2005, 02-15 Permit App: 05000484 MH=_B 15 2005 09:19 FR
Project Number: 05000484 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
TO 3241567 P.02/03
Date: 02/15/2005 Page 1 of 2
Prnrect Inform " n: ��
Permit Use: TRIPLE WIDE MANUFACTURED HOME Contact: MOBILE CORRAL
Address: 15906 E SPRAGUE
C - S - Z: VERADALE WA 99037
Phone: (509) 928-3003
Group Name:
Project Name:
Se��ac'_cs::Front 60 Left: 17 Right: 17 Rear: 50
Site Information:
Plat Key: Name: ELECTRIC RAILWAY SUBURBAN HOME ADD
Parcel Number: 45072.1102 Block:
Lot:
District: Nort
SiteAddress: 7610 E BUCKEYE AVE Owner: Narne: BE1TEY, KEVIN J & LINDA
Address: 7610 E BUCKEYE AVE
SPOKANE VALLEY, WA 99212
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Arca: 14,900 Sy Ft
Hold: 0
Width: 100 Depth: 149 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
lanaanzawamsammaiammain
Septic System Review
Permits:
l; drooms, or
inst:L ohb~�
Operator. KS Printed By: K_C Print Date: 02/15/2005
Project Number: 05000484 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/15/2005 Page 1 of 2
Project Information:
Permit Use: TRIPLE WIDE MANUFACTURED HOME Contact: MOBILE CORRAL
Address: 15906 E SPRAGUE
C - S - Z: VERADALE WA 99037
Setbacks: Front 60 Left: 17 Right: 17 Rear: 50 Phone: (509) 928-3003
Group Name:
Site Information: Project Name:
Plat Key: Name: ELECTRIC RAILWAY SUBURBAN HOME ADD District: Nort
Parcel Number: 45072.1102
Block: Lot:
SiteAddress: 7610 E BUCKEYE AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: BEITEY, KEVIN J & LINDA
Address: 7610 E BUCKEYE AVE
SPOKANE VALLEY, WA 99212
Hold: ❑
Area: 14,900 Sq Ft Width: 100 Depth: 149 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
Septic System Review
Permits:
Released By:
Operator: K_C Printed By: K_C Print Date: 02/15/2005
Project Number: 05000484 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/15/2005 Page 2 of 2
Approach
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
APPROACH INSPECTION 1 NUMBER OF $25.00
CONST IN ROW - APPROACH 1 NUMBER OF $25.00
Permit Total Fees:
Manufactured Home
$50.00
Contractor: MOBILE CORRAL HOMES INC Firm: MOBILE CORRALL HOMES INC
Address: 15906 E SPRAGUE AVE
VERADALE, WA 99037
Item Description
INSPECTION FEE
Notes:
Phone: (509) 928-3003
Units Unit Desc
3 SECTIONS
Permit Total Fees:
Fee Amount
$150.00
$150.00
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Manufactured Home $150.00 $150.00 $0.00 $150.00
$200.00 $200.00 $0.00 $200.00
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: 02/15/2005
BUILDING PERMIT APPLICATION WORKSHEET
E ccory Valley Community Development Department
S kane s Building Division
l y V 11707 E. Sprague Avenue, Suite 106 alle i Spokane Valley, WA 99206
IDJUULDON Clone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 76/P A4/6
Assessor's Tax Parcel Number(s): 72 •!/O2
Legal Description:
PERMIT DESCRIPTION: Altf ry 74L+ Fyl6K/7-
Il Building Permit
Relocation
fl Change in Use n Grading
Il
231 Manufactured Home
Tenant Improvement n Fire Safety n Other
OWNER/APPLICANT INFORMATION
Owner: i /4 14- & '3'
Phone: Fax:
Address: 74/0
City
CcL 063--O 317
Applic nt:�1-
_..___h �i8-oo3 Fax:
Address:
til 99x.37
State Zip Code City State Zip Code
Contractor: fipx.404.1 7r4-4,F2-7—
Phone: sob-Lqg. /zoo Fax:
Address:
/A,
State
City
Zip Code
Architect:
Phone:
Address:
Fax:
City
WA State Contractor License #: VoKoarTo 44d4 Contact: i+pm_e
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" 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 OR ON- TE SEPTIC
SYSTEM?
MANUFACTURED HOME
if
Width: ..26, 16 Length: e.t Year: ` 2oos Pit Set: yes
Manufacturer: Lj,e ,-'
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler:
Tent:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Inspector:
Address:
Phone:
Fax:
City
Phone:
State
Fax:
Zip
City
State Zip
SPECIAL INSPECTIONS
BOLTING
CONCRETE ❑ REINFORCEMENT _ WELDING
Firm Name: Phone:
Inspector(s):
Fax:
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 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
E Cash
Bankcard #:
Authorized Signature:
ri Check ❑ Mastercard
(7 VISA ❑ Other
Expires: VIN#:
po rerz. "Pt' , 1 e, • •
APPROVED B
Thi sfte plan is ,nr the 0101008* Di
444,PAIlleseesees
Obtaining a build,
reptellentation o vn ssepsdy
NMWdlmensiots, T• .1 t 1seill1111111
be* been ideittrtit r, 11 • -mode.
bodies water, sit:
1
F 4,14,
Ale le r g er
, , • " for the
have biba. a true LittOese c
'clies 0-1 weetui,L, , , kn0va7 corree
t),
Preprt
1d easerne
Wetian,
areaN
,t'•
.0_ 1.7-,4-sivie
it. At 24'
rh Iv de ye Pt
/0'
7.4'4",e46 L,'Averhir
5 (3-e d 2, dior7., Ar,c_gt
9PrvW7 -06
'7
A
F Do
k t 7 I -0E-
/ /1/
A
Yoice,4 49. ,
evc-r0 Ge/.4/ re* V et' 5,_',
oof "S. 7. ,,/ 7-2 eit- 7- 7 - "jr-st- A
,Oef--yeA-- Anw c -
e' -#4/ des• -e <-4e-diec- , .rs _
A
atrR
Olto
JMMM'-
�r�.,.�,:�.e.»,,.��.,.;�.�,.�m,,�,...,.::.,.,�:,�,:�.t.�,.��,�,�,�.«���.�,,�.,...rt.e:,,.�u��w„<><.:�•��<ra A.�a,�.,�,_.,..�d�r,�«,,. �*:�.:u:v>,:,�..
.111110* .*oWWI
15906 E. SPRAGUE SPOKANE / VERADALE WA. 99037tmve
eSio
To:
(509) 928-3003 VOICE
(800) 234-3002 TOLL FREE
(509) 891-1314 FAX
From:
Fax:
Date:
Phone:
Pages:
Re:
CC:
X Urgent 0 For Review 0 Please Comment X Please Reply 0 Please Recycle
*Comments:
4,2,47
.0.1.-i7
)k"Ye a.r�' a��
ORVFOOCIA
1401
4.440•1101,134 j4kOn
•