2012, 02-15 Permit App: GR-11003762 GradingProject Number: 11003762 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/15/2012 Page 1 of 2
Project Information:
Permit Use: ENGINEERED GRADING
Setbacks: Front
Site Information:
Left: Right: Rear:
Plat Key: CONV Name: CONVERTED CNTY DATA
Parcel Number: 45063.2128
Contact: ALDERWOOD LANDSCAPING
Address: 14212 N MARKET
C - S - Z: MEAD WA99021 Ce/fig"
Phone: (509) 467-8298 ""'` ')/176 -- / /=3
Group Name:
Project Name:
Block: Lot:
SiteAddress: 8015 E SOUTH RIVERWAY A
Location:: CSV
District: Nort
Owner: Name: MACKAY, MICHAEL J & DEBRA
Address: PO BOX 1838
Healdsburg, CA 95448
Zoning: R-2 SF Res Suburban District
Water District: 002 ORCHARD AVENUE
Area: 17,320 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Land Use Review
Hold:
Depth: 0 Right Of Way (ft): 0
Released By:
Subject to the conditions noted in SDP -07-11
Originally Released: 2/14/2012 By: lbarlow
Dev Eng Review
Permits:
Released By:
Originally Released: 2/13/2012 By: HMAllen
Operator: JD Printed By: MBB Print Date: 2/15/2012
Project Number: 11003762 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/15/2012 Page 2 of 2
Grading Permit
Contractor: ALDERWOOD LANDSCAPING, Firm: ALDERWOOD LANDSCAPING, IN
Address: 14212 N MARKET ST Phone: (509) 467-8298
MEAD WA 99021
This Application: Total Project:
Description Grp Tvpe Notes Su Ft Valuation Su Ft Valuation
GRADING NONE NONE 45 $45.00 45 $45.00
Totals: 45 $45.00 45 $45.00
Item Description
GRADING PERMIT FEE
Units Unit Desc
1 SELECT
Permit Total Fees:
Fee Amount
$20.00
Notes:
Work is only authorized subject to all conditions and timelines noted in SDP -07-11
Payment Summary:
Permit Type
Grading Permit
$20.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$20.00 $20.00
$0.00 $20.00
$20.00 $20.00 $0.00 $20.00
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: MBB Print Date: 2/15/2012
Stiiikane
LAND DISTURBANCE PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter@ sookanevaIley.orci
(Staff Use Only)
--261
PERMIT No.:
CHECKLIST?: ❑Y ❑N INIT:
STAFF USE :
❑ ENGINEERED GRADING
0 REGULAR GRADING
D GRUBBING & CLEARING
APPLICANT USE
SITE ADDRESS: BC, l5 E R;401 W0„.3 �#JQ_ 1,r�,�.Vaj (► A � i'�
LJ
1
ASSESSORS PARCEL NO.:
APPLICANT NAME: llictot weak, VOAN,16r:n i\N •
PHONE: 5 f •eito • $ 2.97i EMAIL: 1,1,ve_ O \Abc,ARODMM' f -t •V.yri
WNTACT NAME (❑ SAME AS APPLICANT): n Na.„ C`v,„41.„
PHONE: 569 4/61%21 EMAIL:
PROPERTY OWNER NAME:
e1i.YLI iii tdillk9
jaLLL: 50941"75- Je2
0 CHECK IF APPLICANT
MAILING ADDRESS:
CITY :G 1 c ko &n \1r4
PHONE: 509 79:7 0650
EMAIL:
CONTRACTOR NAME: (❑ TBD):
Q .
STATE: \AiP'
aorrk-v-victec:)esureos.Ni--
CELL:
ZIP: 992 r -
CHECK IF APPLICANT
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
EMAIL:
CELL:
STATE LIC. NO.:
EXPIRES:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
UBI:
ESTIMATED QUANTITIES (CUBIC YD): CUT:
reerbFeam.-40.4.1.\
inir►kati;rcreAiQ o-.nenUt€L( )ooK
FILL:
yS
IF CUT, PROVIDE DESTINATION OF SOIL:
START DATE: NtCk ESTIMATED COMPLETION DATE: r{oiCiR 2.012—
/20
7 2_
/20
Updated March 2011
\\SV-FS2\Public Folders\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Land Disturbance Permit & Checklist 3-
29-11.doc
•
LAND DISTURBANCE (LD) PERMIT CHECKLIST
Permit Center ♦ 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0197 ♦ Fax: 509.688.0037 ♦ permitcenter®spokanevalley.org
Project Address: &IAN cZio,2c‘.)tika Today's Date: 11 —'''II
Project Description:
Signature: Lr, Print Name: eo
The purpose of this checklist is to gather information about the proposed project so to determine what land
disturbance permit, if any, is required by the Spokane Valley Municipal Code. (SVMC).
