2006, 02-16 Permit App 06000457 Floodplain PermitSite Information:
Project Number: 06000457 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 02/16/2006 Page 1 of 2
Permit Use: FLOODPLAIN DEVELOMENT Contact: STILES, STEVEN & HIM
Address: 4212 S HATHERLY CIR
C - S - Z: SPOKANE VALLEY, WA 99206-9491
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5942
Group Name:
Project Name:
Plat Key: MH002 Name: HATHERLY TRAILER PARK
District: Sout
Parcel Number: 45334.0407 Block:
SiteAddress: 4216 S HATHERLY CIR
Location:: CSV
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Area: 1,600.00 Acres
Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information
Lot:
Owner: Name: STILES, STEVEN & HIM
Address: 4212 S HATIERLY CIR
SPOKANE VALLEY, WA 99206-94
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Flood Plain
Released By:
Originally Released: 02/15/2006 By: TSCHOLT
Permits:
Contractor: OWNER
Item Description
FLOOD PLAIN PERMIT
Flood Plain
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Fee Amount
$50.00
Permit Total Fees: $50.00
Operator: CJJ Printed By: AB Print Date: 02/16/2006
Project Number: 06000457 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/16/2006 Page 2 of 2
Notes:: ..1r_ .. ,y.
FLOOD PROOF BY INSTALLING VENTS ON EACH CORNER OF GARAGE 12" ABOVE
GRADE. 900 SQUARE INCHES TOTAL AREA (NET FREE).
Payment Summary
Permit Type
Flood Plain
Fee Amount Invoice Amount Amount Paid Amount Owing
$50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
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: AB Print Date: 02/16/2006
*^rrn,•or CITY OF SPOKANE VALLEY
Wane Community Development Department
eyCurrent Planning Division
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Tel: (509) 921-1000
Fax: (509) 921-1008
planning@spokanevalley.orq
(For Staff Use Only)
DATE SUBMITTED: RECEIVED BY:
FILE NO./NAME:
CURRENT PLANNING FEE:
ENGINEERING FEE:
Ci
FLOODPLAIN DEVELOPMENT APPLICATION
PART I — APPLICATION INFORMATION
APPLICANT INFORMATION:
APPLICANT: i re VE Sri L ES
MAILING ADDRESS: LI �% S (1/i7('tLT€Li (, � CITY: S2L Kam- 1a-ita) STATE: l i/AQ- ZIP:9
PHONE: (HOME/WORK) —V / 64 (FAX) (CEL) � l — 7Dpq
/ /
Please Circle
NOTE: IF APPLICANT IS NOT THE OWNER, INCLUDE WRITTEN OWNER AUTHORIZATION FROM THE LEGAL OWNER BELOW:
OWNER INFORMATI� ON:
LEGAL OWNER:
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: (HOME/WORK) FAX)
Please Circle
(CELL)
PART II — SUBMITTAL REQUIREMENTS
All Floodplain Permit Applications shall contain the following required information. If required and not
submitted, the application will be returned to the applicant as incomplete:
Three (3) to -scale (minimum scale is 1 inch = 20 feet) site plans showing the nature, location,
dimensions and elevation of the property and identifying the portion of the property located within
the designated floodplain, existing or proposed structures, location of proposed fill, iocation of
storage of materials, and the location of drainage facilities.
❑ Proposed elevation in relation to mean sea level of the lowest floor including basement of all
structures
Proposed elevation in relation to mean sea level for any structure that has been flood -proofed.
For non-residential construction only, certification by a registered professional engineer or
architect that flood -proofing methods for any non-residential structures meet the flood -proofing
criteria of Section 5.06.08.2 of the City's Floodplain Ordinance. aR
❑ Written description if applicable describing the extent to which a watercourse will be altered or
relocated as a result of the proposed development.
No Rise Certification.
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PART
✓ III — PROJECT INFORMATION
PARCEL NUMBER(S) OF SITE: 57 3 J . 0 ► " /J
STREET ADDRESS OF SITE (if any): `f Z/ 4 S. Ht77i&'/(y
SIZE OF SUBJECT PROPERTY (square feet):! 170 11�h /S 7,� L'
EXISTING ZONE CLASSIFICATIONS : //k3 �(, �� � G ���LF3
LIST PREVIOUS LAND USE ACTIONS INVOLVING THIS PROPERTY:
Areas of Special Concern: Pursuant to Section 5.06.13 of the Spokane Valley Floodplain
Ordinance, the following areas shall not be covered by impervious surfaces or fill unless an
engineering study prepared by a professional engineering licensed in the State of Washington is
completed that shows no impact to the ability of the floodplain to infiltrate, store and release
floodwaters. Please check the box if your property is located in one of these areas:
❑ Chester Creek (downstream of Mohawk Road)
❑ Saltese Creek (all areas of ponding and infiltration)
❑ Forker (south of the intersection of Forker Road and Progress Road)
❑ Central Park (west of Park Road)
❑ Glenrose (west of Carnahan Road and south of 8th Avenue)
DESCRIPTION OF WORK:
1. Proposed Development Descriptions (check boxes that apply):
New Construction ❑ Alteration & Repair ❑ Stream Alteration
❑ Manufactured/Modular Housing ❑ Road, Culvert, Utilities
❑ Other - Describe:
2. Types of Construction (check boxes that apply):
New or Existing Residential: square feet
❑ Addition: square feet
❑ Accessory Structure: square feet
❑ Renovation: ❑ Interior ❑ Exterior
❑ Temporary
❑ New Non -Residential
❑ Repair
❑ Utility Installation
• Other - Describe: Grfl if /- 7PCi' S7[,/i,2Z--
For Alterations, Additions or Improvements to an Existing Structure: If the cost of the
proposed construction equals or exceeds 50 percent of the market value substantial
improvement requirements shall apply. Please answer the -following questions:
a What is the estimated market value of the existing structure?: $
b. What is the estimated cost of the proposed construction?:$
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3. Filling & Grading (check boxes that apply):
❑ Filling
❑ Grading
❑ Cubic Yards to be Removed: cubic yards
❑ Cubic Yards to be Placed: • cubic yards
ASSOCIATED APPLICATIONS:
This permit is being applied for in conjunction with one or more of the following (check boxes):
tP Residential/Commercial Building Permit ❑ Grading Permit ❑ Land Division Application
❑ Critical Areas Permit ❑ Shoreline Substantial Development Permit
❑ Other - Describe:
, (print name) SWEAR OR AFFIRM THAT THE
ABOVE RESPONSES ARE MADE TRUTHFULLY AND TO THE BEST OF MY KNOWLEDGE.
