2001, 08-02 Permit App: 01006367 MHProject Number: 01006367 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/2/2001 Page 1 of 2
Project Information:
Permit Use: NEW SINGLE WIDE MANUFACTURED HOME Contact: ELLER, TERRY
REPLACEMENT Address: 1515 N HODGES RD
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 30 Left: 20+ Right: 10 Rear: 20+ Phone: (509) 922-2305
Group Name:
Site Information: Project Name:
Plat Key: 003756 Name: MISSION VISTA 1ST ADD District: G
Parcel Number: 55172.0802 Block:
SiteAddress: 1515 N HODGES RD
GREENACRES, WA 99016
Location:: GRE
Zoning: UR -7
Water District:
Urban Residential -7
Lot:
Owner: Name: ELLER, TERRY
Address: 1515 N HODGES RD
GREENACRES, WA 99016
Hold: ❑
Area: 0 Sq Ft Width: 78 Depth: 138 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons: \�C- p`
Permit Conditions:
BUILDING
Plan Review
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits:
Septic System Review
Released
leased lays
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 SECTIONS
1 Y OR BLANK
Fee Amount
$50.00
$11.00
Permit Total Fees: $61.00
Project Number: 01006367 Inv: 1
Application
Date: 8/2/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Operator: RMB Printed By: RMB Print Date: 8/2/2001
Permit Type
Manufactured Home
Notes:
Fee Amount Invoice Amount Amount Paid Amount Owing
$61.00 $61.00 $0.00 $61.00
$61.00
$61.00 $0.00
$61.00
ffff
1 l
SPOKANE Cowry
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:
/U /S/S fav 6 4'-C ,e4 c,e 41w c.e. r
oil
Assessor's Tax Parcel Number(s):
Legal Description: %,.Q‘' //cm e o
Project Description: S v d O ,D /Ld' /W
O GC % a/4W a %'4s" it/
O Building Permit
0 Change in Use
0 Grading
A—Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
Department Use Only
Water District/Purveyor:
Sewer District/Purveyor ,
Road width
Setbacks
Front Rear.
Left Right:
School District:
Fire District:
'Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should he t onladed renarrline this Droieel
'Pr hvner:,Phone:
/ KQ (/\p /- - %� .e-4.Ctet- /P Fax:
, O 2 2%202 2 j 0 S
11Applicant
Phone:
Fax:
Mailing Address:
// /J //.S- h�0 ,D 6 -��-�^ k D
I)imcnsions
'Total habitable space
Flailing Address:
Finished basement sq. ft.
(; t , State, Zip
C.e.441% //e/e4C'- k',
Construction tvpc
Yyd/-6
Cir', State, Zip
Cost of project
0 Contractor
G Phone
/ i t2e/i` "Cr C 0/Q/[/J /I4 Fax
0 Architect; 1(ngineer
Phone
Fax
Mailing address
Mailing address
CM, State Zip
fa C?- 7-.-/C A4//o
0
5/01/4-47-
4''V\
Cin', State Zip
,\-:\
:A State Contractor license #
r7//J-
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main flour sq. ft.
Unfinished basement sq. ft.
I)imcnsions
'Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction tvpc
Garage sq. ft.
Deck sy. ft.
Cost of project
I Teat source (electric gas, tc.)
Manufactured Home'
Fire Safety
Firm Name
Sign
Width:4-
j
Length:
��
/
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Address
Make:
Value
# of signs
Area of existing sigms
Inspector
Phone
O Concrete
0 Welding
O Bolting
O Reinforcement
Address
Relocation
Fire Safety
Firm Name
What is the current use of this roperty?
jPQ`jft,C / x/.4.4' 7-7
Previous address
Will the site be served by a septic system? k Yes 0 No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this roperty?
jPQ`jft,C / x/.4.4' 7-7
Phone
Will the site be served by a septic system? k Yes 0 No
Plans IIxaminer
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes irNo
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 0)
( / °%) 0 Yes' No
Address
Inspector
Phone
O Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? „at Yes 0 No t% Xc2Y Awl'
Ifyes, ident on site p/mr 02 X y'Q 5ffe) /
What is the current property size? `� /
(square feet or acres) / f / /-?(F
Is any part of the property within 250 feet of a shoreline?
If yes, identifi on site plan 0 Yes 0 No
What is the current use of this roperty?
jPQ`jft,C / x/.4.4' 7-7
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes n. No
Will the site be served by a septic system? k Yes 0 No
Is any part of the property within a 100 yr flood plain?
I_ Eyes, identify on site plan
0 Maybe 0 Don't know 0 Yes .. No
Are or will there be wells located on the property?
I fyes, identifi on the site plan 0 Yes ,DT' No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identii5, on site plan 0 Yes . No
Is there evidence of fill or excavation on the property?
0 Yes irNo
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 0)
( / °%) 0 Yes' No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
DYes
0 N
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
DYes
0 No
0 N
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
DYes 0 N
Date Received:
Staff Representative:
METHOD OF PAYMENT
0 (:.\SI
0 CIII(CK
VISA
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATF:
I:SP1121.1S:
BANK -CARD NU\IBI:R:
AU I'I IORl/.I',1) SI(iN.A ThRI'.:
SUB 'I'( )'I'.\1.
TOTAL FEE
MINIMUM PERMIT FEE IS 535.0011 11 kSE
AI \KH CI 1I :CFS P:\Y:113LE 10 SPOT.\NE
COUNTY PERVII'r CEN II?12
L70f1 J e4V )//yjf
K-4
• //,14l»Qj ,v4 00 0
0,4/1_4 9/11/P 1-/
Li/ -4p
yty _.ze xi/
/7 41 .01 /1/ 0 1 /1/
9 .,°7/14( 717 (U1 '1( c/ i
.P'7i,V 14, '9 -4* m/
/ ) 97 4,
y7z. 6/ -11 /yr 5 P I W
bi L0 c/.17 kV Lei /V Z -Z 11 3 9 7 7/71 /11,A7/1(
I / g 0 -it/ /J((
7 0
This sfc p:an is being submitted for the purpose of
obtaining a bui;ding permit and is a true and correct
representation of the proppsal. AH known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes.or other critical areas,
,
Signed: '""
Date: S> - 2 7/ ° /
,271) V,/ „liv0 CI70
4/00 .0 $/4'D•
oyi N /, 0 Al 17/v of 1Y I:21
0 j 19 1/4 --L. y
61/-/ 9 7 /7 :4' A% 1 -1,41 •
V 0/V s"oti
$4o/e .20"
ADDRESS 1'515
ZONE
ROAD WIDTH fio
Abve
FRONT -O FLANKING
COMMENW--
REVIEWE
e-sl-
1111•11•140.
41••••MMI.