2008, 08-21 Permit App: 08003240 ApproachProject Number: 08003240 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/21/2008 Page 1 of 2
Project Information:
Permit Use: RESIDENTIAL APPROACH Contact: WINEGARDNER, ROBERT P & PEGGY
Address: 4285 DRIFTWOOD PL
C - S - Z: DISCOVERY BAY, CA 94514
Setbacks: Front Left: Right: Rear: Phone: (925) 247-4319
Group Name:
Site Information: Project Name:
Plat Key: 001220 Name: HILLCREST PARK ADD District: Soot
Parcel Number: 45272.0817 Block:
SiteAddress: 12503 E HOUK RD
Location:: CSV
Lot:
Owner: Name: WINEGARDNER, ROBERT P & PE
Address: 4285 DRIFTWOOD PL
DISCOVERY BAY, CA 94514
Zoning: R-4 SF Res Urban District
Water District: 011 MODERN Hold: ❑
Area: 19,214 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Inforunation:
Review
Driveway/Approach
Permits:
Released By:
Originally Released: 8/21/2008 By: WMCGAV
Contractor: OWNER
Approach
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
APPROACH -CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Operator: jmm Printed By: jmm Print Date: 8/21/2008
Project Nuniber: 08003240 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/21/2008 Page 2 of 2
Notes -
HOME PROFESSION REQUIRED FOR "SPOKANDLE, INC" APPLICATION SENT2/9/06
Payment Summary.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $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: jmm Printed By: jmm
Print Date: 8/21/2008
SfiiWane
aesissMalley
Community Development
Permit Center
11703 E Sprague Ave, Suife�1@-,3ECEivED By
Spokane Valley, WA 992jf SrOIG?;':`E VgLL
(509)688-0036 FAX: (509)688-01037,
www.spokanevalley.org 4 G L 9t 2008
PERfwir CENTER
Approach Permit Application
PROJECT ADDRESS I c-0
START DATEC
PERMIT NUMBER: g_3&tt
El'
PERMIT FEE:
SeoK+a /0c OM Li -6i \/ 9. 902 /L
ANTICIPATED COMPLETION DATE
Building Owner. -'' }}
Name:�%I..I., ,i (,3I iI)EG t42 Q n 7E R
Contractor:
Name:
Address Id�n.0 Fmei IL
City: S-Pnleaic ce_c State: zip:9rlo2lf0
Phone: 9ZS_? 4/7_ 4.RS Fax:
Contact Person =- ---
Name: *s, of -t
Phone: 1J-� - 04-1.43R4
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
X
Address:
City:
State: zip:
Phone: Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Commutcial/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 ordimnfes. 6) Plans or additional information may be required to be submitted, and subsequently approved before this
application can bo/processed.
Sign
Date -/f_od
Method ofPayment
0 Cash 0 Check 0 Mastercard 0 VISA 0 Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Effective October 28, 2007
P:\Community Development\Forms\Building forms\Approach Permit elf 10-28-07.doc
Spokane
Valley
Development Engineering
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 • Fax: 509.921.1008 • cityhall@spokanevalley.org
Approach Permit Application Review
TO: Building Department
Site Address: 12505 E. Houk
Project No: 8-3240
Accepted
Not Accepted
Approach
X
Building Location
Paved Access
Notes:
Reviewed By: 44.0 /77 Date: 0-02
s:r•• • • •
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