2008, 09-24 Permit App: 08003777 DrivewayProiect Number: 08003777 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/2008 Page 1 of 2
Project Information:
Permit Use: RESIDENTIAL DRIVEWAY
Setbacks: Front
Site Information:
Plat Key: 002847 Name: WELLESLEY MANOR 01ST ADD
Left: Right: Rear:
Contact: SMOOTH CONSTRUCTION
Address: 16215 E RICH
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 230-5199
Group Name:
Project Name:
District: East
Parcel Number: 45012.2201 Block:
SiteAddress: 16126 E LONGFELLOW AVE
Location:: CSV
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD
Lot:
Owner: Name: MALMOE, LARRY
Address: 16126 E LONGFELLOW AVE
SPOKANE VALLEY, WA 99216
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Driveway/Approach
Permits:
[Released By:
Originally Released: 9/24/2008 By: WMCGAV
Contractor: SMOOTH CONSTRUCTION
Address: PO BOX 458
OTIS ORCHARDS WA 99027
Item Description
Approach
Firm: SMOOTH CONSTRUCTION
Phone: (509) 230-5199
Units Unit Desc
APPROACH -CONST IN ROW 1 NUMBER OF
Fee Amount
$50.00
Permit Total Fees: $50.00
Operator: jmm Printed By: jmm Print Date: 9/24/2008
Project Number: 08003777
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/2008
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
Page 2 of 2
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: 9/24/2008
Spokane
jUalley�
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-( 3L 2 0it
www.spokanevalley.ora ''ti
Approach Permit Application
PERMIT NUMBER:, 37 /
PERMIT FEE:
PROJECT ADDRESS l 6 / Z E
START DA 1"h / Q - / 2O 0 8
LO CSe_
ANTICIPATED COMPLETION DATE 1 O-- Z Z- 2_008
Building Owner:
Contractor:
Name: L A. r' y O I rv, Oe
Name: S O d -1-k
Co As -) V r- -I-I o ,A
Address: / (o i 2_6 E Lonq- iI-
-)
Address: /(yZ%S E.
R tG k
City: s p o 1Ca rl e UCA t i Q y
State: W 4
Zip: 99416
City: ro) -0, ne lV 1 re y
State: W (/}
Zip: c79 2 /6
Phone: 99 j_ S (oi 2
Fax:
Phone: 2_ 3 0 -51 9 5
Fax:
Contact Person
Contractor Lic No:
p Date:
Z 6 - 2005
Name: Lo.r'r'y U (l'ri0e.
City Business Lic. No:
Phone: 99/-Sbi2_
PROJECT DESCRIPTION (Provide site sketch)
xl
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
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
application can be processed.
Signature
Method of Payment:
0 Cash 0 Check
Bankcard #:
Authorized Signature:
REVISED 319106
Date f-23'200&
❑ Mastercard 0 VISA
Expires: VIN#:
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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: 16126 E. Longfellow
Project No: 8-3777
Accepted
Not Accepted
Approach
X
Building Location
Paved Access
Notes:
Reviewed By: 0
,o
Date: 7%0g3.