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2005, 09-01 Permit App: 05003022 Relocate ResidencePrinted By: MT Print D Project Number: 05003022 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RELOCATE RESIDENCE Contact: AVILA, MIGUEL & BARBARA Address: 4618 E 5TH AVE C - S - Z: SPOKANE VALLEY, WA 99212 Setbacks: Front 30 Left: 7.5 Right: 4.5 Rear: 75 Phone: (509) 487-7472 Group Name: Site Information: Project Name: Date: 09/01/2005 Page 1 of 3 Plat Key: Name: CARNHOPE ADD District: Sout Parcel Number: 352323714 SiteAddress: 4614 E 5TH AVE Location:: CSV Block: 8 Lot: 3 Owner: Name: AVILA, MIGUEL & BARBARA Address: 4618 E 5TH AVE SPOKANE VALLEY, WA 99212 Zoning: 1UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Depth: 0 Right Of Way (ft): 0 Area: 6,750 Sq Ft Nbr of Bldgs: 0 Width: 0 Nbr of Dwellings: 0 Review Information: Review Site Plan Review Plan Review Sewer Review Permits: Released By: r� /r �/' 9 / / o / Released By: (� tri 0 J� Released By: Operator: CJJ ve,t/u(D‘Nro w aZ� EUJcR Project Number: 05003022 Inv: 1 Application . THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/01/2005 Page 2 of 3 Building Permit Contractor: CAMCO CONST. INC. Firm: CAMCO CONST.INC. Address: 3105 E BOONE AVE Phone: (509) 536-1818 SPOKANE, WA 99202 Building Characteristics Group: R-3 Type: VB Total Area 1040 Building Height 14 Stories 1 Dwelling Units 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VB NEW 0 $5,000.00 0 $5,000.00 FOUNDATI ON Totals: 0 $5,000.00 0 $5,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $111.25 STATE SURCHARGE 1 SELECT $4.50 RESIDENTIAL PLAN REVIEW 1 SELECT $44.50 Contractor: OWNER Item Description DUCT SYSTEMS ' Contractor: OWNER Item Description TOILETSBIDETS SINKS SHOWERS CLOTHES WASHER ELECTRIC HOT WATER TANK Permit Total Fees: $160.25 Mechanical Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF Permit Total Fees: Plumbing Permit Firm: OWNER Phone: (000) 000-0000 Fee Amount $10.00 $10.00 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Fee Amount $6.00 $6.00 $6.00 $6.00 $6.00 Permit Total Fees: $30.00 Operator: CJJ Printed By: MT Print Date: 09/01/2005 1 Site Information Project Information 1 Site Address: 4614E 5TH AVE Parcel Number: 35232.3714 Subdivision: CARNHOPE ADD Block: 8 Lot: 13 Zoning: UNK Unknown Owner: AVILA, MIGUEL & BARBARA Address: 6714 N MONROE SPOKANE WA 99208 Building Inspector: F PALADICHUK Water Dist: Project Number: 05006694 Inv: I Issue Date: 9/9/2005 Permit Use: SEWER CONNECTION - CARNAHAN Applicant: AVILA, MIGUEL & BARBARA 6714 N MONROE SPOKANE WA 99208 Phone: (509) 487-7472 Contact: AVILA, MIGUEL & BARBARA 6714 N MONROE SPOKANE WA 99208 Phone: (509) 487-7472 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: 1 Permits Sewer Connection Permit Contractor: CAMCO CONST. INC. License N: CAMCOCI062CB 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 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 t verification. To Iocatebtir ed,Cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT eRIOR TOANY EXCAVATION IE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 aYQgKING DAYS IN AV%Io&f509)456-8000. Spokane County Code requires the installer bbnfply with all .requitements of the Washington State Dept of Labor and Industries, including those related to trench safety. $15.00 $100.00 Total Fees $100.00 AmountPaid AmountOwine $100.00 $0.00 Tran Date 9/9/2005 Processed By: SHATTO, JULIE Printed By: HINTZ, FAITH Page 1 of 1 Receipt It 5461 Payment Amt $100.00 PERMIT FROM : HUTCHINSON IRR DIST PHONE NO. : 509 926 4634 Sep. 09 2005 01:54PM P1 Carnhope Irrigation District #7 P.O. Box 13028 Spokane, Washington 99213-3028 Telephone (509)536-9180 Fax (509)534-3827 Date: September 9, 2005 To: Mike Avila From: Terry Squibb