2005, 09-16 Permit App: 05003423 MHProject Number: 05003423 Inv: I
Ax)pliction
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005 Page 1 of 2
Project Information:
Permit Use: MANUFACTURED HOME SET
Setbacks: Front 35 Left: 7 Right: 42 Rear: 51
Site Information:
Plat Key: 000762 Name: FAIR ACRES MOBILE HOME ADD District: H
Contact: MOBILE CORRAL
Address: 15906 E SPRAGUE
C - S Z: VERADALE WA 99037
Phone: (509) 928-3003
Group Name:
Project Name:
Parcel Number: 45091.2102
Block: 2 Lot: 2
SiteAddress: 11621 E ERMINA AVE
Location:: CSV
Owner: Name: AUSTIN, GARY
Address: 15906 E SPRAGUE
SPOKANE VALLEY, WA 99037
Zoning: UR -22 Urban Residential -22
Water District: Hold: ❑
Area: 1,050.00 Acres Width: 70 Depth: 125 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By
Sewer Review
Originally Released: 09/16/2005 By: CJJANSSE
`Released
Originally Released: 09/16/2005 By: CJJANSSE
Permits:
Contractor: MOBILE CORRAL HOMES INC
Address: 15906 E SPRAGUE AVE
VERADALE, WA 99037
Item Description
INSPECTION FEE
Manufactured Home
Firm: MOBILE CORRALL HOMES INC
Phone: (509) 928-3003
Units Unit Desc
2 SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: CJJ Printed By: CJJ Print Date: 09/16/2005
Project Number: 05003423 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/16/2005 Page 2 of 2
Payment Summary:
Permit Type
Manufactured Home
Disclaimer:
Fee Amount Invoice Amount
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $100.00
$100.00 $100.00 $0.00 $100.00
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: CJJ Printed By: CJJ Print Date: 09/16/2005
SPOKANE COUNTY
EPARTMENT.OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 11621 E ERMINA AVE
Parcel Number: 45091.2102
Subdivision: FAIR ACRES MOBILE HOME ADD
Block: 2 Lot: 2
Zoning: UR -2 Urban Residential -22
Owner: AUSTIN, GARY
Address: 15906 E SPRAGUE
SPOKANE VALLEY WA 99037
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 05007039 Inv: 1 Issue Date: 9/20/2005
Permit Use: SEWER CONNECTION - PINECROFT/MANSFIELD
Applicant: ALL SEASONS EXCAVATION
POB 14978
SPOKANE WA 99214 Phone: (509) 455-9285
Contact: ALL SEASONS EXCAVATION
POB 14978
SPOKANE WA 99214 Phone: (509) 455-9285
Setbacks - Front: Left: Right: Rear:
1 Permits.
Sewer Connection Permit
Group Name:
Project Name:
Contractor: ALL SEASONS EXCAVATION License#: ALLSEEI161C1
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant 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. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
1
Payment Summary.
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
9/20/2005 5738 $100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
i;;i<s4
,,,'Vey.
RECEOVE
SEP i 5 211M
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BU/LD/NG DIVISION
11707 East Sprague°Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
RfIRED SITE INFORMATION
STREET ADDRESS: //HOZ/ E€I'-J/A2A
ASSESSOR'S TAX PARCEL NUMBER(S}: 41.5704). /D�
:LEGAL DISCRIPTION:
PERMIT DESCRIPTION: 1`%4.✓UFpew/2E0vy/Ee.oGE�T
BUILDING PERMIT . ... a CHANGE IN USE • .a GRADINGj RELOCATION SIGN TENANT
.3.MA TJFACTURED HOMVIT
OTHER •
-
OWNER / APPLICANT INFORMATION
OWNER:
PHONE: FAX:
ADDRESS:
CITY,STATE, ZIP
®CONTRACTOR:
PHONE:
ADDRESS:
CITY,, STATE, ZIP
FAX:
WA ST CONTRACTOR LICENSE #
® APPLICANT: 1%-loBILE CD,e. -A L
PHONE: 922'3OO5 FAX: pi/
ADDRESS: /S9404 E 55, A—Sw e./r1 of s'Ato. V4ue-Y
ees- 9gs-D437 rl/KE • CITY, STATE, ZIP
ARCHITECT:
PHONE:
FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30% SLOPES ON PROPERTY:
BUILDING HEIGHT TO PEAK: 12
BUILDING DIMENSIONS: 26)C44
"NUMBER OF STORIES:
NUMBER of BEDROOMS: 3
FLANKING SETBACK:
FRONT SETBACK: 3-S
REAR SETBACK: J~)
LEFT SETBACK: 7
OCCUPANCY GROUP:.
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
RIGHT SETBACK: YZ IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:•
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
MANUFACTURED HOME SIGN
WIDTH: .2-1e3 LENGTH: !a 4
YEAR: 0100 PIT SET: 443
MANUFACTURER: A/4SN✓A
SQ FT OF SIGN: HEIGHT OF SIGN:
.# OF SIGNS: AREA OF EXIST SIGN:..
TYPE OF SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL•''ENERGY-COD
PLANS EXAMINER: PHONE: FAX:
ADDRESS:.
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS: `
CITY, STATE, ZIP
L SPECIAL I-NSPEC.TIONS :: ;;
® BOLTING ®CONCRETE
REINFORCEMENT ® WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S):
BUILDING STAFF USE ONLY..
IS PUBLIC SEWER AVAILABLE: : ® YES ® NOIF YES: ® COUNTY ®. CITY
IS PUBLIC WATER AVAILABLE: ® YES ® NO IF. YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ® YES El NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES El NO PSSA: El YES IS NO
IDATE:110111111.
STAFF:
METHOD OF PAYMENT:
CASH CHECK
VISA
BANKCARD#; EXP/RES: V/N#
AUTHOR/ZED SIGNATURE:
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
µ o
Sl '
f2&,
ss'
//,.2 SO 42:1.F7:
{ 4/2
FuT1/Re
� pRivEwkV
ER "l1AIA AvE
0
In
SNA&J// LOG�/�ldnl
� I (p 2./ E• �/ uJA AVE