2000, 04-17 Permit App: 00002733 MHProject Number: 00001733 Inv: I
Application
THIS IS NO'f A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/17/2000 Page 1 of 2
Project Information:
Permit Use: NEW DOUBLEVIDE MOBILE HOME
Setbacks: Front 40 Left: 15 Right: 20 Rear: 70
Site Information:
Plat Key: 000146 Name
Contact: MISSION CONSTRUCTION
Address: 10721 E MISSION AVE
C - S - Z SPOKANE, WA. 99206
Phone: (509) 879-4982
Group Name:
Project Name:
BARKER ROAD MOBILE HOMES 1ST ADD.
pisnict: G
Parcel Number: 55082.0809
Block:
SiteAddress: 18903 E JACKSON DR
OTIS ORCHARDS, WA USA
Location:• OTI
Zoning: UR -7
Water District:
Urban Residential -7
Area: .00 Acres Width: 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: r
Lot:
l%ieSber etirtct,
Owner: Name: ' SAN, i17 Address: 18903 18903 E JACKSON DR
OTIS ORCHARDS, WA 99027-9
Hold: ❑
Depth: 150 Right Of Way (ft): 60
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits'
Review
Site Plan Review
By:
v_,7_,
Plan Review
By:
Septic System Review
Sewogo system desioad
fort Lisenes orgy.
6D-afte-t4 44-77-80
By: /i % t/—O
Contractor: ]IISSION CON
Address: 10721 E MISSION AVE
SPOKANE, WA 99206
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Manufactured Home
Firm: MISSION CONSTRUCTION
Phone: (509) 879-4982
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Project Number: 00002733 Inv: 1
Application
Date: 04/17/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary: .. -
Operator: DMD Printed By: DMD Print Date: 04/17/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $122.00 $122.00 $0.00 $122.00
Notes: ,
$122.00 $122.00 $0.00 $122.00
l l
SPOKAKE COUNTY
Oto 7
PROJECT APPLICATION
SPOKANE COUNTY DliVISION OF BUIDDING & CODE ENFORCEMENT,^
1026 WEST BROADWAY AVENUE
• "SPOKANE; WA99260':\(.9(2 S
509-477-3675 2,743
Project Description:
TYPE OF APPLICATION
O Building Permit
0 Change in Use
0 Grading
S Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:
bbl
Assessor's Tax Parcel Number(s):
Legal Description:
e artmeritw:�
;Sewer Diurict/Ptiiveyor.
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
0 Owner: Phone:
pieA-s/ er Fax
0 Applicant
Phone-
Fax.
Mailing ddress. G
/ 9903 E J/tcfCsord
hlailing Address-
Dimensions
City, State, Zip
e e Acta va ' 9A
6r/i !N
City, State, Zip
Finished basement sq. ft
/
m Factor Phonej ZPhone
9 y' 3V�j�/)
/'s s 10 A./ 00703 re Fax ell L S98
0 Architect/Engineer
Fax
Mailing address '///
/07thgts- ON)
1
Mailing address
City, State Zip
N'i ' 99 Lac
SQQIA" ti
City, State Zip
WA Sit f� Contractor license p
745-7C *d32QG
Contact name:
PROJECT INFORMATION
:'.B:iiilding Informatidri..,,
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. f[
Dimensions
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft
Occupancy group
Construction type
Garage sq ft
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured: Home __ . :: ':
Sign,,.. _
Width:
°zee4-10
Length. /
What is the square footage of the sign
face?
How high is the sign?
Year:
2 0 D O
Make: Eiji; r' 9
gine .B.; 949.
ft of signs
Area of existing signs
Relocation ",• '
Fire Safety' -
Firm Name
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Is any part of the property within a 100 yr flood plain?
!f yes, identify on site plan
O Maybe 0 Don't know 0 Yes 7 No
Proposed use
Value
Address
Special Inspectinns.Required?.
Non -Residential Energy Code Compliance?
Firm Name
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes 2410
Phone
' "
Plans Examiner
Phone
Inspectors
Is any part of the property within a 100 yr flood plain?
