2011, 11-28 Permit: 04002997 InspectCITY OF
pokane
dValley
wyp
Cobs -0o
MANUFACTURED HOME INSPECTION RECORD CARD
PERMIT #: 0.140(3 7-f\1
OWNER: /irf frL.rcp
ADDRESS: c696 6(o‘orr)
MANUFACTURER is.) 0 i e_ MANUF DATE:
Lf
p2"1
DEALER:
"HUD" LABEL/STATE LABEL NUMBER: t&--tit;E#;V#4354--) DATA PLATE
MODEL: SERIAL NUMBER: / D / 44 i q 0 1 / 4 1
104 195- '333, Rol vis3t3DEALER#:
ELECTRICAL -L& I FINAL APPROVAL: *2 0 yr kt 74 i --/(5--,z00
INSTALLER: 0 ,, e_ 0 „ 1,, c ,-- WAYNES#:
INSTALLER: WAYNES#:
INSTALLER:
INSTALLER:
INSTALLATION #:
WAYNES#:
WAYNES#:
INSTALLATION
ANCHOR#:
INSTRUCTIONS LIE MANUFACTURER: STATE:
NFPA 225
FOUNDATION: FOUNDATION TO LOCAL BLDG CODE:
SUPPORT: SUPPORT LOCATIONS PER MANUFACTURER OR ENGINEERED DESIGN:
ELEVATION: ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SUPPORT FOOTINt TYPE:
SIZE:
PIERS: MATERIAL
SPACING:
SHIMS:
fJOOc(
LOT/SOIL CONDITIONS:
ANCHORS: SPACING:
EQUIPMENT USED:
EQUIPMENT APPROVED:
FRAME REMOVED: PERMITED BY MANUFACTURER:
(PRIOR TO 11/89)
FOUNDATION TO LOCAL BLDG CODE:
SUPPORT LOCATIONS PER MANUFACATURER OR ENGINEERED DESIGN:
ELEVATION OF LOWEST FLOOR(IF IN A FLOOD HAZARD AREA):
SKIRTING: TYPE:
COMMENTS
ATTACHMENT TO HOME: j vy e, -
POLY ON GRADE: V1_,)
ACCESS PANEL: U )
*FINAL APPROVAL MEETS THE REQUIREMENTS FOR TITLE ELIMINATION EXCEPT FOR PARK PLACEMENT*
INSPECTOR:
DATE/TIME:
ORIGINAL COPY: CITY OF SPOKANE VALLEY ADDRESS FILE COPY FOR OWNER
P.O. Box 3510
Oldtown, ID 83822
208-437-0256 (phone & fax)
E-mail: acim@frontier.com
November 7, 2011
Duane Wentz
PO Box 43
Cocolalla, ID 83813
Re: Manufactured Home
18904 E. Bloom Circle
Spokane Valley, WA 99016
Dear Duane:
Today I inspected the manufactured home, having HUD Label Numbers IDA 195332 and IDA
195333, and located at the above address. All hitches, wheels, and axles have been removed.
The foundation meets the requirements in Permanent Foundations Guide for Manufactured
Housing, HUD -7584, dated September 1996. As delineated in that document, these
requirements include vertical stability (anchorage to prevent uplift and overturning, footing size,
frost heave prevention, and adequate underfloor crawlspace perimeter for keeping out vermin
and water) and lateral stability (prevention of sliding). The anchoring system is the LLBS by
Minute Man Anchors, Inc. and is installed in accord with the anchor manufacturer's instructions.
The uncovered front deck is free standing. There are no attached structures.
If you have any questions on this, please contact me.
Sincerely,
David E. Cassel, P.E.
Registered Professional Engineer, Idaho and Washington