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Home My WebLink About1998, 09-03 Permit App: 98008583 MH'1%• • PROJECT NUMBER= 98008583 APPLICATION PROJECT NUMBER= 98008583 APPLICATION DATE= 09/03/98 DATE= 09/03/98 PAGE= 01 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 10610 E EMPIRE AVE ADDRESS= SPOKANE WA 99206 PERMIT USE= SINGLE WIDE MOBILE HOME PLAT#= 001039 BLOCK= 8 AREA= # OF BLDGS= 1 PARCEL#= 45054.0605 PLAT NAME= GRANDVIEW ACRES LOT= 2 ZONE= UR -3.5 DIST#= H F/A= F WIDTH= 64 DEPTH= 320 R/W= 40 # DWELLINGS= 1 WATER DIST = OWNER= MCINTYRE, GREGORY STREET= 7610 E BALDWIN AVE ADDRESS= SPOKANE WA 99212 CONTACT NAME= GREG MCINTYRE PHONE= 509 924 9136 PHONE NUMBER=.509 924 9136 BUILDING SETBACKS: FRONT= 70 LEFT= 5 RIGHT= 45 REAR= 100+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING L & I ALTERATION •PERMIT COMMENTS: Sewage system designed nfor ,� rooms o,l L I / --� WOW w BUILDING SETBACK REVIEW REQUIRED APPROVAL: C. FRAZIER HEALTHDIST 1162 COMMENTS: DATE: 09/03/98 INCREASE IN LOT COVERAGE 444-C Laca NragSystem a:;bt . ****************************** CONTRACTOR= OWNER YR/MAKE= 1979 MARLETTE SERIAL#= ITEM DESCRIPTION 2 bedrooms orti)f, ci/21/ MOBILE HOME PERMIT ***************************** PHONE= MODEL= WIDTH= 14 LENGTH= 70 HEIGHT= 10 INSPECTION FEE COUNTY SURCHARGE STATE SURCHARGE PERMIT TYPE QUANTITY 1 Y Y FEE AMOUNT 50.00 11.00 4.50 FEE AMOUNT AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 98008583 APPLICATION PERMIT TYPE DATE= 09/03/98' PAGE= 02 FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 65.50 65.50 .00 65.50 .00 65.50 ******************************************************************************* * PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *********************************************.********************************** ALL CONDITIONS OF LABOR & INDUSTRIES ALTERATION PERMIT MUST BE MET PRIOR TO OCCUPANCY OF MOBILE HOME. PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER ******************************** THANK YOU ************************************. Department of Labor & Industries Factory Assembled Structures Section INSTRUCTIONS: 1. Complete all spaces, including the signature box (marked with an X). 2. Draw a map on reverse side of WHITE copy only. 3. Forward completed permit and fees to the nearest L&I office. See list on reverse. 4. Contact and schedule the inspection with the same L&I office within 15 days. Owner last name • first name Day time phone ALTERATION PERMIT Do not complete shaded areas /:Permit:. Date Address • City State ZIP+4 Check the appropriate boxes in section A and section B. A ❑ Commercial Coach Mobile Home Serial ljRecreational Vehicle or Park Trailer FEES Alteration Inspection (check appropriate I jbelow) Air Conditioning/Heat Pump T Q AOR & IPIQUTRIES Electrical pEPAR►�E� Electrical Appliances Fire Safety; , SEp 0 31998 Gas Furnace Gas Piping REGtOs16 Plumbing Structural SPOKNE'W ....... Wood/Pellet Stove — Plan Review RV Inspection Reinspection Technical Inspection OnginalPermu /Signature of applicant or authorized representative Department use on �; Request approved or,; Request denied because<of specific violations of Washington rules and regulations Violations must corrected: and reinspection requested within 10 days for recreational vehicles and 20 days for mobile homes andcommerciat coaches e notice of violation date (This does.not apply to technical.Inspertions) It is unlawful to offer for sale, rent, or lease any n complying mobile borne, commercial coach or recreational ve Make check payable to: Dept. of Labor & Industries FEES DUE _.) ch must be completed and fees subm fitted before re . uspecti Total pages White -Olympia Greece -Contractor Canary -Inspector Pink -Purchaser Goldenrod -Purchaser APPLICATION INFORMATION What is the JOB SITE address? /O /0 e' /i°/XE Legal description as it ap ars on the property deed ASSESSOR'S tax parcel number? 509 ,0(5 OWNER or OCCUPANT e7ody ,47&�rWe- Mailing address Who should we contact regarding this project? ;f6"P5 4 cr/v Phone City, state Phone Zip tea/z What work is being done under this permit? Contractor Building height # of stories 0- 5.1 rn Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? What is the cost of your project? !Manufactured Hom€ Width: Year: /979 Length: 7/ Make: f ' Sign What is the square footage of the sign face? How high is the sign? Installer /cACL,E Wa State Contractor Mailing address tloga Contractor L1or e il7 l4crae license #1E CLE f''/f/ 0602c. 43 Wa State Contractor license # , — 43.3,2 o 7 >,.v& 79o3/G Mailing address Relocation FiteSafety Previous address • Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display VALUE Contractor / Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fiejai torage Tan Swimming (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private Public/semi-private Contractor Contractor a State Contractor license # Mailing address WA State Contractor license # Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. Site Plan r 31)r LL; DNc. ..)A( J N DTH: Q. C.c: rc 14,0 ON- lo FLANKING OFN TS r Fw d By P w A W 140 !j 1 i s ep71 INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines O All existing & proposed buildings ❑ Underground utilities ❑ North arrow 0 Septic tanks & wells