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2002, 10-25 Permit App: 02009522 Double Wide MHProject Number: 02009522 Inv: 1 Application Date: 10/25/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: KIPPENHAN, LARRY & TAWNDA R (REPLACEMENT) Address: 18104 E ALKI AVE C - S - Z: GREENACRES, WA 99016 -9369 Setbacks: Front 120 Left: Right: Rear: Phone: (509) 924 -1355 Group Name: Project Name: Site Information: ::....................................... ............................... Plat Key: 000498 Name: CORBIN ADD TO GREENACRES District: G Parcel Number: 55184.1423 Block: SiteAddress: 18104 E ALKI AVE GREENACRES, WA USA 990 Location:: GRE Lot: Owner: Name: KIPPENHAN, LARRY & TAWNDA Address: 18104 E ALKI AVE GREENACRES, WA 99016 -9369 Zoning: UR 3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 36,275 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 4 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released Plan Review Released l;r' Septic System Review Released By 2- Landuse /Zoning Permits: ua±12, �GL Released By <I ,c 46. Operator: JAS Printed By: JAS Print Date: 10/25/2002 Project Number: 02009522 Inv: 1 Application Date: 10/25/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Manufactured Home Contractor: J A SWIFT ENTERPRISES Finn: DALE SWIFT /J A SWIFT ENTERP Address: 13005 N PITTSBURG Phone: (509) 468 -5975 SPOKANE, WA 99208 Item Description INSPECTION FEE COUNTY SURCHARGE Notes: Payment Summary Permit Type Manufactured Home Units Unit Desc 2 SECTIONS 1 Y OR BLANK Fee Amount $100.00 $22.00 Permit Total Fees: $122.00 Fee Amount Invoice Amount Amount Paid Amount Owing $122.00 $122.00 $0.00 $122.00 $122.00 $122.00 $0.00 $122.00 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: JAS Printed By: JAS Print Date: 10/25/2002 Project Number: 02009522 Inv: 1 Applica THIS IS NOT AJP RMIT Penalties will be assessed for comm zing work without a permit Date: 10/25/2002 Page 1 of 2 Project Information: Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME (REPLACEMENT) Setbacks: Front 120 Left: Right: Rear: Site Information: Plat Key: 000498 Name: CORBIN ADD TO GREENACRES District: G Contact: KIPPENHAN, LARRY & TAWNDA R Address: 18104 E ALKI AVE C - S - Z: GREENACRES, WA 99016 -9369 Phone: (509) 924 -1355 Group Name: Project Name: Parcel Number: 55184.1423 Block: Lot: SiteAddress: 18104 E ALKI AVE Owner: Name: KIPPENHAN, LARRY & TAWNDA GREENACRES, WA USA 990 Address: 18104 E ALKI AVE Location:: GRE GREENACRES, WA 99016 -9369 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 36,275 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 4 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released Plan Review Released By: Septic System Review Landuse /Zoning Permits: aw�►a�e system de igned la / bedrooms only Released Released By: a c Operator: JAS Printed By: JAS Print Date: 10/25/2002 Sox Coves PROJECT APPLICATION WORK SHE SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFO • i 1E► "`' 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509 -477 -3675 SPECIFIC SITE INFORMATION Street Address: i81oy ALk,` (>reee\acoFes Assessor's Tax Parcel Number(s): ✓� i�� 3 aKd 55 /3€7 . 11/ 20 Legal Description: Project Description: 1NC vV O '1 d U 411.66')t ko rh-e , ,n S \ eu) Manu C kr c ❑ Building Permit ❑ Change in Use 11 Grading Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New /Change) ❑ Other Department Use Only ❑ Applicant: Phone: Fax: p Mailing Addr ss: .. \O0 \,0( ILK Water District /Purveyor: Sewer District /Purveyor Road width City, State, Zip Finished basement sq. ft. Setbacks Front: Left: Rear. Right: School District: Fire District: Zoning 1..