2009, 09-30 Permit App: 09003121 Approach Project Number: 09003121 Inv: 1 Application Date: 9/30/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
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Permit Use: RESIDENTIAL APPROACH Contact: DON TROTTER
Address: 10006 E 20TH AVE
C-S-Z: SPOKANE,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)924-0017
Group Name:
Site Information:
Project Name:
Plat Key: 000375 Name: CHESTER TERRACE District: Sout
Parcel Number: 45291.1002 Block: Lot:
SiteAddress: 10210 E 18TH AVE Owner:Name: GASSMAN,JOSEPH A&STACIE
Address: 10210 E 18TH AVE
Location::CSV SPOKANE VALLEY,WA 99206-33
Zoning: R-3 SF Res District
Water District: 098 SPO CO WATER DIST#1 Hold: ❑
Area: 12,500 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review
Driveway/Approach Released By:
Originally Released: 9/30/2009 By: WMCGAV
Permits: a x,„„ ... :: : a te . 4.
44
Approach
Contractor: DON G TROTTER Firm: DON G TROTTER
Address: 10006 E 20TH Phone: (509)924-0017
SPOKANE WA 99206
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: 9/30/2009
,Project Number: 09003121 Inv: 1 Application Date: 9/30/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: - -: ..4,13M t4•1, 1,1,t2SAVIEMIWOONSMIMIESMAIdAt 2 4t.41.... - • ^ �Q. ...
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.
Payment Summary g . y
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: 9/30/2009
RECEIVE
c3Tr l!� Per Ce ter �SV Eta�{�,yi PERMIT NUMBER:('" ( 2
ll;\ 11703 E S.rague Ave, eIff15 CENTER
4,000 ValleY Spokane alley,WA •:3 PERMIT FEE:
Community Development
(509)688-1016tFAX: `) 1 <�
www.s o ane'a!..;:i ro--------- i
Approach Permit Apph :
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PROJECT ADDRESS I C) O
START DA IL 10 — (o - O 9 ANTICIPATED COMPLETION DATE 16 - i
Building Owner: Contractor:
Name: �O E G 0 5 s m A 0 Name: /O,t/ -7''Rp7re2 CDvt./S7-
Address: I 0 E. I h E ( g T,±, Address: MOO(p 5 Z O r-_
City:S pOKhitil e t/A Llea..` State:U)A Zip:9q c4 City:5pb K,tw VA hi( y/ State: 44/4 Zip:q?re4
Phone: q / q ., 8(o Fax: Phone: - Fax:
Contact Person 99 yJ 9 a 9
\ N T20'CS'� Contractor Lic No: Exp Date:
Name: p u -j—Q.6-Me_ City Business Lic.No:
Phone: 1 cr 4 — 5-7 o q
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway Commercial/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 • nces. 6) Plans or additional information may be required to be submitted, and subsequently approved before this
application can be cessed.
Signature � , Date
Method of Payment:
❑ Cash Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature: _..*:=-..1..
Effective October 28,2007
Page I of 1
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4•0010 Milley
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: 10210 E. 18th
Project No: 9-3121
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: /G� Ger i Date: 9/2y/�9
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