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2008, 08-11 Permit App: 08003115 MH
Permit Center � safkika 11703 E Sprague Ave, Suite B -3 vQ Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 www.spokanevalley.org Community Development Manufactured Home Permit Application S1'1'E ADDRESS: OTHER PERMIT NUMBER:'2 PERMIT FEE: IA G 5 n RC 5 T R F �C ASSESSORS PARCEL NO: 5 5) a• 1)14 0 LEGAL DESC Building Owner: Clay ion 0.00 eS Name: Address: 159 O Lo C S P ru li e Q City: C P0�Gflf v ave State. W Zip :99 037 Phone: Fax: 509 - 891- 955\i, 66_gq/ -S3(v0 Contact Person Name: lam () ac ba t) i Phone: 505' UY7 -5(i/i Describe the scope of work in detail: Contractor: Name: 3 0 ExcaUc - i an , 1/)C. Address: 7. G . 30 x / 90 City: M P w pO r;- State: W Zip: 99/5(p Phone: (/9'7 c5VJ 9 Fax: 6-c,,-- S`S/ % -6 W 51 Contractor Lic No Exp Date: 3D CLJ 941 Ka (5., - 02010 City Business Lic. No: too a _ & 15 - 938 MANUFACTURED HOME Width: a -1 I Length: 5 a ' Year: 000 Pit Set: ' e 5 Septic ewer:, Manufacture: C M Previous Address: NIc - N et-0 U.11 Proposed Use: Ze eil •'t et) 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 can be processed. Signature Method of Payment: ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Expires: Authorized Signature: REVISED 8032005 Date t- 0 SBy Y =C1c- CITY. OF ,PO.J -. ❑ vIS VIN# :i1G - 20U PERM►1T CEM °1 BY: Project Number: 08003115 Inv: 1 Application Date: 8/12/2008 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 2008 27 X 52 CLAYTON MANUFACTURED HOME Contact: 3D EXCAVATION INC Address: PO BOX 990 C - S - Z: NEWPORT WA 99156 Setbacks: Front Left: Right: Rear: Phone: (509) 447 -5419 Group Name: Site Information: Project Name: Plat Key: Name: Range District: East Parcel Number: 55182.1148 SiteAddress: 1205 E ARC ST Location:: CSV Block: Lot: Owner: Name: NORTHERN KNIGHTS, LLC Address: 11608 N WEST NEWMAN LAKE D NEWMAN LAKE, WA 99025 -8639 Zoning: R -4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Area: 4.11 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: Depth: 0 Right Of Way (ft): 0 Review Landuse /Zoning/HE Conditions Permits: Released By;, Originally Released: 8/12/2008 By: cjjanssen Contractor: CLAYTON HOMES Address: 15906 E SPRAGUE Phone: (509) 891 -9996 SPOKANE VALLEY WA 99037 Manufactured Home Firm: CLAYTON HOMES Item Description INSPECTION FEE Units Unit Desc 2 # SECTIONS Permit Total Fees: Fee Amount $100.00 $100.00 Operator: JD Printed By: jmm Print Date: 8/12/2008 Project Number: 08003115 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/12/2008 Page 2 of 2 A 6 -FOOT HIGH SIGHT - OBSCURING FENCE MUST BE INSTALLED AROUND PERIMETER OF VALLEY COACH ESTATES SUBDIVISION PRIOR TO ANY BUILDING PERMITS -MH Payment Summary: z _ . :K..;,.: Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 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: JD Printed By: jmm Print Date: 8/12/2008 374382A Rev IRRIQATIOx DISTRICT DEED Deed V - I S Piled ?.b 4 2939 B7 virtue of the statutes of Washington authorising this oo 1 10:26 A R vsyanoe, the Grantor, Bacon Tracts Irrigation District No.14, Rots F.S.Pettigrsw a public oorporation of Spokane County,Waebington, for and Joe A Stewart And - in consideration of the sum of Two Hundred Sixty and 30/100 S Proistad Dep Dollars ( «260.60) in hand paid, bargalaa.se11. end 000veyc to \it Rod by R Kisco Dep A.L.Pettigrsw and P.S.Pettigrew,bachelore. the following des - oribed real estate situated in Spokane County„Washington, to. COg4PAR 1D w1t1 w+1tTWgl4NIfUm Tract or Lot Eleven (II) of Become Addition to Greeaaeres the Grantor to le fres five encumbrances except the right and the authority et and collect district essesaments against the same for any and-c11 dietrtet purposes and except United States patent and railway company reservations, if any. , It is farther agreed that the Grantor will eempiet• the six (6) inch woodatave literal pe • line now being installed with reolalmed pipe materials of the Grantor from the pipeline lot the Q three hundred (300) north of said described Sprooperty along the east bomidery line of said property . of said ndred(30 real length said lateral p9ipe line to he an appurtenance heirs end a ssiges forever. and to be used sold maintained by the Grantees heraiy, their Isitaess glamor the Grantor Las sensed this somveyanes to be subscribed by Its presldsnt and It.<. rporata sseL'to be hereunto affixed and attested by its secretary this Sth day of ip.A,.a. Bacon Treats Irrigation District We. .. e nubile corporation -. - '- ° By W. J. Brown As its President ',Beene !sets Irrigation Dia- m Attest Prod J.Cm mi As.ib strict Seal. Oreenaeres Wash , :.' bartlaff • • • State of Washington) County of Spokane a■ On this 6th day of ltay,A.D. 1934, before me, a Rotary Public In and for the above named County and State,peraonally appeared W.J.Brown and Fred J.CunninPham,to me known to be the President and Seor.tary reepeotively of the public corporation that executed the within and foregoing to- strusent,and aokaowledged the eaid instrmment to be the free and voluntary act and deed of said public oorporation,for the use. and purposes therein mentioned,and each on oath stated that he wee authorised to execute such instrument and that the seal affixed is the corporate seal of said public eorporstiob. In witness whereof, I have hereunto set my hand and affixed my official Beal the day and year first above written. :Terence T.Orent Rotary Public : :State of Washington i :Commleeion Expires Apr.19,1936 s Terence T.Orant Rotary Public in and for the State of Washington,rssiding et Spo- kane,Waehington. 245 `` Parcel 14-6 (Gres .acrue L":1,. 1113,9 i 164918C DO'L1TI0;4 r:.SC`IC'1T urn G antortor � FOR AND IN CONSIDERATION of benefit ec to derived by Grantors ,--_- °o the M. e Voile hProjec and wife, h the the signe construction SRL8 by Grantee a d the . Spokane Valley a and the undersigned BK' 1`iOAATi•D, and ry':FitPul.ITiil ltG.�u0i3 AND 8*;..tid1TIi:S CviP,llii. ? CONVEY to THE UNITED STATMS OF A.+tcR1CA, its su�csy10S d Jo hereby GRANT a� a , to construct, reconstruct, ,Kt and assigns. a . `' operate and maintain an irrigation st 20 fee turnout of the s`�t 180 feet of Tract 11, The south 20 foot of the J` �e Bacon'a Addition to Greenscras, as per the recorded plat in Qol� e 1 - of Plata, page 15, in the office of the CcuAty Auditor, Spokane County, b ttashirgtcn. i s,R ,,l 1 ,oi� ff , 1 ID f fthe United Stet-s for The aide described seal est to is bci n a "c' =ir`d by C;Ya; .,t of t:9 Ir:.3rler. O th J V -..