!f yes, identify on site plan
O Maybe 0 Don't know 0 Yes 7 No
Are or will there be wells located on the property? . •t \..,,
Ifyes, identify on the site plan 0 Yes ` ff±;^ No
,
•
Address
Is there evidence of fill or excavation on the property? .
n`v1-'4 '.''1 . •'Cr Yes 0No
Are there slopes greater than 30% on the property? (30 t rise in 100 ft)
(/ %) O Yes No
Are critical 6i haiaidous materials used or stored 011 site?
. •C •-•.H a ,' ' \ •. -O. Yes 0 --No -
. \
Inspector
Phone
O Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes PrNo
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is the property inside the ASA?-- '
... .,� :... ,... . • ,:
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes 2410
What is the current use of this property?
' "
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes ..-ErNo
Will the site be served by a septic system?"- Yes 0 No
:.; :
Is any part of the property within a 100 yr flood plain?
!f yes, identify on site plan
O Maybe 0 Don't know 0 Yes 7 No
Are or will there be wells located on the property? . •t \..,,
Ifyes, identify on the site plan 0 Yes ` ff±;^ No
,
•
Are there any wetlands, streams or ponds within 200 feet of the
property? --!!
Ifyes,identifyonsite plan O Yes 171•'‹o
Is there evidence of fill or excavation on the property? .
n`v1-'4 '.''1 . •'Cr Yes 0No
Are there slopes greater than 30% on the property? (30 t rise in 100 ft)
(/ %) O Yes No
Are critical 6i haiaidous materials used or stored 011 site?
. •C •-•.H a ,' ' \ •. -O. Yes 0 --No -
. \
DEPARTMENT USE ONLY
• t
.c.. .wv
.:Is:the;property]n-a.designatedStorrpwater.ContrOIArea?''t':=.-Ispublicsepi%'e'?availabletgthelife?,
O .:'Yes: --.0t-No -•
:--t O''Yes".O'-No., .
Is the property inside the ASA?-- '
... .,� :... ,... . • ,:
' r,.
' • a Yesg'? Elli No'
O; Yes .O : No":
' "
:Is public water avaiIable:to;ihe site? =•- iln"Yes '' 0
�:. _-:_ . .'
1Is:the;'property'inside the PSSA?;.`
: -... ,..,..
:.; :
O ; Yes';' O• NO.. '
?Is the_property located'within 1000feet of a Natural Resource
Area> : Yes `i 3:..No -
Date Received:
Staff Representative
h I
SPowE. COUNTY
PROJECT;APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project; Number:
Contractor " ; ,.
Architec•t:/ Engineer
Consractor / /
6005 T , cY/ aA
Architect/EngineeriiSi.DrJ
Phone
92V - zso y
Fax
992- nto
Phone
Fax
Mailing address ! ///,�/J
l G
l0 ] I /.f ..f ,10 lc-?
Mailing address
City, State Zip
310 �'.se# (,%A
City, State Zip
WA State C tractor license h
//tinXc )6
03zaG
Contact name:
Building Information.
Building height to peak
# of stories
Main floor sq ft.
Unfinished basement sq ft.
Dimensions
Total habitable space
.2nd floor sq. ft.
Finished basement sq. ft
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc )
!Manufactured Home
sign
Wrdth: 0,78
Length: t ♦
y(/
What is the square footage of the sign
faces
How high is the sign?
Year:
J
O 000
20
M-ke:
den ig(t ../44 ,Q
# of signs
Area of existing signs
Relocation
Fire Safety
Firm Name
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Proposed use
Value
Address
Special Inspections Required?..
Non -Residential Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDRES
ZONE:
11
7174_5/4-
1
b'go3 t.
U- A S a N
PAOS 1
;S X q
Da)L1e td
ROAD WIDTH:
FRONT:
COMMENTS:
REVIEWED R
9rc
61'")?
set
fr) pc�
eta
0 4./
've.
being submitted foN-ie purpose of
ting permit and is a true and correct
the proposal. All known property
irb lines, structures and easement:
+. Also indicated are wetlands,
dopes p) other critical areas.
3 ckjo,) 1441