2009, 10-12 Permit App: 09003282 Grading•
Spokane
�Valley n
CITY OF SPOKANE VALLEY
PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only)
RECEIVED
Community Development DepartmegtSV PERMIT CENTER
Permit Center
11703 East Sprague Avenue, Suite B-3 OCT 12 2009
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevalley.o
Project # Z -
Name
Submittal #�
CIT
BY:
RECEIVED BY
(OF SPOKANE VALLEY
OCT 12 2009
PERMIT CENTER
GRADING PERMIT APPLICATION
(IMPROVEMENTS/LANDSCAPING)
„t ROUGH/CLEARING lei FULL GRADING
SITE ADDRESS: Llooe n/ &f /2-d,
,4 UNDERGROUND ,Err SITE
ASSESSORS PARCEL NO.: yy oz2.vioe. LEGAL DESCRIPTION: .vw Scc Z 7Z5 7Lyyo
PROPERTY OWNER NAME: Ade_ L,35, , q q�
MAILING ADDRESS:
44 74 -
MANAGER:
CITY:
PHONE:
A/el J23,P, M3 W
Spoko. e Vet/(a/
`(SI-8z�1j
STATE:
FAX:
1-LNI ZIP: tyq Z.//
CELL:
CONTACT NAME: Mtir/( Mr
PHONE: 2 17— 98/ cf
FAX:
CELL:
EXCAVATION CONTRACTOR NAME: /l//A
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE: FAX:
CELL:
CONTRACTOR LICENSE No.: EXPIRES:
CITY BUSINESS LICENSE NO.:
COMPANY NAME: 5' pco� ePc5
MAILING ADDRESS:
CITY: cr,QKa.
PHONE:
goy /V Re-9onnr
Stake
92C<-/3zz
)Ld
STATE:
CONTRACTOR LICENSE NO.:
w.n
FAX: 9Z6—/.32_3
EXPIRES: I Z/V/7/.YA
CELL:
ZIP: `J97 / Z
CITY BUSINESS LICENSE NO.: 4n6,0Jon--gLC,
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Grading Permit App.l.doc
• •
SOIL'TESTING FIRM NAME: /d/4
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
1"r% 'eny6nir a. — Re. -Jan Mo4. Grc
5e_, c t—/iJ o )nj%//
ESTIMATED EXCAVATION/CUT (CUBIC YD): --a-- )3o r j
ESTIMATED EMBANKMENT/FILL (CUBIC YD):
DESTINATION OF EXCAVATED MATERIALS: 0n 3">=
START DATE: ,C.,,N .5 2-cno ESTIMATED COMPLETION DATE: S ?oJo
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The City of
Spokane Valley permit is not a permi r approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be sub fitted and subsequently subsequently approved before this application can be processed.
Signature C
Date: 0 `I LA Oa)
Method of payment: ❑ Cash ❑Check . ❑Visa ['Mastercard
Bankcard #:
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Grading Permit App.l.doc
Project Number: 09003282 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 10/13/2011 Page 1 of 2
Permit Use: FULL GRADING
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
ARGAW, NEGUSSIE H
4606 N BEST RD
SPOKANE VALLEY, WA 99216
(509) 927-4732
SHP-16-08 ARGAW - GRADING
Plat Key: 002677 Name: TRENTWOOD ORCHARDS
District: Nort
Parcel Number: 45022.1506
SiteAddress: 4606 N BEST RD
Location:: CSV
Zoning: UR3.5
Water District:
Block:
Lot:
Owner: Name: ARGAW, NEGUSSIE 11
Address: 4606 N BEST RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Area: 64,003 Sq Ft Width: 165 Depth: 387 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Land Use Review
Released By:
Originally Released: 10/13/2011 By: TSCHMIDT
DE Plan/Site Drainage Review
Released By:
DE Stormwater Review
Originally Released: 6/22/2011 By: HMAllen
Released By:
DE Approach Review
Originally Released: 6/22/2011 By: HMAllen
Released By:
Originally Released: 6/22/2011 By: HMAllen
Operator: JD Printed By: MBB
Print Date:
10/13/2011
Project Number: 09003282 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/13/2011 Page 2 of 2
DE Concurrency - Traffic
Released By:
Originally Released: 6/22/2011 By: HMAIIen
Permits:
Grading Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GRADING NONE NONE 130 $130.00. 130 $130.00
Item Description
GRADING PLANS CHECK
GRADING PERMIT FEE
Totals: 130 $130.00 130 $130.00
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$20.00
$27.00
Permit Total Fees: $47.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Grading Permit $47.00 $47.00 $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: MBB
Print Date: 10/13/2011