2008, 10-07 Permit App: 08003980 ApproachSpokane
._.► FValley
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
Approach Permit Application
PERMIT NUMBER: •�`3 6O �"
PERMIT FEE:
PROJECT ADDRESS
I / /,x/Arc
START DA'Z'E / 0-5- or
ANTICIPATED COMPLETION DATE
Building Owner:
Name: f J4I/7 sf/ �' ‹
Address: /5'906 6 cp 4, y �
City:lb/owe, LA. Stater..
Fax:
Phone: s(lf.gi"iq/'
Contact Person
Zip:
Name: ,p4 17/
Phone: k,q�°
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions 1 Q VIC J.e ��
Contractor.
Name: m44-e_
Address:
C �° El)X qv
City: ,: J(' f1 p- LFr
Phone: 6 7 j Qgae
State:lN4 Zip:99i '
Fax: XiA /7- S'/)'% y
Contractor Lic No:i0oxees54agate:
City Business Lic. No: ginaIrene
Commercial /Industrial DrivewnITY OF SPOKANE VALLEY
Rural Road Section OCT 0 7 2008
Sidewalk Repair /Construction;, y PERMIT NTER
RECEIVED BY
Bond /Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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 Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws,
codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this
application can be processed.
Signature
Date /i2 '-'7 V
Method of Payment
❑ Cash ❑ Check 11 Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN #:
Authorized Signature:
Effective October 28, 2007
P: \Community Development\Forms \Building forms\Approach Permit eff 10- 28- 07.doc
Project Number: 08003980 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENTIAL DRIVEWAY Contact: 3D EXCAVATION INC
Address: PO BOX 990
C - S - Z: NEWPORT WA 99156
Setbacks: Front Phone: (509) 447 -5419
Group Name:
Project Name:
Date: 10/7/2008 Page 1 of 2
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
District: East
Parcel Number: 55182.1148
SiteAddress: 1211 N ARC ST
Location:: CSV
Block:
Lot:
Owner: Name: NORTHERN KNIGHTS, LLC
: 11608 N WEST NEWMAN LAKE D
EWMAN LAKE, WA 99025 -8639
Zoning: R -4 SF Res Urban Distric
Water District: 134 CONSOLIDATED ID #1
Area: 4.11 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings:
Review Information:
Review
Driveway /Approach
Permits:
`_
ld: ❑
Right Of Way (ft): 0
Released By:
Contractor: 3D EXCAVATIO
Address: PO BOX 990
NEWPORT WA 99156
Item Description
APPROACH -CONST IN ROW
Approach
Firm: 3D EXCAVATION INC
Phone: (000) 000-0509
Units Unit Desc
1 NUMBER OF
Operator: JD Printed By: JD
Permit Total Fees:
Fee Amount
$50.00
$50.00
Print Date: 10/7/2008
Project Number: 08003980
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/7/2008 Page 2 of 2
A 6 -FOOT HIGH SIGHT - OBSCURING FENCE MUST BE INSTALLED AROUND PERIMETER
OF VALLEY COACH ESTATES SUBDIVISION PRIOR TO ANY BUILDING PERMITS -MH
Payment Summary FA e4,
Permit Type
Approach
Fee Amount Invoice Amount
$50.00 $50.00
Amount Paid
$0.00
Amount Owing
$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: JD Printed By: JD
Print Date: 10/7/2008
t 7.0
coed 'Y61)2- tD tTDLW l�omE
tart STREET
.t 7, o ?51i'
mZ>
5h;4A. na
q' wed.
10'
13'
A
1 —E-: ?k---- 4. 2
' e bLp - 1) _- -....-.-...
F--
. a
dam„ . rn
--3. -a-
m 3c
'- f m
IV
o FA m �o 1
--1 m 13
CD
- z
1 os rir- -
O \r
•
o .
-C ....).
U-3
�
pro Q0,5ed �D - D L J 4c .
s 03
'
r,--t -7-0 . , 1att A- Q .
C Ste t °15
a-7
�,
5
RECEIVED BY A
CITY'OF SPOKANE VALLEY
OCT 0 '7 2008 - - - - ! h;- ;n h�v s
5 �-
PERMIT CENTER i- -,�,s i t i,�?C �
BY: _ r,ae1- -Y
E ?
1 I _______`
1 — 1 ss I 0
-may // I
J
L 1777 4 A
..A2--"'"' ‘r lala c ' -4 ,_ ' 1 3
CT
(07 . 03`
limp /4
A- P__C Sr
C
G6,,,,,;2_4,...e _k_ 4.2
Z
DO
0
± 70 .9 --in !
C,
I
W `-proposed ---€,Dre_ D-61.10 (4O psi
C)J
ca
t 7.0)5. oZ I l I� QC STREET 7.01'5_2
a-7
5a _
1 IC-eu,oL 4-)
I
� -opos � t.
'zr',J e y
- t _ W
I I p
mraiiiii- , swts :, ,______ __ cc
4(
lApro,n IM1111"11141W- -...
A 12-C Sr ..... a