2010, 04-28 Permit App: 10001173 MHProject Number: 10001173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/28/2010 Page 1 of 2
Project Information:
Permit Use: SET 2009 26 X 52 VALLEY QUALITY HOMES
Contact: VALLEY QUALITY HOMES
Address: 17123 E SPRAGUE AVE
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 927-7472
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: East
Parcel Number: 55083.9601
SiteAddress: 1729 N HODGES LN
Location:: CSV
Block:
Lot:
Owner: Name: HART, DONNA
Address: 13417 E 15TH AVE
SPOKANE VALLEY, WA 99016
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 0 Sq Ft Width: 53 Depth: 90 Right Of Way (ft): 35
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information
rg3
Review
Other Reviews
Released By:
CONTRACTOR NEEDS STATE LICENSE
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 4/28/2010 By: CJJANSSE
Permits: SVI EMO
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Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description
SETTING PERMIT
Units Unit Desc
2 # SECTIONS
Operator: jmm Printed By: JD
Fee Amount
$100.00
Permit Total Fees: $100.00
Print Date: 4/28/2010
Project Number: 10001173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/28/2010 Page 2 of 2
Notes: g, N4 _
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 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: jmm Printed By: JD
Print Date: 4/28/2010
Project Number: 10001173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/27/2010 Page 1 of 2
Project Information:
Permit Use: SET 2009 26 X 52 VALLEY QUALITY HOMES Contact: VALLEY QUALITY HOMES
Address: 17123 E SPRAGUE AVE
C - S - Z: SPOKANE VALLEY, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 927-7472
Group Name:
Project Name:
ti OSx,:`a MO,E'. m1... "i."-a�"..;$v+,i�r"`",T4'',,:";"7,-7"...TN' wii.rg ;Jr ._ ;Al"—
Name:
Al Name: Range District: East
Site Information:
Plat Key:
Parcel Number: 55083.9601
SiteAddress: 1729 N HODGES LN
Location:: CSV
Block: Lot:
Owner: Name: HART, DONNA
Address: 13417 E 15TH AVE
SPOKANE VALLEY, WA 99016
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19 Hold: E
Area: 0 Sq Ft Width: 53 Depth: 90 Right Of Way (ft): 35
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Landuse/Zoning/HE Conditions
Permits:
Released By:
Contractor: OWNER
Item Description
SETTING PERMIT
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: jmm Print Date: 4/27/2010
Project Number: 10001173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/27/2010 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: jmm Print Date: 4/27/2010
CITY OF
kane
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
jValleyy (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development
Manufactured Home
Permit Application
SITE ADDRESS: / 729 /V- /7 '9 e5 L'ak'e
OTHER
PERMIT NUMBER:
P ,- T . tv t..1 ��1"
w! D
1, ui
ASSESSORS PARCEL NO: c5-0 j„ 760/ LEGAL DESC
Building Owner:
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//,,�,
Name: 1)OYJ/'L6t I/art-
/
Address: /3 g/-7 g: /5'iJlAve
City:poka , /GIA4 State: m,.4
Zip:
Phone: 5-c@_gZ6-/v6i, Fax:
Contact Person
Name: t lr9f / iN
Phone: 6D% 953-3? 2_ 3
Describe the scope of work in detail:
Contractor: _for koro. ,
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Name:
/
Q10��
Addres •
40.,y,
City :5/ / of
State:
Zips // !v
0//n
Phone: -
Fa,x4a
-Qo /�//US 23
1�lJ
Exp Date:
City Business Lic. No:
01-I
m ,5f0h 6 LL c -(L&/ 060140))
5,2dI 99037
k% Aim( 74&41/I ed.`
MANUFACTURED HOME
Width: aa . 4
Length: —Z - 0/I
Year: zOOq
Pit Set: ye=5
Manufacture:
Val/ r uai`{ Ames
Previous Address:
Proposed Use: p, 5114z 4'a/
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) 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 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.
Signature
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
0 Check
Date `/
0 Mastercard VISA
Expires: VIN#:
-Z7/ Zc/0
LOT 87
1729 N. Hodges Lane
Prepared for: Donna Hart
North
Scale: 1" = 20'
Frolfm- }
Submitter!
EC
Home Manufacturer:_ Valley Quality Homes
Width: 26' 8" Length: 52' 0" PLANNING DEF
Resident approval of site plan
BY. bkilk h
Signature date
Signature date
T. APPROVED
DATF_ 9I
6' setback ok per plat map. R. Mason
verified no utilities are located in the
existing easement