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2005, 08-15 Permit: 05002940 Rd Obstruction for Sewer Connection*Wane Site Information BUILDING DIVISION 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Information Site Address: 305 N ADAMS RD Parcel Number: 45143.2301 Subdivision: Block: Lot: Zoning: AGS Owner: MUCHA, EDWARD & MACHIKO Address: 305 N ADAMS RD SPOKANE, WA 99206 Building Inspector: Water Dist: Project Number: 05002940 Inv: 1 Issue Date: 08/15/2005 Permit Use: ROAD OBSTRUCTION FOR SEWER CONNECTION Applicant: NORM'S Excavating P.O. BOX 574 VERADALE, WA 99037 Contact: NORM'S Excavating P.O. BOX 574 VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: ROW Phone: (509) 928 -0580 Phone: (509) 928 -0580 Rear: Permits Right of Way Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM OBSTRUCTION / INSPECTION 1 $70.00 Total Permit Fee: $70.00 FOR RIGHT OF WAY INSPECTIONS CALL (509) 869 -5373 ENGINEERING Payment Summary Total Fees AmountPaid AmountOwing $70.00 $70.00 $0.00 Processed By: JANSSEN, CHRISTINA Printed By: KURTZ, KARI Tran Date Receipt # Payment Amt 08/15/2005 2378 $70.00 Page 1 of 1 PERMIT NOTICE The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the applicant/permittee that the use described on the front of this permit complies with applicable codes and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before 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 City Code: 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 setback from property lines. Minimum setbacks are established by City of Spokane Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback provisions lies solely with the permittee- neither the City of Spokane Valley 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. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. PLUMBING — after rough -in, before covering, and final. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final. FRAMING — after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to concealing. FINAL — when complete and prior to occupancy and /or use. 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 completed prior to final approval of a building or issuance of a Certificate of Occupancy. 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. PLUMBING REVERSALS FOR SEWER CONNECTIONS — prior to cover. RIGHT -OF- WAY /APPROACH — prior to placement of concrete /asphalt 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 Building department for "special inspections" in conjunction with commercial projects. FOR INSPECTIONS Please give one working day /24 hour notice. Different parts of your project may require permits and inspections from more than one agency. Building, plumbing (includes interior reversals for sewer) and mechanical, City of Spokane Valley Building Division 688 -0054 Road cuts for utilities or driveways, City of Spokane Valley Public Works 688 -0195 or State Dept of Transportation 324 -6000 Permits and inspections for electrical wiring, State Department of Labor Permits and inspections for Sewer Connection, Spokane County Utilities Division And Industries 324 -2640 477 -3604 Permits and inspections for on -site septic systems, Spokane Regional Fire sprinkler and alarm systems and private access road inspections, Spokane Valley Health District 324 -1560 Fire Department 892 -4122 State law RCW 19.122 requires that prior to any excavation the "CALL BEFORE YOU DIG- center must be notified. Call before you dig at least 2 working days in advance, 456 -8000. PERMIT EXPIRATION AND REFUNDS All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to finish the original permit. All refund requests must be made in writing by the original perrnittee to the Building Official no later than 180 days after the date of fee payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized when an application is withdrawn or cancelled prior to the plan review being completed. Owner / Agent Date Staff Approval Date Aug 15 05 09:59a NORMS EXCAVATING p.4 Sim "lane Call 24 hours before inspection required Phone 509.688 -0195 Fax 509.688 -0037 DEPARTMENT OF PUBLIC WORKS OS 2R V40 Anticipated start date 8123105 Permit # ROW CONSTRUCTION PERMIT Location of property 305 N. Adams (Address(Parcel #, if available) Applicant Name Mucha Address Account# 000122 Same Fax 892 -0482 Contractor's Name Norm's Excavating, Inc_ Address PO Box 574 Veradale, WA 99037 Phone 509!928 -05130 Contractor's Reg# NORMSEI972BM Expires 01114(07 PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) 571 l Sewer Connection I Driveway Curb & Gutter Cable/Conduit/Pole Other Pavement Cut Gas Installation/Repair nSidewalk Repair /Construction Dimensions Bond/insurance certification must be on file with the City. Bond # 103957298 SPECIAL CONDITIONS: Permittee Signature Approved Date I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Date 09/30/05 Name of Holder Sheila Gibbons Signature Fees Paid$ 70.00 Date !nit (Application) (Inspection) In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (112 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily (Signed) Date Permit not valid until One -Call Notification Ticket # entered here PERMIT MUST BE KEPT ON SITE RUG 15 2005 10:13 PAGE. ©4