2010, 06-18 Permit App 10001784 Residence, GarageProject Number: 10001784 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000000 Name: Range
Date: 6/18/2010 Page 1 of 3
Contact: GLUSHCHENKO, LARISA
Address: 3004 N LACEY ST
C - S - Z: SPOKANE, WA 99207-5668
Phone: (509) 926-2502
Group Name:
Project Name:
District: Sout
Parcel Number: 35241.0715
SiteAddress: 7117 E 4TH AVE
Block:
Location:: CSV
Zoning: MF-1 MF MDR District
Water District: 020 EAST SPOKANE
Area: 7,604 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: GLUSHCHENKO, LARISA
Address: 3004 N LACEY ST
SPOKANE, WA 99207-5668
Hold: E.
Depth: 0 Right Of Way (ft): 50
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 6/17/2010 By: tmelbourn
j Released By:
NEED CONTRACTOR INFO
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Originally Released: 6/17/2010 By: mpalaniuk
Released By:
Operator: JD
Printed By: JD
Print Date: 6/18/2010
- Project Number: 10001784
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: OWNER
Item Description
APPROACH-CONST IN ROW
Contractor: OWNER
Description Grp Type Notes
1&2 FAMILY R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: OWNER
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
HEAT PUMP OR A/C 0-3 TONS
RANGE
WOOD STOVE FREE STANDING
Units
1
Approach
Date: 6/18/2010 Page 2 of 3
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$52.00
$52.00
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
So Ft Valuation Sp Ft Valuation
1,416 $140,113.20 1,416 $140,113.20
392 $7,448.00 392 $7,448.00
Totals: 1,808 $147,561.20 1,808 S147,561.20
Units Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,262.55
$4.50
$505.02
$1,772.07
Finn: OWNER
Phone: (000) 000-0000
Units Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$11.00
$13.00
$13.00
$10.00
$26.00
$73.00
Operator: JD
Printed By: JD Print Date:
6/18/2010
- Project Number: 10001 784
Inv: 1 Application Date: 6/18/2010 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
3
2
1
1
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$52.00
$1,772.07
$73.00
$54.00
$52.00
$1,772.07
$73.00
$54.00
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
Amount Paid
$0.00
$480.38
$0.00
$0.00
$54.00
Amount ()wine
$52.00
$1,291.69
$73.00
$54.00
$1,951.07 $1,951.07 $480.38 $1,470.69
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: JD Printed By: JD
Print Date: 6/18/2010
Spokane
Valley®
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Approach Permit Application
PERMIT NUMBER: \7 c.‘
PERMIT FEE:
PROJECT ADDRESS / 7/ / C `J 7z4 S o k V /1
START DA Th 7 01. 10
Gl/�4 Qgf2/2
ANTICIPATED COMPLETION DATE
Building Owner: / /
Name: G a r sq C/ k-
Address:, 7/ f 7 E J' 44
City: )fl 0t4,,.e Vat bey State: Zip: gg2(Z
Phone: V Fax:
Contact Person
Name:
Phone:
Contractor:
Name:
Address:
City:
State: Zip:
Phone: Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
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
Method of Payment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 3/9/06
Date 6. /7• /0
❑ Mastercard ❑ VISA
Expires: VIN#:
APPROACH PERMIT APPLICATION
REQUIRED SKETCH INFORMATION (Revised 1/25/10)
Provide required measurements (in sketch boxes), and include street name.
Check all existing conditions that apply:
❑ Sidewalk
ft wide
ft from back of curb
o Streetside Swale
O Drainage Ditch
O Drywell (show location on sketch)
❑ Other (please describe below)
wi
z'
wi
a
o
a.
DISTANCE FROM
NEAREST PROPERTY LINE
MBE LEFT OR RIGHT SIDE)
FT (SEE TABLE)
CONCRETE
APPROACH
CURB
RETURN
CURB
J
w
z,
I
of
0-I
at
k-41"4--THROAT WIDTH
WING (SEE TABLE)
STREET NAME
FT 4'
WING
STREET WITHCURB
DISTANCE FROM
NEAREST PROPERTY LINE
MAY BE LEFT OR RIGHT SIDE)
FT(SEE TABLE)
ASPHALT
APPROACH
\IF CORNER LOT,
DISTANCE FROM
CURB RETURN
FT (SEE TABLE)
15' RADIUS
r
///'''PADIUS
RETURN
EDGE)
ASPHALT
1—THROAT WIDTH I—OIFT--{
(SEE TABLE)
STREET NAME
1/7 rt
STREET WITH ASPHALT EDGE
\I I CORNER LOT,
DISTANCE FROM
RADIUS RETURN
FT (SEE TABLE)
Approach Requirements:
• Maximum 2 approaches per property frontage; one on arterials.
• Total width of approaches not to exceed 50% of frontage width.
Residential Approaches
Commercial Approaches
Distance from Curb/Radius Return
15' minimum
. 75' minimum
Separation between Approaches (measured
from centerline to centerline of each
approach)
None specified
See Page 7-27
in City Street Standards
Throat Width (flat portion)
16' min., 30' max.
30' min., 40' max.
