2008, 10-17 Permit App: 08004136 ROW Project Number: 08004136 Inv: 1 Application Date: 10/17/2008 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: WIDEN RESIDENTIAL APPROACH Contact: J M SCHAEFER,CO
Address: PO BOX 13071
C-S-Z: SPOKANE WA 99213
Setbacks:Front Left: Right: Rear: Phone: (509)534-6566
Group Name:
Site Information: Project Name: # 0��
Plat Key: 002757 Name: VERA District: East
Parcel Number: 45143.1315 Block: Lot:
SiteAddress: 14021 E SPRINGFIELD AVE Owner:Name: WOLD,LOREN D JR
Address: 1908 S CENTURY LN
Location::CSV SPOKANE VALLEY,WA 99037
Zoning: R-3 SF Res District
Water District: 010 VERA Hold: ❑
Area: 10,500 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: , ,,
Review
Driveway/Approach Released By:
Permits: .:, .. .- 4W?.
Approach
Contractor: J.M.SCHAEFER CO. Firm: J.M.SCHAEFER CO.
Address: P 0 BOX 13071 Phone: (509)534-6566
SPOKANE,WA 99213
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 10/17/2008
Project Number: 08004136 Inv: 1 Application Date: 10/17/2008 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary: maartmapnatimmon,
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: JD Printed By: JD Print Date: 10/17/2008
RECEIVED 10/16/2008 15:46 5096880037 SV PERMIT CENTERFR
Oct 16 08 03:39p Debbie 509-535-8334 p.1
Scorikant$1111#e\IRAti (Staff UseOnly)
PgRMIr NUMBER: ('��wl)c)"[
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4 •0 Valley" PERMIT FEE: C� ----- __
CITY OF SPOKANE VALLEY
-
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509)2037
perm itcenter pokanevallev.ora
APPROACH PERMIT APPLICATION
PROJECT ADDRESS /. J r / A /7A/yte '/ I J
START DATE://42/2z2/0 . ANTICIPATED C PLETI 'D r'•TE: /,.. ./g371 ?----
, ?g/ ?----
BUILDING OWNER NAME: 171,47--
MAILING ADDRESS: / 274, ` G r i - 0, - /
CITY:` /�/ .r./ Or/'/ •TE. 4 /._ / /ZIP:
oir
CONTACT PERSON NAME: / i p...--,----
PHONE: _922 9.5-..el.- f 5-6 FAX: -../.10. ...1.1.,_./2-- / CELL: 70/- 05".27/ _-,
CONTRACTOR NAME: T f 1, SG?,p e ' Y C d,
MAILINGnnADDRESS: A 7 /�/30 7l `/��/��'J /J
CI ri,..` Q�� io,SC_`�(.�/f/alf.E'X17 TATE: '�-- ZIP: / / �f/ 3-7a /
PHON
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5O /-- 7 ` C;' 5- FAx: .j+�'�h.._� CELL: / 0/—a Fe,/,‘„,
CONTRACTOR LICENSE No.:) IV) j C 1K -I VJLlxpIREs: vj y/a 9 CITY BUSINESS LICENSE NO.:
PROJECT DESCRIPTION (Please Provide Site Sketch)
Residential Driveway ❑ Commercial/Industrial Driveway
❑ Existing Curb&Gutter ❑ Rural Road Section
❑ Culvert Installation ❑ Sidewalk Repair/Construction
El 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. /� �J
Signature r er� Date: J/ f;/�TS
Method of p ment: Cash Check OI.' Visa El Masterca d
Bankcard #: VIN#
Authorized Signature; . -7;:e... .."‘-1.. 12f--147e---___Z 2i
Effective October 28,2007 Page 1 of 1
http://www.spokanevalley.org/uploadsfCommunity_Development/Documents/Farms/Building/Approach Permit.1.doc
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CITY`Fk;ane Development Engineering
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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: 14021 E. Springfield Ave.
Project No: 8-4136
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: /i/,,y,--„,/ Date: / 2/Z/n8
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