� -e !.ar4:drt0 Est t.•.' :,- tom, n h� IN WIT::�.SS K:'":.::Gz. the G::.a %Or . .' . 1� �" this of 1 .' . :. .. S�, hands and seals (dsy l� - ,.`ir:C _ �.. A.� w C.:''''-:: .. `i f,1v ;`,'...:..i 1.- � C\. • ��ii .. / .+"• L rYj� /.f • Uerlie A'_.� x!`/} � _ - (.7.i.:7',, - - ^ , ' •ice .y ., e ire i . Hui L2 STATE Of IASIIINGTON ) SS County of Spokane ) wa On this day personally appeared before ma 1~3TI._ A. and C ARA N. PSTi±c:SON, husband and wife, of that they signed the the as their to me known to be the individuals in and who executer! the within snJ foregoing instrument, u igne therein thet c. as their free and voluntary act and decd. for the uses and p rP Given under my hand and official seal this -7'700' of 19 /•-. (SEAL) D'a DEC 20 I" ;:ary it is to a:.,i`fOrd State of Washington Residing at 4y Coa•:issicr. expires 3 .< 4, - .. v. -vv ••••• v -.w Law nP..O ••'., billLaj 11. ,. 4. CO •1Z Jul 15 2009 12: 9PM SPOKRNE #COUNTY #UTILITIES 4777178 (2).(LAii SPOKANE COUNTY UTILITIES - SEWER SUMMARY FORM PLEASE ALLOW3 BUSINESS DAYS FOR A RESPONSE TO YOUR REQUEST THIS BLOCK MUST 13E COMPLETED IN ITS ENTIRETY OR FORM WILL BE RETURNED Company Name: Attn: Pam Information Requested For. Name: Phone: 343 -4343 Today's Date: 7/15/2008 Fax: 343 -4344 Escrow No: IA1vvhi vv� Properly Address: 17303 E Boone Parcel No: 55182.1148 Subdivision: Bacons Greanacres Lot: Buck: 0 Single Family 0 Multi Family () Duprax (` Other p.1 123 Sewer is available. Sewer Project Valley Coach Estates Water Purveyor: Consolidated Irrigation District 1119 [] Property le connected to sewer. Deadline to Connect Sewer PeIt No: ❑ Connection Deficiency on Raoord Contact Roger at 477 -7602 for additional Information. ❑ Property is connected to en interim Treatment Facility. Properties connected to interim fecUi &ea are subject to General Facility Charges when the interim faciMy is connected to the County's Regional System. 0 Property Is In a future Sewer Protect area, tentatively scheduled for construction in l Property is NOT connected to sewer. ❑ Deadline passed, contact Robbin at 477 466x. Date issued: ❑ Property Is connected, but no County Inspection record exists. Sewer Account No; Not Yet ❑ Lien(s) for Sewer Charges art this Account • rg Ye s " / No Initra . Charge Bence ' on: • Hill u Due Sewer Service Fees NIA N/A General Facilities Charge (GFC) Yes 5 3,635.00 5 3,635.00 $ 3,635.00 Capital Facilities Rate (CFR) Uen(s) for Sewer Charges NIA NIA NIA Leto Payment Charges NIA See Note 6 N/A Total Currently Due $ 3,635.00 ❑ There Is a LIEN for Senior Deferral of CFR, contact Klmberiee at 477 -7257 to pay-off CFR. [] Property Is within the boundaries of ULID No , contact the Treasurers Office at477 -2293 to pay -off the ULID Assessment.. Comments: GFC due at development/sewer permit: monthly sewer billing to commence at occupancy Date: 07/15/2008 Quote Good Through: 07/31/2008 ❑ Comments Continued - See Next Page By: Christine Phone: 477 -7280 Notes: 1. Except for Senior Deferrals of the CFR, the Division of Utilities does not require that the CFR be paid -off upon sale/transfer of the property. To pay-off fire CFR; contact *Merles at 477 -7287. 