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2009, 02-04 Permit Application: 09000231 GradingState: 141- Zip:4 Spokane doValley® Community Development Permit Cuter 11703 ague Ave, Suite B -3 Spokane alley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 permitcenter@spokanevalley.org PERMIT NUMBER: 0-2:2- 1 PERMIT FEE: Grading ❑ Rough/Clearing ►= Full Grading Permit Application ❑ Underground ❑ Site Improvements SITE ADDRESS �7/D Z c' 44x/ .AVE ASSESSORS PARCEL NO: 4/5-m4.05-37 LEGAL DESCRIPTION: N!%'© 5 *'s 48 r..2.SN R 'qq ea/17• Property Owner Excavation Contractor Name: R'/ C/ A,1 R. /<JQ 0611 Manager: Address: /5";2/ /y A-f2 GO/V JE pd. 4x // City: $ ,00 itoa -A)6 Phone: q4- - 3 y 37 (Sv9) Fax: Contact Person Name: {`Z C Ci4 K R O G H Phone: <a 9- 9.5"3 -3 43 7 Name: Address: City: State: Zip: Phone: Fax: Lic No. Exp Date: City Business Lic No: Engineer '1i1� ff1 iL 6'/r Company Name: /Y /'41r.6.-1, %✓�ijfl/C' 'j , �fi -' Identify and describe the work and indicate the use: C.Orsrizt•Ct l rrt. c F s *MOM C2% Jeu.rty Auk wes r Eciy£ cF pe-ve.i2TyCjNNeere/ To Pt-k., Ave 7o S di`cs.- .Tuve Ft4- (-ors. A- /% •inM02J%'.4,d` man) AmL+,yd FoEZ nae�JG se/te1 (IS rD P .."CI" 'Jcte4rA, pPepesec1 1zilie /.. 1 pri1 (nit_o,es e,e Aar 0nrc(ek6 esa,,vci poia Siosa •-ro t 12Q t e r. Estimated Excavation /Cut (Cu Yd): /''O Estimated Embankment/Fill (Cu Yd) 5-Del Destination of Excavated Materials: / Start Date: ApQ 2.t ©9. Estimated Completion Date: / .-cpt1 The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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 enter. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or o :p ances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application ca processed. elf Address: 9.0 , 6 Ds 5' City: CoL6027- Phone: i -1 ;3 - ib�u State: IM» Zip 'Ot Fax: Lic No: Soil Testing Firm: It'J 550N ebif . ek thr s� Company Name: 'r 1' Address: P. 0. Box 2.6 City: azooer State: W� Zip: 99e'e'5 Phone:- q - 3 -/4, 9y Fax: o%'67_ .2 0Z- Signature: Date: gd, „V..,0Q 9 Method of Payment: (Faxed permit applications will only be accepted with major bankcard) nCash n Check ❑ Mastercard n VISA Bankcard #: Expires: Authorized Signature: Effective 10 -28 -07 VIN #: P: \Community Development\Building DivisionUodi- comml\PCF\Grading Permit App.doc 'f/\ !_.LE "l n Page 1 of 1 Project Number: 09000231 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/27/2009 Page 1 of 2 Project Information: Permit Use: FULL GRADING Setbacks: Front Site Information: Plat Key: 001132 Name: HARRINGTONS ADD TO HUTCHINSON Left: Right: Rear: Contact: KROGH, RICHARD R & DEE A Address: 1521 N ARGONNE RD #411 C - S - Z: SPOKANE, WA 99212 Phone: (509) 924 -1549 Group Name: Project Name: District: Nort Parcel Number: 45184.0537 Block: SiteAddress: 8402 E ALKI AVE Location:: CSV Zoning: R -3 SF Res District Water District: 005 HUTCHINSON Area: 29,123 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Land Use Review Lot: Owner: Name: KROGH, RICHARD R & DEE A Address: 1521 N ARGONNE RD #411 SPOKANE, WA 99212 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Released By: Originally Released: 5/27/2009 By: kkendall DE Plan/Site Drainage Review Released By: DE Stormwater Review Originally Released: 5/26/2009 By: RBrodwater Released By: Originally Released: 5/26/2009 By: RBrodwater DE Approach Review Released By: Originally Released: 5/26/2009 By: RBrodwater Operator: JD Printed By: jmm Print Date: 5/27/2009 Project Number: 09000231 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/27/2009 DE Concurrency - Traffic Permits: Page 2 of 2 Released By: Originally Released: Contractor: OWNER 5/26/2009 By: RBrodwater Grading Permit Firm: OWNER Phone: (000) 000 -0000 This Application: Description Grp Type Notes Sq Ft Valuation GRADING NONE NONE 140 $140.00 Item Description GRADING PLANS CHECK GRADING PERMIT FEE Notes: Payment Summary: Permit Type Grading Permit Total Project: Sq Ft Valuation 140 $140.00 Totals: 140 $140.00 Units Unit Desc 1 SELECT 1 SELECT Permit Total Fees: Fee Amount Invoice Amount $47.00 $47.00 140 $140.00 Fee Amount $20.00 $27.00 $47.00 Amount Paid Amount Owing $0.00 $47.00 $47.00 $47.00 $0.00 $47.00 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: JD Printed By: jmm Print Date: 5/27/2009 Sikork Development Engineering 11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206 509.921.1000 • Fax: 509.921.1008 • cityhall @spokanevalley.org Letter of Transmittal Date: May 26, 2009 To: CSV — Permit Center From: Ryan Brodwater CSV - Development Engineering RE: Project — Krogh Short Plat, SHP -19 -08 Permit Number — 09000231 We are sending to you — ® Attached ❑ Under separate cover via: the following: ITEM # COPIES DESCRIPTION 1 1 Sets of approved Civil plans for the subject project. 2 1 Set of approved Lot plans for the subject project. 3 4 These are sent for the purpose(s) checked below: n For approval Fl For your use ❑ As requested n For review and comment ❑ Other Comments: Civil Plan to be issued with Grading Permit. Lot plans to be kept at Permit Center. ❑ Approved as submitted ❑ Approved as noted n Returned for corrections ❑ Confidential cc: Spokane Valley Development Engineering — Project File Document3