2011, 06-10 Permit App: 11001691 ApproachSpokane
.0•OValley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.orci
(Staff Uset(-wed Only)
n � I
PERMIT NUMBER: lk
PERMIT FEE:
APPROACH PERMIT APPLICATION
PROJECT ADDRESS: ///
_�START DATE: &,/it ANTICIPATED COMPLETION DATE: 6 M /i
BUILDING OWNER NAME: /A )a,/ 6f C l "l
MAILING ADDRESS:
CITY: � \ V&II� y STATE: Vt
CONTACT PERSON NAME: 0\/111—(1—
LLl 1— 6/DC a'/‘•
PHONE: 5(.1 — /02 j .33 6 3 FAX:
CONTRACTOR NAME:
MAILING ADDR�ES�jS:
CITY: (r7Ck z1-02
zip: 67C7
CELL:
STATE:
PHONE:
CONTRACTOR LICENSE No.: DCLo
i'V / I
FAX:
L/PLI(2/Li
ZIP:
75,E (y ,, S •
CELL: 60-41(9f ^V!L-' 1
Lr( EXPIRES: [ G/, bA720/ cITY BUSINESS LICENSE NO.: 6,":,6,_.(0//'(t.,Z
PROD C DESCRIPTION (Please Provide Site Sketch)
Residential Driveway ,J/6(j_ / Commercial/Industrial Driveway
Existing Curb & Gutter ;/ Q.. Rural Road Section
El Culvert Installation El Sidewalk Repair/Construction
Q 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 a subsequen approved before this application can be processed.
Signature / k�,u.,✓w�
Date:
Updated 1-11-11 Page 1 of 1
http://www. spokaneva Iley.org/filestorage/ 124/938/210/948/ 1496/Approach_Permit_1-11-11.doc
APPROACH PERMIT APPLICATION
REQUIRED SKETCH INFORMATION (Revised 1/25/10)
Provide required measurements (in sketch boxes), and include street name.
Check all existing conditions that apply:
❑ Sidewalk
ft wide
ft from back of curb
❑ Streetside Swale
❑ Drainage Ditch
❑ Drywell (show location on sketch)
❑ Other (please describe below)
DISTANCE FROM
NEAREST PROPERTY LINE
MAY BE LEFT OR RIGHT SIDE)
FT (SEE TABLE)
CURB'
W
Z
CONCRETE
APPROACH
W1-1
ING O{ EE T BLE FT —4-4' G ' -CORNER LOT,
DISTANCE FROM
CU B RETURN
FT (SEETABLE)
-CURB
RETURN
STREET NAME
oi
al
4) Uk fictO rrti
STREET WITH CURB
DISTANCE FROM
NEAREST PROPERTY LINE
MAY BE LEFT OR RIGHT SIDE)
F—IFT (SEE TABLE)
ASPHALT
APPROACH
15' RADIUS
RADIUS
RETURN
EDGE OF 1
ASPHALT
I ---THROAT WIDTH nFT —1
(SEE TABLE)
STREET NAM E
STREET WITH ASPHALT EDGE
NIF CORNER LOT,
DISTANCE FROM
RADIUS RETURN
FT (SEE TABLE)
Approach Requirements:
• Maximum 2 approaches per property frontage; one on arterials.
• Total width of approaches not to exceed 50% of frontage width.
Residential Approaches
Commercial Approaches
Distance from Curb/Radius Return
15' minimum
75' minimum
Separation between Approaches (measured
from centerline to centerline of each
approach)
None specified
See Page 7-27
in City Street Standards
Throat Width (flat portion)
16' min., 30' max.
30' min., 40' max.
Wing Width (at curb line)
4 feet typical
4 feet typical
Minimum Distance from Side Property Line
(@ r/w)
5.0'
5.0'
Minimum Distance from Crosswalk
5'
5'
Contractors or Tradespeople Detail
kWashington State Department of
' Labor & Industries
Contractors or Tradespeople Detail
Return to List > Start a New Search > & Printer friendly
Verify Workers' Comp Premium Status Check for Dept. of Revenue Account
Page 1 of 2
About General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of its
specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and
carry general liability insurance.
Business and Licensing Information
Name DC CONCRETE INC
Phone No. (509) 499-0787
Address 13306 East Francis Ave
Suite/Apt.
City Spokane
State WA
Zip 99217
County Spokane
Business Type Corporation
Parent Company
UBI No. 602611682
Status Active
License No. DCCONCI949LH
License Type Construction Contractor
Effective Date 6/8/2006
Expiration Date 10/20/2012
Suspend Date
Specialty 1 General
Specialty 2 1 Unused
- Business Owner Information Hide All
Name
Role Effective Date Expiration Date
CHRISTENSEN, DANIEL CHARLES
^ Bond Information
President 06/08/2006
Bond
Bond Company Bond Effective Expiration Impaired Bond Received
Account Cancel Date
Name Date Date Date Amount Date
Number
3 CBIC
2 CBIC
FD0254 09/22/2009
FC4733 04/11/2007
Until
Cancelled
Until
Cancelled
$12,000.00 09/22/2009
05/24/2009 $12,000.00 07/19/2007
https://fortress.wa.gov/lni/bbip/Result.aspx 6/10/2011
Contractors or Tradespeople Detail
MERCHANTS Until
1 BONDING CO WA1 5840 05/24/2006 Cancelled 06/1 5/2007
(MUTUAL)
Assignment of Savings Information'
No records found for the previous 6 year period
Insurance Information
Page 2 of 2
$12,000.00 06/07/2006
Insurance Company Name
Policy Effective Expiration Cancel Impaired
Number Date Date Date Date
Amount
Received
Date
Country Mutual
3 AM9021979 06/05/2009 06/05/2012
Ins Co
COUNTRY CAS
2 CM45049310 06/05/2007 06/05/2009
INS CO
COUNTRY
CASUALTY INS CB0009673 06/05/2006 06/05/2007
CO
Summons; Complaint Information if
No unsatisfied complaints on file within prior 6 year period
` Warrant Information
No unsatisfied warrants on file within prior 6 year period
$1,000,000.00 05/09/2011
$1,000,000.00 05/09/2008
$1,000,000.00 06/08/2006
CO Washington State Dept. of Labor and Industr€es. Use of this site is subject to the laws of the state of
Washington.
https://fortress.wa.gov/lni/bbip/Result.aspx 6/10/2011