2. Please and GFC and CFR pay -offs to Spokane County Utilities at the address shown below. 3. Please send UM Assessment pay -offs to the Spokane County 'Treasurer's office. 4. The information provided herein is complimentary, and does not relieve the seller of the property from their responsib/Ity to fully disclose all pertinent information related to the status of the property's sewer system and related fees. 5. Properties not currently connected to sewer may be subject to future connection requ /cements and sewer charges. - 8, Payments not received by the billing due date will be assessed fete payment charges. Spokane County Utilities, 1029 West Broadway Avenue, Spokane, WA 992804430 Phone (509) 4773604, Fax (505)477-71713 naasoo 66/27/20oB c) z Sent kr null07/1512008 II 1 CMH Retail Presents... (EXCLUSIVE to CMH Locations) ALBANY FIRESIDE 27X52 EE0000• q BEDpOOrp EYING poor included Standard Features; • Fieldstone lit Wood Burning Fireplace • Painted Feature Wall at Dining Room (2) Walls • 2 -Panel Doors TiO • Nickel Fan with Light in the Living Room • Rustic Shaker Cabinets • Ceramic Backsplash T/O • Stainless Steel 8" Deep Sink in Kitchen • Shelf Over Washer and Dryer Area • ENERGY STAR • (7) 6" Can Lights in Kitchen • 32" LCD Flat Screen TV • 20 CF Side by Side Black Refer • Programmable Thermostat O1M011A1 aural) MTN 01 -525F 3 BED /2 BATH 1,395 Square Feet! • Electric Black Cook Top & Built In Oven /Microwave • Black Pot Scrubber Dishwasher • (3) Phone Jacks • Oval Fiberglass Tub /Shower in Master Bath • Curved Shower Rods • Doorbell • 9 -Lite Rear Door • Upgraded Lighting Package (8" Nickel T /O) • Rock Accent at Entry • Home is SILVER KEY READY! • Single Lever Faucet w /Sprayer in Kitchen qX ,3' -6' 86 I' I' 66 6 88 I�la i6 3 1 s $;;Vil £! £ 800Z-9Z-LO i D G p m o a m b y 4,]© I ®m . ci » , 8 8, 3 qt S4 r �� wd6l££ZO f'l m m z S3141OH NOLIV13 09£6169605 66.23' TRACT 10 T TRACT 11 CO U; o 0 Imo& ,P 1\) CY' CO 0 .p. CA 40 'n INPIOPORM 4/0,1400WIMINW~P 411111•11•1111011111111110.1.1.11011111". 51.43' �,Ct: TENSION 1'44'23" W 117.72' 1 O 10 ) N TO CRES ° 0 6,600 S.F. 1226 N 89'45'37" E 0 0 co 137.50' 8 O 6,600 S.F. cci 1222 ‘i- N 89'45'37" E 36-1(-30. 137.50' TRACT E 6,202 S.F. 73896, S 89'46'33" W )0 O cci c0 144.23' UTILITY EASEMENT 10.00' 0 O c0 5 9,518 S.F. 1225 S 89'46'33" W 0 O 0 N 0) rn w 1) N co o o RADIAL 0) S 03'26'39" W 144.21' 9,761 S.F. 1215 S 89'46'33" W 153.98' 7 9,782 S.F. 1211 S 89'46'20" W Ary N 0 143 AR 8 9,514 S.F. 1205 S 89'46 "2O" W 10' RIGHT OF WAY _DEDICATION FOUND 1/2" IRON PIPE S05'40'35 "W, 5.62' N 00'14'23" W 10.02' FOUND 1/2" REBAR S87'00'05 "E, 17.16' FROM IRON PIPE C11 143.62' SE CORNER TRACT 10 9 12,290 S.F. 1201 0 0 N� 0 fLl (0 I I N89'59'44 "E 0 4.7' NOI ° (TO BE 0 2 0 0 co lUTILITY EASEMENT 13.00 10.00' J BORDER EASEMENT C12 BOONE 4000 60.00' 0 AVENUE IRRIGA EASEM: SPOKANE COEUR D'ALENI 5098919360 CLAYTON HOMES LmLrnuS DIVISION N. Bruce Rawls, P.E., Utilities Director 10:39-02 a.m. 08 -05 -2008 314 FrO4 03(1'51 C O U N T A DIVISION Of THE PUBLIC WORKS DE ARImEN'r GENERAL FAC1LMES CHARGE (GFC) PAYMENT OPTION SELECTION RECORD PLEASE NOTE: Form must be Mad out accurately and In Its entirety, and signed, or a permit wdl not be Issued Date: 43/5/09 /Q$ ?o B riFe. ?a4- 'A(i35•an Plat Name: Va. t tG ( Site Address(es): 12-O 5 N Owner Narne: PRIM Owner's Name Lot No(s): ,_ Block No(s): li l (s): 551$2.114B OR Builder Name: , 1 aLj V Ht Titus PRINT Sul is Name Payment Option Selected (Check One): 1. 