2008, 11-10 Permit App: 08004452 New MH, GarageSDTI' M Permit Center
0okane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER:
Valley Spokane Valley, WA 99206
49;000 li y (509)688 -0036 FAX: (509)688 -0037 PERMIT FEE:
Community Development www.spokanevailey org
Manufactured Home
Permit Application ❑OTHER
SITE ADDRESS:.l�Gl
ASSESSORS PARCEL NO-ZL Ci u'2
LEGAL DESCRIPTION:
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Building Owner:
Name: ty. d
Address:
+ O " O --10 t'
City: VZaA
>,� State: Zip:
L'
Phone:202.6 4v ' Fax: •"t� • J�8`t
Contact Person
Name: "bO l �.) *3 vo
Phone: Goo ` lq l
Describe the scope of work in detail:
Contractor:
Name:
+ O " O --10 t'
Address:
n
City:
'P State: Zipi;go t b
Phone:
q(-
Fax:
�� -060
Contr�ic N
Exp Date:
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City Business Lic. No: 7k
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L') o Q_W_.
W
Y_ Z_ F
MANUFACTURED HOME
Width: Z�I.B�� Length: ,4 66 0•• Year: 200(8 Pit Set:
.S
Manufacture:.
Previous Address: N PO
Proposed Use: tZE I cr.jrC,E
Al
Sep6e, Sewer: Jc(ji�
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) Plans or additional information may be required to be submitted, and subsequently approved before
this application carrb"rocessed.
Sic}�3t�t Date
C,
Method of Payment:
❑ Cash K Check ❑ Mastercard ❑ VISA RECEWE
Bankcard #: Expires: VIN #: CITY OF SPoi lA(tp VALLEY
Authorized Signature: N011 2��
REVISED 6/232005
PE ,I tNTE,i
�3Y
S01 O ane
�o*Valley
Community Development
Permit Center v
11707 E Sprague Ave, Suite 106 �j
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
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Manufactured Home
Permit Application
SITE ADDRESS:
ASSESSORS PARCEL NO:4 S 14 3 _ (') Z�% LEGAL DESCRIPTION:
Building Owner: 7r
Name: 1y. d ( I 'CEO t.JL�`.� O
Address: -?a za, 9(-T
City: V State: Zip.
Phone:2.2 ' 6t I ,-, ' 1 Fax: •a-2A ' 53
Contact Person:
Name: - t-r_y_ �ML>C> W tiJ 0.3 67
Phone: � `'t'� t
Describe the scope of work in detail:
7k
PERMIT NUMBER:
PERMIT FEE:
Contractor
Name:
Address: Igg05
JZe� Arj f-
city:
g State: Zipq(;o 16
Phone: q_
Fax: O 5
Contra_�tor Lic Na:
Exp Date: O i 10
City Business Lic. No: 7k
�>c3u�-,LZ—W •%-Z�1 _ ��,3�
MANUFACTURED HOME
Width: ZL'I" 8'' Length: x[ 8'_d" Year: job Pit Set: �cS
Manufacture:. q z e -ra t4
Previous Address: N i::C
Proposed Use: ZES I L>
Sep+it4Sewer: Sw'f�
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) Plans or additional information may be required to be submitted, and subsequently approved before
this application carjjbs.Qxocessed.
Si Date /)// p /t-> -2
Method of Payment:
❑ Cash Check
Bankcard #:
Authorized Signature:
REVISED B2312DD5
❑ Mastercard ❑ VISA
Expires: VIN #:
NOY 10 200,E
Farcel Number: 45143.0236 Block:
SiteAddress: 14410 E ALKI AVE
Lot:
Owner: Name: RON & CATHY THOMPSON
Address: PO BOX 964
Location:: CSV VERADALE WA 99206
Zoning: R-3 SF Res District
Water District: Hold: ❑
Area: 13,521 SqFt Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Driveway/Approach
.-Released By:
Originally Released: 11/13/2008 By: TMELBOU
Potable Water Review Released B y
Landuse/Zoning/HE Conditions
Originally Released:
Sewer Review
Permits:
LRelea!ed Br-__
11/10/2008 By: tschmidt
Released By
Operator: JD Printed By: jmm Print Date: 11/13/2008
Project Number: 08004452 Inv: 1 Application Date: 11/13/2008
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: FREEDOM FOUNDATIONS Firm: FREEDOM FOUNDATIONS
Address: 18405 E 3RD AVE Phone: (509) 991 -2663
GREENACRES, WA 99016
Item Description
INSPECTION FEE
Notes:
Payment Summary:
Permit Type
Manufactured Home
Units Unit Desc
2 # SECTIONS
Permit Total Fees:
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Fee Amount
$100.00
$100.00
Amount Paid Amount Owing
$0.00 $100.00
$0.00 $100.00
Page 2 of 2
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: jmm Print Date: 11/13/2008
For City Use Only
PLUS Project Number
Project Address
�a
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 l A C
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
APPLICANT NAME:
LOCATION (ADDRESS): t,+4 t t7 C A
PROPOSED USE: I�i!S TLG
PHONE NUMBER: Z-0'$ MESSAGE PHONE:
Water requested: Number of residential taps or commercial flow of GPM.
(Attach map or legal description, if necessary)
XQuilding Permit D Short Subdivision ] Rezone or other ❑ Preliminary Plat or PUD
❑
FIRE DEPARTMENT REVIEW
Water is or will be available at the rate of flow and duration indicated below at no less than 20 psi
measured at the nearest fire hydrant which is feet from the building /property above (or as marked
on the map attached).
Rate of flow Duration
❑ Less than 500 gpm (approx. gpm) Less than one hour
❑ 500 to 999 gpm One hour to two hours
,7 1000 gpm or more Two hours or more
❑ Calculation of gpm (Commercial building permits require a flow test or calculation)
❑ Flow test of gpm
Water system is NOT capable of providing fire flow.
,`�J F�re� � satisfactory
5�
Fire District
PURVEYOR NAME:
PURVEYOR'S ADDRESS:
❑ Fir flow is qOT satisfactory
1 �
Signatory n e
Date
WATER PURVEYOR INFORMATION
PURVEYOR'S TELEPHONE NUMBER(S):
1. a. L
Water will be provided by service connection only to the existing /Q)— inch water main,
feet from the site.
OR b. ❑
Water service will require an improvement to the water system by the contractor of:
❑ (1) feet or water main to reach the site; and /or
❑ (2) the construction of a distribution system on the site; and /or
❑ (3) other (describe) elimination of temporary water services through District
participation, which will require a public hearing.
2. a.
The proposed project is consistent with the water purveyor's DOH approved water system
plan.
b.
The water system has a current Washington Department of Health Operating permit,
allowing the number of new taps or water requested.
COMMENTS /CONDITIONS
I hereby certify that the above water purveyor information is true. This certif
signature. -�
Agency (District) name Sig
Title
N **--
for one year from the date of
( IZ—S >�
Signatory date
Effective October 28, 2007
P: \Community Development\Forms \Current Planning Application forms \CERTIFICATE OF WATER CONCURRENCY.doc
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