2009, 09-15 Permit App: 09002949 ApproachProject Number: 09002949 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 9/15/2009 Page 1 of 2
Permit Use: RES APPROACH
Setbacks: Front
Left: Right: Rear:
Site Information:
- +1
Contact: DON TROTTER CONST
Address: 10006 E 20TH AVE
C - S - Z: SPOKANE, WA 99206
Phone: (509) 924-0017
Group Name:
Project Name:
Plat Key: 000375 Name: CHESTER TERRACE
District: Sout
Parcel Number: 45291.1022 Block:
SiteAddress: 1807 S FAWN DR
Location:: CSV
Zoning: R-2
Water District:
Lot:
Owner: Name: WORTH, JANE E
Address: PO BOX 14168
SPOKANE VALLEY, WA 99214-01
SF' Res Suburban District
Hold: El
Area: .00 Acres Width: 90 Depth: 110 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Driveway/Approach
Permits:
.""
Contractor: DON G TROTTER
Address: 10006 E 20TH
SPOKANEWA 99206
Item Description
Approach
Firm: DON G TROTTER
Phone: (509) 924-0017
Units Unit Desc
APPROACH -CONST IN ROW 1 NUMBER OF
Fee Amount
$50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 9/15/2009
f
Project Number: 09002949 Inv: 1
Application
Date: 9/15/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: r,
Payment Summary: _
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: 9/15/2009
Spokane�
.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 + 801 S- Rs,u0 NJ,
START DATE
9-z
ANTICIPATED COMPLETION DATE ` - C-1-0 et
Building Owner:
Contractor:
Name: bn t + slime. V\pA..a,S cCe Id
Name: Op A/ TROif e2 COA/S r
Address: (g oVt S , Fpe, (n
State: (4A Zip:9etZo(.
City:5g°0 Vq0�
Phone: tj l 0 9 n o s Fax:
Contact Person
Name: 1Z0 OTre_Q_
Phone: ti9 _ r'909
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Address: /00 0 (0 E zo
City:,o VA//c j'
State: 444 Zip: 9/?o�i
Phone: 9 ?4,/_59,0 ! Fax:8 ! f' /4'80
Contractor Lic No: Exp Date: /4 tri UJ r- Lolo
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
applicaii e processed.
Signature Date 9-i 6 9
Method ofPayment: �
0 Cash 6VCheck 0 Mastercard 0 VISA 0 Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Effective October 28, 2007
P.\Community Development\Forms\Building fonns\Approach Permit eR 10.28-07.doc
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Spokane
0 Val1 ey
Development Engineering
11707 E Sprague Ave Suite 106 1 Spokane Valley WA 99206
509.921.1000 0 Fax: 509.921.1008 ♦ cityhall®spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 1807 S. Fawn Dr.
Project No: 9-2949
Reviewed By: (/`19
Date: 9//Iv7PJ J9
Accepted
Not Accepted
Approach
X
Building Location
Paved Access
Notes: Saw cutting of existing curb is not allowed within the City's
jurisdiction. Driveway is to be inspected by the City's ROW Inspector prior
to concrete placement.
Reviewed By: (/`19
Date: 9//Iv7PJ J9