HomeMy WebLinkAbout2010, 04-29 Permit App: 10001210 Approach Project Number: 10001210 Inv: 1 Application Date: 4/29/2010 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: WIDEN EXISTING APPROACH TO 24 FT Contact: BERGMAN,DOUG
Address: 3010 S VIRGINIA RD
C-S-Z: SPOKANE,WA 99216-0136
Setbacks:Front Left: Right: Rear: Phone: (509)922-2873
Group Name:
Site Information: Project Name:
Plat Key: 001218 Name: HILL VIEW EST District: Sout
Parcel Number: 45273.0919 Block: Lot:
SiteAddress: 3010 S VIRGINIA RD Owner:Name: BERGMAN,DOUG
Address: 3010 S VIRGINIA RD
Location::CSV SPOKANE,WA 99216-0136
Zoning: R-2 SF Res Suburban District
Water District: 101 SPO CO WATER DIST#3B Hold: 1:1
Area: 11,832 Sq Ft Width: 87 Depth: 136 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Driveway/Approach
Approach
Contractor: Concrete Cutters Inc Firm: Concrete Cutters Inc
Address: Po Box 760 Phone: (509)487-0455
MEAD WA 99021
Item Description Units Unit Desc Fee Amount
APPROACH-CONST IN ROW 1 NUMBER OF $52.00
Permit Total Fees: $52.00
Operator: JD Printed By: JD Print Date: 4/29/2010
Project Number: 10001210 Inv: 1 Application Date: 4/29/2010 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary• ��_,�. _ . _ _ . „
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
•
Approach $52.00 $52.00 $0.00 $52.00
$52.00 $52.00 $0.00 $52.00
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: 4/29/2010
Permit Center PERMIT NUMBER: It?\C)
S11703 E Sprague Ave,Suite B-3 PERMIT FEE:
Spokane Va 3e6y,lle�,WA 9(y.orQ509)688-0037
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Valle wwwspokaueva
(509)688 006
Community Development
Approach Permit Application
PROJECT ADDRESS
3010 s .1)/(;',a ice.
START DATE 5-- ,_(fl ANTICIPATED COMPLETION DATE 6. -I-/0
•BuidwgOwuer 1 t ,:. v . ...,. - nT -cor , 4--
-.:
Name: Doo6: 3 . 0. /CRc wow Name: r' -.,
rnn eA , (J,ilm
Address: 30 tO S- vt ` tw�a Address:
City:sp bihest. 00.11.p,4 State: 1,4)tA Zip:c ralh City: State: Zip:
Phone: A as agis 1. Fax Phone: Fax:
Contact_Pon �•eis , :O .�
Ql� ,s .,.�. ° • �-'• �- - Contractor Lic No: Exp Date:
Name: City Business Lic.No:
Phone:
1 PROJECT DESCRIPTION (Provide site sketch)
II Residential Driveway I I Commercial/Industrial Driveway
I I Existing Curb&Gutter Rural Road Section
Culvert Installation I I Sidewalk Repair/Construction
II Other Conditions
Bond/Insurance certification must be on file with the city.
pISCLAIMER
The permittee vrtiRes,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 • :.:- or additional information may be required to be submitted,and subsequently approved before this
application can • processes �/ �j f�
Signature �� iT /4.---fri-11-1------ Date
p?[ �!/
Method of Payment:
0 Cash 0 Check 0 Mastercard 0 VISA RECEIVED
N#:
Bankcard#: Expires:
CSV PERMIT CENTER
Authorized Signature: AP2, 9 Z010
REVISED 3/9108
Project 0-- 1 ".�- �, �
Submittal#
RECEIVED
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MAY 0 3 2010 Development Engineering
0010 ValleY Spokane Valley Permit Center
11/07 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: 3010 S. Virginia Rd.
Project No: 10-1210
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: Xyl--e aJ/ *)2)11--e)7--or-oe— Date: