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2001, 01-30 Permit App: 01000533 Relocate MHProject Number: 01000533 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/30/01 Page 1 of 2 Project Information: Permit Use: RELOCATE DOUBLE WIDE MANUFACTURED Contact BURLAND. KAY Address: 1612 N FELTS RD C - S - Z: SPOKANE WA 99206 Setbacks: Front 35 Left Right: 45 Rear: Phone: (509) 927-7114 Group Name: Site Information: Project Name: HOME (REPLACEMENT) Plat Key. 001836 Name: OPP.TR. 1-354 District: F Parcel Number: 45084.0440 SiteAddress: 1612 N FELTS RD SPOKANE, WA 99206 Location:: SPO Block: Zoning: UR -3.5 Urban Residential 3.5 Water District. 011 MODERN Area: Lot: Owner: Name: BURLAND, KAY Address: 1612 N FELTS RD SPOKANE WA 99206 Hold: ❑ 0 Sq Ft Width: 155 Depth: 310 Right Of *ay (ft): 40 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: , Department BUILDING Mold Reasons Permit Conditions. BUILDING Hold Reasons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Review Site Plan Reeiew Released 13y:"'� Plan Review Released 13y: l -a Septic System Review Released By: Special Reviews 1 7 Released By: Permits• , Project Number: 01000533 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/30/01 Page 2 of 2 Manufactured Hoare Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Item Description INSPECTION FEE COUNTY SURCHARGE Units Unit Desc Fee Amount 2 SECTIONS $100.00 1 Y OR BLANK $22.00 Permit Total Fees: $122.00 Payment Summary: Operator: JAS Printed By: JAS Print Date: 1/30/01 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 $122.00 Notes: PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: /4, /_ Air ,Ct6-- S Assessor's Tax Parcel Number(s): Legal Description: Project Description: O6 ti,(U (e tc AL -6/ O Building Permit O Change in Use O Grading ,Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) 0 Other e, a:.r.:..x�,.-_.z..,-„_ e i•” .. h. 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Ph L F��ua•".x�`:�'.Zt-"�gfa:.0'L.�.a�.�Ya.'%�..'ri. �4 `.-•t�-.:5:'i. �. `">Sc6001D'ur» x.-rk`^ b - d.:.•x :' - =.Y - �ys•'i%'.��.,i 'ar.'.y4}r*� r�y�.-5,•��yMt��.-'"1-:.< - �^nY mss' `Fire` t - ttf^::; - }'" i � fi t'i :ti'3,5;` >,p?i: ..i+' `�'r.{v: 5:p •iiY • - - •af .'.tan�.� ' .,. .$.,{� (..:- .:_t$t� : ��: 4 tYNs�N.� 'Zoo n = a arat'" yk.x - - - n'.::'t.:a......en. v:..(Sv+Ji�`'i. OWNER/APPLICANT INFORMATION 121 Indicate who should be contacted rr2ardinr Ibis proiect fes' pw( �'�JJ/ Phone 71 4 (17 % 6 4-.44 (� Fax: j ' 7 7 7/ 7 7 O Applicant: Phone: Fax: Mailing Address: /4 2 N ye7-/- ft of stories Mailing Address: Unfinished basement sq. ft. Ory, State, /h'4e AA- - 990c�s City, State, Zip , Finished basement sq. ft. ❑ Contractor Phone Fax Construction type 0 Architect/Engineer Phone Fax Mailing address Heat source (electric, gas, etc.) Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROJECT INFORMATION s:�...�..-� .,��'y :r✓raF4',xa 'r,:'.x_�'.;y��_ ii=:r=iB ty. vci., . �z�iR?.i=,:_s_' ,.,_,- ;. bs XIIs'N'l,;"�e4ms`...-..-,�✓,: ","s ,r1'-- `4udlnnormaton e },iv'.if" Building height to peak ft of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2"a floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq ft. Cost of protect Heat source (electric, gas, etc.) :SYC:hY.Slk.^.! �...........�^e3="2<i ` Tiy }e" 4l .X j.'Sti-' 1Vlanufactured�Hoine.�� � � ��-` S. !a ^^.m" -.g a - • :-- Et` "t^ rv- Sin .�;'�: ac�� `. "tea. <�-.v��=. Width: c.% Length: / / / / �/ What is the square footage of the sign face? How high is the sign? Year: /917 Make f'`ltwr?<L # of signs Area of existing signs Proposed use Value Inspector Phone $F"'+.2r 4:,v...v{ap{-an`e +`fii 'T{. �; t�,w-...... ; •A `TS t( M,6w � Y t� n.t3'} Relocation t k x"A : `''?izx�'r.^A*`'72"'-RIi�'s. •.�, "a''iFi.'Hie? rs,,,�-r '+^i:d`:h:-3 ,� ,,R y�<l>S vis q ri 4" 3v. Flre rte cr = :` ==` ia�."+`° f:� r."-x...�s" ...•s. ..:eii Previous address Fire Sprinkler Tent Paint booth _ Fire Alarm Fireworks display Address Is there evidence of fill or excavation on the property? 0 Yes 0 No Proposed use Value Inspector r'.we ti eAss1ws•-.6tE` e'=T ? mispectlons Rqulred • u&i aw-':i-_ts- e -,:tAt by §vA-,4Se -Residen r_erG0 tompnan e. nits' Finn Name Phone Plans Examiner Phone Inspectors Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes 0 No Address Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No Inspector Phone O Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? Pt Yes O No ^ Ifyes, identify on site plan (JCl�I <Gy What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? Ifyes, identify on site plan 0 Yes 0 No What is the current use of this property? Is your property in a designated wildlife habitat arca? 0 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 0 Dont 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? Ifyes, 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 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY L4 dire` rd`'' e t 47, -'idea natedStoiiiiwiieicei irviltAfe ?:ti o i-' an,''7'=; P..:j:.Z.?- :=x`..';i�sti;:'.:;,"v ,<S`C°..GNsS-xeuaS`�,^t,',.; :z tf,`.;i' z ;..:...F ".O tYest<,,:FO:r,1Vo? = -s; .?-iii. (Ti! uSlic'sewelic ilible=i ii ,Obs, i- =;'s'�z r"..Fiii PIA.- b P-zet=<a;.•a.t-C?•<`tq..h�-,:^:�i::)°: �q.:.W.tt PIA. --iii'•=z5 `-�': s: :,,;st ilk�s? Ls'the,—.......t.--.,..,„—..„prside tASt1� fs :' '? `>'+F i� D"3'es t'� 0 hli "'{' »fix :,,INiZ Y,,. ,a:.�,,_,D._ _.-,.r;.;,;-;,.,kp•,.�...,,,,,..ntty.}..i•.:_»,.iz . -"A Orn: :,R: XL A-Sr�Y.-{` .. a.,-: .: . ,n �'"'SG _:w^,S`' ,.i;:;�> > �O .?Yestr.. IT 6. 'az's:�: c:. ` ? `g Y? Y.. f5,... Gaivateravailad -. o[lie'iiie. '. `z<�`.-`OsYeS¢ Q'e,Nia aa_< '�'s}: " Y:' �i � ^�:a w :44.,,t„..?;a"4 .:'z5 .:e, :Y�"<^-'s ✓> ,»- r:.. ,- �±`=.'S'za>..X.: si'~'.e:..�:�_.ra .t. r54`l�a.'F#E+•,c.r �-�'2:a;�W: ,r -wxoper•eni ..... ; rLAlie property mstdeihe _ESSAY_`•�=0�1tYesi# Or No ''- ';> ;. .'a':.a. `-.`^ �''f <'"i> v . s 3<'i:- f 3Isdlie; roe locaiediwi%fiin°=1GOO,fee of;aiIYaitir'alfReso`vice Aiea? ,= P P rt7 .. r<�x .zs- a,xH .so.•. - - .'-t (- ,.. ;� k� �. _::.-... �'::.a9-'©s;;Yes.""O,.No_.-. sacy:_2..:_-_.�3c?:s:�•.sisax-.:�-ss'_}'L.ei'ta:.��<,..,,.:5. _:s.Y' = Date Received: Staff Representative: METHOD OF PAYMENT VISA 9 CASH 9 CHECK 9 ❑ !�i® r.. y_j 9 DIICOV€R FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL e•.%'.,=t.4rY<"M't =z��'.i,=.:<•�,.'�i' r:'TTA OL;FEE-' ) s-MINIAffly P£RAttrFEEJS S3f.eo PIEASE-..-" - -11 ---,v`•__ COUM'Y,FBRitIT:CENTEFt'$.'.f'.:e`� r s�2 01/29/01 16:08 $509 324 3603 SP CT-Y;EEAL11I FTNAL'iiS lii INSTALL'ATft'D! 001 1.s r, —r 1'i I1 fell I I1 I - - LOCATION Or THE ON-SITE SEWA4 STEM REPRESENTED BY THE DRAWItC IS NOT TO BE CONSTRUED AS AN D(ACi LOCATION OF'7F1f SYS' :15(O 421, i 1 Step St NI REMARKS (continued): 5- l9-17 This site plan is hemp submitted fnw thn•gl,at obtaining a building permit and is a true and correct representation -of int pn,punal. All known property lines/dimensions, curb lines, structures and easements nave -been identthed. Also indicated are wetlan bodies of wate otnep ..PC or" Signed: Date: r critical , -. v