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2008, 07-29 Permit App: 08002895 Approach • Project Number: 08002895 Inv: I Application Date: 7/29/2008 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 16 FT RESIDENTIAL DRIVEWAY APPROACH Contact: INNOVATIVE CONCRETE FOR EXISTING POLE BUILDING Address: 9116 E SPRAGUE AVE#227 C-S-Z: SPOKANE VALLEY,WA 99206 Setbacks:Front Left: Right Rear. Phone: (509)993-7191 Group Name: Site Information: Project Name: Plat Key: 001315 Name: JANOSKY SUB BL 191&192 OPP(FEES) District: Parcel Number: 45211.1850 Block: 3 Lot: 3 SiteAddress: 418 S WILBUR RD Owner:Name: PETERSON,JEANNE Address: 418 S WILBLUR RD Location::CSV SPOKANE VALLEY,WA 99206 Zoning: UNKN Unknown Water District: Hold: Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: , Approach Contractor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Operator: jmm Printed By: JD Print Date: 7/29/2008 Project Number: 08002895 Inv: 1 Application Date: 7/29/2008 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit FENCING&LANDSCAPING TO BE INSTALLED PRIOR TO FINAL INSPECTION FOR SHP-28- 05--MH 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: jmm Printed By: JD Print Date: 7/29/2008 Serrs er Irr, Permit Center PERMIT NUMBER: a 4 S pokane 11703 E Sprague Ave,Suite B-3 ... .'Valley Spokane Valley,WA 99206 PERMIT FEE: i 61,. � UU (509)688-0036 FAX:(509)688-0037 V Community Development www.spokanevalley.org Approach Permit Application PROJECT ADDRESS i(i 1• wl auk• START DATE 7(2 efrg ANTICIPATED COMPLETION DATE 1,3b/Og Building Owner: Contractor: Name: MIK- l Vi Name: ini44v4+l I�F_ 66AicQ Address: !f/f,' 1j, /l,ikg Address: 9//4, K Sp2A1,4t fy227 City: VakauL Viisq State: uoi Zip:9926 City: 1264iJc v4ky State: 4 zip 4924h Phone: 96/ , BQgi, Fax: Phone: 3, //9( Fax: 9 2y, 3 g Contact Person J Contractor Lic No: A?t}V�C q' Date: Name: ez,(.v�/ ,1 City Business Lic.No: �2Jx P /�7/dC� Phone: 993 `1191 PROCT DESCRIPTION (Provide site sketch) rvrResidential Driveway Commerdal/Industrial Driveway Existing Curb&Gutter Rural Road Section Culvert Installation Sidewalk Repair/Construction Other Conditions Bond/Insurance certification must be on file with the city. DISCLAIMER The permittee verifies, 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) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature i z "ADate 1/1/,9 I Method ofPayment: ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: Effective October 28,2007 P:\Community Development\Forms\Building forms\Approach Permit eff 10-28-07.doc Permit Center PERMIT NUMBER: Spokane 11703 E Sprague Ave, Suite B-3 Spokane Valley,WA 99206 PERMIT FEE: Valley, (509)688-0036 FAX:(509)688M037 permitcenter@spokanevalley.org Community Development ROW Construction Driveway [ Pavement Cut **(see below) Permit Application ❑ Sidewalk / ❑ Curb & Gutter El Other Road Obstruction No ❑ Yes (traffic control plan required) PKOJhUl ALDKhSS START DATE ANTICIPATED COMPLETION DATE Building Owner: Contractor: Name: Mi 1F DAVK Name: /4/4/51/47-NE 43,r/Q75 Address: vie S, W1iE€1R Address: 9/4( s, �y * 2L 7 City: s'iltw), y (/A ,/ State:44 Zip:992d City: 9.A6,,,� !/Al4' State: 44 Zip:99ji7. Phone: 9Sl 15090 Fax: Phone: Fax: Contact Person g�3 'Z!9� 9z y � �!5' Contractor Lic No:huijovC9.9'7iW1Exp Date: c/i /d 9 Name: City Business Lic.No: Phone: Tier Policy **MUST BE COMPLETE IF PAVEMENT CUT** Type of Work Condition of Cut Gas Sawcut Electric Grind(pre-approved only) Water CATV Communications Sewer Other Type of Repair Existing Road Condition Asphalt Depth of Asphalt Concrete Depth of Gravel Asphalt Concrete Locate Ticket# Width Length Width Length X X X X X X BOND/INSURANCE CERT # (PER SVMC TITLE 10 ARTICLE 2) Signature Date Method of Payment: ❑ Cash ❑ Check 0 Mastercard 0 VISA Bankcard#: Expires: VIN#: Authorized Signature: Work completed satisfactorily Date (INSPECTOR) PLEASE FAX TO CITY OF SPOKANE VALLEY UPON COMPLETION (509)688-0037 REVISED 10/25/05 Spokane 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: 418 S. Wilbur Rd Project No: 8-2895 Accepted Not Accepted Approach X (see notes) Building Location Paved Access Notes: Approach acceptance based on the edge of the driveway being 7.5 feet from the property line at the right-of-way line. Reviewed By: ,77-ee d/r Date: 7/2/ \ 1- � 1�0 , w «: . p ,yr \ y vot Om!! \ illir V d \ \�\ 5( \§ \ \ + ( . ^ -.4- . . IL . |