Carnhope Irrigation District #7 RE: Water Service to 4614 E. Fifth Ave. Mike, Water is available to 4614 E. Fifth Ave, through a simple tap in the 6" steel water main 30 feet from the property. The following conditions must be met: 1. All water services to lots shall be individually metered with proper backflow prevention as required by law. 2.. Each Jot shall have an individual water line serving than lot. only. 3. Costs for water service installation are the responsibility of the property owner. If you have any questions please contact our office at the (509) 536-9180.. ic eery Sq bb Carnhope Irrigation District #7 you, Project Number: 05003022 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/01/2005 Page 3 of 3 Relocation Permit Contractor: CAMCO CONST. INC. Firm: CAMCO CONST.INC. Address: 3105 E BOONE AVE Phone: (509) 536-1818 SPOKANE, WA 99202 Item Description Units Unit Desc Fee Amount RELOCATION INSPECTION 1 NUMBER OF $60.00 Permit Total Fees: $60.00 Notes: CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $160.25 $160.25 $0.00 $160.25 Mechanical Permit $10.00 $10.00 $0.00 $10.00 Plumbing Permit $30.00 $30.00 $0.00 $30.00 Relocation Permit $60.00 $60.00 $0.00 $60.00 $260.25 $260.25 $0.00 $260.25 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: CJJ Printed By: MT Print Date: 09/01/2005 • c -3022 BUILDING PERMIT APPLICATION WORKSHEET �,. CITY 9 Yc`a► t >f1 City of Spokane Ua!ey Community Development Depa tment Building Division 11707 F Sprague Avenue, Suite 106 Spokane valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 VaiIeRnd AUG 6 2005 Street Address: t to/ REQUIRED SIT�IFORMATION Ni Assessor's Tax Parcel Number(s): 3 5 2 3 2. 3 7) 7 Legal Description: Ccttvho 40td., . L -r 3 13L PERMIT DESCRIPTION: L 4' -}(6t' Q ❑ Building Permit k' Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety [] Other OWNER/APPLICANT INFORMATION ❑ Owner: NC, tt.L1a 5.Ait.6.4r,, Av't, Phone: 43)- 7411. Fax: (-(81-1q43 Address: G1 i 4( N- M 0,v vo-e_ Spot WA- `H zod City State Zip Code ❑ Contractor: CAvu.c.0 Phone: 536 43/2 Fax: Address: £. 510 C 13 o o /4-t- Address: 4312o r'- Lt/ City State Trp Code City State ❑ Applicant: Mlkt( /4`4/1 • Phone: a7Z37-71,7Z_ Fax: W7-7 c/..0 Address: 6 7/(ti City State Zip Code ❑ Architect: Phone: Fax: WA State Contractor License #: Contact: Lee_ .tiz// Spokane Valley Bus. Liscense #: Contact: Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: 3 d x31. # OF STORIES: MAIN FLOOR TO SQ. FTG: /b 70 2"" FLOOR SQ. FTG UNFIN BASEMENT SQ. FT 6 Li FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: SZ DECK/COV. PATIO SQ.�TG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEA QUX E: # OF BEDROOMS: z TOTAL HABITABLE S J Ey0 IMPERVIOUS SURFACE AREA: COST OF PROJECT: �' Ano V 11 30% SLOPES ON PROPERTY: 400 OR ON-SITE SEPTIC SYSTEM? MANUFACTURED HOME JVidth: qLength: Year Manufacturer. Pit Set: RELOCATION Previous Address: 300 2-4),9 44 5 Rd kJ qqze Proposed Use: '5 / v J t' ..N, ap- hem -C FIRE SAFETY =ire Sprinkler. # of Heads: Fire Alarm: ' Paint Booth: rent: Fireworks Display: Blasting: Date/Time: Jaluation: Above/Underground Storage Tank Size: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner. ddress: Phone: Fax: City State Zip nspector. Phone: Fax: ddress: City • State Zip SPECIAL INSPECTIONS BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑. WELDING =irm Name: Phone: nspector(s): Fax: )ISCLA!MER he perrnitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a !welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the )roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this ransaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Zeferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley 'ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. )wnership