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2011, 01-27 Permit App: 11000123 ResidenceProject Number: 11000123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/27/2011 Page 1 of 3 Project Information: Permit Use: NEW SFR - SEWER Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Contact: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 499-2792 Group Name: Project Name: Name: Range District: East Parcel Number: 55074.1039 Block: SiteAddress: 1910 N GREENACRES RD Location:: CSV Zoning: R-3 SF Res District Lot: Owner: Name: ABRAHAM, WILLIAM L & PATRI Address: 1920 N GREENACRES RD SPOKANE VALLEY, WA 99016 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 40,453 Sq Ft Nbr of Bldgs: 0 Review Information: Width: 0 Nbr of Dwellings: 0 Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Originally Released: 1/27/2011 By: tmelbourn Landuse/Zoning/HE Conditions Released By: Driveway/Approach Originally Released: 1/25/2011 By: tschmidt Released By: Sewer Review Originally Released: 1/27/2011 By: WMCGAV Released By: Permits: Originally Released: 1/26/2011 By: jdavis Operator: jmm Printed By: jmm Print Date: 1/27/2011 Project Number: 11000123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/27/2011 Page 2 of 3 Approach Contractor: SPOKANE ROCK PRODUCTS INC Firm: SPOKANE ROCK PRODUCTS INC Address: Po Box 3808 SPOKANE WA 99220 Phone: (509) 554-5421 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $52.00 Permit Total Fees: $52.00 Building Permit Contractor: ABRAHAM CONSTRUCTION Firm: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES Phone: (509) 499-2792 SPOKANE VALLEY, WA 99016 This Application: Total Project: Description Gra Type Notes So Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,416 $142,945.20 1,416 $142,945.20 COV DECK R-3 VB 136 $2,040.00 136 $2,040.00 DECK OPEN R-3 VB 96 $1,440.00 96 $1,440.00 GAR WOOD U-1 VB 636 $12,084.00 636 $12,084.00 Item Description RESIDENTIAL PERMIT FEE WSBCC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 2,284 $158,509.20 2,284 $158,509.20 Units Unit Desc Fee Amount 1 SELECT $1,324.15 1 SELECT $4.50 1 SELECT $529.66 Permit Total Fees: $1,858.31 Mechanical Permit Contractor: ABRAHAM CONSTRUCTION Firm: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES Phone: (509) 499-2792 SPOKANE VALLEY, WA 99016 Item Description DUCT WORK SYSTEM GAS APPLIANCE<=100,000BTU HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS 1 DUCT Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 4 NUMBER OF Fee Amount $11.00 $13.00 $13.00 $44.00 Permit Total Fees: $81.00 Operator: jmm Printed By: jmm Print Date: 1/27/2011 Project Number: 11000123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/27/2011 Contractor: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES SPOKANE VALLEY, WA 99016 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS CLOTHES WASHER WATER HEATER - ELECTRIC Notes: ,;, Plumbing Permit Units 2 3 2 1 1 1 Page 3 of 3 Firm: ABRAHAM CONSTRUCTION Phone: (509) 499-2792 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 $60.00 Notes: saw cutting of the existing curb is not allowed in the City's jurisdiction. Driveway is to be inspected by the City's ROW inspector prior to concrete placement *APPROACH TO BE CONSTRUCTED PER CITY'S STANDARD PLAN R-114 As per SVMC 19.40.020B - All residential driveways shall be paved with an approved hard surface material. Condition must be met before fmal inspection. Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $52.00 $1,858.31 $81.00 $60.00 Invoice Amount $52.00 $1,858.31 $81.00 $60.00 $2,051.31 $2,051.31 Amount Paid $0.00 $529.66 $0.00 $0.00 $529.66 Amount Owing $52.00 $1,328.65 $81.00 $60.00 $1,521.65 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: 1/27/2011 jSpo'liane Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 -012,3 Fax: (509) 688-0037 ermitcenter • s.okanevalle .or (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING 0 DECK q 0 OTHER 1 SITE ADDRESS: 1 110 KtCo ✓-2-el,LCLC.V'PS 1 ASSESSORS PARCEL NO.: 5-5-074 , (0-9 LEGAL DESCRIPTION: SIPPC:Oil- 3 LT 4 44a5: 11 23k -..2P FCS 1S -3L ige 4 PIN 4 IP-72a= BUILDING OWNER NAME: Lt)i 11; <<� (110re`►�AA44/y/4_-A 