Wing Width (at curb line)
4 feet typical
4 feet typical
Minimum Distance from Side Property Line
(@ r/w)
5.0'
5.0'
Minimum Distance from Crosswalk
5'
5'
CITY OF
Spokane
�Valley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: —1
PERMIT FEE:
New Construction
Addition/Remodel
I Other:
Accessory Bldg
Deck
SITE ADDRESS: 7/ 7 E l ty 0�GiAte ValleyU�/r� 94 2 / 2
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner:
Name: CLV'I Sc g!/C(S-4 ,f, k..o
Address` 707 E 4 1i
City: Spo ko - Vat`exi State: I/+ Zip: 942i Z
Phone/ 5-091 s i Z_ g ( 6 I Fax:
Contact Person
Name: 14. Q /Sfi
Phone: _` 2. 9/ 61
Contractor: "")
Name:
Address:
City:
Phone:
Contractor Lic No:
City Business Lic. No:
Describe the scope of work in detail: Cost of Project: $
rf /'%R.vf-C[y
am ce'
1„, le /'y / ea Si S
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)***** ***** **** ***
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES: /
TOT HABITABLE SPACE:
/ c/
MAIN FLOOR TO SQ.
FTG: /-00 Q
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMET
SQ. FTG:
GARAGE SQ. FTG
3 ci 2— "c z
DECKICOV. PA O SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEN- SOURCE:
SEWER OR SEPTIC?
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. 6) Plapsor additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard
Expires:
DATE: 6 / 7
❑ VISA
VIN#:
O RECRNIFO
CSV n' : (:;ENTER
ER
1 7Gu1
NA cno
SubmitL.a; t/_.__
RESIDENTIAL CHECK LIST DIRECTIONS:
Place a check mark in box next to each document required for complete submittal.
o SITE PLAN
o Property lines and dimensions
o Direction arrow pointing North and orientation to streets
o Proposed/existing buildings (footprint and dimensions)
❑ Utilities, septic tank/drain field locations and distances
o Setbacks to property lines
o Distance between buildings
o Right of way/easement location & sizes
❑ Driveway approach size and location
BUILDING PLANS (3 SETS) (minimum 1/8 inch scale or completely dimensioned)
O Elevations (Front/Rear/Sides) with roof peak and wall height including basement:
❑ Foundation Plan (crawlspace, basement or slab on grade):
o Footing sizes and locations
o Perimeter concrete foundation wall sizes
o Crawlspace ventilation
o Supporting wood cripple walls or beams
❑ Thickened concrete pads supporting
beams or girder trusses
O Floor Plan of each level (finished or unfinished) with dimensions:
❑ Floor Joist direction, size and spacing
o Header, beam or concrete lintel sizes
o Brace wall panel locations
o Water heater and furnace locations
o Exhaust fan locations
o Deck or concrete patio sizes and locations
❑ Roof Plan:
❑ Engineered truss direction and spacing
o Rafter and over frame direction, size and spacing
❑ Wall Section Detail including:
Roof
o Slope/ roofing material/ underlayment/ ice dam protection
o Sheathing size and type
Ceiling
o Joist size and spacing
Wall
o Height/ top plate/ stud size and spacing/ sole plate
o Exterior sheathing size and type
Floor
❑ Joist size and spacing
Foundation Wall
o Concrete or Masonry unit width
o Earth to wood separation distance
Footing
o Size
Radon
o Passive system with 6mil vapor barrier
Miscellaneous Construction Details
❑ Deck:
o Floor plan/ side view/ dimensions
o Floor Joist/ decking direction, size and spacing
O Stairway tread rise & run and nosing
o Window and door location and sizes
o Window well locations if applicable
❑ Room usage labels
o Smoke detector locations
o Attic and crawl space access locations
o Fire Wall construction
o Ridge, eave and valley lines
o Beam and girder size and location
❑ Truss or rafter size, spacing & connection
o Attic insulation/ air space baffle/ ventilation
❑ Size of ceiling gypsum wall board
o Siding/ exterior house wrap/ anchor bolts
o Insulation, vapor barrier, gypsum wall board
o Sheathing or concrete floor size/ insulation
o Footing bottom to finished ground level depth
o Horizontal & vertical reinforcement if any
❑ Reinforcement if any
o Active system with 6 mil vapor barrier
❑ Footings/ post/ and beam size and locations
O Handrail / Guard height & spacing
Spokane
Valley®
For City Use Only tt �
PLUS Project Number \-1 %-1
Project Address
-0
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 ♦ Fax:509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on -going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven 't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK -BUILDING FILE REV 9/07
Spokane
1Malley-
PERMIT NUMBER
PERMIT FEE:
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a,spokanevall ey. org
❑ Commercial
Residential
SITE ADDRESS: 7//7 t . y'h A4 VE
Building Owner
Name: ! (iJ R �L sAe'he
Phone: 312 9i 6/
Address: %// % E, L/�h'. V2
Contractor
Fax:
City: S pokAAA V M LL y state: Wry -
Zip: 9992/ 2_
Name:
Phone:
Fax:
Address:
City.
