2006, 06-23 Permit App: 06002467 Rough GradeProject Number: 06002467 Inv
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
*ate: 06/23/2006 Page 1 of 2
Project Information:
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Permit Use: FLORA ESTATES - CUT, FILL, BALANCE AND Contact: MATTSON ENTERPRISES, LLC
ROUGH GRADE SITE Address: PO BOX 1800
C - S - Z: MEAD, WA 99021
Setbacks: Front Left: Right: Rear: Phone: (509) 466-5794
Group Name:
Site Information: Project Name: ROUGH GRADING - FLORA ESTATES
Plat Key: Name: BACONS ADD TO GREENACRES District: East
Parcel Number: 55182.0812
SiteAddress: 1510 N FLORA RD
Location:: CSV
Block:
Lot:
Owner: Name: MATTSON ENTERPRISES, LLC
Address: PO BOX 1800
MEAD, WA 99021
Zoning: UR -7* Urban Residential -7*
Water District: 134 CONSOLIDATED ID #19
Area: 3.68 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Plan Review
Permits:
Released By:
Originally Released: 06/22/2006 By: ADWIYRIC
Contractor: MOUNTAIN CREST
Address: P.O. BOX 1800
MEAD, WA 99021
Grading Permit
Firm: MOUNTAIN CREST ENTERPRISE
Phone: (509) 466-5794
This Application: Total Project:
Description Iym Notes Sq Ft Valuation Sq Ft Valuation
GRADING NONE NONE ROUGH 4,800 $4,800.00 4,800 $4,800.00
GRADING
Item Description
GRADING PLANS CHECK
GRADING PERMIT FEE
Totals: 4,800 $4,800.00 4,800 $4,800.00
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$25.00
$107.00
Permit Total Fees: $132.00
Operator: MT Printed By: MTK Print Date: 06/23/2006
Project Number: 06002467 Inv
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Elate: 06/23/2006 Page 2 of 2
Payment Summary: a.-
Permit Type
Grading Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$132.00 $132.00
$0.00 $132.00
$132.00 $132.00 $0.00 $132.00
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: MT Printed By: MTK Print Date: 06/23/2006
sj o Cane
• ., . Valley
Community Development
Grading
Permit Application
Permit GeV
11707 E S e Ave, Suite! it 06
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)§9037
www.spokanevalley.org.com
o koinghlelearing ate tull-Grading
o Underground o Site Improvements/Landscaping
SITEADDRESS Flora and Mission, Spokane Valley
ASSESSORS PARCEL NO: 55132.0812 LEGAL DESCRIPTION: Bacons Addn to Greenacres Blk 8
Property."Owner.
Name: Mattson Enterprises LLC
Manager/Contact Person: Don Mattson
Address: P.0. Box 1800
City: Mead
Phone:
State: WA Zip: 99021
466-5794 Fax: 466-1514
Contact Person;;';
Name:
Don Mattson
Phone: 466-5794
Identify and describe the work and indicate the use:
Cut, fill, balance and rough grade site
Estimated Excavation/Cut (Cu Yd): 4800
Destination of Excavated Materials: On site
Start Date: June 2006
Excavation Contractor.
Name: Mountain Crest Enterprises, Inc.
Address: p,0, Box 1800
City: Mead
Phone: 466-5794
State: WA Zip99021
Fax: 466-1514
Lic No: MOUNTCE 110KB Exp. Date: 3/11/07
City Business Lic No:
engineer.,,
$s ti-:
g
Company Name:
Mountain Crest Enterprises.
Address: P.O. Box 1800
City: Mead
State: WA Zip:99021
Phone: 466-5794 Fax: 466-1514
Lic No: 1549
SoilrTesting Firn`1
Company Name: Allwest Testing & Engineering
Address: P.0. Box 3149
City:
Hayden
Phone: 208-762-4721 Fax:
State:ID Zip:83835
Estimated Embankment/Fill (Cu Yd): 4300
Estimated Completion Date: July 2006
DISCLAIMER
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.
Signature
Date 6/22/06
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ® Check ❑ Mastercard 0 VISA
Bankcard #: ( Expires: VIN#:
Authorized Signature: CA -0
REVISED 8/25/2005
❑ Other
L
In
LC