2010, 04-02 Permit App: 10000865 ResidenceProject Number: • 10000865 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/2/2010 Page 1 of 3
Project Information:
Permit Use: NEW SFR -SEWER
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: KEVIN MADDEN HOMES, LLC
Address: 122 N RAYMOND #3
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 217-6700
Group Name:
Project Name:
District: East
Parcel Number: 46353.5001
Block:
SiteAddress: 14202 E OLYMPIC AVE
Location:: CSV
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD
Area: 12,710 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: LOTS N LAND LLC
Address: 122 N RAYMOND RD #3
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: E MAa,RIMMIESW °A�s=0:,,>,w„a_
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 3/31/2010 By: tmelbourn
Released By:
Originally Released: 4/2/2010 By: WMCGAV
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 3/31/2010 By: kkendall
Released By:
Operator: jmm
Originally Released: 3/31/2010 By: JLMain
Printed By: jmm
Print Date:
4/2/2010
Project Number: • 10000865 Inv: l
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/2/2010 Page 2 of 3
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Approach
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Description Grp Type
1&2 FAMILY R-3 VB
2ND FLOOR R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes
Contractor:
Address:
Permit Total Fees:
Building Permit
Fee Amount
$52.00
$52.00
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
This Application: Total Project:
Sp Ft Valuation Sp Ft Valuation
680 $67,286.00 680 $67,286.00
680 $50,462.80 680 $50,462.80
89 $1,335.00 89 $1,335.00
444 $8,436.00 444 $8,436.00
Totals: 1,893 $127,519.80 1,893 $127,519.80
Units Unit Desc
KEVIN MADDEN HOMES LLC
E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
DUCT WORK SYSTEM
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
CLOTHES DRYER
RANGE
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,150.55
$4.50
$460.22
$1,615.27
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: jmm Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$11.00
$11.00
$13.00
$2.00
$44.00
$10.00
$10.00
$101.00
4/2/2010
Project Number: 10000865
Inv: 1 Application Date: 4/2/2010
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: KEVIN MADDEN HOMES LLC
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
DISH WASHERS
CLOTHES WASHER
Plumbing Permit
Page 3 of 3
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 924-6497
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$60.00
Notes. .7Z,7IR "= belle - . I BP ": '?_ .:. , .ViW, i nW< -uffil
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
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$52.00
$1,615.27
$101.00
$60.00
Invoice Amount
$52.00
$1,615.27
$101.00
$60.00
Amount Paid
$0.00
$460.22
$0.00
$0.00
Amount Owing
$52.00
$1,155.05
$101.00
$60.00
$1,828.27 $1,828.27 $460.22 $1,368.05
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: 4/2/2010
Spol�ane '
jMalley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA -99206..
(509)688-0036 4X: (509)488.0037rv�,
www.spokanevalley.org r
„q s� i
Construction Accessory Bldg
tiori/Remo4°el Deck
PERMIT NUMBER: (U Ck )
PERMIT FEE:
SITE ADDRESS: /// Oe...
y/J Pzr
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: L-.' f' / (Roc -N. / tivn it / -1 kt/7
Building Owner:
Name: /rbk�/i/i wailer -S L/C
Address: lu to A., ,2,d- 4-_,,L, 3
City: `. (10/49State: tag Zip: yam, vc
Phone:Fax:
SpS' _;it 7_4 7aa � Sz z oi5 3 -
Contact Pe
Name:
n
Phone: / i—,;Z/7-C70c
Describe the scope of work in detail:
Proposed Use:
Contractor:
Name: , 2 2ii licJ l--1 frk711e
Address: L,Z N. d.viieklc:11 "43
City: 4)4C 64/%, State: a% Zip,97
Phone: Fax: 9u -0/ 73._
�7�9-o?r7-��o
Contract Lic No: Exp Date: _/ 2 - Za/(
��vZNMtf 9-�"
City Business Lic. No:
KC -%1 M rf ' •
Cost of Project: $
As' de -7)7i.1-%
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
o?g'
# OF STORIES:
Z-
TOTAL H ITABLE SPACE:
/30.0
MAIN FLOOR TO SQ.
FTG: Gb'®
2ND FLOOR SQ. FTG:
‘ 8o
UNFIN BASEMENT SQ. FTG:
itiA
IMPERVIOUS SURFACE
AREA: 1-11
—
FINISHED BASEM NT
SQ. FTG: 4/0'
GARAGE SQ. FTG
f/9 114-
DECK/COV. P 10 SQ. FTG: l(/
# OF BEDROOMS:
CONSTRUCTION TYPE:
��a %"jj-
HEAT SOURCE: mot -04
Ag .._
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for con;
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inu
signatory is the property owner or has permission to represent the property owner in this transactioi
in full compliance with the City of Spokane Valley Development Code. Referenced codes are avail;
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:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
DATE:
❑ Mastercard ❑ VISA
Expires: VIN#:
spoken
Valley®
For City Use Only
PLUS Project Number
Project Address
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.