PART IV - LEGAL OWNER SIGNATURE
(Signature of legal owner or representative as authorized by legal owner)
I, Slei/e*
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.
It is hereby agreed that the City of Spokane Valley, its boards, officers, employees and agents shall be
saved, indemnified and held harmless from all liabilities imposed by law by reason of injury to or death
of any person(s) or damage to any property, including without limitation, liability for trespass, nuisuance
or inverse condemnation, which may arise out of the work covered by this permit, and does agree to
defend the City, its officers, employees and agents against any claim or action asserting such liability.
Accepting this permit or starting any work hereunder shall constitute acceptance and agreement to all
conditions and requirements of this •ermit and the ordinance and specifications authorizing issuance of
such permi
(Signature)
NOTARY
(For Part IV above)
STATE OF WASHINGTON ) ss:
COUNTY OF SPOKANE )
%/0
(Date)
SUBSCRIBED AND SWORN to before me this ice% day of R., 200e
NOTARY SEAL c7
OTARY SIGURE
Notary Public in and for the State of Washington
Residing at: V e 6_,/,
My appointment expires: /D/'�L) 7
3
PART V — CONDITIONS OF APPROVAL
FOR INTERNAL USE ONLY - TO BE COMPLETED BY THE CITY OF SPOKANE VALLEY
Community Number:
530-342
Panel Number.
Ud,
Flood Zone:
A - (--,
Flood Zone Depth No.:
Base Flood Elevation at Site:
(7(%
Required Top of the Bottom Floor Elevation:
) 0/0 at
Required Top of the Next Higher Floor Elevation:
,
If the structure is to be floodproofed, the required
floodproofing elevation or method is:
Ike) yo vet f- b y I v' S F° ( j VS
an e 9 cc�. : Gaceq� (J ".� t ,- e
c vP
Elevation to which all attendant utilities including
heating, ductwork, plumbing ventilation, electrical
equipment and other service facilities will be
installed or waterproofed:
q&0C , i‘ji _ 10 jig-( A"2- k e7el -1✓2E
/
Elevation Certificate Required:
❑ Yes A No
Conditions of Approval: In addition to those listed above and below, please refer to attached
conditions of approval if applicable.
1. Required Elevation of the "top of the next higher floor" shall be }`t 4- (AE) feet M.S.L.
2. Required Elevation of the "top of the next higher floor" shall be (AO) feet M.S.L
3. Required elevation of flood resistant materials, utilities, etc. or floodproofing construction for non-
resdiential structures (the flood protected elevation) shall be )l,%// feet M.S.L.
S kvai-,,.s J It Inlet i 1-11 j c/r'o
4. A "Building Under Construction" elevation certificate ❑ shall A shall not be completed and
submitted to the City for review and approval p for to any vertical construction. A "Finished
Construction" elevation certificate ❑ shall U shall not be completed and submitted to the City for
review and approval prior to human occupancy or final inspection of on -site building(s), whichever
comes first. NO HUMAN OCCUPANCY OR FINAL INSPECTION SHALL BE GRANTED PRIOR
TO THE SUBMITTAL AND APPROVAL OF THE "FINISHED CONSTRUCTION" CERTIFICATION.
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PART VI — DEPARTMENT SIGN -OFF & APPROVAL
The following City Departments have reviewed and approved the floodplain permit application and have
determined that conformance to applicable conditions of approval have occurred as required through
the issuance of the permit:
City of Spokane Valley Community Development Department:
As the Floodplain Administrator or designee for the City of Spokane Valley, I certify the following has
been reviewed and approved by me:
❑ The "No Rise" Certificate submitted to support the proposed floodplain development is approved.
The "Building Under Construction" elevation certificate has been reviewed and approved:
❑ Structure elevated BFE + 1 foot
StructureJbuilt with waterproofed materials to the flood protected elevation or more
S/ A4 Co 0
Floodplain Administrator or Designee Date
The "Finished Construction" elevation certificate dated: 20 . It has been
reviewed and:
Li Returned for more information on 20
❑ Approved on 20
Floodplain Administrator or Designee
Date
❑ For unnumbered A Zones the Spokane Valley Building Inspector will verify that the first floor and all
related mechanical and electrical equipment is two feet above adjoining flood area.
Floodplain Administrator or Designee
Date
PLEASE NOTE: THIS PERMIT SHALL EXPIRE WITH THE ISSUED BUILDING PERMIT OR IF
THERE IS NO BUILDING PERMIT WITHIN TWELVE MONTHS OF THE DATE OF ISSUANCE IF
ACTIONS AUTHORIZED UNDER THE PERMIT ARE NOT SUBSTANTIALLY IN -PROGRESS.
EXTENSIONS OF APPROVAL MAY BE SOUGHT IF SUBSTANTIAL PROGESS HAS TAKEN
PLACE.
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