2000, 07-24 Permit App: 00006326 MHProject Number. 00006326 Im" 1
Appl ication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/24/2000 Page 1 of 2
Project Information:
Permit Use: EXISTING DOUBLE WIDE MOBILE HOME Contact: KIDDER, JUNE E
(SINCE 1971) Address: 1211 S DISHMAN RD
C - S - Z: SPOKANE, WA 99206-3114
Setbacks: Front 25 Left: 5 Right: 5 Rear: 20 Phone: (509) 927-9585
Group Name:
Site Information: Project Name:
Plat Key: 003150 Name MICA PARK AND .MENDED District: F
Parcel Number: 45203.0519
Block: 1 Lot: 8
SiteAddress: 1211 S DISHMAN RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -7 Urban Residential -7
Water District 999 UNKNOWN
Owner: Name KIDDER, JUNE E
Address: 1211 S DISHMAN RD
SPOKANE, WA 99206-3114
Hold: ❑
Area: 6,750 Sq Ft Width: 0 Depth. 0 Right Of Way (fI): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Reviess
r
7/a
Plan Review e eased By: �i / { �-jt IV'
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions'
Released By: —0a-J-rtkitlitti
Pern its:
Manufactured Horne
Contractor: OWNER Firm: OWNER
Address' 0 Phone: (000) 000-0000
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Project Number: 00006326 Inv. I
Application
Date 07/24/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary: . .
Operator: RMB Printed By: RMB Print Date: 07/24/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $122.00 $122.00 $0.00 $122 00
$122.00 $122.00
$0.00 $122.00
Notes: , ,
JUL-25-2000 09:52
Project Number: 00006336 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a penult
Proiecr Information:•
'4 .�.¢i'...Q...... .�.. �:. ..... .r: . a- rey,,: •'T�!/yOR'P2•.'r'.'.S3a9tC 9P 9�►.,cm
Permit Use: EXISTING DOUBLE WIDE MOBILE HOME Contact: KIDDER, JUNE E
(SIl4CE 1971) Address: 1211 SDISHMANRIij
C = S • Z: SPOKANE, WA 992053114
Setbacks: Front 25 Left: 5 Right: 5 Rear: 20 Phone: 927-958.5
Group Name:
Project Nato:
Date; 07/24/1000
=Site Information:
Plat Key: 003150 Name: MICA PARK AND AMENDED
Parcel Number. 45203.0519 Block: 1 Lot: 0
SiteAddtett: 1211 S DISHMAN RD
SPOKANE, WA USA 00000
Location:: SPO
lining: UR -7 Urban Ruldentol-7
Water District: 999 UNKNOWN.
Area: 6,750 Sq Ft Width: 0 Depth: 0
Nair of Bldgs: 0 Nbr of Dwellings: 0
District:
P.01
Page 1 ef 2
Owner. Name: KIDDER. JUNE E
Addresti: 1311 S DLSHMAN RD
SPOKANE, WA 992063114:
Review Information:
Hold: O
Right Of Way (8): 0
ammo
BUILDING
Hold Reasons;
Pert Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDLSTRICT Septic System Review
Pen i
Hold Reasons:
PcrmitCondmons: bedroom_eel:c.__._. __
;r tar✓ T.e.
/i7/
Conncter. OWNER
Address: 0
00o000, so 000o00
ItemOtersisdima
INSPECTION PEE
COUNTY SURCHARGE
MangfecraredHome
Firm OWNER
Pboae: (000) 0004000
Units Unit Dese FIBS
2 SECTIONS 5100.00
,1 Y OR BLANK • 322.00
Permit Total Pea: 5122.00
-CoSZo
lhl
flak
Ana
SPoi< llt COUNTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description:
/ J P xeLc-e 19'7/
F APPLICATION
❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:
/2-// L.apvta // -
Number(s): S;0
2 O S `Gtt Yj/ C A)11044-6 &,
Assessor's Tax Parcel
Legal Description:
€ Department:IJs, oi0
Water DistricdPurveyor:
School District:
Sewer District/Purvcyyr
OWNER/APPLICANT INFORMATION
El Indicate who should he contacted regarding this project
zsk4O
0 Owner: Phone g 2 7 - 9 (,-g 5
�CLa� Fax:
0 Applicant
Phone.
Fax
Mai' ddress
Sc . l 2. ff
Psi) m an rd
Mailing Address
Total habitable space
City, State, Zip
SFol«.n-0-
>ti6, 9 gz0L
City, State, Zip
Construction type
0 Contractor /
Phone
Fax -
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City', St.ne Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
- '... Building Information.' .
Budding height to peak
# of stories
Main floor sq ft.
Unfinished basement sq ft
Dimensions
Total habitable space
2"d floor sy. ft.
Finished basement sq ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign.
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
M of signs
Area of existing signs
Relocation -„.:
NoirResideiitialEnergy Code. Compliance?
Firm Name
What is the current use of this property?
Fire.Safe`ty4., `'..
Will the site be served by a septic system? 0 Yes 0 No
Previous address
`
I5
Inspectors:Address
1i
• Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
_
Proposed use
Value
Phone
SpeclalIispections<Requlred
NoirResideiitialEnergy Code. Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Yes 0 No
Plans Examiner
Phone
t•s
Inspectors:Address
1i
'
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
' t r •r _.
Inspector
Phone
❑ Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No '•
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
❑ Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe ❑ Don't know 0 Yes 0 No
Are or will there be wells located on the property?.
If yes, identify on the site plan •' 0 Yes 0 No
_
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
- •
Are there slopes greater than 30010 on the property? (30 ft rise in 100 ft)
( .-------96) ❑ Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
24s theiVroperty ii3�a,designated Stormsedtei:Control.Area? .::::
:CP Yes 0 NO .,.
Is'gublic'`seweit;availabl'e'to [fie' -site?<_
Is the property, iriside "the ASA? :
•
O' Yes':
, ❑[.Yes.,
•❑
"Is pii6lic'waier_available'iathe"site?:""
Is;tfie property inside the PSSA?
'Is the roVert-Iocatedlpiiifiiri 1000'feei of aNaihial.Re'soiirce:"•.E
; :'€=Sd=�, ;'� :,:::•::_: ,-. � :°-'.:':.' ��:. ''"'::'❑=Yes '.-. t❑;: Noy:: '2 <
Date Received:
Stat Representative
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