2009, 04-07 Permit App: 09000117 GradingProject Number: 09000117 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:qa ; .,.. .wo , A, A:.,y.. .
Permit Use: GRADING-WTR,SWR,UTILITIES EXCAVATION- Contact: FORD, STEPHEN H
RDWY IMPR-PV,CB,DR,SW,SDWK Address: 320 S SULLIVAN
C - S - Z: SPOKANE VALLEY, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 924-2400
Group Name:
Date: 4/7/2009 Page 1 of 2
Site Information:
Plat Key: Name: Range
Project Name: GRADING SHORT PLAT SHP 24-08
District: East
Parcel Number: 55192.9029 Block:
SiteAddress: 120 S TSCHIRLEY RD
Lot:
Owner: Name: FORD, STEPHEN H
Address: 320 S SULLIVAN
SPOKANE VALLEY, WA 99037
Location:: CSV
Zoning: MF -1 MF MDR District
Water District: 134 CONSOLIDATED ID #19
Area: 1.14 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,.__ s.,, ,..a :. ...4; -
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Land Use Review
Released By:
Originally Released:
DE Plan/Site Drainage Review
1/28/2009 By: kkendall
Released By:
DE Stormwater Review
Originally Released: 4/6/2009 By: RBrodwater
Released By:
Originally Released: 4/6/2009 By: RBrodwater
DE Approach Review
Released By:
Originally Released: 4/6/2009 By: RBrodwater
Operator: jmm Printed By: JD
Print Date: 4/7/2009
Project Number: 09000117 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/7/2009 Page 2 of 2
DE Concurrency - Traffic
Permits:
Released By:
Originally Released: 4/6/2009 By: RBrodwater
Contractor: OWNER
Grading Permit
Finn: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
GRADING NONE NONE GRADING 200 $200.00 200 $200.00
Totals: 200 $200.00 200 $200.00
Item Description Units Unit Desc Fee Amount
GRADING PLANS CHECK 1 SELECT $20.00
GRADING PERMIT FEE 1 SELECT $27.00
Notes - ,.. _..
Payment Summary: .r..,. - -�
Permit Type
Grading Permit
Permit Total Fees:
Fee Amount Invoice Amount
$47.00 $47.00
$47.00
Amount Paid Amount Owing
$0.00 $47.00
$47.00 $47.00 $0.00 $47.00
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: JD
Print Date: 4/7/2009
SpoCITY OF �4
kane
�'�Va11ey��
Permit Center.
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Grading
Permit Application
Improvements/Landscaping
SITE ADDRESS 120 S Tschirley
ASSESSORS PARCEL NO: 55192.9029
PERMIT NUMBER:
PERMIT FEE:
Rough,''Clearing ❑ Full Grading
® Underground El Site
LEGAL DESCRIPTION:
Property Owner
Excavation Contractor
Name: Stephen Ford
Name: Not Known Yet
Manager:
Address:
Address: 320 South Sullivan
City:
State:
Zip:
City: Spokane Valley State: WA Zip:990037
Phone:
Fax:
Phone: 509-924-2400 Fax: 32:1- (3 0
►
Lic No.
Exp Date:
Contact Person
City Business Lic No:
Name: Michael Kennedy
Engineer Mamdouh E1-Aarag, P.E.
Phone: 509-995-2537
Company Name: MHE Er ;l&e.exi'j
Identify and describe the work and indicate the use:
Address: 9702 W. Masters Lane
City: Cheney
State: WA
Zip: 99009
Phone: 509-230-1960
Fax:
Water, Sewer and utilitiy excavation.
Lic No:
Roadway improvements (paving, curb, drainage swales and
sidewalk) for a new (8) lot Short Plat SHP-24-08.
Soil Testing Firm:
Company Name:
Address:
City:
State:
Zip:
Phnne•
Fax:
Estimated Excavation/Cut (Cu Yd): 200
Destination of Excavated Materials: On site.
Start Date: March, 2009 Estimated Completion Date: June, 2009.
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.
Estimated Embankment/Fill (Cu Yd): 200
Signature:
0,4A (N9
Date: l
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires:
Authorized Signature:
Effective 10-28-07
VIN#:
F:\MHEI1-06 (E)\FordShortPlat24-08\Grading Permit App 1-20-09.doc
Page 1 of 1
Spokanev11es'
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: April 6, 2009
To: CSV — Permit Center
From: Ryan Brodwater
CSV - Development Engineering
RE: Project — Ford Short Plat, SHP-24-08
Permit Number — _09000117
We are sending to you —
El Under separate cover via: the following:
® Attached
ITEM #
COPIES
1
1
2
1
3
4
DESCRIPTION
Set of approved Civil plans for the subject project.
Set of approved Lot plans for the subject project.
These are sent for the purpose(s) checked below:
❑ For approval n Approved as submitted
® For your use ❑ Approved as noted
❑ As requested n Returned for corrections
❑ For review and comment ❑ Confidential
n Other
Comments:
Civil Plans to be issued with Grading Permit.
Lot plans to be kept at Permit Center.
cc: Spokane Valley Development Engineering — Project File
Documentl
•••"...
Spokane ley
4000
Development Engineering
11707 E Sprague Ave Suite 106 • Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall®spokanevalley.org
March 4, 2009
Mamdouh Elaarag, P.E.
MHE Engineering
9702 W. Masters Lane
Cheney, WA 99004
Re: Ford Short Plat, SHP-24-08
(120 S. Tschirley Rd, PLUS Number 09000117)
Street and Drainage Plan Acceptance
The Civil Plans for the above-mentioned project, which Development Engineering
received on February 17th, 2009, have been reviewed and found to be consistent with
pertinent development regulations and thus have been accepted.
Prior to Development Engineering signoff on the grading permit, the following items
shall be addressed:
1. The project engineer must submit Mylars for signature. Please ensure all required
signatures are on the submitted Mylar.
2. The project engineer must make five paper copies of the signed Mylar. The
original Mylar and the paper copies must be returned to the Permit Center to then
be forwarded to Development Engineering.
3. Revisions shall be noted on a copy of the approved final civil plans and shall be
labeled Record Drawings.
4. A pre -construction conference is required. Please contact Rod Pegram the
Development Engineering Inspector at 688-0025 to schedule this meeting.
Attendees should include project engineer and the construction inspector who will
be certifying the project. Prior to the meeting, it should be determined who will
supply the weekly reports, the certification package and who will perform the
testing.
Next steps:
5. Contact the Planning Department (Karen Kendall/688-0172) for additional
conditions that may exist.
6. Contact the Building Department (688-0036) for other requirements and needed
permits (e.g. right-of-way obstruction permit).
09000117 Acceptance Letter 4Mar2009
If you have any questions, please email me at rbrodwater@spokanevalley.org or call me
at (509) 688-0296.
Ryan Brodwater, E.I.T.
Assistant Development Engineer
Copies:
Stephen Ford, 320 S. Sullivan, Spokane Valley WA 99037
Spokane Valley Project Planner
Spokane Valley Building Department- Permit Center
Spokane Valley Development Engineering:
• Development Engineer Inspector
• Development Engineering — Wayne McGavran
• Project File