4r€e•.r4c.t5 c%Sf NAME: 0 I 1 1 ; tl4A._ 1-i i& 1/GL ADDRESS: / Q /1./�,re-e a_ci-t?S Cm: j po kcct-e__ ti/y! %a PHONE: `-7 9 CONTACT NAME: PHONE: Sou uc2 c,_ s STATE: Vet -- FAX: -57)S 5'/ FPS— < lOc%-e____ zip: 9 9O / CELL: FAX: CELL: CONTRACTOR NAME: A 1��-✓/ Coac. MAILING ADDRESS: CITY: PHONE: X7070 N Cr-P-e`ia CY-CS oer7 pl vl , 5/ "/2% g-79-_ STATE: (.LUQ FAX: 7J / /r 67/ 3 CELL: ZIP: 19cl/4 CONTRACTOR LICENSE No.: 45414 i/ / %(/S EXPIRES: /cY/ / 20 // CITY BUSINESS LICENSE NO.: Gc22 6121/0// DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATg USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** PP ABLE Height to Peak: /6 ' Dimensions: 3a X7o2 No. of Stories:,Total Habitable Space: ///G 55 -// Main Floor SQ FT: /I//ls S • 0l� Upper Floor SQ_FT: Unfinished Basement SQ FT: 11e. Finished Baseme t SQ FT: Garage SQ FT: �l'3le D tri- ,-. Deck overfed PatioSQ •CJ 3 i Impervious Surface Area: cv2 73 30% Slopes on Property: J/4 No. of Bedrooms: 3 Constru : ttorsac/ Heat Source: Efe 4,-,c: Sewer or Septic: $ewer' TOTAL COST OF PROJECT: $ 5:23 COD 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 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 s bsequentiy approved before this application can be processed. SignatureZdiat Date: //02// / / O Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_ _Residential_11-11-11.doc Stool" o (me .jValley. Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 peen i tcenter(dsookaneval ley.org Community Development Plumbing Permit Application SITE ADDRESS: PERMIT NUMBER: PERMIT FEE: n Commercial [Residential Mit) A/ 6./e_evtacre6 £d 990/6, Building Owner Phone: Fax Name: 14); fit Lc YY'I 4bi''Cc it Cti%q.'i'1 L%9 � •- r� %�Y � c/ / — s..7/ s -- Address: /9,p 0 iv to veei,4 G_ c_v_e.s City: Address: Z. ,e-cj a%./ State: �,/m{ Zip: C''',7 U/ fi _..?o Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project>j `Manager: /n� f) j' Name: �i /ll 'C�ly1 .c/bi r ket4,1 L Phone: 4 G / - a7c :...... # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS a SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER / CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS OCASH ❑ CHECK ❑ VISA ❑ MC Card# SIGNATURE: EXPIRES: VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development Permi[center ct spokanevalley.org Mechanical Permit Application SITE ADDRESS: I'j t) tete, c_ ❑ Commercial PERMIT NUMBER: PERMIT FEE: Residential qgo/(o Building Owner Name: �f . //1 G--Vyt Ave, c4.44,1_ Phone: 5v 5 4, Jc fr. -75 Z Fax: Address: /9€.72ofU 4rE'C'iLcc Contractor City: `-) k e“.a.. G%/y State: ria Zip: (190/e„ Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: yg�, I L4J/ 1 1 1 u. v.-1- r rc+ y•••••• .1vwr-�— #UNITS FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to & including 100,000 BTU / FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Over 100,000 BTU DUCT WORK SYSTEM / HEAT PUMP/AIR CONDITIONER 0-3 TON AIR CONDITIONER Over 3-15 TON AIR CONDITIONER Over 15-30 TON AIR CONDITIONER Over 30-50 TON AIR CONDITIONER Over 50 TON GAS WATER HEATER GAS PIPING SYSTEM (each outlet) GAS LOG, FIREPLACE, & GAS INSERT APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp -100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 - 15 hp —100,001 to 500,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 15 — 30 hp - 500,001 to 1,000,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30 hp -1,000,001 to 1,750,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 50 hp — over 1,750,000 BTU AIR HANDLER (DOES NOT include ducting) Each unit up to 10,000 cfm, including ducts AIR HANDLER (DOES NOT include ducting) Each unit over 10,000 cfrn EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a singe duct I/ VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust INCINERATORS Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES Range, Clothes Washer UNLISTED APPLIANCES Under 400,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD Type I HOOD Type II L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM — FREE STANDING ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc aPokane Valley) Community Development Department Permit Center ' 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 permitcenter@spokanevalley.