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
1
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
i/
1
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
✓
1
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS. ABSORPTIONS SYSTEM
0 to 3 hp-100.000 BTU or Tess
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 -15 hp —100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10.000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
.3
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
V
L
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
if
. /
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #.
EXPIRES:
SIGNATURE
VIN:
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Boilding/MechanicalPermitApplication040309.clot
�pol�an��
4.000Valley-
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
Community Development
Plumbing Permit Applications + n Q❑ Commercial V❑JResidential
SITE ADDRESS: 7/ � 7 E ( -I-4 O al-LeU/Vf (g 'JO -(�j9 2 12
Building Owner
Name: LCUelI Sa GL-us'L _ , Phone: Fax:
Address: 7( ( 7 E yj ! City: Sfroka4-,e Valley State: Wk Zip: Q_I a i Z
! "�
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1 2
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
/
7
CLOTHES WASHER
GARBAGE DISPOSAL
/
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
0
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK ❑ VISA ❑ MC EXPIRES:
Card# � VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick finks for Forms, Master Fee Schedule.
http://www.spokanevailey.org/uploads/Community Development/Documents/Forms/Bullding/PlumbingPermitApplication040309. doc
1'
I
4
Q3
60' \ .71
PLANNING DEPT APPROVED
BY.
DATE: (��/7Ozoio
19
AVE
5o,0KAkfQ Vnl_L 9g212.
LOT 6 0 c
Development Engineering
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: 7117 E. 4th Ave.
Project No: 10-1784
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.
*Approach to be constructed per Standard Plan R-114(Rural Approach)
and Contactor information required prior to permit being issued.
Reviewed By:
gybe Date: .%.
Mary Swank
From: Wayne McGavran
Sent: Friday, June 18, 2010 8:03 AM
To: Scott Wallace
Cc: Dev Eng
Subject: Approach Permit Approval
Scott,
I've approved an Approach Permit for 7117 E. 4th Ave. No Contractor information was provided, but this will need to be
done before permit can be issued.
Wayne
1
Spokane e
Valley®
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Community Development
Approach Permit Application
PERMIT NUMBER: \1 ' LJ
PER. IIT FEE:
PROJECT ADDRESS 78/7 G 4 14 Skkov tc 9'92%2_
START DATE 7 Q/ . /0
ANTICIPATED COMPLETION DATE
Building Owner:
Contractor:
,,
Name: �, Ori SSig6-?&L(£'4(iv.frzi-L -0
Name:
Address:.'/(7 & 4' 411
Address:
City: C�',(�p4 p„ t,, e i/0-(/e y
State:
WA Zip: q q2(Z
City:
State:
Zip:
Phone: UU
Fax:
Phone:
Fax:
Contact Person
Contractor Lic No:
Exp Date:
Name:
City Business Lic. No:
Phone:
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The pennittee 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 percussion 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 pemut 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
Method ofPayment:
0 Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 37/00
Date !2. /7 /0
❑ Mastercard ❑ VISA
Expires: YIN#:
APPROACH PERMIT APPLICATION
REQUIRED SKETCH INFORMATION (Revised 1/25/10)
Provide required measurements an sketch boxes), and Include street name.
Check all existing conditions that apply:
❑ Sidewalk
_ ft wide
_ ft from back of curb
❑ Streetside Swale
❑ Drainage Ditch
❑ Drywell (show location on sketch)
❑ Other (please describe below)
w
a
0
o:
al
WRBJ
EDGE OF
ASPHALT
DISTANCE FROM
RAREST PROPERTY LINE
AY BE LEFT OR RIGHT' SIDE)
FT (SEE TABLE)
CONCRETE
APPROACH
1—4'-ry--THROAT WIDTH
WING (SEE TABLE)
STREET NAME
FT 4' I
WING
STREET WITH CURB
DISTANCE FROM
NEARESTPROPERTYLINE
AY BE LEFT OR RIGHT SIDE)
IRVI FT(SEE TABLE)
ASPHALT
APPROACH
I--TE R0AT WIDTH (JFT --I
(SEE TABLE)
STREETNAME
CURB
RETURN
\IF CORNER LOT,
DISTANCE FROM
CURB RETURN
n FT (SEE TABLE)
15' RADIUS
STREET WITH ASPHALT EDGE
RADIUS
RETURN
I
NE CORNER LOT,
DISTANCE FROM
RADIUS RETURN
In FT (SEE TABLE)
Approach Requirements:
• Maximum 2 approaches per property frontage; one on arterials.
• Total width of approaches not to exceed 50% of frontage width.
Residential Approaches
Commercial Approaches
Distance from Curb/Radius Return
15' minimum
. 75' minimum
Separation between
None specified
See Page 7-27
In City Street Standards
Approaches (measured
from centerline to centerline of each
approach)
Throat.Wldth (flat portion)
16' min., 30' max.
30' min., 40' max.
Wing Width (at curb fine)
4 feet typical
4 feet typical
Minimum Distance from Side Property Line
(Q r/w)
5.0'
5.0'
Minimum Distance from Crosswalk
5'
5'
4
60'
19
ti;
1117 E. y AA-
SprrAtr¢ 'V JL :,'A 99212.