of resulting development righ s granted by any issued permit inure to the prope ow; r. Print Name /' [ 19 `.,-e f 1/, G Signature 4ethod of Payment: (Faxed permit applications will only be accepted with major bankcard) ] Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other tankcard #: wthorized Signature: Expires: VIN#: Permit Center Spokane 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 vl� (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.ore.com Plumbing Permit Application o Commercial 4.0 o Residential SITE ADDRESS BU11dnPtr Wn2ra.. DESCRIPTION OF WORK a X {`a _.• ,4 4Y Ai i t�3"�'f {, 'v-' ASi 'll+<1 f, Name: TOILETS WATER CLOSET, BIDETS 1 Phone: $6.00 Fax 2 Address: X City = State 3 Zip �ei^: 4"^F�'1 "..Y.+F.r OxIVBMOiW.NS{.. �a YryR YT.i.: i�?S y" C54�—e=r�:L i-i't+^�`,r��5"'�.k �j i"��"�+SY Ittii- N v yyi -. Y'Z%Y=ia'iS",`.fr y,o,uT .. eFL 4 Name: BATH, STALL, ON-SITE BUILT ( X Phone: = Fax: 5 SINKS Address: I X $8.00 City State DISHWASHER Zip LicenseeNo: X $8.00 = City Business License No: 7 CLOTHES WASHER ..rw y,`'aiiit�m~'S fi3> :`. ..>` yy y' ' +�at4.. ` 4+ Y �`a +11 } ''yaS#i`i*hEid �L K':9 :-1+ wrecj +¢RTi#kdN M'S' =gb�j gix`rN.�3`Fg,f,� Name: X $6.00 = Phone: 9 WATER SOFTENER AUTHORIZED SIGNATURE: REVISED 826/05 DESCRIPTION OF WORK M OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X $6.00 = 2 URINALS X $8.00 = 3 TUBS X $8.00 = 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 I X $8.00 = 6 DISHWASHER X $8.00 = 7 CLOTHES WASHER 1 X $6.00 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 $8.00 = 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 $8.00 = 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 $8.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $8.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK DATE: 0 VISA 0 MASTERCARD EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 826/05 Permit Center Si ok e' 11707 E Sprague Ave, Suite 106 W`aley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.ore.com Mechanical permit Application o Commercial ❑ Residential SITE ADDRESS jcu. i,,, car sf+};5h ,3.51.rc , kN}.-a nj�m;1�:3 n '" {,^} ,�nl(111D�q'eah .TS�4}�e�Y�'"x•i`xC'�'�L��Ua�'„r.��" xi�.55�`��r+��siak.'tv.v�l . ✓!ka " �..' ^*N1'_�.§F�siN,"..�rN4 .±� Name: Phone: Fax Address: City State Zip $41itMo vr; ` '„k. ,e?' '" ;':` a s w a�,`• �s "'*:% 'I:�lv?,;:.ru9,; Z`� � ai �TM'-la derm�``na ;5 -':``` _ Name: Phone: Fax: Address: City State Zip License No: Cltr Business License No: �` I � t'Q':erlBLIj`.``F.�k��;.dv 'v.�°' k _S .'tl?` ax 'yn•.;d�� .4" TA. .e�*i^1 x.�.. e 2'�J t K`�ifkd .5 '4 :�, 4�Ys'"r2 ^ c 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 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 5100.00 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 535.00 11 BOILER/REFRIGERATION More than 1,750M BTU X 560.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00' 13 RANGE X $10.00 14 DRYER X $10.00 15 FUEL BURNING WATER HEATER X $10.00 16 MISC. FUEL BURNING APPLIANCE X $10.00 17 GAS PIPING (each outlet) X 51.00 18 DUCT SYSTEMS X $10.00 19 VENTILATING FANS X 510.00 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X 512.00 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 X 510.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512.00 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 560.00 30 LPG STORAGE TANK X $10.00 31 WOOD OR PELLET STOVE/INSERT X 510.00 32 WOOD STOVE - FREE STANDING X 525.00 33 REPAIR 8 ADDITIONS X $15.00 34 VENTILATION SYSTEMS X 512.00 35 VENTILATION MECHANICAL EXHAUST X 512.00 36 INCINERATOR - RESIDENCE X 519.