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: APPROACH PERMIT APPLICATION PROJECT ADDRESS: 11/0 »J cr-!5 -' START DATE: c,7 // cpp // ANTICIPATED COMPLETION DATE: 2 BUILDING OWNER NAME: j , //, c� L 4J - / -- MAILING ADDRESS: /,',2-- O A (O/-Pria c.1 ---e K-0 CITY: Sp�/C cc -Le_ L /�/ STATE: Ls` ZIP: q CONTACT PERSON NAME: Set.CA-ce1 PHONE: y S i- a l g a FAX: 9/ -- ,R 7/ S CELL: / CONTRACTOR NAME: 41, reit cam( Ccsvt5-f . % 5 pc7A /&Oi Pr r-4 c 716 , MAILING ADDRESS: S a.vue ct S ec_ho Crrv: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: 48/2/41Cx'1.3 gs EXPIRES: ///// CITY BUSINESS LICENSE NO.: 4 Da /D� � O'/ S PROJECT DESCRIPTION (PleaseaProvide Site Sketch) Residential Driveway 0 Commercial/Industrial Driveway ❑ Existing Curb & Gutter ❑ Culvert Installation ❑ Other Conditions: ❑ Rural Road Section ❑ Sidewalk Repair/Construction Bond/Insurance certification must be on file with the City. 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 permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be requirgd to be submitted and su4sequently approved before this application can be processed. Signature Date: y..,26/ii Updated 1-11-11 Page 1 of 1 http: //www.spokanevalley.org/fi lestorage/ 124/938/210/948/ 1496/Approach_Permit_1-11-11.doc APPROACH PERMIT APPLICATION REQUIRED SKETCH INFORMATION (Revised 1/25/10) Provide required measurements (in sketch boxes), and include street name. Check all existing conditions that apply: ❑ Sidewalk ft wide ft from back of curb ❑ Streetside Swale ❑ Drainage Ditch O Drywell (show location on sketch) O Other (please describe below) wl z. R. a DISTANCE FROM NEAREST PROPERTY LINE MAY BE LEFT OR RIGHT SIDE) FT (SEE TABLE) CONCRETE APPROACH CURB THROAT WIDTH 00FT--'I-4' WING (SEE TABLE) WING STREET NAME EDGE OF J ASPHALT (-»'ee(kCCreS STREET WITH CURB DISTANCE FROM NEAREST PROPERTY LINE MAY BE LEFT OR RIGHT SIDE) FT (SEE TABLE) ASPHALT APPROACH I ----THROAT WIDTH nFT --I (SEE TABLE) STREET NAM E CURB RETURN \ i NIF CORNER LOT, DISTANCE FROM CURB RETURN n FT (SEE TABLE) 15' RADIUS RADIUS RETURN STREET WITH ASPHALT EDGE IF CORNER LOT, DISTANCE FROM RADIUS RETURN FT (SEE TABLE) Approach Requirements: • Maximum 2 approaches per property frontage; one on arterials. • Total width of approaches not to exceed 50% of frontage width. Residential Approaches Commercial Approaches Distance from Curb/Radius Return 15' minimum 75' minimum Separation between Approaches (measured from centerline to centerline of each approach) None specified See Page 7-27 in City Street Standards Throat Width (flat portion) 16' min., 30' max. 30' min., 40' max. Wing Width (at curb line) 4 feet typical 4 feet typical Minimum Distance from Side Property Line (@ r/w) 5.0' 5.0' Minimum Distance from Crosswalk 5' 5' .00.Valley RECEIVED JAN 272011 Spokane vai . r r AviBilixe velopment Engineering 6 ♦ Spokane Valley WA 99206 008 • cityhall®spokanevattey.org Approach Permit Application Review TO: Building Department Site Address: 1910 Greenacres Rd. Project No: 11-0123 Reviewed By: /I/ Date: //`z 7/�/ 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. *Approach shall be constructed per City's Standard Plan R-114 (Driveway Approach Asphalt). Reviewed By: /I/ Date: //`z 7/�/ Project Number: 11000123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/26/2011 Page 1 of 3 Protect Information: ��... __�__ vim. Permit Use: NEW SFR - SEWER Contact: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES C - S - Z: SPOKANE VALLEY, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 499-2792 Group Name: Project Name: Site Information: Plat Key: Name: Range District: East Parcel Number: 55074.1039 Block: SiteAddress: 1910 N GREENACRES RD Lot: Owner: Name: ABRAHAM, WILLIAM L & PATRI Address: 1920 N GREENACRES RD SPOKANE VALLEY, WA 99016 Location:: CSV Zoning: R-3 SF Res District Water District: 134 CONSOLIDATED ID #19 Area: 40,453 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: yiU Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By _ Landuse/Zoning/HE Conditions teleas+ Driveway/Approach