2003, 07-29 Permit App: 03005393 MHProject Number: 03005393 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/29/2003 Page 1 of 2
Project Information:
Permit Use: DOUBLE WIDE MANUFACTURED HOME
REPLACEMENT
Setbacks: Front 35 Left: 28 Right: 15 Rear: 59
Site Information:
Contact: ALL SEASONS EXCAVATION
Address: POB 14978
C - S - Z: SPOKANE WA 99214
Phone: (509) 455-9285
Group Name:
Project Name:
Plat Key: 000129 Name: BACONS ADD TO GREENACRES District: G
Parcel Number: 55182.1150
Block: 11 Lot:
SiteAddress: 17323 E BOONE AVE
GREENACRES, WA USA 9901
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 1,500.00 Acres
Nbr of Bldgs: 0
Review Information: - ----
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 0
Owner: Name: KING, LOREN & KIM
Address: 17323 E BOONE AVE
GREENACRES, WA 99016-9360
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By: cD e2/1--\ r7 `2-4. (t S
Septic System Review
Sawapo system desl 'for a maximum of J
vourww�; -. gallons per rad.
OCCUPANCY NOT ALLOWED until sycir
installation has SRHD aooroval.
Permits:
Contractor: ALL SEASONS EXCAVATION
Address: PO BOX 14978 Phone: (509) 922-4135
SPOKANE, WA 99214
Manufactured home
Firm: CLAY CLACEY/ALL SEASONS EX
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Operator: JEF Printed By: JEF
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Print Date: 7/29/2003
Project Number: 03005393 Inv: 1
Notes: --
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/29/2003 Page 2 of 2 '•
Payment Summary: r -
Permit Type
Manufactured Home
Fee Amount
$122.00
Invoice Amount
$122.00
$122.00 $122.00
Amount Paid
$0.00
Amount Owing
$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: JEF Printed By: JEF
Print Date: 7/29/2003
IhI
IOUN
SpoicA\E CourQ Y
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST 13ROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: ,fi
verh�
Assessor's Tax Parcel Number(s):
Legal (Description:
Project Description:
O Building Permit
O Change in Use
O Grading
"rManufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
0 Other
(Department Use:Only.
\pan
pli
Water Dtrlrict/Pun'tvr
�..
Sewer I)istncr/Pune•or
-
Road viddt-- - ,.
Subacks
I§one
Left:..
Rear.
Right: •
School District:
-
Jim District: _ ._
- ..
Zoning
OWNER/APPLICANT INFORMATION
0 hublure mho r/um/d be mnrmled wwnling rbir Ornri�Y
Ldllvn,/cJc Phone: Z20— 7//0
A.../ .1-s-7 /C/h 9 1�:1..:n�.
\pan
pli
Phone:
e
Ger- �69'. ol/
Mailing nddn�..:n
/ e...--
/73.23 .-- 13,4,
laain t ho..
I .nal habitable :trice •
(:iqState, /.ip
(ii-,acs-cf O -C-1(. 590/j
City. Sime, Zip
Occupancy @ronip
(.oat 11%� PhnncG�/ Tr/4j
J 7
❑ Architect/Iingnecr
Phone
Fax
/ e - fl it G. 1
It fJJ . n
s //�
Mading addrass
( atZi
Che, A:no Gp
\(c/1/�ti/ .2 r n.nn)r Gacn.e ..
Contact nam.:
- . /�Gf�i�Z / 67 r— /
PRO IECT INFORMATION
. - Building Information . .
_.
Ruilding height to peak
tt id storios
\lain fluor st1. ll.
Unfinished basenmm sq. 6.
Dimensions
I .nal habitable :trice •
TMJ floor sq. 6.
Finished I)ait'nlcnt sq. 6.
Occupancy @ronip
Construction ape
Garage sq. 11.
Deck sq. ft.
Gust or pr. ieet
I loft scarce (electric. gas. urea)
r
Manufactured Home.
:Non -Residential Energy Code Compliance?
Width:
1 ength' s
What is the square footage of the sign
ace?
Flow high is the sign?
Plans Examiner
Year:
G�'
Make:
# of signs
:Arca of resisting signs
e.Gt±?-"
Address
o
No
Is public water available to the site? o Ycs 0 No
Relocation
Fire Safety,
Precious address
Fire Sprinkler
Paint booth Fire Alarm
Tent
1:ircworks display
Proposed use
Value
.Special Inspections Required? .
:Non -Residential Energy Code Compliance?
Finn Nan)r
What is the current rise of this property?
I2 f
Phone
Will the site be _served by a septicSVtterny T Yes O No
Plans Examiner
Phone
InsIxaors:
Is there evidence of fill or excavation on the property?
0 Ycs No
,
Are there slopes greater Bron 30':6 tin tha pepert y? (30 ft rise in 100 Ft)
( /%) 0 Yes )a—No
s\re critical or hazardous material: used or stored on siic?
0 Yes Oath)
Address
o
No
Is public water available to the site? o Ycs 0 No
0
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
0
ADDITIONAL SITE INFORMATION
:Are there structures on the property? ''es O No
If yes, L%ntnj' on site plan
AC'hat is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
I f per, Mem* on site plan O Yes /c No
What is the current rise of this property?
I2 f
Is your propertv in a designated wildlife habitat arca?
O Don't know O Ycs No
Will the site be _served by a septicSVtterny T Yes O No
Is any part of tic pnuperry wi111111 a 1011 yr flood plain?
If yes, identifj' on site plan
o Nlavbc o Don't know o yes xt No
Are or will there be vVeils located on the property?
7f jt s identtft on the site plan O Yes ArNo
:Are there any wetlands_ re In. or ponds within 200 feet of the property?
If yes, identi fj' on rile plan 0 Yes No
Is there evidence of fill or excavation on the property?
0 Ycs No
,
Are there slopes greater Bron 30':6 tin tha pepert y? (30 ft rise in 100 Ft)
( /%) 0 Yes )a—No
s\re critical or hazardous material: used or stored on siic?
0 Yes Oath)
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca?
TOTAL FEE
MINIMUM PERMIT FEE I3 $i5. LX I'I L.\SI,.
MAKI,: (:I IECI-5 V.\P.\61A T O SPOKANE
COt'N'lT PERM rl' (:I N"1'1111
Is public sewer available to the site? o Ycs o No
O
Ycs
O
No
"
Is the property inside the ASA?
0
Yes
o
No
Is public water available to the site? o Ycs 0 No
0
Ycs
0
No •
- - -
Is the property inside the PSSA?
- 0
Yes
0
No
Is the property' located Within 1000 feet of a Natural Resource Arca?
0 Ycs 0 No •
Inc Received:
Staff '1eprestri 5 nc:
METHOD OF PAYMENT
VISA
❑ GASH ❑ (1 (1< ❑ IMMO ❑ I.
DISCOVER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1)ATE:
BAN K(:ARD NU,NI BI fl2:
1:\I'IRIs:
AU'I'I IORI/.1:1) SIGN -T1 RI::
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE I3 $i5. LX I'I L.\SI,.
MAKI,: (:I IECI-5 V.\P.\61A T O SPOKANE
COt'N'lT PERM rl' (:I N"1'1111
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This site plan is being subrrihed 'r. to purpose of
obtaining a building permit or other approval and Is
a bue and correct representation al the proposal.
All known property lines/dimensions. curb lines.
structures and =: - ments hav n identified.
Also indicat od "•f water,
SlOpeSOf
S good: s�A ,f
aa
Date: 'L/ /37 /sr'
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