2008, 03-17 Permit App: 08000865 MHProject Number: 08000865 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/17/2008 Page 1 of 2
Project Information:
Permit Use: 2008 CLAYTON 27 X 60
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 891-9996
Group Name:
Project Name:
District: East
Parcel Number: 55083.9066 Block:
SiteAddress: 1720 N HODGES LN
Location:: CSV
Lot:
Owner: Name: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
SPOKANE VALLEY WA 99037
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
Permits:
3/17/2008 By: jdavis
Released By:
Originally Released: 3/14/2008 By: mharnois
Contractor: OWNER
Item Description
INSPECTION FEE
Manufactured Home
Firm: OWNER
Phone:
Units Unit Desc
2 # SECTIONS
(000) 000-0000
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: JD Print Date: 3/17/2008
Projct Number: 08000865 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/17/2008 Page 2 of 2
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: JD Print Date: 3/17/2008
Permit Center
"' ` 11707E Sprague Ave, Suite F,rY
:07000"." -valley Spokane Valley, WA 99
(509)688-0036 FAX (5 i • � [ `:,I', )KAN VAL1 EY :8037
Community Development www.spokanevallev.org MAY 12 '. .1F
Manufactured Home
hail3 f;LNiL:i
t3Yr;
Permit Application
SITE ADDRESS: / 720 /l • od es Lae e
ASSESSORS PARCEL NO: 550 0 3 , 9obb LEGAL DES
PERMIT NUMBER g, 5)0
PERMIT FEE:
OTHER
BuiWmg Owner.
Name: mi55/401 Ateedorv5 LIZ-
LQAddress:
Address:1 Sal/S . Camervvn C -f
City: S)4vl ice i%/l ej State: WA ZiP: 99637
Phone: 5b4 _ 9'5.4 —3923 Fax 927— (o7$ 7
Contact Person;`
Name: e: C.1 Q v1 Ma ►. a $o v'
Phone: Soy— 953 -31 Z3
Describe the scope of work in detail:
RIPTION: LOT -lb /11/5"/ an iI1rwuuv..7 i" 1111
Contractor.
Name: C7Goneli..
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Se -F new Il'►601a4 ved home
MANUFACTURED HOME
Width: 77 /
Length: 43 of
Year: 2 UO e
Pit Set: yes
Manufacture: L / cry, f-0 rte►
Previous Address: f
Proposed Use: '�e51 de4i.4(
The permitee verifies, adcnowiedges 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) All 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 nota 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.
Signature .��1 J )�� Date fritt.1,....Z /27 2_00.5
Method of Payment:
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/2312005
*Wane
For City Use Onl
PLUS Project Number CO:�
Project Address , , ,dod
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE
RF\/ O/n7
Siblane
PERMIT CENTER
11703 E. Sprague Ave., Suite B-3
Spokane Valley, WA 99206
509-688-0036; Fax 509-688-0037
www.spokanevallev.org
Affidavit in Lieu of General Contractor Registration
State of Washington )
County of Spokane )
(Print name as signed)
, state as follows:
1. I have made application for a building permit from the City of Spokane Valley, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under RCW 18.27.090, a copy of
which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Spokane Valley must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Spokane Valley of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No. , and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
Signed and sworn to before me this
Zq Day of f la,1�,1i20(2 .
j r,- \
Notary's Name (Print)
Signature
NOTARY PUBLIC in and
Washington, residing at
or the State of
OJ (County
c (�
My Commission expires:
October 15, 2007 Page 1 of 2
P:\Community Development\Forms\Building Forms
csi
1
i°' 1719
25
1
17291
6-874:1
"API, i, 1. : c'Ja ifr olcr
HODGES LANE
726 11
1ai
1 5
5,33
17
1
LOT 16
1720 N. Hodges Lane
ems mamosailliral.
North
Scale: 1" = 20'
Resident approval of site plan
Signature dat
Signature
date