2008, 07-22 Permit App: 08002829 Approach Project Number: 08002829 Inv: 1Application Date: 7/22/2008 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENTIAL APPROACH Contact: FIVE STAR CONCRETE INC
Address: 6225 N MALVERN RD
C-S-Z: OTIS ORCHARDS WA 99027
Setbacks:Front Left: Right: Rear: Phone: (509)226-1189
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: East
Parcel Number: 45022.6202 Block: Lot:
SiteAddress: 14122 E WELLESLEY AVE Owner:Name: ARNOLD,TED
Address: PO BOX 72
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD Hold: ❑
Area: .34 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In ormation: „ ., .. „ H
Review
Driveway/Approach Released By:
Originally Released: 7/22/2008 By: WMCGAV
Approach
Contractor: FIVE STAR CONCRETE INC Firm: FIVE STAR CONCRETE INC
Address: 6225 N MALVERN RD Phone: (509)226-1189
OTIS ORCHARDS WA 99027
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: jmm Print Date: 7/22/2008
•
Project Number: 08002829 Inv: 1 Application Date: 7/22/2008 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary'
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: jmm Print Date: 7/22/2008
INallfti
CITY Orme Development Engineering
galley
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: 14122 E. Wellesley Avenue
Project No: 8-2829
Accepted Not Accepted
Approach X
Building Location
Paved Access
Notes: Based on our conversation with Scott Wallace, Development
Engineering is okay with this approach as submitted.
Reviewed By: //,� k:Ar/Ze-e---1- -c— Date: 7/4 Z/M)
07/22/2008 09:44 5092261159 FIVESTAR PAGE 01
..,----"" 1,-7A-- 97;1-,e /
CONCRETE, INC
6225 N Malvern Rd.Otis 0i-chards WA 99027
P`1(509-226-1189) PX(509-226-1159)
e-maullivestarcoacretei otmail col
FAX COVER SHEET
To: city a¢ $pik, ,e_. (J tLli
Fax#: (,7$l$--CO 3 `7
' ATTN: Pets", 4- 14 PP 1 ILL.
Number of Pages(including cover): ff)
RE:
From: Five Star Concrete
Fax#: 509-226-1159
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JUL 22 2008 09:44 5092261159 PAGE.01
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