Originally Released: 1/25/2011 By: tsclnnidt eased Sewer Review eleased`By:_ Originally Released: 1/26/2011 By: jdavis Permits: _--- Operator: jnnn Printed By: JD Print Date: 1/26/2011 Project Number: 11000123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/26/2011 Page 2 of 3 Approach Contractor: SPOKANE ROCK PRODUCTS INC Firm: SPOKANE ROCK PRODUCTS INC Address: Po Box 3808 Phone: (509) 554-5421 SPOKANE WA 99220 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $52.00 Permit Total Fees: Building Permit $52.00 Contractor: ABRAHAM CONSTRUCTION Firm: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES Phone: (509) 499-2792 SPOKANE VALLEY, WA 99016 This Application: Total Project: Description Type Notes So Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,416 $142,945.20 1,416 $142,945.20 DECK OPEN R-3 VB 240 $3,600.00 240 $3,600.00 GAR WOOD U-1 VB 636 $12,084.00 636 $12,084.00 Totals: 2,292 $158,629.20 2,292 $158,629.20 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,324.15 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT I SELECT $529.66 Permit Total Fees: Mechanical Permit $1,858.31 Contractor: ABRAHAM CONSTRUCTION Firm: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES Phone: (509) 499-2792 SPOKANE VALLEY, WA 99016 Item Description Units Unit Desc Fee Amount DUCT WORK SYSTEM 1 NUMBER OF $11.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $13.00 VENTILATING FANS 1 DUCT 4 NUMBER OF $44.00 Permit Total Fees: $81.00 Operator: jinni Printed By: JD Print Date: 1/26/2011 Project Number: 11000123 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/26/2011 Contractor: ABRAHAM CONSTRUCTION Address: 1920 N GREENACRES SPOKANE VALLEY, WA 99016 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS CLOTHES WASHER WATER HEATER - ELECTRIC Notes: . r As per SVMC 19.40.020B - All residential driveways shall be paved with an approved hard surface material. Condition must be met before final inspection. Plumbing Permit Finn: ABRAHAM CONSTRUCTION Phone: (509) 499-2792 Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $12.00 $18.00 $12.00 $6.00 $6.00 $6.00 $60.00 Page 3 of 3 Payment Summary: 'Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $52.00 $1,858.31 $81.00 $60.00 $2,051.31 Invoice Amount $52.00 $1,858.31 $81.00 $60.00 $2,051.31 Amount Paid $0.00 $529.66 $0.00 $0.00 $529.66 Amount Owing $52.00 $1,328.65 $81.00 $60.00 $1,521.65 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: JD Print Date: 1/26/2011 arm 4031#1\611,1s Spokane jvalley Community Development Department Permit Center 11703 East Sprague Avenue, Suite 8-3 Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 permltcenter@saokanevaliev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: APPROACH PERMIT APPLICATION PROJECT ADDRESS: / ?/v 1'U gid START DATE: al/ J ao i/ ANTIC,IIPATED) COMPLETION DATE: ///c)// BUILDING OWNER NAME: 1,4),cvl�- MAILING ADDRESS: / � D / (Dr�Q net Lj- -ei' K -O` CITY: 5s poi et-C.Q V r t/ STATE: CONTACT PERSON NAME: S ZIP: 47c6/ 6 PHONE: Lf 4 g _ a_7 g a Fax: 9 / R7 / S- CELL: CONTRACTOR NAME: 41 rez_ltiLW{ Ce)Pt--11/ . j pole-, K2 /20'l PrOC/ .G71S MAILING ADDRESS: ljcc vu e 4 alo v� CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: imeji -/ `mlI$ ExPIREs: / Jai/o�0/'% CITY BUSINESS LICENSE NO.: 4D� toRg6e/S PROJECT DESCRIPTION (Please/Provide Site Sketch) Residential Driveway 0 Commercial/Industrial Driveway O Rural Road Section O Sidewalk Repair/Construction Existing Curb & Gutter • Culvert Installation J Other Conditions: Bond/Insurance certification must be on file with the City. 