2006, 09-26 Permit App 06003469 Site GradingProject Number: 06003469 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 09/26/2006 Page 1 of 2
Permit Use: SITE GRADING FOR STREETS STORM WATER
DRAINAGE
Setbacks: Front
Site Information:
Plat Key:
Contact: PAKIBA, LLC
Address: 601 S DIVISION ST
C - S - Z: SPOKANE, WA 99201
Left: Right: Rear: Phone: (509) 455-8883
Group Name:
Project Name: GREENACRES VALLEY ESTATES -
SUB-13-05
Name- GREENACRES IRR DISTRICT A
District: East
Parcel Number: 55074.0612G Block:
SiteAddress: 18203 E INDJANA AVE
Location:: CSV
Zoning: UNKN Unknown
Water District:
Area: 43,560 Sq Ft
Nbr ofBldgs- 0
Review Information:
Width: 0
Nbr of Dwellings: 0
Lot:
Owner: Name: PAKIBA, LLC
Address: PO BOX 935
OTIS ORCHARDS, WA 99027
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Drainage Review
Permits:
Released By:
Contractor: ELLER CORPORATION
Address: P.O. BOX 117
NEWMAN LAKE, WA 99025
Grading Permit
Firm: ELLER CORPORATION
Phone: (509) 226-0333
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GRADING NONE NONE FULL 4,000 $4,000.00 4,000 $4,000.00
GRADING
Item Description
GRADING PLANS CHECK
GRADING PERMIT FEE
Totals: 4,000 $4,000.00 4,000 $4,000.00
Units Unit Desc Fee Amount
1 SELECT $25.00
1 SELECT $101.00
Permit Total Fees: $126.00
Operator: MT Printed By: MT Print Date: 09/26/2006
Project Number: 06003469 Inv: .t
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Parcel Nos. 55074.0612, 55074.0616, 55074.0618 & 55074.0619 all received rezone approval to UR-
7* and preliminary plat approval (File No. REZ-28-05/SUB-13-05). KEK
Payment Summary:
Permit Type
Grading Permit
Fee Amount Invoice Amount
$126.00 $126.00
Amount Paid Amount Owing
$0.00 $126.00
$126.00 $126.00 $0.00 $126.00
Date: 09/26/2006 Page 2 of 2
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:
Print Date: 09/26/2006
Operator: MT Printed By: MT
-kid/ 21 .P ll
CJr, %y HieCr;PrEc1 rz-t,E�cc �'
Spokane
Valley
Community Development
Grading
Permit Application
Improvements/Landscaping
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spo k an ev al I ev. o r e
PERMIT NUMBER:
PERMIT FEE:
Rough/Clearing [J Full Grading
-N[] Underground Site
SITE ADDRESS 1$2O, 182(5 ,+Ie22: E InL4loa m..
ASSESSORS PARCEL NO: 55°14.4744 Z, ati LEGAL DESCRIPTION: SEE_ AltA G i{ED
.ofot e, O4tq
Property Owner
Excavation Contractor
Name: P tCIiA
Namenarr e'er 6 .-TOrr.%irvn
Manager:-1.mM iS ?osle4
Address: To . R)K 0 7
Address: 6,01 S. Div isid'.
City: State: Zip:
City: SPOko.n-e. State: W..A
Zipti2PI
Phone: Fax:
Phone: 5oci- t4S5 - 8843 Fax:
Lic No. Exp Date:
Contact Person
City Business Lic No:
Name:ltM.MiS Paps kt
Engineer
Phone:505 -'i44 -8Q3$3
Company Name: VIINApple afro( . En.
Identify and describe the work and indicate the use:
Address: ZS L% j•J. 43 i(r varN
City:SpeDtG Vali-el State: W A Zip: ei ZIb
3/ (GA. p1a.k -
Phone: e43 - ?roil Fax: 926-4,zLi
Lic No: I s5 5
v\ tc VoA4 puo\c road
Soil Testing Firm:
Company Name: Ali.,utsk
,
\AY kt.
Address: MeiZ% F I Ka i an&
v
City:So. Valk y State: w-R zip:41974G
Phone: 594-4.4 a Fax:
3O 3u1
Estimated Excavation/Cut (Cu Yd): _ Estimated Embankment/Fill (Cu Yd):
Destination of Excavated Materials: /44
Start Date: ti ja
c1^ SIk
Estimated Completion Date: / 2o�a
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 ordi antes. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be rocessed.
Signature:
Pi1
tiL
Date:
J
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash Check Mastercard C VISA
Bankcard #: Expires:
VIN#: