2010, 01-21 Permit App: 09003823 GradingProject Number: 09003823 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/21/2010 Page 1 of 2
Project Information:
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Permit Use: GRADING - REMOVE STOCK PILE & ROUGH
GRADE AND COMPACT
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: B & B LANDSCAPING
Address: 4328 N GARRY RD
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 927-0438
Group Name:
Project Name:
District: Nort
Parcel Number: 45103.0244 Block:
SiteAddress: 12903 E SHANNON AVE
Location:: CSV
Lot:
Owner: Name: HAMILTON, THOMAS D
Address: PO BOX 14868
SPOKANE, WA 99214-0868
Zoning: MUC Mixed Use Center District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 566,999 Sq Ft
Nbr of Bldgs: 0
Width: 0
Nbr of Dwellings: 0
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Land Use Review
SEPA issued on 1-1-10
Originally Released: 1/4/2010 By: kkendall
Dev Eng Review
Permits:
Originally Released: 1/21/2010 By: HMA11en
Operator: jmm Printed By: jmm Print Date: 1/21/2010
Project Number: 09003823 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/21/2010 Page 2 of 2
Grading Permit
Contractor: B & B LANDSCAPING Firm: B & B LANDSCAPING
Address: 4328 N GARRY RD Phone: (509) 927-0438
OTIS ORCHARDS, WA 99027
This Application: Total Project:
Description Gra "vs Notes Sq Ft Valuation Sq Ft Valuation
GRADING NONE NONE GRADING 10,000 $10,000.00 10,000 $10,000.00
Item Description
GRADING PLANS CHECK
GRADING PERMIT FEE
ENVIRONMENTAL REVIEW
Notes:
Payment Summary:
Permit Type
Grading Permit
Totals: 10,000 $10,000.00 10,000 $10,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$25.00
$137.00
$350.00
$512.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$512.00 $512.00 $350.00 $162.00
$512.00 $512.00 $350.00 $162.00
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: 1/21/2010
Spokane
_.Valley.
Permit Ce'
11703 E ue Ave, Suite B-3
Spokane Va ley, WA 99206 1 0-
(509)688-0036 FAX: (509)6813-0037
permitcenter@spokanevalley.org
Community Development
Grading
Permit Application
VP
Rou_ ] . .; ring ❑-Full Gra ing
❑ Underground Site -Improvements
L/S ,"5- C 2- 3 3
SITE ADDRESS
ASSESSORS PARCEL NO: 4 5 / 0
LEGAL DESCRIPTION:
Property Owner hi A 1/41.1.e y 4 ip rs
Name: C/i AD Rl 14 q.
Manager: CON 7ALL PeR S oQ
LL
Excavation Contractor
Name: e t V LAMAsc,9
Address: (p.I W M Ala cm A vt ,� u i #l'#F
Address: i/ *3.2 RR'( it o
City: t'' 7 C /Or diet 4 s
State: (4) A Zip: 11007
City: C/ 7 d Siaoll olor >r State: Li A Zip:
Fax:
Phone:
Phone: 3 9 931- o 4 33et
Fax:
Lic No. /3 3 kAht M t ao O Exp Date: a a. , G -.- 7o l (
Contact Person Clj z %, gets , 13I L I40so&
Name:
City Business Lic No: o N j 1, t -
Engineer C n A 0
Phone: go 9' (e 2 T 1
Identify and describe the work and indicate the use:
RCirovE STe ck PiL.4:1
now.
GIRI Vit Pet.o Pi'>ta z & 11
IANC
?ooTh ORPOi Afro Ce
pA,.7.
Estimated Excavation/Cut (Cu Yd):
Estimated Embankment/Fill (Cu Yd): /O 000
Destination of Excavated Materials:
i94s /TR 43o/aieTt cos
Company Name: 4-4 BONA ETT EN/ //nem of
Address: 8 o 3 E 3 N � AVE
City: CI Ty or S pa Kw N i State: to A Zip: q ?AO.
Phone:s'Oq S34-3904
Fax:
Lic No:
Soil Testing Firm: A,, 1.,140 s
Company Name:
Address:
City: Ci Ty ecf'pdkw•E v44FYState: to /4 Zip:
Phone: Fax:
Start Date: Estimated Completion Date:
The permitee verifies, acknowledges and agrees by their signature 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:4)426 sO £ '�` - Date: ,.i—/— ace 17
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash [X]Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
Effective 10-28-07
P:\Community Development\Building Division\Jodi-comm'l\PCF1Grading Permit App.doc
Page 1 of 1
TO
J.R. BONNETT EEERING
803 East 3r nue
SPOKANE, WA 99202
TEL: (509) 534-3929
FAX: (509) 534-4014
WE ARE SENDING YOU ,l Attached
❑ Shop drawings
❑ Copy of letter
❑ Under separate cover via
_Prints
❑ Change order
❑ Plans
DATE
JOB NO.
ATTENTION
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the following items:
❑ Samples ❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
, A1or your use LIApproved as noted ElSubmit copies for distribution
0 A requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDSiiDUE El PRINTS RETURNED AFTER LOAN TO US
REMARKS 'Rd/
4-jcp of 1)2
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COPY TO
SIGNED:
If enclosures are not as noted, kindly notify us at once.
r(
*Mime
...,Valley
Development Engineering
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 • Fax: 509.921.1008 • cityhall@spokanevalley.org
Letter of Transmittal
Date: January 21, 2010
To: CSV — Permit Center
From: Henry Allen
CSV - Development Engineering
RE: Project: Shannon Ave E 12903 - 09003823 - Shannon St. Stock Piles
We are sending to you —
® Attached n Under separate cover via:
the following:
ITEM #
COPIES
DESCRIPTION
1
1
Set of approved Civil plans for the subject project.
2
3
4
These are sent for the purpose(s) checked below:
❑ For approval
® For your use
❑ As requested
❑ For review and comment
n Other
Comments:
Civil Plans to be issued with Grading Permit.
n Approved as submitted
n Approved as noted
❑ Returned for corrections
❑ Confidential
cc: Spokane Valley Development Engineering — Project File
Shannon Ave E 12903 - 09003823 - Shannon St. Stock Piles -Plans to P Ctr.docx