2003, 09-23 Permit: 03006908 Sewer i SPOKANE COUNTY DIVISION OF BUILDING 1
AAND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 e
s
Site Information Project Information I
Site Address: 16311 E 9TH LN Project Number: 03006908 Inv: 1 Issue Date: 9/23/2003
SPOKANE,WA 00000 Permit Use: SEWER CONNECTION-SHELLEY LAKE 4TH
Parcel Number: 45245.9155
Subdivision: Applicant: GEORGE H.WHITE INC
Block: Lot: BOX 52
Zoning: UNK Unknown LIBERTY LAKE,WA 99019 Phone: (509)255-5000
Contact: GEORGE H.WHITE INC
Owner: GEORGE H WHITE INC BOX 52
Address: BOX 52 LIBERTY LAKE,WA 99019 Phone: (509)255-5000
LIBERTY LAKE,WA 99019
Setbacks-Front: Left: Right: Rear:
Building Inspector: BOBBY STONE
Water Dist:
Group Name:
Project Name:
Permits I
Sewer Connection Permit Contractor: GEORGE H WHITE CONST License#: GEORGHWO91P8
SEWER CONNECTION 1 $85.00 PROCESSING FEE $15.00
Total Permit Fee: $100.00
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 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 IN ADVANCE,(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 Tran Date Receipt# Payment Amt
$100.00 $100.00 $0.00 9/23/2003 6085 $100.00
Processed By: BURRIS,ROBIN PERMIT
Printed By: HINTZ,FAITH Page 1 of 1
NOTICE
It is the responsibility of the applicant/permittee, not Spokane County, to see to it that the use described on the front of this permit complies with
applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary
approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the
applicant's/permittee's or property owner's expense.At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations.Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-
way.Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas,the County can own as much as 20 feet of
right-of-way between your property and the actual improved street/curb.The responsibility to comply with applicable setback provisions lies solely
with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the
owner's/permittee's expense.
2. FOUNDATION-when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING-after all framing, bracing and blocking is in place,and prior to concealing.
4.INSULATION-prior to the installation of drywall.
5. PLUMBING-after rough-in, before covering, and final.
6. MECHANICAL- rough-in of piping, before covering, metal chimneys before concealment,and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically depicted on the approved site plan)
required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants,fire department access,on-site
drainage("208 swales"), road improvements,parking, and landscaping are common requirements of a permit/site plan which must be com-
pleted prior to final approval of a building or issuance of a Certificate of Occupancy.
8.MANUFACTURED HOMES- Final inspection required when complete, stairs, handrails,skirting, etc. installed,and prior to occupancy; completed
inspection record card must be available on site.
9. SEWERS- prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above,any plumbing or mechanical systems or material which would be concealed by framing,drywall,concrete,etc.,must be inspected
prior to cover. Check with the department for"special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Division • Road cuts for utilities or driveways, Division of Engineering &
of Building and Code Enforcement Roads - 48-HOUR NOTICE REQUIRED
477-3675 477-3600
or State Department of Transportation
• Construction in a flood plain, Division of Engineering& Roads 456-3000
477-3600
• Sewer connection, Division of Utilities
• Electrical wiring,State Department of Labor and Industries 477-3604
324-2640 or City Public Works Department
625-6300
• On-site waste disposal system,Spokane Regional Health District
324-1560
PERMIT EXPIRATION AND REFUNDS
Unless otherwise noted,this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for
a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration.At a
minimum an inspection should be requested at least once every 180 days to assure the validity of the permit.A permit may be renewed within one year
of the date of expiration for one-half the original fee,subject to certain limitations—please call us if you have any questions.
All refund requests must be made in writing by the applicant/permittee(shown on the reverse)no later than 180 days after the date of fee payment.
Refunds of not more than 80%of the permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized
more than 180 days after fee payment.
MISTAKE?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it,or find erroneous information in the permit,please
bring it to our attention immediately by filing a written request for correction within 10 working days of discovery.All such requests should be directed to
the Division of Building and Code Enforcement at the below address.
