2007, 10-02 Permit App: 07003520 MHProject Number: 07003520
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/2007 Page 1 of 2
Project Information:
Permit Use: 24 X 62 1970 CHATEAU MOBILE HOME
Setbacks: Front 30 Left: 29 Right: 28 Rear: 33
Site Information:
Plat Key:
Name: Range
Contact: DEMAIN, GARY & SHIRLEY
Address: 17420 E COACH DR
C - S - Z: GREENACRES, WA 99016
Phone: (509) 891-2707
Group Name:
Project Name:
District: East
Parcel Number: 55192.0910
SiteAddress: 17420 E COACH DR
Location:: CSV
Zoning: UR -7
Water District: 134
Area: 9,406 Sq
Nbr of Bldgs: 0
Review Information:
Block:
Lot:
Owner: Name: DEMAIN, GARY & SHIRLEY
Address: 17420 E COACH DR
GREENACRES, WA 99016
Urban Residential -7
CONSOLIDATED ID #19
Ft
Width: 0
Nbr of Dwellings: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Septic Sys Review
Originally Released: 9/10/2007 By: JLMain
Released By:
SEWAGE SYSTEM DESIGNED FOR 2 BEDROOMS ONLY PER LANCE @ HEALTH
Originally Released: 10/2/2007 By: jdavis
Landuse/Zoning/HE Conditions
Permits:
Released By:
Operator: JD
Originally Released:
Printed By: JD
9/18/2007 By: mbasinger
Print Date:
10/2/2007
10/01/2007 12:05 5093241567 SRHD EHS
PAGE 01/01
OCT 01 200? 11:50 FR SP VALLEY PERMIT CTR 5296880037 TO 3241567 P.21/02
Project Number: 07003520 Inv: 1
Application
TM -IIS IS NOT A PERMIT
Penalties will be assessed for commencing work without b ppRiNt
Proper Piformation: �117,91 _FAL C]ftf
au:�fii.salt.aa.r_.tw:utirtr,I�rwtYa�'1�f�m-Eta[tw. - rr..w.
Permit Use: 24 X 62 1970 CHATEAU MODLLE HOME Contact: DEb1AIN, GARY & SHIRLEY '
Address: 17420 E COACH DR
C . S - Z: GREENACRES, WA 99016
Setbacks: Front 30 Left: 29 Right: 28 Rear: 33 Phone: (509) 891-2707
Group Name:
Project Name:
Date: 10/1/of 2
Sire Information:
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Plat Key: Name: Range
Parcel Number: 55192,0910 Block: Lot:
SiteAddreas: 174201; COAC)1 DR Owner: Name: DEMAIN, CARY & SHIRLEY
Address: 17420 E COACH DR
GREENACRES, WA 99016
District: East
Location:: CSV
Zoning: UR -7
Urban Residential -7
Water District: 134 CONSOLIDATED ID #19
Area: 9,406 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
$oiew 1, formation:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
rt.7R2 4.,rams rnaaaeN'L'/ a1r�-^='111x.111VOR LUMC.7:«. Ixup.3CJ.`1Tm.1stso4us NYnrnl nuir,w arsiGgimmi cfl
Reviv w
I3ril1�ling Plan Review
Originally Released:
Septic Sys Review
111111' Flv.,I�7+�.1,•�*i.__..�....-�
L: i %1L',1, ---
d tisc/Zoning/11E Conditions
[R•
eleased By:,' •
9/10/2007 By: JEMain
! Released By:.
Rolersed Dy:
Originally Released: 9/18/2007 By: mbasingar
permits: ,Q„G u: 17is•rLmIZA ZJ-M ezatri ISraliNhirtn•NriI:.7KyriPa.1M= ralaTarcaYY licr..-u=i =,y1310%tvpldrLuiaawrMYIlama
Operator: JD Printed By: jinm
OCT 01 2027 13:01
Print Date: 10/1/2007
5093241567 PAGE.01
Project Number: 07003520 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/2007 Page 2 of 2
Contractor: OWNER
Item Description
INSPECTION FEE
Notes:
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
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: 10/2/2007
T1 Permit Center
S•
SUkane 11707 E Sprague Ave, Suite 106
Tajjey
Spokane Valley, WA 99206
Y i (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER: -7-'--)S
PERMIT FEE: (Cr)
SITE ADDRESS: 17420 East Coach Drive, Spokane Valley, WA 99016
ASSESSORS PARCEL NO: 55192 , 0 910 LEGAL DESCRIPTION: L-10 ,
Building Owner:
Name: Gary and Shirley Demain
Name:
Address:17420 E. Coach Drive
City: Spokane Valley State: WA
Zip:99016
Phone: Fax:
0c3 R91 -2707
City:
Contact Person
Name: GI. `(-ROrik.\An VTo`
Phone: t5jcs" — «o
Describe the scope of work in detail:
B-2, Apple
Valley Estates
Contractor:
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
0"L\-sklYt1/4.1..= *0.41,1
MANUFACTURED HOME
Width: 2 4
Length: 62T
Year -
1970
Pit Set:
SeptictS¢wer:
Manufacture: CHATU
Previous Address:
Proposed Use: MOB
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 or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signa
„(1
Method of Payment
❑ Cash 0 Check
Bankcard #:
Authorized Signature:
REVISED 8/232005
0 Mastercard
Expires:
Date co - go t..Y1
RECEIVED BY
0 VISA CITY OF SPOKANE VALLEY
VIN#: SEP 0
61007
PERMIJCENTER
E31'
C‘
f?cH Dg
PLANNING DEPT. APPROVED
BY•
fr
RECEIVED B
1 OF SPOKANE V LLEY
SEP 06 200
PERMIT CENTE