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2009, 10-12 Permit App: 09003274 ApproachSpokane 4�Valley® 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: PERMIT FEE: PROJECT ADDRESS 1/ — /0 " —tee/ START DA 1E L 1 t H £. 3oactwlA ANTICIPA'T'ED COMPLETION DA 1'E Building Owner: 1 Name: AIt, KSCtel egy.- [COStem kk Address: 17 1 j cl • Lc, eA (AA h v2 State: j,‘JA. Zip: 99 (0) 6 City: Spo kA rat VC- �e Phone: c1 -i -Fort Contact Person Fax: Name: G Phone: PROJECT DESCRIPTION (Provide site sketch) Residential Driveway Existing Curb & Gutter Culvert Installation Other Conditions Contractor: Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Commercial /Industrial Driveway Rural Road Section Sidewalk Repair /Construction 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 J Date (0 —/2 0 �1 Method of Payment: ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN #: Authorized Signature: REVISED 319/06 Project Number: 09003274 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Date: 10/12/2009 Page 1 of 2 Permit Use: RES APPROACH Setbacks: Front Left: Right: Rear: Site Information: IMMAUFAMMININSFi Plat Key: Name: Range VW. ` at, me .: tee, -.- MV4, , ,: _ a Contact: KOSTENYUK, VALERIE G Address: 19013 E RIVERWALK LN C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 927 -8016 Group Name: Project Name: District: East Parcel Number: 55073.1352 Block: SiteAddress: 17114 E BALDWIN AVE Location:: CSV Lot: Owner: Name: KOSTENYUK, VALERIE G Address: 19013 E RIVERWALK LN SPOKANE VALLEY, WA 99016 Zoning: R -3 SF Res District Water District: 134 CONSOLIDATED ID #19 Area: 20,867 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: -t- .w. Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Driveway /Approach Permits: Contractor: OWNER Item Description Released By: Approach Firm: OWNER Phone: (000) 000 -0000 Units Unit Desc APPROACH -CONST IN ROW 1 NUMBER OF Operator: JD Printed By: JD Fee Amount $50.00 Permit Total Fees: $50.00 Print Date: 10/12/2009 Project Number: 09003274 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/12/2009 Page 2 of 2 FLORA ESTATES -REFER TO ADE -19 -06 FOR LOT WIDTH/FRONTAGE -MH FLORA ESTATES -SEE FILE ADE -19 -06 FOR LOT FRINTAGE/WIDTH -MH Payment Summary: Permit Type Approach Fee Amount Invoice Amount $50.00 $50.00 Amount Paid Amount Owing $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: JD Printed By: JD Print Date: 10/12/2009 Urban Driveway Approach .000Va11ey Requirements ■ Minimum of 7.5' from property line ■ Minimum of 5' from crosswalks or intersection curb arc ■ Minimum of 16' wide flat portion of approach ■ Maximum of 30' wide flat portion of approach ■ Combined approach width not to exceed 50% of total frontage ► Minimum of 15' of separation between any two approaches ** All driveway approaches to be constructed per the Spokane County Standards as adopted by the City of Spokane Valley ** H 0 rewwqns au_reN LAI 151 loafaid 60OZ g 1 OS JaLNIA0 IIIAIU-Ad ASO ODC,,IAGD1:1 7 2- >-- :31VO 03A0dddV 1dO ONINNInd