0 GFC payment received at issuance of Sewer Connection Permit by Division of Utilities 2. ❑ GFC to be paid at closing. See Special Conditions below regarding OFC rate. 3. ❑ GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account. See Special Conditions below regarding GFC rate. If Option No. 31s selected complete one of the following statements: a. Owner's Statement. I, understand that I will be billed for the applicable GFC amount In 24 monthly installments. The monthly GFC installments will be added to my monthly sewer service charges. b. Builder's Statement I, , understand that because I am selecting this option for payment of the GFC, the purchaser of the home will be responsible for payment of the appltcIe GFC in 24 equal monthly installments. I agree to formally disclose to potential buyers of the property that the OFC charges will be added to the monthly sewer service billings as soon as billing commences. Special Conditions: Sewer connection permits we valid for 12 months from date of issue. If final connection is not completed and inspected within the 12 -month life of the permit, a new permit will be required and the GFC rate that is in effect when the new permit is issued will apply. Other Special Conditions: k No ❑ Yes — See Reverse Side of Form Owner's or Builder's Signature Date Located at: 1026 W. Broadway, 4t `cif Option Form, Revised 02-04-04 Spokane County, Division of t1--- 6 W. Broadway • Spokane, WA 4'((' (509) 477 -3604 • FAX: (509) 477 -4715 • TDD: (509) 477 -7133 Aug 01 2008 9:56AM SPOKANE #COUNTY #UTILITIES 4777178 p.2 09£-LLb (60S) 'VA '31,1VN0d$ S}ieiOM 0f9fld JO 1N3V JVd3O J,1Nf OD 3NV>iOdS SJN1MVIO 0e1033 1 9H-n N011ONNOD 33IA 13S ]C1S 0 VCNV.S 0 ON 91- 11ta211MHYSEN m 1/) z 0 m rn --i 133a1S OHY r- r so- co -ans m K A X ON 9NIMVK &a 3SnoH ;31AVN 103rONd S31d1S3 HOb00 A311YA 0 rn 'T1 H CO 1 0 rrt U) 0 0 z O m K rn rTl --I 0 > z m z C X D m D C P1 Ln S 0 z 0 z A Z V) -n m 0 m Iw1 X z '88 OAVN 1.03r0Sd -vn auk =S I oozr, A 1 V aorct aOi3J'd 0 S3linun :03A0dddd C•041 C44 4a. ( 1 r. C _A mE N c, m Z N F r — 1 " oo0 41 ) ° 0 m m 0 ▪ z m rn F to C0 O 7 m D m C) 70 XJ > z 1 m ---1 -C[ D ▪ Co Q7 rTI O v �- z 0 rr*r X z I- HZ = ° ▪ r*7 • In c D 0 - _ r C co -I - m {� z N w CI O r • A r �z Z = o o - rn -n Z xi o 0 r*l N011b'1S 3Nfl 1N33 0 m z O "pm m -I m aJ11V1SNi 311�a 9001 H3dVV4 ujpne ) NVdVV00 2iO103dSNl 1s3a3 '04 d013V I1N00 Spokane _#Valley For City Use Only PLUS Project Number (J Project Address 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 D 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. D 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. D 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 5.43' oo lejVV.1/in.1 7..7.7V. 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