- —„ 5 OWNER /APPLICANT INFORMATION • ale mho should be conlarled re aurdin� lhir project mOwner: k Phone: " {azi - r; ✓ LO,rr`� `1e Ako-a Fax: ❑ Applicant: Phone: Fax: p Mailing Addr ss: .. \O0 \,0( ILK Mailing Address: Dimensions City, State, Zip L' rev 'i\ /s, ,C e S moo- ())'61 01 fo City, State, Zip Finished basement sq. ft. AConttactor Phone l/(lt ( %VJ. Fax ❑ Architect /lingineer Phone Fax Mailing address l -600' N, Pi' .41-SbUfc. Mailing address 1 feat source (electric, gas, etc.) City, State Zip S' UUa q FS City, State Zip 0 •o. VC A fate Contractor hcet se # _, Contact name: • D S 'P OJECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space tut floor sq. ft. Finished basement sq. ft. Occupancy group Construction hype Garage sq. ft. Deck sq. ft. ost of project 1 feat source (electric, gas, etc.) Manufactured Home Sign Width: d-6 t /t Length: �� / What is the square footage of the sign face? How high is the sign? Year: 00 Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes "No Make: Mar I O r /d �� # of signs Area of existing signs Inspector Phone 0 Concrete Relocation Fire Safety firm Name Previous address Phone Fire Sprinkler Tent Paint booth _ Fire Alarm Fireworks display Is there evidence of fill or excavation on the property? 0 Yes No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes "No Proposed use Value Special Inspections Required? Non - Residential Energy Code Compliance? firm Name What is the current use of this property? `` property? ,., oeNCe Phone Plans Examiner Phone Inspectors: Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identfr on site plan 0 Yes 21 No Is there evidence of fill or excavation on the property? 0 Yes No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes "No Address Inspector Phone 0 Concrete 0 Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes O No Ifyes, ident on site plan What is the current property size? Q (square feet or acres) 1 ' (/ aCf e S Is any part of the property within 250 feet of a shoreline? Ifyes, ident on site plan O Yes m No What is the current use of this property? `` property? ,., oeNCe Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes Ef No Will the site be served by a septic system? Fr Yes O No Is any part of the property within a 100 yr flood plain? Ifyes, ident on site plan 0 Maybe 0 Don't know 0 Yes Zi No Are or will there be wells located on the property? Ifyes, identify on the site plan 0 Yes 1' No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identfr on site plan 0 Yes 21 No Is there evidence of fill or excavation on the property? 0 Yes No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes "No Are critical or hazardous materials used or stored on site? 0 Yes 2r No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? DYes ONo Is public sewer available to the site? 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 No O Yes 0 No Is public water available to the site? 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? DYes ONo Date Received: Staff Representative METHOD OF PAYMENT ❑ CASII ❑ CIIECK ❑ 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: BANKCARD NUMBER: AUT'HORI'ZED SIGNA'T'URE: EXPIRES: SUBTOTAL TOTAL FEE MINIMUM PERMITFEE IS S3SOOPIF 1,SI MAKE CHECKS PAYABLE TO SPOKAN I COUNTY PERMIT CENTER 100 #55184.1430 J 44' 42' Power Pole 61' Water Meter & Line 18' 6" # 55184.1423 26'8" 175 a 40 177 20 °b s,le boafre bed eqs/ °n Of0. Ae�,. '( 7 d,° tO� `0 0CI / s 01'1,1 :ate,. h( C b.'" °a/ q// /2ee�ra °se pa/ s ' s /se =,,a,, stri,C k� °w ago ° 0/ e. As,. y 4;c jUrE, �Ar co moo•►,- / W, r :7 a � wF a e,4, c� � '•G rcr�i��a /a� as end eas Larry & Tawnda Kippenhan E. 18104 Alki Ave. Greenacres, Wa. 99016 Parcel #55184.1423 The west 1/2 of lot 11, Blockl4, Corbin Addition to Greenacres, ac- cording to plat recorded in Vol. "S" of Plats, page 30, in Spokane Co., Wash., EXCEPT the North 175 of the East 67.5 feet thereof. Parcel #55184.1430 East 40 feet of the North 1 acre of Lot 12 and the East 40 feet of the North 64 feet of that part of Lot 12, lying south of the North 1 acre; Block 14, CORBIN ADDITION TO GREENACRES, according to plat recorded in Volume "S" of Plats, Page 30, in Spokane Co., Wash. rs- b 127.5 200 z O A N Scale 1/2 " = 20' Irrigation Line