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2009, 05-28 Permit App: 09001482 Approach
Project Number: 09001482 Inv: 1 Application Date: 5/28/2009 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENTIAL APPROACH Contact: DON TROTTER Address: 10006 E 20TH AVE C-S-Z: SPOKANE,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)924-0017 Group Name: Project Name: Site Information: rod a Plat Key: 001741 Name: MYRON EST#5 District: Sout Parcel Number: 44042.1202 Block: Lot: SiteAddress: 4618 S SKIPWORTH ST Owner:Name: CLARK,ANDREW Address: 4618 S SKIPWORTH ST Location::CSV SPOKANE VALLEY,WA 99206 Zoning: R-2 SF Res Suburban District Water District: 101 SPO CO WATER DIST#3B Hold: U Area: .00 Acres Width: 90 Depth: 150 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Driveway/Approach Released By: Originally Released: 5/28/2009 By: WMCGAV Permits: ter �d,� .. -.,..,.. Approach Contractor: DON G TROTTER Firm: DON G TROTTER Address: 10006 E 20TH Phone: (509)924-0017 SPOKANE WA 99206 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: 5/28/2009 Project Number: 09001482 Inv: 1 Application Date: 5/28/2009 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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. Payment Summary: `;`, .. F_ . ..: 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 $50.00 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 5/28/2009 Permit Center �� PERMIT NUMBER: SCLTY7��Q 11703E Sprague Ave,Suite B-3.- .. - -"i , \--1(62„/ O th .liV Spokane Valley,WA 99206 OI NE VALLE4RMIT FEE: 9 i ® (509)688-0036 FAX:(509)�$��Of)37 V�11ey. www.spokanevallev.org MAY '7 2009 Community Development - l c;tNlkl�T_: Ap .ro . ' - mit A pp . • ion Y: 11.11.1 I . PROJECT ADDRESS S_ S K P i.�©�"T START DATE k$ ANTICIPATED COMPLETION DATE Name:,A/Jo y C/A R/< Name:OO 7o77?' co AJ.7-- Address: Address: 1/6/8 5_ 55�rj� L�DA `7-'y Address: /0 66 d0 E z T.± City:SPDkhcie VAl/je Y State: 40,4 Zip: City Sp 041. a (!A//C f State: WA Zip:990,6 Phone: 893- Z 8/0 Fax: Phone: 9'74/6- Q 9 Fax: 89-/ ///8 D 9 Contractor Lic No: Exp Date: Name: A 4.46 City Business Lic.No: Phone: PROJECT DESCRIPTION (Provide site sketch) IResidential Driveway Commercial/Industrial Driveway Existing Curb&Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction Other Conditions 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. 3C) Signature Date Method of Paymen ❑ Cash Check ❑ Mastercard 0 VISA Bankcard#: Expires: VIN#: Authorized Signature: REVISED 316166 Sjjo1 " huuuu1Urban Driveway Approach .000* Valley Requirements ► Minimum of 7.5' from property line ► Minimum of 5' from crosswalks or intersection curb arc ► Minimum of 16' wide flat portion of approach ► Maximum of 30' wide flat portion of approach ► Combined approach width not to exceed 50% of total frontage ► Minimum of 15' of separation between any two approaches ** All driveway approaches to be constructed per the Spokane County Standards as adopted by the City of Spokane Valley ** • Development Engineering Sifokane galley 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: 4618 S. Skipworth Project No: 9-1482 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. Reviewed By: ,44te ' it Date: /z .VP nit Center PERMIT NUMBER: Spokane 1 I 3 E Sprague Ave,Suite B-3 S okanValley,WA PERMIT FEE: � 17�68e8-0036 FAX:(509)99206688-0037 www.spokanevalley.org Community Development ROW Construction Driveway Pavement Cut **(see below) Permit Application ❑ Sidewalk ❑ Curb & Gutter ❑ Other Road Obstruction ❑ No ❑ Yes (traffic control plan required) PROJECT ADDRESS 16th&Limerick START DATE May 28,2009 ANTICIPATED COMPLETION DATE Building Owner: Contractor: Name: Name:AVISTA UTILITIES Address: Address:2406 N DOLLAR RD City: State: Zip: City: SPOKANE VALLEY State:WA Zip:99212 Phone: Fax: Phone:495-2244 Fax: 777-8954 Contact Person Contractor Lic No: Exp Date: Name: City Business Lic.No: Phone: Tier Policy **MUST BE COMPLETE IF PAVEMENT CUT** Type of Work Condition of Cut Gas X Sawcut Electric Grind(pre-approved only) Water Traffic Control Plan# CATV Communications install valve on gas main at stake northside of 16th approx 20 ft west of Limerick. 0 Asphalt Sewer Other Type of Repair Existing Road Condition Asphalt Depth of Asphalt Concrete Depth of Gravel Asphalt Concrete Locate Ticket# Width Length Width Length X X X X X X BOND/INSURANCE CERT # (PER SVMC TITLE 10 ARTICLE 2) Signature Mowwe F=orsi. Date 05-28-2009 Method of Payment: ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard#: Expires: VIN#: Authorized Signature: Work completed satisfactorily Date (INSPECTOR) PLEASE FAX TO CITY OF SPOKANE VALLEY UPON COMPLETION (509)688-0037 Effective October 28,2007 Page 1 of 1 C:\Documents and Settings\jmain\Local Settings\Temporary Internet Files\OLK I E\Valley Right of Way Permit App(3).doc (-4 (L \ s S (i) t)-cz: /\, Z ./ ti ((t4 f�'