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 permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional Information may be requir d to be submitted and susequently approved before this application can be processed. Signature Date: // 0.26 %1% Updated 1-11-11 Page 1 of 1 htt p: //www. s po kaneva l ley.org/fi lestorage/ 124/938/210/948/ 1496/Approach_Permit_1-11-11. doc APPROACH PERMIT APPLICATION REQUIRED SKETCH INFORMATION (Revised 1/25/10) Provide required measurements (In sketch boxes), and include street name. Check all existing conditions that apply: ❑ Sidewalk ft wide ft from back of curb ❑ Streetside Swale O Drainage Ditch o Drywell (show location on sketch) o Other (please describe below) DISTANCE FROM NEAREST PROPERTY UNE NAY.BE LEFT OR RIGHT SIDE) FT (SEE TABLE) CONCRETE APPROACH 7C RETURN CURB a 0 EDOE OF ASPHALT 4' TFF20RT W DTH FT 4' WING (SEE TAB ) WIN -C71 -1 -IF CORNER LOT, DISTANCE FROM RETURN FT (SEE TABLE) STREET NAME l.,reeKacves STREET WITH CURB DISTANCE FROM NEAREST PROPERTY UNE AY BE LEFT OR RIGHT SIDE) T—IFT tr3EE TABLE) ASPHALT APPROACH 15' RADIUS t----THROATWIDTH riFT --� (SEE TABLE) STREET NAME RAD(U3 RETURN STREET WITH ASPHALT EDGE IF CORNER LOT, DISTANCE FROM RADIUS RETURN [l FT (SEE TABLE) Approach Requirements: • Maximum 2 approaches per property frontage; one on arterials. • Total width of approaches not to exceed 50% of frontage width. Residential Approaches Commercial Approaches Distance from Curb/Radius Return 15' minimum 75' minimum Separation between Approaches (measured from centerline to centerline of each approach) None specified See Page 7-27 In City Street Standards Throat Width (flat portion) 16' min., 30' max. 30' min., 40' max. Wing Width (at curb ilne) 4 feet typical 4 feet typical 5.0' Minimum Distance from Side Property Line (U r/w) 5.0' Minimum Distance from Crosswalk 5' 5' Sjvalley For City Use O ly PLUS Project Number / / O / Project Address /c//J /79y 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 • Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org As part of our on-going commitment to customer service during the review process of your project application, we are providing you with a TARGET DATE for the initial technical application review. If for any reason we cannot meet this date, we will contact you with a revised target date. i /` J/ Your application review TARGET DATE is The TARGET DATE is the date we estimate your project application will have had its initial technical review. It is not the date for approval or permit issuance. Tips for a Smoother Project Application Review ➢ Submit complete, accurate plans and documents. Extra time may be required for re -submittals as project application reviewers work on multiple applications and it may be several days before they can look at your new or revised information. ➢ Designate a specific contact person to communicate with the City. While the person designated as the applicant's contact person with the City can be changed, one individual with the expertise for dealing with reviewer comments would be the best choice for the entire review process. ➢ Call staff regarding the status of your project only after the target date shown at the top of the page. Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us by your target date. Staff may contact you before the target date if the initial review is complete. By following this procedure, you will save time and allow the reviewers to complete the work more expeditiously. Steps in the Permit Process 1. Counter Complete. Your application has been accepted as counter complete. This means all of the required documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred submittal. This does not prevent technical staff from requesting additional information as a result of their technical review. 2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free from substantive flaws that would prevent technical staff from completing the technical review once it is started. When this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it comes up for review. 3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete. 4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re - submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections of the application are received, a Permit Specialist will process the application and contact the person specified on your application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by the Permit Specialist at that time. WHITE —APPLICANT PINK — BUILDING FILE RF\/ Q/(17 pis, is ' 'B''v4DII,PPROVED BY; DATE: !�5�n OroNe.r a W U.«wt �b✓moi uw, R(til ��-e.r �-�✓C��G�vYt Lav�S�'vt�,��+i gr%r25S'. J%IO AJ %ieeKacres eA E 2o,., -e. Y.; y s 9.10 N �•� yes 2�l