Spokane County Division of Building& Code Enforcement
1026 West Broadway Avenue
Spokane, WA 99260
Phone: (509)477-3675 Fax: (509) 477-4703 TDD: (509)477-7133
SPOKANE COUI TY 'VISION OF BUILDING
OD �FORCEI�I�NT
',E P 1026 WEST BROADWAY AviiNui • SPoxA ,WA 99260-0050
ISite Information Project Information
Site Address: 16311 E 9TH LN Project Number: 03006908 Inv: 1 Issue Date: 9/23/2003
SPOKANE,WA 00000 Permit Use: SEWER CONNECTION-SHELLEY LAKE 4TH
Parcel Number: 45245.9155
Subdivision: Applicant: GEORGE H.WHITE INC
Block: Lot: BOX 52
Zoning: UNK Unknown LIBERTY LAKE,WA 99019 Phone: (509)255-5000
O Contact: GEORGE H.WHITE INC
Owner: GEORGE H WHITE INC
BOX 52
Address: BOX 52 LIBERTY LAKE,WA 99019 Phone: (509)255-5000
LIBERTY LAKE,WA 99019 1?
Setbacks-Front: Left: Right: Rear:
Building Inspector: BOBBY STONE
Water Dist:
Group Name:
Project Name:
IPermits
Sewer Connection Permit Contractor: GEORGE H WHITE CONST License#: GEORGHWO91P8
SEWER CONNECTION 1 $85.00 PROCESSING FEE $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL(509)477-3604 UTILII'LhS 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 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
NOT1.1F1ED.CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE,(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.
IPayment Summary
Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt
$100.00 $100.00 $0.00 9/23/2003 6085 $100.00
Processed By: BURRIS,ROBIN PERMIT
Printed By: HINTZ,FAITH Page 1 of 1
" I •u lxrz+�J
�� _aJ
S P C) K A N E X:!--1111a241, Lp C p iJ N T Y
UTILmES DIVISION A DIVISION OF THE PUBLIC WORKS DEPARTMENT
N. Bruce Rawls,P.E.,Utilities Director
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
Date: S Z-rP T i ()
Plat Name: 3, LZ ( / LFA L= Lot No(s): ! Block No(s):/6 3 /
Site Address(es): ' Parcel No(s): C /4-
Owner Name: • I G`�l �� / OR Builder Name: c'
�V7 /✓ I
PRINT Owner's Name PRIRT Builder's Name
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. ( GFC to be paid at closing, at the GFC rate in effect at the time of closing.
3. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements.
a Owner's Statement: I, , understand that I will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added
to my monthly sewer service charges.
b. Builder's Statement: I, , understand that because I
am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for payment
of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential buyers of the
property that the GFC charges will be added to the monthly sewer service billings as soon as billing
commences.
Special Conditions: ( ) No ( ) Yes —See Reverse Side of Form
5,ic. ;?-33
f.
vner's or 'ilder's Suture Date ✓✓✓
Spokane County, Division of Utilities GFC Payment Option Form, Revised 11/01/01
1026 W. Broadway • Spokane, WA 99260-0430 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 477-7133
� r
Spokane County
Public Works Department
Division of Building & Code Enforcement
Receipt
Receipt Number: 6085 Customer Number
Projects
Full
Project Nbr Inv Nbr Fee Amt Inv Amt Owing PAID Pmt
03006908 1 $100.00 $100.00 $100.00' $100.00 ❑l
Total: $100.00 $100.00 $100.00 $100.00
Miscellaneous Items
Total PAID: $100.00
Tender
Type Check Acct Balance CC Nbr Exp Date TENDERED
MasterCa xxoaxxxd0000c1011 07/2005 100.00
Payer:
Total TENDERED: 100.00
Over /(Short) $0.00
Change $0.00
Notes:
Tran Date/Time: 9/23/2003 4:32:45 PM
By: FHintz
Logon User: gwendel
Station: GWENDE
Override By:
Printed: 9/23/2003 4:32:48 PM Page 1 of 1