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2008, 04-22 Permit App: 08000775 Excavation, Roadway ImprovementsProject Number: 08000775 1 Application Date: 4/22/2008 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: WATER, SEWER & UTILITY EXCAVATION, ROADWAY IMPROVEMENTS Setbacks: Front Site Information: Plat Key: Page 1 of 2 Contact: LEWRAD DEVELOPMENT, LLC Address: 12402 N DIVISION #244 C - S - Z: SPOKANE, WA 99218-1930 Left: Right: Rear: Phone: (509) 951-6959 Group Name: Project Name: PINE VALLEY ESTATES (SUB 05-07) Name: Range District: Nort Parcel Number: 45161.0623 Block: Lot: SiteAddress: 11921 E BOONE AVE Location:: CSV Zoning: R-3 SF Res District Water District: 011 MODERN Area: 3.50 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information:s...- Owner: Name: RADEZKY PROPERTIES WE1 LL Address: 720 E BOONE AVE STE 200 SPOKANE, WA 99201 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Plan Review Released By: Drainage Review Permits: Originally Released: 4/21/2008 By: GMANTZ Released By: Originally Released: 4/21/2008 By: GMANTZ Operator: jmm Printed By: jmm Print Date: 4/22/2008 Project Number: 08000775 l Application Date: 4/22/2008 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Grading Permit Page 2 of 2 Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GRADING NONE NONE 1,300 $1,300.00 1,300 $1,300.00 Item Description GRADING PLANS CHECK GRADING PERMIT FEE Totals: 1,300 $1,300.00 1,300 $1,300.00 Units Unit Desc 1 SELECT 1 SELECT Permit Total Fees: Notes: : �t,....d: ::.M:. .5 La,:��i. Fee Amount $25.00 $89.00 $114.00 Payment Summary: .grcm rev :emmcsmelc•3rns: s;: e:, "4 ...0 r » .s. + 4tAtiq'qe.:MV4VANtraVrAM:4041901VOUI4nr::.f;,. ... . Permit Type Grading Permit Fee Amount Invoice Amount Amount Paid Amount Owing $114.00 $114.00 $0.00 $114.00 $114.00 $114.00 $0.00 $114.00 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: jmm Printed By: jmm Print Date: 4/22/2008 Spokane �. Valley Community Development Grading Permit Application Improvements/Landscaping Permit ; ,nter 11703 E Sprague Ave, } a,J'F SPOKANE VALLEY Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-MAR0 7 2008 www.spokanevalley.org RECEIVED BY rERMIT CENTER PERMIT NUMBER: PERMIT FEE: ug Clearing ❑ Full Grading Ifnderground ❑ Site SITE ADDRESS 11921 East Boone Avenue. ASSESSORS PARCEL NO: 45161.0623 LEGAL DESCRIPTION: Property Owner Excavation Contractor Name: LewRad Development, LLC Name: Not Known Yet Manager: Tim Lewis Address: Address: 12402 North Division Street City: State: Zip: City: Spokane State: WA Zip: 992t6 Phone: Fax: Phone: 509-232-4277 Fax: 232 — "\6 Lic No. Exp Date: Contact Person City Business Lic No: Name: Tim Lewis Engineer Mamdouh EI-Aarag, P.E. Phone: 509-951-6959 Company Name: MHE Identify and describe the work and indicate the use: Address: 9702 W. Masters Lane City: Cheney State: WA Zip: 99001-1 Water, Sewer and utilitiy excavation. Phone: 509-230-1960 Fax: Lic No: Roadway improvements (paving, curb, drainage swales and sidewalk) for a new (18) lot subdivision Pine Valley Estates (SUB 05-07). Soil Testing Firm: Company Name: Address: City: State: Zip: Phone: Fax: Estimated Excavation/Cut (Cu Yd): 300 Destination of Excavated Materials: On site. Start Date: April, 2008 Estimated Completion Date: July, 2008. 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 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. Estimated Embankment/Fill (Cu Yd): 1300 Signature: 0.10, Date: 3-1- 08 Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑Cash ❑ Check ❑ Mastercard n VISA Bankcard #: Expires: Authorized Signature: Effective 10-28-07 VIN#: F:\MHEI 1-06 (E)\LewRad07-005\Grading Permit App 3-7-08.doc Page 1 of 1