2012, 05-18 Permit App: BLD-2012-0630 ResidenceSpokane
Valley
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
bL t1 • Z4 /z - o(0 30
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: i I j__
ASSESSORS PARCEL NO.: 4-6232. 1R- l LEGAL DESCRIPTION: LOT €jL-LCL '1
BUILDING OWNER NAME:
❑ ADDITION/REMODEL
❑ OTHER
❑ ACCESSORY BUILDING
NAME: `~5"rtZ si-t l 11A71V c71 tt.0 Cr?
ADDRESS: \.G I ` XI, 0 AtAc Y E '
CITY: `b� Q{�2 STATE:
TATE: \JJ%ZIP: 99Q
PHONE: (504') /ict- D FAX: (5/ 326-1 19CELL: %5 9S--/ p , J
2
CONTACT NAME: ( �VA L) Ai 5 -De Pc WI--
PHONE:
/� 2 �, Q �/�1 a /�
PHONE: l e;c I� �(J I.- 19(:) � FAX: (Sl)`f� JZB-1 1 I ! CELL: (j i 1 9S
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
`;').031 p C AI E —.
STATE: ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.: - KtiiKt d 9 Ip1 ( EXPIRES: h.Q (Li I i 2 CITY BUSINESS LICENSE NO.: to023Q5 ( 31
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
nl n J �' nn j 5`r U Gr1 ij / nI G L E f444 ( L `( 1-h /-(E
****YOU MUST COMPLETE THE FOLLOWING****
LICABLE
Height to Peak:
g 1
Dimensions:
1'1 )-5
No. of Stories:
4
Total Habitable
Space: I�7(C
Main Floor SQ FT:
1566
Upper Floor SQ FT:.
N is
Unfinished Basement SQ
FT: t.\14
Impervious Surface
Area: t,11q
Finished Basement SQ
FT: I% -1
30°fo Slopes on
Property: MI A
Garage SQ FT:
555
Deck/Covered Patio SQ
FT: 19_0 f (04
No. of Bedrooms:
Construction Type:/,FM-treat
Source: 16,2.cnl' SAS Aye'
Sewer or Septic:) ie
TOTAL COST OF PROJECT: $ s -j p, C3DO
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Signature 4:4Q AYALA 9 AAA X 0 tT
1S,,1J L&3 Date: J/ t n Z,
I I
Method of payment: ❑ Cash 0 Check 0 Visa 0 Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration \03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Spcn'o"kane
Valley®
Target Date sheet
For City Use Only
PLUS Project rib _ 4 c r1- - o�
Project Address //3 /0 cz
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.720-5240 ♦ 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.
Your application review TARGET DATE is >- /7_ l .-
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.
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.
CD -003 V-7/ 06-21-11 Page 1 of 1
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PRo?E12T1 LI ^1E-
SPOKANE COUNTY BUILDING AND PLANNING
PERMIT
Application Number: SW -12001298
Permit Issued Date:
05/09/2012
Expiration Date:
Project Description: SEWER CONNECTION
Project Name: MANOS VALLEY ESTATES
Permit Type: SEWER
Primary Contact: BOB LONG EXCAVATING
Applicant: BOB LONG EXCAVATING
Address: PO BOX 305
VALLEYFORD, WA 99036
Phone: 509-924-4782
Email:
SITE INFORMATION:
Site Address: 14318 E 5TH LN Owner: STRAHL CONSTRUCTION INC
Parcel Number: 45232.1708 Address: 3611 N CALISPEL ST
SPOKANE, WA 99205
Subdivision: Manos Valley Estates Phone: 509-328-7919
Assessor's Description: MANOS VALLEY ESTATES PUD LT 8 BLK 1 Email:
(AFN# 5613158)
Inspection Area:
Water District: Vera Fire District: Fire District 1
Irrigation District #15
Zoning: Land Area: 0.1184 acres / 5158 sqft
CONTRACTOR INFORMATION:
General Contractor
LONG`RA246R0
LONG, ROBERT A
PO BOX 305
VALLEYFORD, WA 99036
509-924-4782
DETAILS:
Class
Type
Quantity Unit Charge Value
SEWER SEWER CONNECTION 1 $125.00 $125.00
FEE DETAIL:
Processing - Utilities
Utilities Permit
Total Fee:
$125.00
$25.94
$125.00
$150.94
CONDITIONS•
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.
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.
Date Printed: 05/09/2012 11:09:32
Printed by: IIS APPPOOLASP.NET v4.0
SPOKANE COUNTY BUILDING AIJD PLANNING
PERMIT
Permit Issued Date:
Application Number: SW -12001298 05/09/2012
Expiration Date:
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 AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE
ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. 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.
Date Printed: 05/09/2012 11:09:32
Printed by: IIS APPPOOLNASP.NET v4.0
Sheldon Consulting
8359 Westview Drive
Coeur d' Alene, Idaho 83815
voice (208) 772-7474 fax (208) 772-7498
rpsheldon@msn.com
Washington Code Compliance for Building Leakage
Building Information:
Testing Address: Zfr City:
Testing Date: ' / 61/
Testing results
Square Footage of Conditioned Floor Area including basement ( lS C
Blower Door test [ Z � 0 cfin50
(cfm50 X .055) C073. Ct divided by
(conditioned floor area X 144) 22 g = c D "56 SLA @CFM50
Tester. Rick Sheldon
Signature:
Notes:
(PTCS #1650) phone 208-772-7474