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/
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