2005, 01-13 Permit App: 05000131 ROW0",
Splkane
Call 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF. PUBLIC WORKS
65 -181
Anticipated start date -4.3 .= O Permit #
ROW CONSTRUCTION PERMIT
Location of propert
Applicant Name
A. ress/Parcel #, if available)
Fax
Address , ` .--'- Phone
Contractor's Name /%'n 2 /V `.t)+ C
Address 4/6r`3 ( SE /02 ,Er/ Phone ?9‘7/--S76.- 5/
Contractor's Reg.# ii (a4 iAc ' ''t:., 5- 1 J 5 Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
ESewer Connection Ej Driveway
n Curb & Gutter El Gas Installation/Repair
1111 Cable/Conduit/Pole El Sidewalk Repair/Construction
n Water Installation/Repair n Other
nPavement Cut Dimensions
Bond/insurance certification must be on file with the City. Bond #T
SPECIAL CONDITIONS:
Permittee Signature Approved
Date
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder Signature
Fees Paid$
Date
Init
(Application) (Inspection)
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed)
Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
Excerpts from Spokane Valley Standards (3.24, and details A8 and A -8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10% within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.