2000, 05-01 Permit App: 00003277 MHProject Number: 00003277 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a per1it
Date: 05/01/2000 Page 1 of 2
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME
REPLACEMENT
Setbacks: Front 50 Left: 18 Right: 20+ Rear: 20+
Site Information:
AtIVIMEMENNSOMIC
Contact: YOUR WAY CONTRACTING
Address: BOX 358
C - S - Z: DAVENPORT, WA 99122
Phone: (509) 725 -3615
Group Name:
Project Name:
Plat Key: 000078 Name: APPLE VALLEY ESTATES 2ND ADD.
Parcel Number: 55192.1913
Block:
SiteAddress: 524 S ARC ST
GREENACRES, WA 990016
Location:: GRE
Zoning: UR -7 Urban Residential -7
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 1
Review Information: >.
Lot:
District:
Owner: Name: BURNHAM, CARL
Address: 524 S ARC ST
GREENACRES, WA 990016
Hold: ❑
Width: 48 Depth: 142 Right Of Way (ft): 0
Nbr of Dwellings: 1
G
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
2e clegchcid
S-I -013
Plan Review
Db
SM 4o<
H ALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Permits:
Contractor: YOUR WAY CONTRACTING
Address: BOX 358
DAVENPORT, WA 99122
Item Description
INSPECTION FEE
COUNTY SURCHARGE
By: -z -Q,LOV'14 4
FP.owt . 4 �
By: S! -d0
G�9�?
Manufactured Home
Firm: YOUR WAY CONTRACTING
Phone: (509) 725 -3615
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Project Number: 00003277 Inv: 1
Application •
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: RMB
Permit Type
Manufactured Home
Date: 05/01/2000 Page 2 of 2
Printed By: RMB Print Date: 05/01/2000
Fee Amount Invoice Amount Amount Paid Amount Owing
$122.00 $122.00 $0.00 $122.00
$122.00 $122.00 $0.00 $122.00
Aimalik
SPOKANE COUN FY
- PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260 CO ` 7
509 - 477 -3675 6
Project Description: iMb4.-/a
TYPE OF APPLICATION
O Building Permit
O Change in Use
O Grading
4nufactured Home Permit
O Relocation
O Sign
O Tenant (New /Change)
O Other
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
i epartment Use Only
r %67 Fs 74A 71
Water District /Purveyor:
School District:
Sewer District /Pury eyor
Road width
Fire District:
Zoning
Setbacks
Front:
Left:
Rear:
Right:
OWNER /APPLICANT INFORMATION
Indicate who should be contacted regarding this project
❑ Owner: / Phone: 9 aG - 5 3/
°✓t e L r< /Q in", Fax:
❑ Applicant: {, `^ n Phone: �^ �]
V a R V V v 0 Fa a� C I 1
Mailing Address:
5zc. S dc-
Mailing Address:
X, p
a- (5 v 0/
Cu , State, Zip g-✓• e,v rd C,-r 5
,',e.2 4-r f/N) A.- 5 50(4-
City, State, Zip
Finished basement sq. ft.
Occupancy group
E1 Contractor Phone 7 2 S —. 3 (o / , ---
„..,..21 C t�-c,. ` - �A c-� ^--j Fax
El Architect/Engineer
Deck sq. ft.
Phone
Fax
it„...,.
ailing address
i3 3rY
Mailing address
City, State Zip
At)• n- q e9 S, -z--Z
City, State Zip
WA State Cont actor license #
\1/49‘...t. V` ' O
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions ,,
5 x G
Total habitable space
2' floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
2 ic
Length:
S'
What is the sr quare footage of the sign
face?
How high is the sign?
Year:
ZODcS
Make:
Vd ?i
# of signs
Area of existing signs
Relocation
Previous address
Fire Safety
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Special Inspections Required?
Non- Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes O No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes O No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, ident f on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
O Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
OYes 0 N
Is public sewer available to the site? O Yes El No
Is the property inside the ASA?
0 Yes
0 Yes
O No
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? 0 Yes [ 1 No
Date Received:
Staff Representative:
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