2010, 01-07 Permit App: 10000037 MHProject Number: 10000037 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/7/2010 Page 1 of 2
Project Information:
Permit Use: GIBRALTER 1977 14 X 70 Contact: OLINGER, JAMES D
Address: 4912 N SIPPLE RD
C - S - Z: SPOKANE, WA 99212-1717
Setbacks: Front Left: Right: Rear: Phone: (509) 926-2119
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: Range
District: Nort
Parcel Number: 35131.1197
SiteAddress: 824 N BOWMAN RD
Location:: CSV
Block: Lot:
Owner: Name: OLINGER, JAMES D
Address: 4912 N SIPPLE RD
SPOKANE, WA 99212-1717
Zoning: R-3 SF Res District
Water District: 100 SPO CO WATER DIST#3A
Area: 5,050 Sq Ft 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: 1/6/2010 By: mbasinger
Manufactured Home
Contractor: MR B'S MOBILE HOME SERVICE Firm: MR B'S MOBILE HOME SERVICE
Address: P 0 BOX 796
DEER PARK, WA 99006
Item Description
INSPECTION FEE
Phone: (509) 276-2086
Units Unit Desc
1 # SECTIONS
Fee Amount
$50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 1/7/2010
Project Number: 10000037 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/7/2010 Page 2 of 2
Notes:
All residential driveways and off-street parking areas shall be paved with asphalt, Portland cement,
grasscrete, paver blocks, or other equivalent hard surface material.
Used singlewide mobile home ok for this lot. In area of used mobile single wide homes.
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 1/7/2010
Permit Center
11703 E Sprague Ave, Suite B-3
�Valler Spokane Valley, WA 99206
(509)
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER: 'v
PERMIT FEE: S Q
SITE ADDRESS: FC) c £G `^7'j 5 P6ka V tklk / ! /
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner: I' I. ala
1
t o 6$Me((
6
Name: t %�isi
6,0A'e-(1
Address:
aLI
o howyQil
City: so
ve / I (ey
is
State: w t Zip: W0'i �
Phone: Sdi— 8 11'74
Fax:MI 569-711J-tO(9O
Contact Person
Name: MUQ C—^VO1M \ riltiA4C)Wee
Phone: 01 f711//0r
et t( 561 go
Contractor:
I
Name: m pi(I'�[:hlii hurie celY i eC
Address: / /), Ctrl /j
Zip:
State: (,4j/ ? fa%
City: ( leer - PK (1 ,k
Phone: sal ' )7G"07th Fax:
/
Contractor Lic No:. Exp Date: ON c'«
City Business Lic. No: IN) ea O N -% (i2
Describe the scope of work in detail: 1 / L( y 7 a (nk, le/ G
ey, je
moveJ rd(butgoe,unigiv cekawe uttl(-€ y 644 r 04,1
MANUFACTURED HOME
Width: / `t. Q-C,r
Length: 704 f—
Year: if 7 7
Pit Set:
Septic/Sewer: 01
Manufacture: / it Jl7 mb,4' hopy4 5,,v5// ,„,d,e (9s/,gpe5 r4 (H
Previous Address: op E ,fiyieGucky 810 -µ 7 Sectkoi/e (/c.(1.2,/ u''4" '7902-Id—
Proposed Use: Reside/VG-e__
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 o .dditionatinfT3rTTr5tion-may be required to be submitted, and subsequently approved before
this application ca be •recess
Signature 74
Ke,thod of Payment:
N. Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Check
❑ Mastercard
Expires:
Date / __ 0 o?C/o
D VISA
VIN#:
• 9--- i S •--4,
as
PLANNING DEPT. APPROVED
BY: 'mom
DATE: r/67c T
40'
T
r
.r.
lls
11 1. I1 nvow