2005, 06-08 Permit App: 05001844 MHProject Number: 05001844 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/08/2005 Page 1 of 2
Project Information:
Pennit Use: REPLACEMENT W/DOUBLEW1DE Contact: DALE SWIFT
MANUFACTURED HOME Address: 13005 N PITTSBURG
C - S - Z: SPOKANE WA 99208
Setbacks: Front UN Left: UN Right: UN Rear: UN Phone: (509) 468-5975 •
Group Name:
Site Information: Project Name:
Plat Key: 000700 Name: EASTWOOD ADD District: Sout
Parcel Number: 35231.1146
SiteAddress: 615 S HOWE ST
Block: Lot:
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 999 UNKNOWN Hold: ❑
Area: .00 Acres Width: 70 Depth: 260 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,. 3
Owner: Name: KENDALL, ANDREW R
Address: 5512 E 4TH AVE
SPOKANE VALLEY, WA 99212
Review
Site Plan Review
Plan Review
1'
Released By( -4/1/
(l:
Septic System Review
Permits:
Released By:
Ckastet
Manufactured Horne
Contractor: J A SWIFT ENTERPRISES Firm: DALE SWIFT/J A SWIFT ENTERP
Address: 13005 N PITTSBURG Phone: (509) 468-5975
SPOKANE, WA 99208
Item Description
INSPECTION FEE
Units Unit Desc
2 SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: DMD Printed By: K_C Print Date: 06/08/2005
06/08/2005 1136 5093241567
Project Number: 05001844 Inv: 1
T
Penalties will be asses
Prolect Information:
Permit Use: REPLACEMENT W/DOUBLE
MANUFACTURED HOME
Setbacks: Front UN Left: UN Right. U
SRI -ID EHS
Application
S IS NOTA PERMIT
ed for commencing work without a permit
fC:7P7a,r'non 4lLy:T<'.i IJCS^=r1aa01'Si:Sd::::.ai:P''•__.LF:: �:w�:,+.'.::F..'::.:.:1 r'::
Contact: DALE SWIFF
,Address: 13005 N PITTSBURG
S • Z SPOKANE WA 99208
Rear: Uhi Phone: (509) 468.5975
Group Name:
Project Name:
Lot
Owi er: Nand KENDALL, ANDREW R
Address: 5512 E 4TH AVE
SPOKANE VALLEY, WA 99212
PAGE 01/01
TO 3241567 P.02/03
Date: 06/08/2005
Page 1 of 2
$ite Information:
Plat Key: 000700 Name: EASTWOOD ADD
Parcel Number. 35231.1146 dock:
S1reAddress: 615 S HOWE ST
Location:: CSV
Zoning: UR -3S Urban Roaldntiai 3.5
Water Dlsolet: 999 UNKNOWN
Area: .00 Acres Wjjath: 70
Nbr of Bldgs: 1 Nbr of Dwelllmgs: 1
Review Information::r.,.aa-armr
District: Sour
Hold: ❑
Depth: 260 Right Of Way (ft): 60
.1!
Review
Site Plan Review
Releask
tit Si€L$ a,'Y-ia_
Plan Review
Septic System Review
Permits:
Reledaed
Released By:
9bt^ f —=^1 G I Goa""- y '?I1% L --
I
n asamarm WAtTaaUmWMP
Contractor- J A SWIFT ENTERPRISES
Address: 13005 N PITTSBURG
SPOKANE, WA 99208
Item Desertion
INSPECTION FEE
UPS alZ:r.92r ;kxr:'llw_rn
MauseactwedMonte
Firm: DALE Ff/J A SWIFT ENTERP
Phone.: (509) 468.5975
its Unit Dest
2 SECTIONS
Operator: DMD Printed 13y: K
JUN 08 2005 12:46
Fee Amount
S100.00
Permit Total Fees: 5100.00
Print Datil: 06!08/2005
5093241567 PAGE.01
Project Number: 05001844
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/08/2005 Page 2 of 2
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary: =--
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 50.00 $100.00
$100.00 5100M0
50.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
f
Operator: DMD Printed By: K_C Print Date: 06/08/2005
Spokane
.000Valley
BUILDING PERMIT APPLICATION WORKSHEET
, City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
AiStreet Address: Co /S S II 0 w i• s i
Assessor's Tax Parcel Number(s): 352; / ' / 14/6
Legal Description:
( PERMIT DESCRIPTION:
❑ Building Permit
❑ Relocation
❑ Change in Use ❑ Grading 'Manufactured Home
0 Tenant Improvement ❑ Fire Safety [ Other
OWNER/APPLICAN . INFORMATION
Owner: 4vtkVL-
Phone: / Fax:
Address:
❑
City ,/� State Zip Code
O Contractor: • 74 ' Scac-[ r aritrik s 0
Phone: 46,9-Sf75 Fax:29,-92 4
Address: 1 3ooS kl P &Lv
?nog
City State Zip Code
?31:-://i00
Applicant:
Phone: 14R-5175 Fa :ij(9-9'F<1
Addre s: /..3005N AG�
voi.tc 592o
State
w,a
City
Architect:
Phone:
Address:
Zip Code
Fax:
City State
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: g /
DIMENSIONS*
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNPIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:TOTAL
HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJEC1
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width: 2101$ .r
Len the 41
Manufacturer:
Year: 2005 Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City
Inspector: Phone:
Address:
State
Fax:
Zip
city
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and Correct
representation of the proposal. All 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:
ZONE (411, . 4114i. -Q
ROAD VRDTN
FRONT I T FLANKING _P
COMMENTS
REVIEWED 8Y a fnA fY1, _