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 REV 9/07
jValley=
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
n Commercial [.Residential
SITE ADDRESS:
14/20 e c)44/147 Arc
Building Owner
Name: r 1 ,-, 4 e:.3 /Z(
Phone:,?) _;L/7-4766
Fax:
.__5.2e -G/!5'
Address: i22_ fes, fe4-'y/17U i b# 3
City:I4tfiG i:4/k.r,
�"
State: WS
Zip: ,..2,..24x.Z
Contractor
Name: t //L i
h�iti�s / CC
Phone:
�-J1 � -G>�
Fax: �t�5 --S'z-z- oils"
Address: d
City; r�Q
State: Zip:9.Aijdr
License No: ^` U��/h S� N 3
City usmess Lic:
Contact r
Name: Jrez,/,1 de,,i
Phone: S�-o)/7-Cf•V
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
l
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
x
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
15
FUEL BURNING WATER HEATER
1
X
$10.00
f
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
2
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
x
$19.00
37
INCINERATOR - COMMERCIAL
x
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
11703 E Sprague Ave, Suite B-3
• Permit Center
cm or
Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Plumbing Permit Application
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS:
/4J2y/'7PTC
Building Owner
I / / /
Name: j<'/t l /AO 7�,/ /fail LAS / z C
Phone: 5-D,-)1 __6.,Fax:
-565 -42?.....U/ "5--
j —Address:
Address:/ L% /?fl-Cip,O,t, ,,(a
City: 7 .c,/,,3c._vo►`iC., State:
444 Zip: %12,06.
Contractor
Name:lc�� ��� ��
Phone: �—.z��—��Fax:
,mss_ 2•2e_cd93 —
Address: / e"ki /f.1cJ,-1 1
City: d ko,„C !/N((4 State:
`�
. Zip: '7;4_0 L
License No: 6----(.47.2/46 1:5-f N3
City Business Lic:
Contact
//h r
Name: ial9 d4`e,i
Phone: —r'J! - pZt-7_t,0c,
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
Z
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
EICASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Oil1*1D(
SPOKE Gown,
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
J
Site Information
Project Information
Site Address: 14202 E OLYMPIC AVE
Parcel Number: 46353.5001
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: LOTS N LAND LLC
Address: 122 N RAYMOND RD #3
SPOKANE, WA 99206
Building Inspector:
Water Dist:
Project Number: 10000995 Inv:
Permit Use: SEWER CONNECTION
1 Issue Date:
Applicant: KEVIN MADDEN HOMES LLC
10601 E NIXON LN
SPOKANE, WA 99206
Contact: KEVIN MADDEN HOMES LLC
10601 E NIXON LN
SPOKANE, WA 99206
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
3/15/2010
Phone: (509) 217-6700
Phone: (509) 217-6700
Rear:
Permits
Sewer Connection Permit Contractor: KEVIN MADDEN HOMES LLC
License #: KEVINMH954N3
PROCESSING FEE
1 $15.00 SI SEWER CONNECTION
1 $125.00
Total Permit Fee: $140.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page 1 of 2
PERMIT
si"s
al`
jUalley°
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 /T)L)2 C D/%."j/0/G
START DATE ,17- ,1 �) ANTICIPATED COMPLETION DATE y _/U
Building Owner:
Name: (C' c7 ///161,1,6%, f i cr '
Address: / 2z. � t6', ,,.2 0,,..a j4'
City: <O) - (/e/( 6
Phone: 53,--,10-6-707-,
State:
Contractor:
Zip:
Fax: � - ,5220/s1 ---
Contact Person
Name:
Phone: SV 9 - ,2/.7 -x»
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Name:
Address: /2 Z
1/-7 r/d /YC
State: 4,4 Zip:i
City: ir e C /
Phone:, •a/7 _�
Fax: 509 -5'�2 -61V5J—
Contractor Lic Noreoi iiiit /,xp Date: �2 ((
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
application can be processed.
Signature ` ` `f% Date
Method of Payment:
0 Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 9/9/06
❑ Mastercard ❑ VISA
Expires: VIN#:
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
5 ft wide
0 ft from back of curb
I Streetside Swale
❑ Drainage Ditch
E Drywell (show location on sketch)
❑ Other (please describe below)
wi
z
I
CURB
1
DISTANCE FROM
NEAREST PROPERTY LINE
MAY BE LEFT OR RIGHT SIDE)
FT (SEE TABLE)
CONCRETE
APPROACH
1-4'--1---THROAT WIDTH ILILIFT —1-4' 1 �IF CORNER LOT,
DISTANCE FROM
CURB RETURN
rci FT (SEE TABLE)
WING (SEE TABLE) WING
STREET NAME
EDGE OF
ASPHALT
OC Yrs P -TL
STREET WITH CURB
DISTANCE FROM
NEAREST PROPERTY LINE
MAY BE LEFT OR RIGHT SIDE)
FT (SEE TABLE)
ASPHALT
APPROACH
CURB
RETURN
I ----THROAT WIDTH n FT -1
(SEE TABLE)
STREET NAME
STREET WITH ASPHALT EDGE
RADIUS
RETURN
\IF CORNER LOT,
DISTANCE FROM
RADIUS RETURN
Q 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'
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CITY
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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: 14202 E. Olympic
Project No: 10-0865
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Reviewed By: 1/rte ,t/ / Date: V/
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.
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Reviewed By: 1/rte ,t/ / Date: V/
Spokane
*Va11ey®
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS / 7?02 C D/4 irr/e
START DATE .17- .1 l:)
ANTICIPATED COMPLETION DATE
Bu ldtng. C '. v� F 4yt i� 5 �_ x•
Owner
Name. r c� h
Address: / 2 a L i'7 f`
State: Zip:
City: eiorAi +v l/e// l
Fax:.j"Z)7�. - 522 cvy, -
Phone 54,j-017-
t
4,j017 (sz�
Name:
Phone: 5-05 -eX7
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
n
ontractor
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Address: /Z z /�1 �dy /I.,zh c✓J
City: <e���„b,.e C� v/ State: Zip:i
Phone: s : a/'7 �x� Fax: 5-09
f -
Name:
Contractor Lic No j� � �j950.Fxp Date: /2
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
application can be processed.
Signature li �f► Date
Method ofPayment:
0 Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 315108
❑ Mastercard 0 VISA
Expires: VIN#:
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PLANNING D -.'T. AP ROU
BY
DATE: 27/21 ID