2014, 09-29 Permit App: BLD-2014-2330 Duplexnr of
jvalley
NEW CONSTRUCTION
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NO,:
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
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INSTRUCTION PER
❑ ADDITION/REMODEL
❑ OTHER
BUILDING OWNER NAME: 4;=W TG Hc\y- S L.LC-
PERMIT "N ,:E I V E D
PERMIT FEW, in n.Imi.
CSV PE CENTER
61 _Tl'd�iTl��1\i
❑ ACCESSORY BUILDING
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STATE: V"1�r
21P:
'Moc,
PHONE:
SEc)— $TCCI— q
'C L(
FAX:
CELL:
30%Slopes on
Property: / 1q
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTORNAM..[E;;: Sry(; TLE. t{pIn.L1—G.
6S I-.
MARINGADDRESS: 9O)C L. KI CX IrVe-
Cm: 5pr"a def(c sTATE: WA zip: 992v&
CONTRACTOR LICENSE NO.: S /L.I N L S64/ AXPIRES: 3-2j—J& CITY aUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: ^� I
d
Dimensions:/O �(X
No. Of Stories:
Total Habitable., 9 8
Space: 5
Main Floor SQ FT:
31199N
Upper Floor FT:
�i
Unfinished Ba ent SQ
FT:
Finished 6asem t SQ
FT:
Garage SQ FT:
89C
Deck/covereC Patio SQ
FT: J98
Impervious ace
Area:
30%Slopes on
Property: / 1q
No. of Bedrooms:
Construction T :Sank
Heat Source: S .m. '
Sewer or Se tic: I /
TOTAL COST OF PROJECT: $ �2Cc,GC(J
DISCLAIMER
The permitted vedfes, 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. RefereoRd'tbdes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit Is not a pens¢ orapproval for any violation of federal, state or local laws, Codes or ordinances. 6) Plans or additional
mfovnation may be required to be sub(nitted and subsequently approved before this application can be processed.
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Signature Date:
G\Users\micheal\Desktop\building permit app.doc
SPOKANE COUNTY U
PERMIT
Application Number: SW -14001421
ProieC; = 60y
RECEIVED
SEP 2 9 2014
Permit Issued Dale: 09/29/2014
EzP4�1461 X1§1@! 19s/�4 firE R
Phone:
Assessors Description: KELLOGG PK SUB LT 4, BLK 4, EXC THE N15FT Email:
THEREOF
Inspection Area: : (509)1
Water District: Spokane County Water
District#3
Zoning:
SKYUHL864M1, Exp. 07/21/2016
SKYLINE HOMES LLC
2121 WOODRUFF RD N SPOKANE, WA 99206
Fire District: Spokane Valley Fire
Land Area: 12750 Square Feet
Class Type Quantity Unit Charge Value
SEWER SEWER CONNECTION 1 $125.00 $125.00
$125.00
FEE DETAIL:
Processing - Utilities $26.64
Utilities Permit $125.00
Total Fee: $151,64
CONDITIONS,
Plan review fee is required for all site plan reviews conducted by Spokane Valley Fire.
Inside Public Transit Benefit Area
CALL 1-800424-5555 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 8 INDUSTRIES, INCLUDING THOSE
RELATED TO TRENCH SAFETY. _ _ _ _ _
SEWER PERMITS ARE VALID R FOONE (1) YEAR FROM THE DATE OF ISSUANCE. 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.
Date Panted. 09/29/201410:43'.22 Project Coordinator: Vickie Mended
SUB
---
REV.
Project Description:
SEWER CONNECTION
_-_
Project Name:
E SPRAGUE BASIN A
Primary Contact:
SKYLINE HOMES LLC
Applicant:
SKYLINE HOMES LLC
Phone:
Address'
2121 WOODRUFF RD N
SPOKANE, WA 99206
Phone:
Email:
SITE INFORMATION'
Site Address
9625 E 8TH AVE
Owner:
JACOBSON, LOUELLA
Parcel Number:
45202.1525
Address:
3840 BARKLEY
MANSON, WA 98831
Phone:
Assessors Description: KELLOGG PK SUB LT 4, BLK 4, EXC THE N15FT Email:
THEREOF
Inspection Area: : (509)1
Water District: Spokane County Water
District#3
Zoning:
SKYUHL864M1, Exp. 07/21/2016
SKYLINE HOMES LLC
2121 WOODRUFF RD N SPOKANE, WA 99206
Fire District: Spokane Valley Fire
Land Area: 12750 Square Feet
Class Type Quantity Unit Charge Value
SEWER SEWER CONNECTION 1 $125.00 $125.00
$125.00
FEE DETAIL:
Processing - Utilities $26.64
Utilities Permit $125.00
Total Fee: $151,64
CONDITIONS,
Plan review fee is required for all site plan reviews conducted by Spokane Valley Fire.
Inside Public Transit Benefit Area
CALL 1-800424-5555 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 8 INDUSTRIES, INCLUDING THOSE
RELATED TO TRENCH SAFETY. _ _ _ _ _
SEWER PERMITS ARE VALID R FOONE (1) YEAR FROM THE DATE OF ISSUANCE. 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.
Date Panted. 09/29/201410:43'.22 Project Coordinator: Vickie Mended
SPOKANE COUNTY UTILITIES
PERMIT
Application Number: SW -14001421
Permit Issued Date: 09/29/2014
Expiration Date: 09/29/2015
SEWER STUBS AND DRV 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 UND AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF
UNDERGROUND FACILITIES.
Date Printed'. 09/29/2014 1043:22 Project Coordinator: Vickie Marriott