Starting with Part 1 and working from top to ,bottom, please answer the following questions.
The first "Yes" identifies the type of land disturbance (LD) permit required.
PART 1 — Is LD work exempted or already covered? (SVMC 24.50.020) If so then LD permit not needed.
❑ Yes IJ No Does your project only have,to do with emergency utility work; cemetery graves; eliminating
septic tanks; digging out a basement; building a wall less than 4 feet high; disposal of refuse
that is covered under other regulations; already permitted mining, quarrying, stockpiling of
aggregate material (rock, sand, gravel, aggregate, or clay) or exploratory excavations done
under the direction of a licensed engineer or engineering geologists? If yes, then project
exempted from a LD permit.
PART 2 — Engineered Grading Permit needed? (SVMC 24.50.030)
❑ Yes N, No Will this grading be for a short plat, subdivision or binding site plan?
❑ Yes [f No Will any grading occur in a FEMA floodplain, wetland, wetland buffer, Fish and Wildlife
habitat conservation area or geologically hazardous area?
❑ Yes jf No Will the volume of excavation or fill for the project be over 500 cubic yards?
❑ Yes E No Will the grading create a base or support for a permanent structure?
❑ Yes 0 No Will the grading be for a driveway that is longer than 75 feet?
❑ Yes ® No Will any grading occur in a drainage channel or be for a water feature (like a pond) with a
surface area greater than 500 square feet?
(I Yes ❑ No Will any excavations or fills have slopes at 2:1 (H:V) or steeper and heights greater than 2%
feet?
El Yes ❑ No Will any excavations or fills have slopes at 10:1 (H:V) or steeper and heights greater than 4
feet?
PART 3 — Regular Grading Permit needed? (SVMC 24.50.040)
❑ Yes IN No Mill the volume of excavation or fill be over 50 cubic yards on any one lot?
Yes ❑ No Will any excavations have slopes at 2:1 (H:V) or steeper or heights greater than 3 feet?
Yes ❑ No Will any fills have slopes at 2:1 (H:V) or steeper or heights greater than 2 feet?
PART 4 —Grubbing and Clearing (G&C) Permit needed? (SVMC 24.50.050)
❑ Yes No Will the G&C work disturb 5,000 or more square feet of area or remove 7 or more trees?
(Note that forest practices overseen by DNR or commercial agriculture are exempt)
($9 Yes ❑ No Will there be any clearing on slopes or near/in FEMA floodplains, wetlands, wetland buffers,
Fish and Wildlife habitat conservation areas, geologically hazardous areas or erodible soils?
If the answers to all of the questions above are "No" then a permit is not required for the proposed work.
Updated March 2011
\\SV-FS2\Public Folders\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Land Disturbance Permit & Checklist 3-
29-11.doc
Mick Bondurant
From: Mick Bondurant
Sent: Tuesday, February 14, 2012 4:03 PM
To: Permit Center
Subject: FW: 8015 E. South Riverway Drive (PLUS #11003762)
Thank You,
Mick Bondurant
Permit Center Specialist
509-720-5314
mbondurant@spokanevallev.org
From: Lori Barlow
Sent: Tuesday, February 14, 2012 3:56 PM
To: Henry Allen
Cc: Deanna Griffith; Mick Bondurant
Subject: RE: 8015 E. South Riverway Drive (PLUS #11003762)
FYI — everyone, I signed off on the grading permit also. The Shoreline Permit has been issued and will be final on or near
March 1, 2012. The grading permit and floodplain permit are the only two permits not issued.
Lan Barlow, 4fCP
City of Spokane Valley
(509)720-5335
From: Henry Allen
Sent: Monday, February 13, 2012 2:11 PM
To: Lori Barlow
Subject: RE: 8015 E. South Riverway Drive (PLUS #11003762)
Hi,
Signed off on grading permit.
Thank you,
Henry Allen
City of Spokane Valley
From: Lori Barlow
Sent: Monday, February 13, 2012 11:13 AM
To: Henry Allen
Subject: 8015 E. South Riverway Drive
Hi Henry,
I signed off on the shoreline permit for the project. Is the grading permit ready to go? Dann Vanderhook of Alderwood
Landscaping is asking.
1