2005, 05-03 Permit App: 05001400 Approach Project Number: 05001400 In . 1 Application Date: 5/3/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: GRADING FOR PRIVATE DRIVEWAY-400 CU Contact: SHAWN BARRINGTON
YDS Address: 4618 S SKIPWORTH
C-S-Z: SPOKANE VALLEY,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)991-2809
Group Name:
Site In formation: Project Name:
Plat Key: 000000 Name: RANGE District: Sout
Parcel Number: 45324.9026 Block: Lot:
SiteAddress: 4303 S SCHAFER RD Owner:Name: BERRY,BILLY A
Address: 4320 S FELTS CRT
Location::CSV SPOKANE,WA 99206-9658
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 1.72 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .41% _ om
Review -
Plan Review Rel asodr 3 ° 00,0-
Special ReviewsRelea ed+ y r�• 4' 1r� .:' s
Ot.
7
Drainage Review Released By: ;)
ekt
Approach PermitReleased By: ,� �
Permits:
Operator: DMD Printed By: DMD Print Date: 5/3/2005
Project Number: 05001400 101 Application Date: 5/3/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Grading Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GRADING NONE NONE 400 $400.00 400 $400.00
Totals: 400 $400.00 400 $400.00
Item Description Units Unit Desc Fee Amount
PERMIT FEE-RESIDENTIAL 1 SELECT $27.00
REVIEW FEE-RESIDENTIAL 1 SELECT $20.00
PLNG SITE REVIEW 1 #OF HOURS $50.00
ENGINEERS SITE PLAN REVIE 3 #OF HOURS $150.00
Permit Total Fees: $247.00
NIIMMISINMPayment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Grading Permit $247.00 $247.00 $0.00 $247.00
$247.00 $247.00 $0.00 $247.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 5/3/2005
0 .- , ,
0 VL5-'_--/zio c)
BUILDING PERMIT APPLICATION WORKSHEET
fill(X ' City of Spokane Valley Community Development Department
(Wm Building Division
11707 E. S ra ue Avenue, Suite 106
40,Vallev p
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: S H-o -T .p let c \\ - OL-(
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: Pt:.,cL"tt ter,..,e vak„,. J
,,\ ,Aoc, C,L;,C'y6_crk5
ElBuilding Permit ❑ Change in Use r Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION I
Owner: <M,ct.oP v�v-t-,,r,c{ rl W Applicant: ��:='
Phone: 99k-2F c 9 Fax:J Phone: '\ Fax:
Address: --k(ci' S. Se; >wc<=$ -
- . Addre§ k\ �°%°�
i_.-c_ L+;A 920 to (� �c,,
Ci State Zip Code
\� a Zip Code
❑ Contractor: (-- -"s" rchitect•
Phone: Fax: Phone: Fax:
Address: *7% \:_,
City State Zip Code State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
#OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: Length: Year: Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State Zip
Inspector: Phone: Fax:
Address:
City State Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE ❑ REINFORCEMENT ❑ WELDING
Firm Name: Phone: Fax:
Inspector(s):
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit i urie to the prove-rty owt: .
Print Name S 1-tlai t etfi@ e f N vN Signature /' (
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Project• New project
T�t 11 J Je Previous pre-app meeting
6pikane
Transmittal
ei 0 I 0 1 1 "Va
City of Spokane Valley Transmittal Date:
Community Development Tuesday,May 03,2005
Department
11707 E Sprague Suite 106
Spokane Valley,WA 99206
Phone: 509.688.0036
Site Address: 4303 S SCHAFER RD Project Number: 05001400
Parcel Number: 45324.9026
Zoning: UR-3.5 Water District:
Fire District: FD 01
Applicant: SHAWN BARRINGTON Owner: BERRY, BILLY A
4618 S SKIPWORTH 4320 S FELTS CRT
SPOKANE VALLEY, WA 99206 SPOKANE, WA 99206-9658
(509) 991-2809
e-mail: e-mail:
Contact: SHAWN BARRINGTON Occupant:
4618 S SKIPWORTH e-mail:
SPOKANE VALLEY, WA 99206
(509) 991-2809
e-mail:
Contractor: OWNER Arch/Engineer:
( ) - 0
e-mail:
Project GRADING FOR PRIVATE DRIVEWAY- 400 CU YDS
Description:
Building Landuse Engineer Utilities Health Fire Dist Assessor
GRADING PLAN
Vi:Y:I t1 Ci Cj "( x
Please send all plan review and project comments via e-mail to the
highlighted individuals.