AmountOwintt
$100.00 $100.00
$0.00
Tran Date
9/10/2008
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page 1 of 1
Receipt #
4388
Payment Amt
$100.00
PERMIT
4
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