1993, 04-14 Permit Application: 93002496 Relocate, Add MH to HousePROJECT NUMBER= 93002496 APPLICATION DATE= 04/14/93 PAGE= 01
* * * * ** THIS IS NOT A PERMIT * * * * **
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4700 N ADAMS RD PARCEL # = 45022.0815
ADDRESS= SPOKANE WA 99216
PERMIT USE= RELCATE AND ADD MOBILE HOME TO HOUSE
PLAT # = 002677 PLAT NAME= TRENTWOOD ORCHARDS
BLOCK= LOT= 10 ZONE= UR -3.5 DIST # = H
AREA= 00000002 F /A= A WIDTH= 300 DEPTH= 317 R /W= 40
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= TERHAAR, MARVIN & DELORES
STREET= 4000 N ADAMS RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 924 2111
CONTACT NAME= DELORES TERHAAR PHONE NUMBER= 509 924 2111
BUILDING SETBACKS: FRONT= 50 LEFT= 90 RIGHT= 189 REAR= 32
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
c5K ASV-\\
p N
HEALTHDIST INCREASE IN LOT COVERAGE (04a.---- °�,� f�,��'���'
COMMENT S : — /,J. l /A/0 7c' (04a.---- . u i �>olt.tt� " iS7
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BUILDING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 22 X 12 SQ FT= 264 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE
GARAGE M -1 VN
STORAGE M -1 VN
SQ FT
352
120
VALUATION
2816.00
960.00
PROJECT NUMBER= 93002496 APPLICATION DATE= 04/14/93 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63. 00
STATE SURCHARGE Y 4 . 50
RESIDENTIAL SURCHARGE Y 11 . 34
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1968 MODEL=
SERIAL#= WIDTH= 10 LENGTH= 53 HEIGHT= 08
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 1 50 . 00
STATE SURCHARGE Y 4 . 50
COUNTY SURCHARGE Y 9. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 78 . 84 . 00 78 . 84
MOBILE HOME PMT 63 . 50 . 00 63 . 50
142 . 34 . 00 142 . 34
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
HOUSE AND 2 MOBILES CONNECTED TO SERVE AS ONE DWELLING
PROCESSED BY: BARRY HUSFLOEN
PRINTED BY: BARRY HUSFLOEN
******************************** THANK YOU ************************************
Site Information 1
Project Information 1
APPLICATION WORKSHEET
General Information 1
Job address
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Legal Desrnption MVN- , i 1 0c) �1 (� C iI K
Property size
Water Distract
Zidne
Inspector.
Phone
Number of: Dwel ings
/oad :Width
m
-Pa' -nut Use
Building Information
1
New
Dwelling units
Occupant load
Budding dimensions
Budding height
Addition
lotal square lootage
Keg parking
Remodel
Change of use
Stores
Handicap par ng ['miller system
uare footage breakdown
am floor
Second Boor
tintshed basement
Unfinished basement
Garage
Uncovered /covered deck
tither
Contractor Information
L
Budding contractor
License number
Mailing address
City, state, zip
Phone
j CnticalMatenal
Heating and insulation information (R- values)
r
1
Heat source
Plat ceiling
Below grade wall
Door (u- value)
Vaulted ceiling
Hoor
Window
Above grade wall
Slab on grade
Furnace efricency
"I otal window area
% of tloor area
Plumbing contractor
License number
Mailing address
City, state, zip
Phone
Heating contractor
License number
Phone
Other / Lender
License number
Mailing address
Mailing address
Phone
City, state, zip
City, state, zip
II
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456 -3675
APPROVED PLAN
MUST BE KEPT
ON JOB SITE
/ ‹(!)
ADDRESS:
ZONE:
ROAD WIDTH:
FRONT: 4() ...RANKING:
COMMENTS:
REVIEWED BY:
t X 3
1
SITE ADDRESS: N 4700 ADAMS RD
PROJECT NUMBER: 93002496
PERMIT TYPES: BU MH
PERMIT USE: RELCATE AND ADD MOBILE HOME TO HOUSE
DESCRIPTION INSPECTOR DATE RESULT
VOIDED /EXPIRED SITE ADDED ADDE RECORD 11/09/93 APPROVED