2010, 03-24 Permit App: 10000804 Approach Project Number: 10000804 Inv: 1 Application Date: 3/24/2010 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for conunencing work without a permit
Project Information:
Permit Use: RES APPROACH PERMIT FOR NEW SFR 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:
Site Information• Project Name:
ri'°��=ze'.„,,rr&,;+Ni';� i{asa:s'.xw.o'".iW.'Lw7 FWi".LaBMT,y.+�”e..# +"ve:,y+.°,d",d,�'fi'�'t".�:A,a'.:rMR7.k:� ";:,� 'k.�;i`t�". +� fi''#4';ti`;€y??,k7rk,,";,Sisk,.s..R':"^.n:�kkh.:{i&�4;zi•,xvs -'� .�}';u',�,'9t"mnria,..ixoCs.;c+w'E.:»1ro?5,�cu�e
Plat Key: Name: Range District: Nort
Parcel Number: 45184.0348 Block: Lot:
SiteAddress: 615 N SARGENT RD Owner:Name: COURCHAINE,JAYN
Address: 17203 E CATALDO AVE
Location::CSV SPOKANE VALLEY,WA 99016
Zoning: R-3 SF Res District
Water District: 005 HUTCHINSON Hold: ❑
Area: 24,312 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: Biu a e :. . . �
Review
Driveway/Approach Released
Approach
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
APPROACH-CONST IN ROW 1 NUMBER OF $52.00
Permit Total Fees: $52.00
Operator: JD Printed By: JD Print Date: 3/24/2010
Project Number: 10000804 Inv: 1 Application Date: 3/24/2010 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: � .�.. ,... ..��.. _ m�a ,�� � ,•a.. F ��� � . mss . w .,�- ;,� . ..
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $52.00 $52.00 $0.00 $52.00
$52.00 $52.00 $0.00 $52.00
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: JD Printed By: JD Print Date: 3/24/2010
Community Development Department
Permit Center (Staff Use Only)
*waneB-3
East Sprague Avenue,Suite B 3 PERMIT NUMBER: 1C
Spokane Valley,WA 99206 ���
Tel: (509)688-0036 PERMIT FEE:
Fax: (509)688-0037
permitcenter@sooka neva I levorq
APPROACH PERMIT APPLICATION
PROJECT ADDRESS: 67 I S 11l e_44- F
START DATE: el/// /0 ANTICIPATED COMPLETION DATE: cI////O
BUILDING OWNER NAME: T;LCoL rC ICI,� .
MAILING ADDRESS: f -7gO K CC-t---_ (dO
CITY: 5 pc.)Ica/LC Ply l STATE: C'l ZIP: 9 1 0 1 �p
CONTACT PERSON NAME: (A..) , // 0-01 46re...L
PHONE: I-/ 7 7 9 FAX: CELL:
CONTRACTOR NAME: , a1•-4_&a/n-7 (v✓LS�,„
MAILING ADDRESS: /'9, ft/ £ Kee_Ka dres /eat
Cm: J /� ,t /
r7Q Lily STATE: W& ZIP: q�d /&
PHONE: 6c 6/1.9 2792- A/FFAJAX:IRV,72‘)// CELL:
CONTRACTOR LICENSE No.: 7 4/- C 3?/t4 PES: CITY BUSINESS LICENSE NO.: 442d.a PI/51/
PROJECT DESCRIPTION (Please Provide Site Sketch)
Residential Driveway 0 Commercial/Industrial Driveway
O Existing Curb &Gutter ❑ Rural Road Section
O Culvert Installation 0 Sidewalk Repair/Construction
❑ 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 required to be submitted and subsequently approved before this application can be processed.
Signature 1/ d C ai,t Date: 3Q7
Method of payment: 0 Cash 0
Check 0 Visa 0 Masterc`ard
Bankcard #: EXP: VIN#
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Approach Permit.1.doc
CITY or' ��e1001111#e\11.111146, Development Engineering
004.%iilley
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: 615 N. Sargent Road
Project No: 10-0804
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 of Spokane Valley Street
Standards, Standard Plan R-114, "Driveway Approach Asphalt".
Reviewed By: ��/ oma' � Date: 3/2-57�
CITY OF
PERMIT CENTER
Spoka`nee' Project Transmittal
Valle ' 11703 E Sprague Ave. Suite B-3,Spokane Valley,WA 99206
Phone: 509.688.0036 Fax: 509.688.0037
Deferred Documents ❑ Provide one of the following (REQUIRED FOR ACCEPTANCE):
Response to Review Comments o PLUS Project#: / 0-. 6 "/S-----('-/
Revisions to Application ❑ Parcel Number:_ _ „___
Other (Describe Below): o SitEkAddress *Y, 6/5 /I SQA rye,lk.+
_ ..ice _
E
i
Route to(Please check all that apply):.-
Division #of Sheet __ype_of_Documehti,#of Copies .Received by,
Building - VFRI MALS
i / S i 1--e_ ?)CcAk. Inry t• /
/ / a:
/ /
e6. ic:t 7:--472#'!'r :s�
I Si�� CL(/L Q 1J15 / o ER ALS
( Develo. ent Engineering /
QC Check by
i VE /i INITIALS
Planning l / I-.>r.e ?)c�,v- C-Q_L).52� / ? , r."
V / / 0
I I Ci
QC Check by
VERIFIED/INITIALS'
❑ SV Fire Department / / o
/ /
QC Check by . : , ' ,
Project Contact Information: tt
Name: t/1ry a6 VC4 L2'A'1't- Phone: SD9 -q 7- -79'D--
Email: Fax: --Z3''''2-
7/- ?/HJT
Relationship to Project:
❑ Architect 0 Engineer 0 Other Design Professional Contractor 0 Owner/Applicant
NOTE:
Bring all documents to the City of Spokane Valley Permit Center at 11703 E Sprague Ave-Suite B-3.
We are sorry for any inconvenience, but documents brought elsewhere cannot be accepted.
Effective June 10,2009
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