2005, 06-08 Permit App: 05001964Project Number: 05001964
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/08/2005 Page 1 of 2
Project Information:
Permit Use: DOUBLE WIDE MANUFACTURED HOME
Setbacks: Front 8 Left: 5 Right: 21 Rear: 11
Site Information:
Plat Key:
Contact: RICHARD MASON
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA 99037
Phone: (509) 953 -3923
Group Name:
Project Name:
Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East
Parcel Number: 55083.9601
Block:
SiteAddress: 19311 E AUGUSTA LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 0 Sq
Nbr of Bldgs: 1
Review Information:
Urban Residential -7
Ft Width: 53
Nbr of Dwellings: 1
Lot: 78
Owner: Name: QUASS, RICHARD & JUDY
Address: 19311 E AUGUSTA LN
SPOKANE VALLEY, WA 99037
Hold: ❑
Depth: 85 Right Of Way (ft): 35
Review
Site Plan Review
Released By:
Plan Revi ����..��i Reba ed By: /� I r /
unifig QA's
Sewer Review
Permits:
Released By:
fir
AINIOM w_
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
INSPECTION FEE
Operator: K_C
Manufactured Home
Firm: UNKNOWN
Phone: (000) 000 -0000
Units Unit Desc
2 SECTIONS
Printed By: K_C
Permit Total Fees:
Fee Amount
$100.00
$100.00
Print Date: 06/08/2005
Project Number: 05001964 Inv: 1
Notes:
Application
Date: 06/08/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary:
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: K_C Printed By: K_C Print Date: 06/08/2005
Spokane
jUalle
BUILDING PERMIT APPLICATION WORKSHEET
i`y of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
hone: (509) 688 -0036; Fax: (509) 688 -0037
REQUIRED SITE INFORMATION
Street Address: / 3//
Assessor's Tax Parcel Number(s): S c1 03 Ala S 0
Legal Description: f 70 A02,1;57',», S hip
(r�
PERMIT DESCRIPTION:
❑ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Owner:
Phone:
Address:
i � Li 6u 53
Fare
City State Zip Code
❑ Applicant: / 1 k99/
Phone: y, -33'23 Fax: Q "
Address: 1Sy /z
City State Zip Code
❑ Contractor: �����py � / PS ❑ Architect:
Phone: O Fax: Phone: Fax:
Address: Address:
City
State
WA State Contractor License #:
Zip Code City
Contact:
State Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: /3
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER -
MANUFACTURED HOME
Width: ZO
Manufacturer:
Year: Pit Set: Y"S
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above /Underground Storage Tank Size:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name
r %/OdS 1 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN #:
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1 "17 So'ulh 4th Street. Sunnyside Washington. 98944
FRONT DOOR SIDE
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LONGITUDINAL FOUNDATION
FOOTIN& & BLOCKING DETAILS
2822
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SPOKANE COUNTY UTILITIES /SEWER & GFC
1026 W. BROADWAY, SPOKANE, WA 99260
(509) 477-3604
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