2001, 09-14 Permit App: 01007892 MHProject Number: 01007892 !Inv: 1
Application
Date: 9/14/2001 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Contact: SHERWIN, LYLE
Address: 1916 E 8TH
C - S - Z: SPOKANE, WA 99202
Setbacks: Front 5 Left: 4 Right: 4 Rear: 4 Phone: (509) 535-5606
Permit Use: PLACEMENT OF SINGLEWIDE
MANUFACTURED HOME
Site Information:
Plat Key: 000000 Name: UNKNOWN
Group Name:
Project Name:
District: F
Parcel Number: 35131.6101 Block:
SiteAddress: 1009 N BOWMAN RD #3
Spokane, WA USA 99212
Location:: SPO
Zoning: UR -7
Water District:
Urban Residential -7
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Department Review
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
Permits:
Lot:
Owner: Name: SHERWIN, LYLE
Address: 1916 E 8TH
SPOKANE, WA 99202
Hold: 11]
Depth: 0 Right Of Way (ft): 0
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 SECTIONS
1 Y OR BLANK
Fee Amount
$50.00
$11.00
Permit Total Fees: $61.00
Operator: DMD Printed By: DMD Print Date: 9/14/2001
Permit Type
Manufactured Home
Fee Amount Invoice Amount
$61.00 $61.00
$61.00 $61.00
Amount Paid
$0.00
Amount Owing
$61.00
$0.00 $61.00
Aink
SPOIi COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Pa
reel Number(s): 3 E ( I f
Legal Description: e p ,S j Z o r , i _ p �c
Project Description:
❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
I3- Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear-
eamSchool
Left: Right:
SchoolDistrict:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 hrdieate who should be rarladed re antinro/ed
❑ Ou net
She2LL.)l'NI LI L
Phone: 5 357 56c) (O
f.ax: i&— a5-0
In ,\Ppluant
Phone:
Ias:
\ Luling .\ddress: +
1)imensions
Total habitable space
Mailing Address
Finished basement sg. tt.
(:tv, State, Zip
is-
,
-e_)ok
crus
--
Cin, State, Zip
❑ Contractor
El
Phone
(�
❑ Architect; Engineer
Phone
\l:ulmg addre V
1
Mailing address
(,rte, state Gip
) 4
(air, State Zip
\\ \ State Ge tractor
I
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# ut stories
Main floor sq. ft.
Unfinished basement sq. tt.
1)imensions
Total habitable space
2"d{ floor sg. tt.
Finished basement sg. tt.
(kcupancy group
Construction type
Garage sg. tt.
Deck sg. tt.
Cost of project
l teat source (electric, gas. etc.)
Manufactured HomeSign
Non -Residential Energy Code Compliance?
\K/hat is the square footage of the sign
face?
l low high is the sign?
\Vidth:
7 Os,
1
Length:
address
5
Year:
19 )'S
Make:
"`(`N
519.1
# of signs
Area of existing signs
fent
Fire Alarm
Fireworks displayPrevious
Phone
❑ Concrete
Proposed use
Relocation
Non -Residential Energy Code Compliance?
Firm Name
What is to current use of this propcPli[/ll\ (/L
I
Fire Safety
Plans Examiner
Phone
address
(-1
/
-5, 40Gee__
/
Paint booth
lure Sprinkler
fent
Fire Alarm
Fireworks displayPrevious
Phone
❑ Concrete
Proposed use
❑ Bolting
❑ Reinforcement
Address
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is to current use of this propcPli[/ll\ (/L
I
Phone
Plans Examiner
Phone
Inspectors:
.\re there any wetlands, streams or ponds within 200 f ' et of the property?
If yes, ident�' on site plan ❑ Yes ENo
Is there evidence of 6l1 or excavation on the property?
❑ Yes �" No
.\re there slopes greater than 30°'0 on the property? (30ft /)se in 100 ft)
( / ° n) ❑ Yes No
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
DITIONAL SITE INFORMATION
.\re there structures on the property? ❑ Yes !IJ talo
//yes, idem j, o/1 site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline? ❑ site p
Ifyes, idem � 0/1 plan o
What is to current use of this propcPli[/ll\ (/L
I
o Don't know 0 Yes 1714Is your property in a designated wildlife habitat arca?
❑ Don't know ❑ Ycs LJ' No
Will the site be served by a septic system? -es ❑ No
Is any part of the property within a 100 yr flood plain?
I/, ye.f, identit;' 011 Site p/an/
❑ 3laybc ❑ Don't know 171 Yes 17/No
.\rc or will there be wells located on the property?
I f yes. ident ' on the ,lite p/an ❑ Yeti ()
.\re there any wetlands, streams or ponds within 200 f ' et of the property?
If yes, ident�' on site plan ❑ Yes ENo
Is there evidence of 6l1 or excavation on the property?
❑ Yes �" No
.\re there slopes greater than 30°'0 on the property? (30ft /)se in 100 ft)
( / ° n) ❑ Yes No
.\re critical or hazardous materials used or stored on site?
❑ Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control ,\rea?
❑ Yes ❑ No
Is public sewer available to the site? ❑ Yes ❑ No
Is thc property inside the ASA? ❑ Yes ❑ No
❑Ycs 0 N
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSS1\? ❑ Yes ❑ No
Is thc property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
Daft Received
Staff Reprcacntative
METHOD OF PAYMENT
VISA
0 C \till ❑ (:III?Cli ❑
'ICBM
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1).\'ll'::
H \NKC.\R1) NUNIBI':R:
I(NPIRI':S:
ALIT] 10RI%I':1) SIGN.\TURI[:
SUKI'O"1 \1.
TOTAL FEE
AMINIMUM PERMIT FEE IS $35.00
PI.E \SF \i.\KP. (:I Il-CKS P \1.-\I3L 170
SPOk UI - (( )t'\ I 1 PERMIT (ENTER