2010, 04-16 Permit App: 10001046 Builder WestProject Number: 10001046 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/16/2010 Page 1 of 2
Project Information:
Permit Use: 2010 26 X 64 BUILDER WEST
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key:
Contact: WATSON, G RENE
Address: 10713 E EMPIRE AVE
C - S - Z: SPOKANE, WA 99206-4573
Phone: (509) 953-6589
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45054.0318
Block:
Lot:
SiteAddress: 10703 E EMPIRE AVE Owner: Name: WATSON, G RENE
Address: 10713 E EMPIRE AVE
Location:: CSV SPOKANE, WA 99206-4573
Zoning: MU Mixed Use
Water District: 026 IRVIN
Area: 46,080 Sq Ft
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ..� ..
Width: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 4/16/2010 By: CJJANSSE
Released
Contractor: NORTHWEST EXCAVATING
Address: 1169 BUTTE AVE
ATHOL ID 83801
Item Description
SETTING PERMIT
Manufactured Home
Firm: NORTHWEST EXCAVATING.
Phone: (208) 691-1578
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: JD Printed By: JD Print Date: 4/16/2010
Project Number: 10001046
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/16/2010
Notes ,r a
ziassaaaesaMMEMEW_ .
Payment Summary:
Permit Type
Manufactured Home
Page 2 of 2
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $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: 4/16/2010
A„�y Permit Center
S iiikane ”"° 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
®�Va11ey� (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER:0 —tot�
PERMIT FEE:
SITE ADDRESS: /0703 E. Empire,
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner';;
t -t
Name: G_ /?2�1 e, J� ul C\ O
L 1 ` )
Address: o�2 `, e
l� Cate: Go Zip:99 0 ,
City: Srokavt •e U lKt
Phone: Fax:
Contact Person:;
Name:
Phone: cj(� / q s. R9
Describe the scope of work in detail:
ontrac
Name: Mit k e
Address: 1 l (, E 5t.4: Er Pv e
City: N -t h 0t
State: I D Zip . RD(
Phone (091-(-7? Fax:G20?
Cn ato w L9 �S l3K Exp Date: i I
City Business Lic. No:
o rn t %e.±.
MANUFACTURED HOME
Width:/ g ��
Length: v4
Year: 0 t 0 10
Manufacture: '.f .\004e. e ('
Previous Address: M/
Proposed Use:
Pit Set:
Septic/Sewer:,"
ett)er
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) AH 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.
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Check
Date 4-/h -/b
❑ Mastercard - ❑ VISA
Expires: VIN#:
N
/0703 -P',4- WW1
61? Wi9-75120A.
2.6/ 5,28 scii.
17 04 Sct. El" MOL 16.
PLANNING DEPT. APPROVED
BY
DATE: 411L -P
N
/77,13
Hoole
/0703 67- CmPlY10- LJAf
c5p 2
)704 sci,Fi. p)oLd67
PLANNING DEPT. APPROVED
BY:
ff°
he D
4
uoAy
�SPOKN COUNJ'Y
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 10703 E EMPIRE AVE
Parcel Number: 45054.0318
Subdivision: GRANDVIEW ACRES
Block: 3 Lot: 9
Zoning: UNK Unknown
Owner: WATSON, G RENE
Address: 10713 E EMPIRE AVE
SPOKANE VALLEY, WA 99206
Building Inspector:
Water Dist:
Project Number: 10001720 Inv: 1 Issue Date: 4/19/2010
Permit Use: SEWER CONNECTION
Applicant: WATSON, G RENE
10713E EMPIRE AVE
SPOKANE VALLEY, WA 99206 Phone: (509) 000-0000
Contact: WATSON, G RENE
10713 E EMPIRE AVE
SPOKANE VALLEY, WA 99206 Phone: (509) 000-0000
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: NORTHWEST EXCAVATORS, INC License #: NORTHEI044KF
PROCESSING FEE 1 $15.00 Si SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD -LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Tran Date
4/19/2010
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page 1 of . 1
Receipt #
1418
Payment Amt
$140.00
PERMIT