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: CASH ❑ CHECK 0 VISA 0 MC CARD #: AUTHORIZED SIGNATURE: DATE: EXPIRES: SUBTOTAL PROCESSING FEE 535.00 TOTAL PERMIT FEE DUE: REVISED u26/05 Silikane lley DEPARTMENT OF COMMUNITY DEVELOPMENT CURRENT PLANNING ADMINISTRATIVE EXCEPTION APPLICATION AND DETERMINATION 31orL; .: APPLICANT: PART I M��.l 4v�r' 60,7 IL( N Ma/ti MAILING ADDRESS: CITY: 3 p STATE: L/ )4- ZIP: ? 7 ZO PHONE: (HOME) 32_3 -72_9Z (WORK) / g 7- 7 Y 7 Z (CELL) `` 2- 7 Z F NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW LEGAL OWNER: /41.‘ k MAILING ADDRESS: 1t S CITY: STATE: ZIP: PHONE: (HOME) (WORK) (CELL) 54-41 TAX PARCEL NO: S5z3 3-1 / STREET ADDRESS OF SITE: 1-4,/g LEGAL DESCRIPTION: ('a rn,h of? ,4c:UL T X 6 � K? 6 SECTIONS) O( 3 TOWNSHIP o2S RANGE 4:3 ZONING CLASSIFICATION: La- 3- OMPREHENSIVE PLAN CATEGORY: 2- TYP OF ADMINISTRATIVE EXCEPTION REQUESTED: S/C/te c- f ,6Y c. k row f o 4/-±: EXPLAIN REASON FOR REQUEST: ci/t eek,, APPLICABLE SECTIONS) OF ZONING CODE: /2 se 6 . Cao(4) NOTE: A SITE PLAN AND SUPPORTIVE DOCUMENTS SHALL BE INCLUDED WITH THIS APPLICATION 3 PART II LEGAL OWNER SIGNATURE (Signature of legal owner or representative as authorized by legal owner) •C / /`l k1/4 , (print name) SWEAR OR AFFIRM THAT THE ABOVE RESPONSES NSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE. I FURTHER SWEAR OR AFFIRM THAT I AM THE OWNER OF RECORD OF THE AREA PROPOSED FOR THE ABOVE IDENTIFIED LAND USE ACTION, OR, IF NOT THE OWNER, ATTACHED HEREWITH IS WRITTEN PERMISSION FROM THE OWNER AUTHORIZING MY ACTIONS ON HIS/HER BEHALF. ADDRESS: 47R( N. /tlo,vR.o t PHONE: 4027 777a STATE OF WASHINGTON ) ss: COUNTY OF SPOKANE ) SUBSCRIBED AND SWORN to before me this NOTARY SEAL NOTARY (For Part II above) � 0 day of ,20 o5 DATE SUBMITTED: FEE: NOTARY SIGNATURE Notary Public in and for the State of Washin_ on Residing at: Ok tt-e . V My appointment expires: PART III (To be completed by the Planning Staff) f7 RECEIVED BY: t-771iI f( J FILE No.: — ae — — PART IV DETERMINATION File No: AE -423 - CS - The Department of Community Development finds that the information provided by the applicant and required compliance with the City of Spokane Valley Zoning Code and all other development regulations, does / does not adverse affect on the adjacent properties nor the public's general health, safety and welfare. The Department of Community Developme : p . roves denies this "Administrative Exemption" as conditioned below, for the property described in Part I, p .a . . ections 14.506.000 and 14.506.020 of the Zoning Code. This administrative exception is subject to the following conditions of approval: 1) This administrative decision shall apply to the subject property indefinitely and may be transferred to future property owners, heirs or any successor in interest to the property subject to the conditions of approval contained herein. 2) The applicant and property owner shall comply with all requirements and regulations of the Zoning Code. 3) The applicant shall comply with all applicable development regulations and standards. 4) The applicant and property owner shall comply with the following additional conditions: eil This administrative exception is hereby approved this /8 day of 0 u- 20�— . Approved by: (-�f %'� /. - .124.442.4.20 Title: a/94.6!� i9,L,R,l�t J Under Section 14.412.041 of the City Zoning Code, any person aggrieved by this administrative determination has the right to appeal this administrative decision to the City of Spokane Valley Hearing Examiner. An appeal must be filed by submitting the appropriate appeal application together with the required fee to the Department of Community Development Current Planning, within fourteen (14) calendardays after the decision is issued. Upon receipt of a complete appeal application, a public hearing will be scheduled. For information or questions, please call (509) 921-1000 Rev 6/03