2000, 06-06 Permit App: 00004642 MHProject Number: 00004642 Inv: 1
Application Date: 06/06/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information iiUUa
Pernut Use: NEW TREE WIDE MANUFACTURED HOME
REPLACEMENT
Setbacks: Front aS Left: Right:
Site Information:
Contact: EASTMAN, JANICE A
Address: 11608 E JACKSON AVE
C - S - Z: SPOKANE, WA 99206-4733
Phone: (509) 922-0616
Group Name:
Project Name:
Plat Key: 000762 Name: FAIR ACRES MOBILE HOME ADD.
District: H
Parcel Number: 45091.2006 Block.
SiteAddress: 11608 E JACKSON AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -7
Water District:
Area: 8,050 Sq Ft
Urban Residential -7
Lot:
Owner: Name: EASTMAN, JANICE A
Address: 11608 E JACKSON AVE
SPOKANE, WA 99206-4733
Hold: ❑
Width: 70 Depth: 113 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Ilold Reasons:
Permit Conditions:
BUILDING
Permit Conditions.
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
PLANNING
Permit Conditions
Permits: ,
Review
Site Plan Review
4P12.0\ toII71 U
Plan Review B MFG / ,
akcrmeesecs
Septic System Review
ort IL) illtAa—
system designed
for bedrooms only.
Landuse/Zoning
SET Ae1e Px08tnts ' rte to N 721'
GO h- ;3 fib' �rc ,�,grit GM -At __LiAA
I
S.tj,c fl c)r
L0 i5 % % S' e- -647/4'6— b
Project Number: 00004642 Inv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/06/2000 Page 2 of 2
Manufactured Home
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
PayrnentSumrnary•
Operator: RMB Printed By: RMB Print Date: 06/06/2000
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 $12 . \_$\11
Notes: , -
AUM
SPOMNNCourtrY
no tfria-a.
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: ret7/4/Qe /7/61YlU_--I Chrtsi /1 a- 't
TYPE OF APPLICATION
❑ Building Permit
0 Change in Use
0 Grading
121' Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: / / (.00g C 3 Qeso n
Assessor's Tax Parcel Number(s): 4509 (r aoo
Legal Description:
rpDe aess.: . .o Atnrs� ^1. 1 w �tilt:�:...._..._
arrmenUeOni^s::._c'_,-
•�iCi:.rir c':^[%t:-mX`:::X.r'...^..:.`.:.G-..-.::-.rtee: :'�_� _- __m`'.s.�.. ..t::���-�:_� ..; "�-�_.'.
'.W....... is
Wa[erDis[nhAurvr or. ^1:1:r.•s:e:�
...;:aa:. -..:•:'sr ^:
c,.
o:e;:-- ......... .......... .:. rx,:x:i•:..
,,.f3.._............y.................-.::_-:-:t.._.,i.fk.....
'Sewei.Distnct/Piiive or„-••;:' ....:” r.^.'^':
., .;.?.,;'...;:^;
,.•�. ..... a: ^:. - 1_ r
vs:..-:i:.ii'ri^...n”!.i:.:y .•.:..._t:,c.:u:i
Manufactured Home . •
Sign.
Width:
/ t ' / J.— r i 7 /i, \ J
l
Length: //
/ 0 ((00�j t)
What is the square footage of the sign
face?
How high is the sign?
Year:
Aoo
Make: a' /e -Pe
trrsit Eol;-i;bK
# of signs
Area of existing signs
Relocation. -
Fire Safety ,
Firm Name
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Proposed use
Value
Address
Special Inspections Requited?
Non Residential Energy Code Compliance? -
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Yes 0 No
Plans Examiner
Phone
Inspectors:
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
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No
lfyes, identify on site plan
What is the current property size?
(square feet or acres) .
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan ❑ Yes ❑ No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
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 Don't 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?
If yes, 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
-Is the property in a designated Stormwater Control Area?.'- ' -;
Is publicsewer available to the site? T7 Yes: -. - Q No '-
Is the property inside the ASA?
....
-. O. Yes
OYes
O: -No .
ONo..
Is public water available to the site? ' 0 Yes ll 0 No .
Is the property inside the PSSA?" ,
.. ..:
' ' 0 Yes
..
0 No .'
Isthe property located within 1000 feet of a Natural Resource
Area?. O Yes. Oi No
Date Received -
Staff Representative:
This site plan. is `ting submitted for the purpose of
obtaining a bu ..:ing 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 o ter, steep slopes or ogler critical areas.
Signedi: COQ
Date. Udo —— Or)
ADDRESS N. Ilboa ktsu1 A
ZONE
ROAD WIDTHS°
,FRONTS FLANKING • •
COMMENTS
REVIEWED BY •
,4-?pes>vA-t- cm
C1;by {Iftior-c