2000, 10-20 Permit App: 00009614 MHProject Number: 00009614 Inv: 1
ippiication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/20/2000 Page 1 of 2
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME
Setbacks: Front 25 Left: 20+ Right: 25 Rear: 45
Site Information:
Plat Key: 006038 Name: SP -941 District: G
Contact: TSCHRITTER, HARLEY G
Address: 3321 S BOWDISH RD
C - S - Z: SPOKANE, WA 99206-5918
Phone: (509) 926-2839
Group Name:
Project Name:
Parcel Number: 55182.2504
Block: Lot: D
SiteAddress: 804 N COACH LN
GREENACRES, WA USA 99
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 23,707 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Owner: Name: TSCHRITTER, HARLEY G
Address: 3321 S BOWDISH RD
SPOKANE, WA 99206-5918
Hold: ❑
Depth: 0 Right Of Way (ft): 30
Department Review
BUILDING Site Plan Review ,� \
Hold Reasons: � 12
Permit Conditions:
BUILDING Plan Review
Hold Reasons: 3 v'. X41
Permit Conditions:
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
ENGINEER Approach / Drainage
Hold Reasons:
Permit Conditions: IDO1t,
Permits:
Released By:
Released By:
(,J.Jp, S 1(9
FOC?-- k c r\e_
Project Number: 00009614 Inv: 1
r
Appficatloh
Date: 10/20/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Payment Summary:
Operator: RMB
Permit Type
Manufactured Home
Notes:
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Printed By: RMB
Permit Total Fees:
Fee Amount
$100.00
$22.00
$122.00
Print Date: 10/20/2000
Fee Amount Invoice Amount Amount Paid Amount Owing
$122.00 $122.00 $0.00 $122.00
$122.00 $122.00 $0.00 $122.00
I I
Aitik
SPOKt COUNTY
r ,
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel umber(s):
Legal Description:
v
S� 9'//-9 3
Project Description:
O Building Permit
O Change in Use
O Grading
Manufactured Home Permit
O Relocation
O Sign
D Tenant (New/Change)
O Other
Dep rimei U .
Phone: q. rj - 2 3 y
C//l� 4/7Fax:
❑ Applicant:
���'iis1
Phone:
Fax:
Mailing Address:
3 3;L i
5 gv.O I1S//
Mailing Address:
f
City, State, Zi
Unfinished basement sq. ft.
—
`Watei`T3tsrnctfPuney+sr
S w t T)istrictfi�iva eyo
X d ,i
,:.' '^
{�,. 'L_i ���Y �.1M- 4<n.,ti F K'� .. i•k'„a.,y�'<' ., �
.y mx"; z' � ..A 'e€�• : rv3'e�,.- -- „e '.�¢, ..- >� .�,.
x;4•vi: .,r.r-:'-*r.,�h--> _ ,J_. ..y;.,-
� i"-1<�;:.a ,".'t:. "aN' � � �
.& �� n< ' v- .�', 7,.r'�. I • .p .�.,- ... %o�. '"t�;d, - .., . ,
Width:
0--Y
Length: �
e 6.
What is the square footage of the sign
face?
How high is the sign?
Year:
aOQ
Make:
`m -4l4„
feI7
# of signs
Area of existing signs
Value
Phone
Inspectors:
•i,`sas•�'„"-,:= s<•«.'" a2��'n:v'"�
E„"�.A F-. r' ';l. ..
�< Y 'L%'µ
°<�, �-•„<w.<`
�src,;:., ,.�/•
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Proposed use
Value
Phone
•
What is the current property size?
(square feet or acres) 3 %Q (E) S. I.
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes 5C No
What is the current us, of hil property?
k4C,g.. u r
�&,°-'4,�s✓��., Y
'
Firm Name
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes r,r No
Phone
Is there evidence of fill or excavation on the property?
O Yes 'No
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 'No
If yes, identib on site plan
What is the current property size?
(square feet or acres) 3 %Q (E) S. I.
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes 5C No
What is the current us, of hil property?
k4C,g.. u r
Is your property in a designated wildlife habitat area?
O Don't know O Yes CYNo
Wil the site be served by a septic system? F Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes ( No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes r,r No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, ident f on site plan 0 Yes C71 No
Is there evidence of fill or excavation on the property?
O Yes 'No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) 0 Yes rk_No
Are critical or hazardous materials used or stored on site?
0 Yes IX No
DEPARTMENT USE ONLY
)ss'tkie ptapecty tla designated Storxx ate Co
QYes C No..
Is public sew'et avaiiable to the site? ' D Yep- >*i
the pt ty E side f ASA?
D Yes :: 0 =No -. ;.' -
Yes,
Is public wateravailable to the site?
is the pxopex tisk the PSSA?
w •>.
D Yes ID N< .
- Is'the property lactated w tbui 1000 feet. of a Natural Re�_c area?
Y 0
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑ ❑ ' ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
T(TI'AJ'FEE
MINIMUM PERMITFEE lS 1350 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER' -
ADDRESS
ZONE
ROAD WIDTH
FRONTafi..ANK
COMMENTS
REVIEWED BY
This si•e pI s being submitted for the purpose of
obtaining a building permit and is a true and correct
• representation of the proposal. All known property
• lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, eep slopes or$ ther critical areas.
Signed:
Date:
Pi_
1`..;41
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3-7707
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